| 신 청 인<span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> | 성<span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family:바탕'> </span> <span lang=EN-US> 명</span> <span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family: 바탕'> <o:p> </o:p> </span> | <span lang=EN-US style='font-family:"Courier New"; mso-ascii-font-family:돋움'> | 생년월일 | 생년월일 | <span lang=EN-US style='font-family:"Courier New"; mso-ascii-font-family:돋움'> |
| 신 청 인<span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> | 주<span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family:바탕'> </span> <span lang=EN-US> 소</span> <span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family: 바탕'> <o:p> </o:p> </span> | <span lang=EN-US style='font-family:"Times New Roman"; mso-ascii-font-family:바탕'> </span> <span lang=EN-US> (전화번호)</span> <span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> | <span lang=EN-US style='font-family:"Times New Roman"; mso-ascii-font-family:바탕'> </span> <span lang=EN-US> (전화번호)</span> <span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> | <span lang=EN-US style='font-family:"Times New Roman"; mso-ascii-font-family:바탕'> </span> <span lang=EN-US> (전화번호)</span> <span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> | <span lang=EN-US style='font-family:"Times New Roman"; mso-ascii-font-family:바탕'> </span> <span lang=EN-US> (전화번호)</span> <span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> |
| 신 청 인<span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> | 거래은행<span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> | <span lang=EN-US style='font-family:"Courier New"; mso-ascii-font-family:돋움'> </span> <span lang=EN-US> <o:p> </o:p> </span> | 계좌번호<span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> | 계좌번호<span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> | <span lang=EN-US style='font-family:"Courier New"; mso-ascii-font-family:돋움'> </span> <span lang=EN-US> <o:p> </o:p> </span> |
| 신고사항<span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> | 신 고<span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family:바탕'> </span> <span lang=EN-US> 일</span> <span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family: 바탕'> <o:p> </o:p> </span> | 년<span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family:바탕'> </span> <span lang=EN-US> 월</span> <span lang=EN-US style='font-family:"Times New Roman"; mso-ascii-font-family:바탕'> </span> <span lang=EN-US> 일</span> <span lang=EN-US style='font-family:"Times New Roman"; mso-ascii-font-family:바탕'> </span> <span lang=EN-US> 시</span> <span lang=EN-US style='font-family:"Times New Roman"; mso-ascii-font-family:바탕'> </span> <span lang=EN-US> 분</span> <span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family: 바탕'> <o:p> </o:p> </span> | 년<span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family:바탕'> </span> <span lang=EN-US> 월</span> <span lang=EN-US style='font-family:"Times New Roman"; mso-ascii-font-family:바탕'> </span> <span lang=EN-US> 일</span> <span lang=EN-US style='font-family:"Times New Roman"; mso-ascii-font-family:바탕'> </span> <span lang=EN-US> 시</span> <span lang=EN-US style='font-family:"Times New Roman"; mso-ascii-font-family:바탕'> </span> <span lang=EN-US> 분</span> <span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family: 바탕'> <o:p> </o:p> </span> | 년<span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family:바탕'> </span> <span lang=EN-US> 월</span> <span lang=EN-US style='font-family:"Times New Roman"; mso-ascii-font-family:바탕'> </span> <span lang=EN-US> 일</span> <span lang=EN-US style='font-family:"Times New Roman"; mso-ascii-font-family:바탕'> </span> <span lang=EN-US> 시</span> <span lang=EN-US style='font-family:"Times New Roman"; mso-ascii-font-family:바탕'> </span> <span lang=EN-US> 분</span> <span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family: 바탕'> <o:p> </o:p> </span> | 년<span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family:바탕'> </span> <span lang=EN-US> 월</span> <span lang=EN-US style='font-family:"Times New Roman"; mso-ascii-font-family:바탕'> </span> <span lang=EN-US> 일</span> <span lang=EN-US style='font-family:"Times New Roman"; mso-ascii-font-family:바탕'> </span> <span lang=EN-US> 시</span> <span lang=EN-US style='font-family:"Times New Roman"; mso-ascii-font-family:바탕'> </span> <span lang=EN-US> 분</span> <span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family: 바탕'> <o:p> </o:p> </span> |
