劳动权益
仲裁申请书
来源: 广西柳州柳城县人民政府
发布日期: 2013-07-29

申请人:(姓名)                      性别:

出生:                         民族:

户籍所在地(或外国人注明国籍):

现住址:                             联系电话:

确认有效的通讯地址:                 邮政编码:

 

被申请人:

法定代表人(主要负责人):(姓名)         职务:

住所:

联系电话:

 

第三人:

法定代表人(主要负责人):(姓名)         职务:

住所:

联系电话

 

仲裁请求:

1.                                                        

2.                                                  

3.                                                 

4.                                                                                                             

事实和理由:                                            

                                                        

                                                            

                                                             

                                                        

                                                             

                                                            

                                                         

                                                              

                                                          

                                                   

                                                   

                                                   

                                                        

                                                     

                                                       

                                                     

                                                       

                                                   

                                                   

                                                     

 

此致

柳城县劳动人事争议仲裁委员会

 

附件:1.《仲裁申请书》副本    份;

      2.证据清单及有关证据材料    份。

 

                           申请人:

                           二○        

仲裁申请书

来源: 广西柳州柳城县人民政府  |  发布日期: 2013-07-29 16:20    |  作者: 广西柳州柳城县人民政府

申请人:(姓名)                      性别:

出生:                         民族:

户籍所在地(或外国人注明国籍):

现住址:                             联系电话:

确认有效的通讯地址:                 邮政编码:

 

被申请人:

法定代表人(主要负责人):(姓名)         职务:

住所:

联系电话:

 

第三人:

法定代表人(主要负责人):(姓名)         职务:

住所:

联系电话

 

仲裁请求:

1.                                                        

2.                                                  

3.                                                 

4.                                                                                                             

事实和理由:                                            

                                                        

                                                            

                                                             

                                                        

                                                             

                                                            

                                                         

                                                              

                                                          

                                                   

                                                   

                                                   

                                                        

                                                     

                                                       

                                                     

                                                       

                                                   

                                                   

                                                     

 

此致

柳城县劳动人事争议仲裁委员会

 

附件:1.《仲裁申请书》副本    份;

      2.证据清单及有关证据材料    份。

 

                           申请人:

                           二○