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[{"$nulls":15},"（様式４）"]
[{"$nulls":10},"平成２６年度下期"]
[]
[{"$nulls":9},"平成",null,"年",null,"月",null,"日"]
[]
[null,"新潟県知事　　泉　田　裕　彦　　殿"]
[]
[null,"誓　　約　　書"]
[]
[null,"１．","平成２６年度下期 原子力発電施設等周辺地域企業立地支援事業に係る補助対象事業所"]
[null,null,"に関して、提出している雇用保険被保険者一覧表において記載の、平成２６年９月３０日現在"]
[null,null,"の在籍者に対して、平成２６年９月３０日を含む期間の賃金の支払い実績または義務が"]
[]
[{"$nulls":4},"Ａ．　全員にあります。"]
[{"$nulls":4},"Ｂ．　特記事項に示す者を除きあります。"]
[null,null,"（特記事項）"]
[]
[]
[]
[null,null,"（注）傷病、育児等による長期休業により、賃金の支払い実績または義務のない者がいる場合に記入"]
[]
[null,"２．","【新規申請時、特例増設（１度目及び２度目）の初回申請時のみ】"]
[null,null,"平成２６年度下期 原子力発電施設等周辺地域企業立地支援事業に係る補助対象事業所"]
[null,null,"に関して、提出している雇用保険被保険者一覧表において記載の、新規雇用者及び"]
[null,null,"他の地域からの転入者に対して、新設の場合は企業立地日の２ケ月前の日より前に、"]
[null,null,"増設（特例増設を含む）の場合は基礎雇用基準日より前に、賃金を支払った者は"]
[]
[{"$nulls":4},"Ａ．　一切ありません。"]
[{"$nulls":4},"Ｂ．　特記事項に示す以外にはありません。"]
[null,null,"（特記事項）"]
[]
[]
[]
[null,null,"（注）継続申請の場合は記入不要"]
[]
[null,"３．","自社（事業者が個人である場合にはその者）又は自社の役員等（法人である場合は役員又は"]
[null,null,"支店若しくは営業所の代表者その他これらと同等の責任を有する者をいい、法人以外の団体"]
[null,null,"である場合は代表者、理事その他これらと同等の責任を有する者をいう。）は、暴力団"]
[null,null,"又は暴力団員ではありません。"]
[null,null,"また、これらの者と社会的に非難されるような関係はありません"]
[]
[null,null,"上記について相違ないことを誓約いたします。"]
[null,null,"また、上記３について県が必要な場合には、新潟県警察本部に照会することを承諾いたします。"]
[]
[{"$nulls":7},"企 業 名"]
[]
[{"$nulls":7},"代表者名",{"$nulls":7},"実印"]
[]
[{"$nulls":7},"対象事業所名"]

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[1,"平成２６年度上期","平成２６年３月３１日"]
[2,"平成２６年度下期","平成２６年９月３０日"]
[3,"平成２７年度上期","平成２７年３月３１日"]
[4,"平成２７年度下期","平成２７年９月３０日"]
[5,"平成２８年度上期","平成２８年３月３１日"]
[6,"平成２８年度下期","平成２８年９月３０日"]
[7,"平成２９年度上期","平成２９年３月３１日"]
[8,"平成２９年度下期","平成２９年９月３０日"]
[9,"平成３０年度上期","平成３０年３月３１日"]
[10,"平成３０年度下期","平成３０年９月３０日"]
[11,"平成３１年度上期","平成３１年３月３１日"]
[12,"平成３１年度下期","平成３１年９月３０日"]
[13,"平成３２年度上期","平成３２年３月３１日"]
[14,"平成３２年度下期","平成３２年９月３０日"]
[15,"平成３３年度上期","平成３３年３月３１日"]
[16,"平成３３年度下期","平成３３年９月３０日"]
[17,"平成３４年度上期","平成３４年３月３１日"]
[18,"平成３４年度下期","平成３４年９月３０日"]
[19,"平成３５年度上期","平成３５年３月３１日"]
[20,"平成３５年度下期","平成３５年９月３０日"]
[21,"平成３６年度上期","平成３６年３月３１日"]
[22,"平成３６年度下期","平成３６年９月３０日"]