| 신고사항<span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> | 신고기관<span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> | <span lang=EN-US style='font-family:"Courier New"; mso-ascii-font-family:돋움'> </span> <span lang=EN-US> <o:p> </o:p> </span> | <span lang=EN-US style='font-family:"Courier New"; mso-ascii-font-family:돋움'> </span> <span lang=EN-US> <o:p> </o:p> </span> | <span lang=EN-US style='font-family:"Courier New"; mso-ascii-font-family:돋움'> </span> <span lang=EN-US> <o:p> </o:p> </span> | <span lang=EN-US style='font-family:"Courier New"; mso-ascii-font-family:돋움'> </span> <span lang=EN-US> <o:p> </o:p> </span> |
| 신고사항<span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> | 피신고인<span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> | 성명 또는<span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family:바탕'> </span> <span lang=EN-US> 업</span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> 소</span> <span lang=EN-US style='font-family: "Times New Roman";mso-ascii-font-family:바탕'> </span> <span lang=EN-US> 명</span> <span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> | 성명 또는<span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family:바탕'> </span> <span lang=EN-US> 업</span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> 소</span> <span lang=EN-US style='font-family: "Times New Roman";mso-ascii-font-family:바탕'> </span> <span lang=EN-US> 명</span> <span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> | <span lang=EN-US style='font-family:"Courier New"; mso-ascii-font-family:돋움'> | <span lang=EN-US style='font-family:"Courier New"; mso-ascii-font-family:돋움'> |
| 신고사항<span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> | 피신고인<span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> | 주소 또는 위치<span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> | 주소 또는 위치<span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> | <span lang=EN-US style='font-family:"Courier New"; mso-ascii-font-family:돋움'> </span> <span lang=EN-US> <o:p> </o:p> </span> | <span lang=EN-US style='font-family:"Courier New"; mso-ascii-font-family:돋움'> </span> <span lang=EN-US> <o:p> </o:p> </span> |
| 신고사항<span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> | 신고내용<span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> | <span lang=EN-US style='font-family:"Times New Roman"; mso-ascii-font-family:바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family: 바탕'> <o:p> </o:p> </span> | <span lang=EN-US style='font-family:"Times New Roman"; mso-ascii-font-family:바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family: 바탕'> <o:p> </o:p> </span> | <span lang=EN-US style='font-family:"Times New Roman"; mso-ascii-font-family:바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family: 바탕'> <o:p> </o:p> </span> | <span lang=EN-US style='font-family:"Times New Roman"; mso-ascii-font-family:바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family: 바탕'> <o:p> </o:p> </span> |
