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["城乡居民基本养老保险待遇领取通知表"]
[]
["制表日期：  20XX 年 X月  X日                                 "]
["姓名",null,"居民身份号码",null,"出生年月","X年X月","到龄日期","X年X月"]
["居住地址","安溪县XX镇XX村XX路",null,null,"户籍性质","农村户口","联系电话","13XXXXXXXXXXXX"]
["银行账号",{"$nulls":5},"缴费年限"]
["直系亲属情况","姓名","公民身份号码",{"$nulls":3},"联系方式",null,"与参保人 关系"]
[]
[]
[]
["　　　　　　　　　　　　　　　本人签字：　　　　　　　    年　　　月　　　日"]
["填表说明：本表直系亲属情况由参保人员填写，若本人无法填写，可由亲属或村级协理员代填，但须本人签字、签章或留指纹确认。填表日期请务必按实填写。城乡居民社会养老保险待遇由银行代发，凭身份证和银行卡（存折）到指定银行领取养老保险待遇。"]