Hlásil se o práci.
+------------------------------+-----------------------------------------------------------+
| Běžný týden | Potvrzení o tom, že se nezaměstnaný třikráte marně |
| | o práci hlásil *) |
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| 1. týden (od.... do....) | | | |
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| 4. týden (od.... do....) | | | |
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| 5. týden (od.... do....) | | | |
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| 6. týden (od.... do....) | | | |
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| 9. týden (od.... do....) | | | |
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| 11. týden (od.... do....) | | | |
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| 12. týden (od.... do....) | | | |
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| 14. týden (od.... do....) | | | |
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| 15. týden (od.... do....) | | | |
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| 16. týden (od.... do....) | | | |
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*) Nezaměstnaný se musí hlásiti pravidelně, leč by mu to bylo z vážného důvodu znemožněno.