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[null,null,"KARTA EWIDENCJI CZASU PRACY  PRACOWNIKÓW UKW____________________________________________________",{"$nulls":39},"                                Załącznik nr 3       "]
[null,null,"imię i nazwisko",{"$nulls":10},"zajmowane stanowisko",{"$nulls":20},"Liczba godzin czasu pracy"]
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[{"$nulls":3},"niedziela",{"$nulls":4},"sobota",{"$nulls":4},"pozostałe święta",{"$nulls":11},"ŁĄCZNIE W ROKU :"]
[null,"informacja dodatkowa*:"]
[{"$nulls":33},"ilośc zaległego urlopu za ….. r. ",{"$nulls":7},"__________________________________"]
[{"$nulls":33},"ilość wykorzystanego urlopu zaległego za ….. r. ",{"$nulls":7},"__________________________________"]
[{"$nulls":33},"wymiar urlopu za ….. rok 20 dni*  26 dni* ( *pozostawić właściwy)"]
[null,"Pod symbolem \"IN\"umieszcza się: US -urlop szkoleniowy, PS -podróż służbowa, Uwch -wychowawczy, UM -macierzyński, UB -bezpłatny, UD -dodatkowy, UŻ -na żądanie, ",{"$nulls":31},"ilość wykorzystanego urlopu bieżącego w ….. r. ",{"$nulls":7},"____________________________"]
[null,"oraz pozostałe: wolne za święto przypadające w sobotę, zwolnienie na poszukiwanie pracy, wolne zarządzone przez władze pańswowe itp. W przypadku nieobecności",{"$nulls":31},"pozostało urlopu za ….. r. do wykorzystania: ",{"$nulls":7},"_________________________________"]
[null," tzw. \"pozostałych\" należy opisać okresy i przyczyny nieobecności ze wskazaniem  dat od dnia ...do dnia... Wprzypadku zmiany stanowiska, sekcji, itp.należy to również odnotować."]