教職員工午餐退費申請表
請於三天前(含假日)提出申請，例如週一請假，最晚於上週五提出申請。
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班級/職別 *
姓名 *
假別 *
請假日期(起) *
MM
/
DD
/
YYYY
請假日期(迄) *
MM
/
DD
/
YYYY
共幾日 *
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代理人 *
代理人是否用餐 *
備註(如婚假等請於備註說明)
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