KEPIC 자격인증 온라인 통합관리 시스템

(선임)심사위원

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개인 자격인정
(선임)심사위원

(선임)심사위원 자격인정 신청서

필수입력 항목

기본 입력사항

신청자 인적사항
성명		생년월일
연락처	전화 - -	이메일
자택	주소
소속기관 - 해당없음
소속기관	회사명	부서/직책
소속기관	주소

신청구분

분류	선임심사위원 심사위원
신청구분	신규
신청구분	갱신	인증번호 유효기간 ~

임시저장 또는 미리보기 이후 최종제출을 하셔야만 접수가 완료됩니다.

<table width="100%" border="0" cellspacing="0" cellpadding="0" class="board_table st1 form response delWrap">
		
<col class='w_auto' />
<col class='w_gubun' />
<col class='w_gubun' />
<col class='w_etcS' />
		<tbody>
		<tr>
			<td data-th="기간/근무 개월수">
				<div class="year_group">
					<input type="text" class="input_st inp_w3 DATE_PICKER" placeholder="예)2020-00-00" name="STR_WORK_SDATE[]" msg="근무기간을"/>
					<span class="input_sec">~</span>
					<input type="text" class="input_st inp_w3 DATE_PICKER" placeholder="예)2020-00-00" name="STR_WORK_EDATE[]" msg="근무기간을"/>
					<span class="input_sec"></span>
					<input type="text" class="input_st inp_w2" placeholder="예)XX개월" name="STR_WORK_MON[]" msg="개월수를"/>
				</div>
			</td>
			<td data-th="근무처 (부서단위까지)"><input type="text" class="input_st inp_w100" name="STR_WORK_PLACE[]" msg="근무처를"/></td>
			<td data-th="수행업무"><input type="text" class="input_st inp_w100" name="STR_WORK_TASK[]" msg="수행업무를"/></td>
			<td data-th="추가/삭제"><button class="input_st c4 re inp_w100" onclick="delDiv(this);"><i class="tt">삭제</i><i class="xi xi-minus-min"></i></button></td>
		</tr>
		</tbody>
	</table>

<table width="100%" border="0" cellspacing="0" cellpadding="0" class="board_table st1 form response delWrap">
		
<col class='w_auto' />
<col class='w_dateForm2' />
<col class='w_auto' />
<col class='w_etc' />
<col class='w_etcS' />
		<tbody>
		<tr>
			<td data-th="자격번호"><input type="text" class="input_st inp_w100" name="STR_JUDGE_QUAL_NUM[]" msg="자격번호를"/></td>
			<td class="ac" data-th="자격인정 유효기간">
				<div class="year_group">
					<input type="text" class="input_st inp_w3 DATE_PICKER" placeholder="예)2020-00-00" name="STR_JUDGE_QUAL_SDATE[]" msg="자격인정 유효기간을"/>
					<span class="input_sec">~</span>
					<input type="text" class="input_st inp_w3 DATE_PICKER" placeholder="예)2020-00-00" name="STR_JUDGE_QUAL_EDATE[]" msg="자격인정 유효기간을"/>
				</div>
			</td>
			<td data-th="심사참여실적"><input type="text" class="input_st inp_w100" name="STR_JUDGE_QUAL_PART[]" msg="심사참여실적을"/></td>
			<td data-th="비고"><input type="text" class="input_st inp_w100" name="STR_JUDGE_QUAL_BIGO[]"/></td>
			<td data-th="추가/삭제"><button class="input_st c4 re inp_w100" onclick="delDiv(this);"><i class="tt">삭제</i><i class="xi xi-minus-min"></i></button></td>
		</tr>
		</tbody>
	</table>

<table width="100%" border="0" cellspacing="0" cellpadding="0" class="board_table st1 form response delWrap">
		
