도시가스요금경감 신청서

<서울도시가스 양식> <TABLE style="BORDER-RIGHT: #000000 0.28pt solid; BORDER-TOP: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; BORDER-BOTTOM: #000000 0.28pt solid; BORDER-COLLAPSE: collapse"> <TBODY> <TR> <TD style="BORDER-RIGHT: #000000 0.28pt solid; PADDING-RIGHT: 1.41pt; BORDER-TOP: #000000 0.28pt solid; PADDING-LEFT: 1.41pt; PADDING-BOTTOM: 1.41pt; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 481.76pt; PADDING-TOP: 1.41pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 26.34pt" vAlign=center colSpan=7> 도시가스요금 경감 신청서</TD></TR> <TR> <TD style="BORDER-RIGHT: #000000 0.28pt solid; PADDING-RIGHT: 1.41pt; BORDER-TOP: #000000 0.28pt solid; PADDING-LEFT: 1.41pt; PADDING-BOTTOM: 1.41pt; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 38.62pt; PADDING-TOP: 1.41pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 90.74pt" vAlign=center rowSpan=3> 신 청 인</TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; PADDING-RIGHT: 1.41pt; BORDER-TOP: #000000 0.28pt solid; PADDING-LEFT: 1.41pt; PADDING-BOTTOM: 1.41pt; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 72.58pt; PADDING-TOP: 1.41pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 29pt" vAlign=center> 성 명</TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; PADDING-RIGHT: 1.41pt; BORDER-TOP: #000000 0.28pt solid; PADDING-LEFT: 1.41pt; PADDING-BOTTOM: 1.41pt; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 140.5pt; PADDING-TOP: 1.41pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 29pt" vAlign=center>   <?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p></TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; PADDING-RIGHT: 1.41pt; BORDER-TOP: #000000 0.28pt solid; PADDING-LEFT: 1.41pt; PADDING-BOTTOM: 1.41pt; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 86.73pt; PADDING-TOP: 1.41pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 29pt" vAlign=center colSpan=3> 고객번호</TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; PADDING-RIGHT: 1.41pt; BORDER-TOP: #000000 0.28pt solid; PADDING-LEFT: 1.41pt; PADDING-BOTTOM: 1.41pt; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 143.33pt; PADDING-TOP: 1.41pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 29pt" vAlign=center>   <o:p></o:p></TD></TR> <TR> <TD style="BORDER-RIGHT: #000000 0.28pt solid; PADDING-RIGHT: 1.41pt; BORDER-TOP: #000000 0.28pt solid; PADDING-LEFT: 1.41pt; PADDING-BOTTOM: 1.41pt; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 72.58pt; PADDING-TOP: 1.41pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 61.74pt" vAlign=center rowSpan=2> 주소 (가스사용 장소)</TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; PADDING-RIGHT: 1.41pt; BORDER-TOP: #000000 0.28pt solid; PADDING-LEFT: 1.41pt; PADDING-BOTTOM: 1.41pt; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 190.44pt; PADDING-TOP: 1.41pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 61.74pt" vAlign=center colSpan=2 rowSpan=2>   <o:p></o:p></TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; PADDING-RIGHT: 1.41pt; BORDER-TOP: #000000 0.28pt solid; PADDING-LEFT: 1.41pt; PADDING-BOTTOM: 1.41pt; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 33.96pt; PADDING-TOP: 1.41pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 61.74pt" vAlign=center rowSpan=2> 연 락 처</TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; PADDING-RIGHT: 1.41pt; BORDER-TOP: #000000 0.28pt solid; PADDING-LEFT: 1.41pt; PADDING-BOTTOM: 1.41pt; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 146.16pt; PADDING-TOP: 1.41pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 34.66pt" vAlign=center colSpan=2> 집: </TD></TR> <TR> <TD style="BORDER-RIGHT: #000000 0.28pt solid; PADDING-RIGHT: 1.41pt; BORDER-TOP: #000000 0.28pt solid; PADDING-LEFT: 1.41pt; PADDING-BOTTOM: 1.41pt; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 146.16pt; PADDING-TOP: 1.41pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 27.08pt" vAlign=center colSpan=2> 휴대폰: </TD></TR> <TR> <TD style="BORDER-RIGHT: #000000 0.28pt solid; PADDING-RIGHT: 1.41pt; BORDER-TOP: #000000 0.28pt solid; PADDING-LEFT: 1.41pt; PADDING-BOTTOM: 1.41pt; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 111.2pt; PADDING-TOP: 1.41pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 42.54pt" vAlign=center colSpan=2> 신청구분</TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; PADDING-RIGHT: 1.41pt; BORDER-TOP: #000000 0.28pt solid; PADDING-LEFT: 1.41pt; PADDING-BOTTOM: 1.41pt; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 370.56pt; PADDING-TOP: 1.41pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 42.54pt" vAlign=center colSpan=5> 장애인( ), 국가유공자( ), 5.18 민주유공자( ), 독립유공자( ), 기초생활수급자( )</TD></TR> <TR> <TD style="BORDER-RIGHT: #000000 0.28pt solid; PADDING-RIGHT: 1.41pt; BORDER-TOP: #000000 0.28pt solid; PADDING-LEFT: 1.41pt; PADDING-BOTTOM: 1.41pt; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 111.2pt; PADDING-TOP: 1.41pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 42.54pt" vAlign=center colSpan=2> 