Tr­êng THCS K`PAK`L¥NG "Danh s¸ch lao ®éng tham gia bhxh, bhyt" MÉu sè: 02a-TBH
M· §¬n vÞ:……………………………….. Ban hµnh kÌm theo Q§ sè……./Q§-BHXH
§Þa chØ: §ak §oa - Gia Lai Ngµy /12/2007 cña BHXH
TT Hä vµ tªn Sè sæ BHXH "Sè thÎ
BHYT" "Ngµy,
th¸ng,
n¨m sinh" N÷ Sè CMTND §Þa chØ N¬i ®¨ng ký KCB ban ®Çu "TiÒn
l­¬ng,
tiÒn c«ng" Phô cÊp "§ãng tõ
th¸ng,
n¨m" Ghi chó
TØnh BÖnh viÖn Chøc vô "Th©m
niªn VK" "Th©m
niªn nghÒ" Khu vùc
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17)
1 Cao ThÞ KiÒu Oanh 3896035590 64000348496 19/12/1967 x 230795549 "Tr­êng THCS Kp¨Kl¬ng, §ak §oa" Gia Lai BV 331 "4,32" "0,45" "0,3" 11/2009
2 Ph¹m Hång §­îc 3802004138 64000351964 8/7/1978 230860098 "Tr­êng THCS Kp¨Kl¬ng, §ak §oa" Gia Lai BV TP Pleiku "2,72" 0.35 "0,3" 3/2007
3 §Æng ThÞ Hång 3802004818 64000353036 12/2/1978 x 230532563 "Tr­êng THCS Kp¨Kl¬ng, §ak §oa, Gia Lai" Gia Lai BV TP Pleiku "2,72" "0,2" "0,3" 3/2008
4 NguyÔn Thanh Long 3803002529 64000353601 20/1/1978 211734164 "Tr­êng THCS Kp¨Kl¬ng, §ak §oa, Gia Lai" Gia Lai BV 331 "2,41" 0.2 "0,3" 6/2007
5 Lª ThÞ BÝch Liªn 3803004759 64000351300 8/2/1981 x 230860478 "Tr­êng THCS Kp¨Kl¬ng, §ak §oa" Gia Lai BV 331 "2,41" "0,3" 6/2007
6 M¹c ThÞ Hoa 3803004790 64000351300 24/10/1973 x 14102594 "Tr­êng THCS Kp¨Kl¬ng, §ak §oa" Gia Lai BV TP Pleiku "3,03" "0,3" 3/2009
7 Hoµng ThÞ Giang 3802004141 64000352264 1/6/1976 x 1821188135 "Tr­êng THCS Kp¨Kl¬ng, §ak §oa, Gia Lai" Gia Lai BV 331 "2,74" "0,3" 6/2007
8 Tr­¬ng ThÞ H¶i 3802004124 64000351953 10/2/1979 x 230524650 "Tr­êng THCS Kp¨Kl¬ng, §ak §oa, Gia Lai" Gia Lai BV TP Pleiku "3,00" "0,3" 1/2008
9 NguyÔn ThÞ Th¾m 3802003059 64001082322 1/11/1978 x 230744564 "Tr­êng THCS Kp¨Kl¬ng, §ak §oa" Gia Lai BV 331 "3,00" "0,3" 10/2008
10 NguyÔn ThÞ Th¬m 3803002530 64000353047 25/8/1974 x 151118408 "Tr­êng THCS Kp¨Kl¬ng, §ak §oa" Gia Lai BV 331 "2,67" "0,3" 1/2008
11 Lª ThÞ Kim TuyÒn 26/2/1981 x 211752480 "Tr­êng THCS Kp¨Kl¬ng, §ak §oa" Gia Lai BV 331 "2,1" "0,3" 10/2006
12 Lª ThÞ Hång 3803004768 64015473936 12/6/1982 x 172126671 "Tr­êng THCS Kp¨Kl¬ng, §ak §oa" Gia Lai BV TP Pleiku "2,4" "0,3" 6/2007
13 Lª ThÞ Lùu 3802004139 64000352068 18/4/1975 x 171610225 "Tr­êng THCS Kp¨Kl¬ng, §ak §oa, Gia Lai" Gia Lai BV 331 "3,00" 0.2 "0,3" 1/2008
14 Vò N÷ DiÔm Hång 3802004817 64000352585 15/6/1978 x mÊt "Tr­êng THCS Kp¨Kl¬ng, §ak §oa, Gia Lai" Gia Lai BV TP Pleiku "2,72" "0,3" 3/2008
15 Cao ThÞ Ph­¬ng 3802004132 64000351528 20/5/1971 x 181840004 "Tr­êng THCS Kp¨Kl¬ng, §ak §oa" Gia Lai BV 331 "2,72" "0,3" 3/2008
16 TrÇn ThÞ LiÔu 3802004131 64000352149 8/5/1979 x 197064710 "Tr­êng THCS Kp¨Kl¬ng, §ak §oa" Gia Lai BV TP Pleiku "3,00" "0,2" "0,3" 3/2007
17 Mai V¨n Toµn 3803004777 64000353730 22/12/1977 162223956 "Tr­êng THCS Kp¨Kl¬ng, §ak §oa," Gia Lai BV 331 "2,67" "0,3" 6/2007
18 Lª ThÞ Hoµng Thi 3802004140 64000352150 2/9/1979 x 230651513 "Tr­êng THCS Kp¨Kl¬ng, §ak §oa" Gia Lai BV TP Pleiku "2,72" "0,3" 3/2007
19 Th¸i ThÞ B×nh 3806001524 64000354750 27/8/1979 x 182314148 "Tr­êng THCS Kp¨Kl¬ng, §ak §oa, Gia Lai" Gia Lai BV 331 "2,42" "0,3" 2/2009
20 Ph¹m ThÞ Hoµi Th­¬ng 3807001165 640001525311 10/9/1981 x 230598936 "Tr­êng THCS Kp¨Kl¬ng, §ak §oa" Gia Lai BV TP Pleiku 2.10 "0,3" 4/2007
21 TrÞnh Kh¸ng Hoµng 6/5/1905 "Tr­êng THCS Kp¨Kl¬ng, §ak §oa"
22 NguyÔn ThÞ H­ng 64015572626 16/9/1982 x 182483108 "Tr­êng THCS Kp¨Kl¬ng, §ak §oa" Gia Lai BV 331 1.8 "0,3" 12/2008
23 Lª Ngäc Anh 64000355234 5/2/1978 1417656090 "Tr­êng THCS Kp¨Kl¬ng, §ak §oa" Gia Lai BV 331 1.80 "0,3" 7/2006
tæng hîp chung
"- Sè sæ BHXH ®­îc cÊp: ……………………………sè, Tõ sè……§Õn sè:………….…………..." Ph¸t sinh t¨ng B¶o hiÓm XH BHYT
"- Sè thÎ BHYT ®­îc cÊp: ……………………………thÎ, Trong ®ã cÊp ngo¹i tØnh:…………………thÎ." 1.Sè lao ®éng
- Thêi h¹n sö dông thÎ BHYT / / §Õn ngµy / / 2.Quü l­¬ng tham gia
3.Sè ph¶i ®ãng
4. Sè ®iÒu chØnh ph¶i ®ãng
Ngµy ….th¸ng…….n¨m……….. Ngµy 01 th¸ng 12 n¨m 2010
C¸n bé thu Tr­ëng phßng thu Gi¸m ®èc BHXH Ng­êi lËp Ng­êi sö dông lao ®éng