<col class='w_gubun' />
<col class='w_year' />
<col class='w_type3' />
<col class='w_auto' />
<col class='w_etc' />
<col class='w_etcS' />
		<tbody>
		<tr>
			<td data-th="대상업체"><input type="text" class="input_st inp_w100" name="STR_TRAINING_COM[]" msg="대상업체를" value=""/></td>
			<td data-th="일자"><input type="text" class="input_st inp_w100 DATE_PICKER" placeholder="예)2020-00-00"  name="STR_TRAINING_DATE[]" msg="일자를" value=""/></td>
			<td data-th="참여구분">
				<input type="text" class="input_st inp_w100"  name="STR_TRAINING_GUBUN[]" msg="참여구분을" value=""/>
			</td>
			<td data-th="수행업무"><input type="text" class="input_st inp_w100"  name="STR_TRAINING_JOB[]" msg="수행업무를" value=""/></td>
			<td data-th="비고"><input type="text" class="input_st inp_w100"  name="STR_TRAINING_BIGO[]" value=""/></td>
			<td data-th="추가/삭제"><button class="input_st c4 re inp_w100" onclick="delDiv(this);"><i class="tt">삭제</i><i class="xi xi-minus-min"></i></button></td>
		</tr>
		</tbody>
	</table>

<table width="100%" border="0" cellspacing="0" cellpadding="0" class="board_table st1 form response delWrap">
		
<col class='w_gubun' />
<col class='w_type3' />
<col class='w_year' />
<col class='w_auto' />
<col class='w_etc' />
<col class='w_etcS' />
		<tbody>
		<tr>
			<td data-th="대상업체"><input type="text" class="input_st inp_w100" name="STR_JUDGMENT_COM[]" msg="대상업체를" value=""/></td>
			<td data-th="인증분야">
				<input type="text" class="input_st inp_w100" name="STR_JUDGMENT_CATE[]" msg="인증분야를" value=""/>
			</td>
			<td data-th="심사참여일자"><input type="text" class="input_st inp_w100 DATE_PICKER" placeholder="예)2020-00-00" name="STR_JUDGMENT_DATE[]" msg="심사참여일자를" value=""/></td>
			<td data-th="수행업무"><input type="text" class="input_st inp_w100" name="STR_JUDGMENT_JOB[]" msg="수행업무를" value=""/></td>
			<td data-th="비고"><input type="text" class="input_st inp_w100" name="STR_JUDGMENT_BIOGO[]" value=""/></td>
			<td data-th="추가/삭제"><button class="input_st c4 re inp_w100" onclick="delDiv(this);"><i class="tt">삭제</i><i class="xi xi-minus-min"></i></button></td>
		</tr>
		</tbody>
	</table>

<table width="100%" border="0" cellspacing="0" cellpadding="0" class="board_table st1 form response delWrap">
		
<col class='w_dateForm2' />
<col class='auto' />
<col class='auto' />
<col class='w_etc' />
<col class='w_etcS' />
		<tbody>
		<tr>
			<td class="ac" data-th="기간">
				<div class="year_group">
					<input type="text" class="input_st inp_w3 DATE_PICKER" placeholder="예)2020-00-00" name="STR_TRA_SDATE[]" msg="기간을" value=""/>
					<span class="input_sec">~</span>
					<input type="text" class="input_st inp_w3 DATE_PICKER" placeholder="예)2020-00-00" name="STR_TRA_EDATE[]" msg="기간을" value=""/>
				</div>
			</td>
			<td data-th="과정명"><input type="text" class="input_st inp_w100" name="STR_TRA_PRO[]" msg="과정명을" value=""/></td>
			<td data-th="시행기관"><input type="text" class="input_st inp_w100" name="STR_TRA_AGENCY[]" msg="시행기관을" value=""/></td>
			<td data-th="비고"><input type="text" class="input_st inp_w100" name="STR_TRA_BIGO[]" value=""/></td>
			<td data-th="추가/삭제"><button class="input_st c4 re inp_w100" onclick="delDiv(this);"><i class="tt">삭제</i><i class="xi xi-minus-min"></i></button></td>
		</tr>
		</tbody>
	</table>

<table width="100%" border="0" cellspacing="0" cellpadding="0" class="board_table st1 form response delWrap">
		