| 위와 같이 청소년보호법 위반자를 신고하고 이에 대한 포상금을<span lang=EN-US> <o:p> </o:p> </span> <span lang=EN-US> 신청합니다.<o:p> </o:p> </span> 년<span lang=EN-US> 월 일<o:p> </o:p> </span> 신 청 인<span lang=EN-US> : (인)<o:p> </o:p> </span> <span lang=EN-US style='font-size:13.5pt'> 하 동 군 수 귀하</span> <span lang=EN-US> <o:p> </o:p> </span> | 위와 같이 청소년보호법 위반자를 신고하고 이에 대한 포상금을<span lang=EN-US> <o:p> </o:p> </span> <span lang=EN-US> 신청합니다.<o:p> </o:p> </span> 년<span lang=EN-US> 월 일<o:p> </o:p> </span> 신 청 인<span lang=EN-US> : (인)<o:p> </o:p> </span> <span lang=EN-US style='font-size:13.5pt'> 하 동 군 수 귀하</span> <span lang=EN-US> <o:p> </o:p> </span> | 위와 같이 청소년보호법 위반자를 신고하고 이에 대한 포상금을<span lang=EN-US> <o:p> </o:p> </span> <span lang=EN-US> 신청합니다.<o:p> </o:p> </span> 년<span lang=EN-US> 월 일<o:p> </o:p> </span> 신 청 인<span lang=EN-US> : (인)<o:p> </o:p> </span> <span lang=EN-US style='font-size:13.5pt'> 하 동 군 수 귀하</span> <span lang=EN-US> <o:p> </o:p> </span> | 위와 같이 청소년보호법 위반자를 신고하고 이에 대한 포상금을<span lang=EN-US> <o:p> </o:p> </span> <span lang=EN-US> 신청합니다.<o:p> </o:p> </span> 년<span lang=EN-US> 월 일<o:p> </o:p> </span> 신 청 인<span lang=EN-US> : (인)<o:p> </o:p> </span> <span lang=EN-US style='font-size:13.5pt'> 하 동 군 수 귀하</span> <span lang=EN-US> <o:p> </o:p> </span> | 위와 같이 청소년보호법 위반자를 신고하고 이에 대한 포상금을<span lang=EN-US> <o:p> </o:p> </span> <span lang=EN-US> 신청합니다.<o:p> </o:p> </span> 년<span lang=EN-US> 월 일<o:p> </o:p> </span> 신 청 인<span lang=EN-US> : (인)<o:p> </o:p> </span> <span lang=EN-US style='font-size:13.5pt'> 하 동 군 수 귀하</span> <span lang=EN-US> <o:p> </o:p> </span> | 위와 같이 청소년보호법 위반자를 신고하고 이에 대한 포상금을<span lang=EN-US> <o:p> </o:p> </span> <span lang=EN-US> 신청합니다.<o:p> </o:p> </span> 년<span lang=EN-US> 월 일<o:p> </o:p> </span> 신 청 인<span lang=EN-US> : (인)<o:p> </o:p> </span> <span lang=EN-US style='font-size:13.5pt'> 하 동 군 수 귀하</span> <span lang=EN-US> <o:p> </o:p> </span> |
| <span lang=EN-US style='font-size:13.5pt;font-family:"Times New Roman"; mso-ascii-font-family:바탕'> </span> <span lang=EN-US style='font-size: 13.5pt'> </span> <span lang=EN-US style='font-family:"Times New Roman"; mso-ascii-font-family:바탕'> ※</span> <span lang=EN-US> 구비서류 </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> 1) 타 기관 신고시 증빙서류 1부</span> <span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> | <span lang=EN-US style='font-size:13.5pt;font-family:"Times New Roman"; mso-ascii-font-family:바탕'> </span> <span lang=EN-US style='font-size: 13.5pt'> </span> <span lang=EN-US style='font-family:"Times New Roman"; mso-ascii-font-family:바탕'> ※</span> <span lang=EN-US> 구비서류 </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> 1) 타 기관 신고시 증빙서류 1부</span> <span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> | <span lang=EN-US style='font-size:13.5pt;font-family:"Times New Roman"; mso-ascii-font-family:바탕'> </span> <span lang=EN-US style='font-size: 13.5pt'> </span> <span lang=EN-US style='font-family:"Times New Roman"; mso-ascii-font-family:바탕'> ※</span> <span lang=EN-US> 구비서류 </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> 1) 타 기관 신고시 증빙서류 1부</span> <span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> | <span lang=EN-US style='font-size:13.5pt;font-family:"Times New Roman"; mso-ascii-font-family:바탕'> </span> <span lang=EN-US style='font-size: 13.5pt'> </span> <span lang=EN-US style='font-family:"Times New Roman"; mso-ascii-font-family:바탕'> ※</span> <span lang=EN-US> 구비서류 </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> 1) 타 기관 신고시 증빙서류 1부</span> <span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> | <span lang=EN-US style='font-size:13.5pt;font-family:"Times New Roman"; mso-ascii-font-family:바탕'> </span> <span lang=EN-US style='font-size: 13.5pt'> </span> <span lang=EN-US style='font-family:"Times New Roman"; mso-ascii-font-family:바탕'> ※</span> <span lang=EN-US> 구비서류 </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> 1) 타 기관 신고시 증빙서류 1부</span> <span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> | <span lang=EN-US style='font-size:13.5pt;font-family:"Times New Roman"; mso-ascii-font-family:바탕'> </span> <span lang=EN-US style='font-size: 13.5pt'> </span> <span lang=EN-US style='font-family:"Times New Roman"; mso-ascii-font-family:바탕'> ※</span> <span lang=EN-US> 구비서류 </span> <span lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family: 바탕'> </span> <span lang=EN-US> 1) 타 기관 신고시 증빙서류 1부</span> <span lang=EN-US style='font-size:12.0pt;mso-hansi-font-family:바탕'> <o:p> </o:p> </span> |