공제조합 탈퇴(반환) 신청서 양식

<a href='javascript:fileFilterViewer("http://cfile261.uf.daum.net/attach/1557B74150D7DC2E123E65", "/cfile261/15/57B74150D7DC2E123E65", "공제조합탈퇴(반환)신청서(12.12.24).hwp", "grpid%3D1GFbP%26fldid%3DJi6H%26dataid%3D443%26fileid%3D1%26regdt%3D20121224134343&url=http%3A%2F%2Fcfile261.uf.daum.net%2Fattach%2F1557B74150D7DC2E123E65")'><img src="https://t1.daumcdn.net/daumtop_deco/icon/icon.hanmail.net/editor/p_hwp_s.gif?rv=1.0.1" border="0" alt="첨부파일" class="vam"/> 공제조합탈퇴(반환)신청서(12.12.24).hwp</a>   탈퇴나 예탁금 반환을 요청하실 경우 첨부파일을 다운로드 하셔 프린트 한후, 양식에 의거해 내용을 작성하신 후 우편이나 팩스를 통해 사무국으로 신청서를 보내 주셔야 합니다. 아울러 공제조합에서 발행 해 준 공제증서 또는 예탁증서 원본은 사무국으로 보내 주셔야 하며, 신청서와 증서가 도착한 후 조합비 또는 예탁금이 반환되게 된다는 점을 널리 양지 하시기 바랍니다.     (문의: 이국언 사무국장 010-8613-3041, 010-8613-3041, 팩스 062) 361-6076)  일제피해자 공제조합 탈퇴신청서 예탁금 반환신청서 <TABLE style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; BORDER-COLLAPSE: collapse; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid"> <TBODY> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 56.77pt; PADDING-RIGHT: 1.41pt; HEIGHT: 34.75pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 성 명</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 167.19pt; PADDING-RIGHT: 1.41pt; HEIGHT: 34.75pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center>   </TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 56.77pt; PADDING-RIGHT: 1.41pt; HEIGHT: 34.75pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 주민번호</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 138.84pt; PADDING-RIGHT: 1.41pt; HEIGHT: 34.75pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center>   </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 56.77pt; PADDING-RIGHT: 1.41pt; HEIGHT: 63.05pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center rowSpan=2> 주 소</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 167.19pt; PADDING-RIGHT: 1.41pt; HEIGHT: 63.05pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center rowSpan=2>   </TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 56.77pt; PADDING-RIGHT: 1.41pt; HEIGHT: 32.94pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 휴대폰</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 138.84pt; PADDING-RIGHT: 1.41pt; HEIGHT: 32.94pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center>   </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 56.77pt; PADDING-RIGHT: 1.41pt; HEIGHT: 30.11pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 자택전화</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 138.84pt; PADDING-RIGHT: 1.41pt; HEIGHT: 30.11pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center>   </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 56.77pt; PADDING-RIGHT: 1.41pt; HEIGHT: 31.8pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 입금은행</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 167.19pt; PADDING-RIGHT: 1.41pt; HEIGHT: 31.8pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center>   </TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 56.77pt; PADDING-RIGHT: 1.41pt; HEIGHT: 31.8pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 금액</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 138.84pt; PADDING-RIGHT: 1.41pt; HEIGHT: 31.8pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 금 원정</TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 56.77pt; PADDING-RIGHT: 1.41pt; HEIGHT: 36.85pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 계좌번호</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 167.19pt; PADDING-RIGHT: 1.41pt; HEIGHT: 36.85pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center>   </TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 56.77pt; PADDING-RIGHT: 1.41pt; HEIGHT: 36.85pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 예금주 명의</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 138.84pt; PADDING-RIGHT: 1.41pt; HEIGHT: 36.85pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> </TD></TR></TBODY></TABLE>   본인은 일제피해자 공제조합에서 탈퇴 또는 예탁금을 반환코자 신청하오니 위 계좌로 대금을 입금하여 주시기 바랍니다. 아울러, 본 탈퇴 또는 반환으로 인하여 향후 어떠한 권리주장도 하지 않겠습니다.   ▲붙임: 공제증서 또는 예탁증서 원본 1부.   20        년       월       일   위 신청인 서명(또는 도장)   일제피해자 공제조합 이사장 귀하   ※ 위 신청서를 작성하여 팩스 전송하시고 신청서 원본과 증서를 사무국으로 우송하시기 바랍니다. 업무 편의상 사무국장이 근무하고 있는 광주로 보내주셔도 됩니다. ■우 705-805 대구시 남구 대명9동 709번지(2층) 일제피해자공제조합 사무국 이국언 사무국장 010-8613-3041, 팩스 053-254-2339 ■우 502-847 광주광역시 서구 농성2동 641-8 2층 근로정신대 시민모임 이국언 사무국장 010-8613-3041, 팩스 062-361-6076   위 신청에 따라 탈퇴 또는 반환을 승인하고 지급 결의함   <TABLE style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; BORDER-COLLAPSE: collapse; MARGIN-LEFT: 0.04pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid"> <TBODY> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 5.1pt; WIDTH: 62.93pt; PADDING-RIGHT: 5.1pt; HEIGHT: 31.22pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 증서번호</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 5.1pt; WIDTH: 62.93pt; PADDING-RIGHT: 5.1pt; HEIGHT: 31.22pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 승인일자</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 5.1pt; WIDTH: 62.93pt; PADDING-RIGHT: 5.1pt; HEIGHT: 31.22pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 지급일자</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 5.1pt; WIDTH: 62.93pt; PADDING-RIGHT: 5.1pt; HEIGHT: 31.22pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 취급자</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 5.1pt; WIDTH: 41.95pt; PADDING-RIGHT: 5.1pt; HEIGHT: 70.93pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center rowSpan=2> 결 재</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 5.1pt; WIDTH: 61.76pt; PADDING-RIGHT: 5.1pt; HEIGHT: 31.22pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 사무국장</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 5.1pt; WIDTH: 64.09pt; PADDING-RIGHT: 5.1pt; HEIGHT: 31.22pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 이사장</TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 5.1pt; WIDTH: 62.93pt; PADDING-RIGHT: 5.1pt; HEIGHT: 39.71pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center>   </TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 5.1pt; WIDTH: 62.93pt; PADDING-RIGHT: 5.1pt; HEIGHT: 39.71pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center>   </TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 5.1pt; WIDTH: 62.93pt; PADDING-RIGHT: 5.1pt; HEIGHT: 39.71pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center>   </TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 5.1pt; WIDTH: 62.93pt; PADDING-RIGHT: 5.1pt; HEIGHT: 39.71pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center>   </TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 5.1pt; WIDTH: 61.76pt; PADDING-RIGHT: 5.1pt; HEIGHT: 39.71pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center>   </TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 5.1pt; WIDTH: 64.09pt; PADDING-RIGHT: 5.1pt; HEIGHT: 39.71pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center>   </TD></TR></TBODY></TABLE> (양식3, 12.12.24개정)