用人单位名称(employer):
地 址(address):
联 系 电 话(contact no.):
劳动者姓名(employee):
身份证号码(id no.):
工作岗位(position):
入职日期(date of enrollment): 年(yyyy) 月(mm) 日(dd)
解除日期(date of termination): 年(yyyy) 月(mm) 日(dd)
在本单位工作时间(term of employment): 年(yyyy) 月(mm)
依据的法律条文:《劳动合同法》第 条第 款第 项
in accordance with the labor contract law article , paragraph ( )
解除原因(打√)
reasons (please tick appropriate box below.)
□劳动者单方解除 employee terminates the contract unilaterally
□用人单位按劳动合同法39条解除 employer terminates the contract according to article 39of labor contract law
□劳动者试用期内解除 employee terminates the contract during probation
□用人单位按劳动合同法40条解除 employer terminates the contract according to article 40of labor contract law
□劳动者按劳动合同法3解除 employee terminates the contract according to article 38 oflabor contract law
□用人单位经济性裁员 employer reduces the staff due to economical reasons
协商一致解除both parties terminate the contract upon the consensus throughconsulation:□单位原因 employer's reasons □个人原因 employee's reasons
单位名称employer(盖章official seal)
年(yyyy) 月(mm) 日(dd)
签收人signature of employee:
签收日期(date): 年(yyyy) 月(mm) 日(dd)
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