경감 대상자명</TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; PADDING-RIGHT: 1.41pt; BORDER-TOP: #000000 0.28pt solid; PADDING-LEFT: 1.41pt; PADDING-BOTTOM: 1.41pt; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 140.5pt; PADDING-TOP: 1.41pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 42.54pt" vAlign=center>   <o:p></o:p></TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; PADDING-RIGHT: 1.41pt; BORDER-TOP: #000000 0.28pt solid; PADDING-LEFT: 1.41pt; PADDING-BOTTOM: 1.41pt; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 86.73pt; PADDING-TOP: 1.41pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 42.54pt" vAlign=center colSpan=3> 주민등록 번호</TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; PADDING-RIGHT: 1.41pt; BORDER-TOP: #000000 0.28pt solid; PADDING-LEFT: 1.41pt; PADDING-BOTTOM: 1.41pt; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 143.33pt; PADDING-TOP: 1.41pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 42.54pt" vAlign=center>   <o:p></o:p></TD></TR> <TR> <TD style="BORDER-RIGHT: #000000 0.28pt solid; PADDING-RIGHT: 1.41pt; BORDER-TOP: #000000 0.28pt solid; PADDING-LEFT: 1.41pt; PADDING-BOTTOM: 1.41pt; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 111.2pt; PADDING-TOP: 1.41pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 42.54pt" vAlign=center colSpan=2> 세대주명</TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; PADDING-RIGHT: 1.41pt; BORDER-TOP: #000000 0.28pt solid; PADDING-LEFT: 1.41pt; PADDING-BOTTOM: 1.41pt; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 140.5pt; PADDING-TOP: 1.41pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 42.54pt" vAlign=center>   <o:p></o:p></TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; PADDING-RIGHT: 1.41pt; BORDER-TOP: #000000 0.28pt solid; PADDING-LEFT: 1.41pt; PADDING-BOTTOM: 1.41pt; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 86.73pt; PADDING-TOP: 1.41pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 42.54pt" vAlign=center colSpan=3> 세대주와의 관계</TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; PADDING-RIGHT: 1.41pt; BORDER-TOP: #000000 0.28pt solid; PADDING-LEFT: 1.41pt; PADDING-BOTTOM: 1.41pt; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 143.33pt; PADDING-TOP: 1.41pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 42.54pt" vAlign=center>   <o:p></o:p></TD></TR> <TR> <TD style="BORDER-RIGHT: #000000 0.28pt solid; PADDING-RIGHT: 1.41pt; BORDER-TOP: #000000 0.28pt solid; PADDING-LEFT: 1.41pt; PADDING-BOTTOM: 1.41pt; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 111.2pt; PADDING-TOP: 1.41pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 42.54pt" vAlign=center colSpan=2> 장애종류</TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; PADDING-RIGHT: 1.41pt; BORDER-TOP: #000000 0.28pt solid; PADDING-LEFT: 1.41pt; PADDING-BOTTOM: 1.41pt; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 140.5pt; PADDING-TOP: 1.41pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 42.54pt" vAlign=center>   <o:p></o:p></TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; PADDING-RIGHT: 1.41pt; BORDER-TOP: #000000 0.28pt solid; PADDING-LEFT: 1.41pt; PADDING-BOTTOM: 1.41pt; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 86.73pt; PADDING-TOP: 1.41pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 42.54pt" vAlign=center colSpan=3> 장애(상이) 등급</TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; PADDING-RIGHT: 1.41pt; BORDER-TOP: #000000 0.28pt solid; PADDING-LEFT: 1.41pt; PADDING-BOTTOM: 1.41pt; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 143.33pt; PADDING-TOP: 1.41pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 42.54pt" vAlign=center>   <o:p></o:p></TD></TR> <TR> <TD style="BORDER-RIGHT: #000000 0.28pt solid; PADDING-RIGHT: 4.25pt; BORDER-TOP: #000000 0.28pt solid; PADDING-LEFT: 4.25pt; PADDING-BOTTOM: 5.67pt; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 481.76pt; PADDING-TOP: 5.67pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 376.11pt" vAlign=top colSpan=7> 1. 사회적배려대상자에 대한 도시가스요금 경감 대상자로서 위와 같이 주택용 (취사용 및 개별난방용) 도시가스요금의 할인을 신청합니다. 이사ㆍ사망ㆍ수급해지 등 변동사항이 발생하는 경우에는 그 변동내용을 서울도시가스회사에 통보하겠으며, 또한 통지누락으로 부당하게 할인받은 경우 정상요금과의 차액을 추가로 납부하는 데 대하여 동의합니다. 2. 제출서류 진위여부 확인을 위하여 발급 읍/면/동사무소, 보건복지부, 보훈처 등에 대한 서류조회에 동의합니다. 3. 할인 연장은 격년 7월에 재신청하여야 할인혜택을 받을 수 있습니다. (재신청시기: 2011년 7월1일부터 7월31일까지)   <o:p></o:p> 2008 년 월 일 신청인 (서명 또는 날인)   <o:p></o:p> (서울도시가스회사 사장) 귀하   <o:p></o:p> ※제출서류 ①경감신청서 ②증명서 사본 ③도시가스영수증 사본 ④주민등록등본 *증명서 사본: 장애인카드 또는 장애인증명서, 국가유공자증, 5.18민주유공자증, 독립유공자증, 수급자증명서 등</TD></TR></TBODY></TABLE>   <a href='javascript:fileFilterViewer("http://cfile291.uf.daum.net/attach/1263EE07494B9D21B0E703", "/cfile291/12/63EE07494B9D21B0E703", "도시가스.hwp", "grpid%3D1FJ5M%26fldid%3DprY2%26dataid%3D55%26fileid%3D1%26regdt%3D20081216153526&url=http%3A%2F%2Fcfile291.uf.daum.net%2Fattach%2F1263EE07494B9D21B0E703")'><img src="https://t1.daumcdn.net/daumtop_deco/icon/icon.hanmail.net/editor/p_hwp_s.gif" border="0" alt="첨부파일" class="vam"/> 도시가스.hwp</a>