<col class='w_dateForm2' />
<col class='auto' />
<col class='auto' />
<col class='w_etc' />
<col class='w_etcS' />
		<tbody>
		<tr>
			<td class="ac" data-th="기간">
				<div class="year_group">
					<input type="text" class="input_st inp_w3 DATE_PICKER" placeholder="ex)2020-00-00" name="STR_EDU_SDATE[]" msg="기간을" />
					<span class="input_sec">~</span>
					<input type="text" class="input_st inp_w3 DATE_PICKER" placeholder="ex)2020-00-00" name="STR_EDU_EDATE[]" msg="기간을"/>
				</div>
			</td>
			<td data-th="학교명"><input type="text" class="input_st inp_w100" name="STR_EDU_NAME[]" msg="학교명을"/></td>
			<td data-th="전공학과"><input type="text" class="input_st inp_w100" name="STR_EDU_CATE[]" msg="전공학과를"/></td>
			<td data-th="비고"><input type="text" class="input_st inp_w100"  name="STR_EDU_BIGO[]" value=""/></td>
			<td data-th="추가/삭제"><button class="input_st c4 re inp_w100" onclick="delDiv(this);"><i class="tt">삭제</i><i class="xi xi-minus-min"></i></button></td>
		</tr>
		</tbody>
	</table>

<table width="100%" border="0" cellspacing="0" cellpadding="0" class="board_table st1 form response delWrap">
		
<col class='auto' />
<col class='w_dateForm2' />
<col class='auto' />
<col class='w_etc' />
<col class='w_etcS' />
		<tbody>
		<tr>
			<td data-th="자격구분"><input type="text" class="input_st inp_w100" name="STR_AUDIT_PRO[]" msg="자격구분을" value=""/></td>
			<td class="ac" data-th="유효기간">
				<div class="year_group">
					<input type="text" class="input_st inp_w3 DATE_PICKER" placeholder="예)2020-00-00" name="STR_AUDIT_SDATE[]" msg="유효기간을" value=""/>
					<span class="input_sec">~</span>
					<input type="text" class="input_st inp_w3 DATE_PICKER" placeholder="예)2020-00-00" name="STR_AUDIT_EDATE[]" msg="유효기간을" value=""/>
				</div>
			</td>
			<td data-th="자격인정기관"><input type="text" class="input_st inp_w100" name="STR_AUDIT_AGENCY[]" msg="자격인정기관을" value=""/></td>
			<td data-th="비고"><input type="text" class="input_st inp_w100" name="STR_AUDIT_BIGO[]" value=""/></td>
			<td data-th="추가/삭제"><button class="input_st c4 re inp_w100" onclick="delDiv(this);"><i class="tt">삭제</i><i class="xi xi-minus-min"></i></button></td>
		</tr>
		</tbody>
	</table>

<table width="100%" border="0" cellspacing="0" cellpadding="0" class="board_table st1 form response delWrap">
		
<col class='w_gubun' />
<col class='w_type3' />
<col class='w_year' />
<col class='w_auto' />
<col class='w_etc' />
<col class='w_etcS' />
		<tbody>
		<tr>
			<td data-th="대상업체"><input type="text" class="input_st inp_w100" name="STR_AUDITATTEND_COM[]" msg="대상업체를" value=""/></td>
			<td data-th="일자"><input type="text" class="input_st inp_w100 DATE_PICKER" placeholder="예)2020-00-00" name="STR_AUDITATTEND_DATE[]" msg="일자를" value=""/></td>
			<td data-th="참여구분">
				<input type="text" class="input_st inp_w100" name="STR_AUDITATTEND_CATE[]" msg="참여구분을" value=""/>
			</td>
			<td data-th="수행업무"><input type="text" class="input_st inp_w100" name="STR_AUDITATTEND_JOB[]" msg="수행업무를" value=""/></td>
			<td data-th="비고"><input type="text" class="input_st inp_w100" name="STR_AUDITATTEND_BIOGO[]" value=""/></td>
			<td data-th="추가/삭제"><button class="input_st c4 re inp_w100" onclick="delDiv(this);"><i class="tt">삭제</i><i class="xi xi-minus-min"></i></button></td>
		</tr>
		</tbody>
	</table>

<table width="100%" border="0" cellspacing="0" cellpadding="0" class="board_table st1 form response delWrap">
		
<col class='w_gubun' />
<col class='w_type3' />
<col class='w_year' />
<col class='w_auto' />
<col class='w_etc' />
<col class='w_etcS' />
		<tbody>
		<tr>
			<td data-th="대상업체"><input type="text" class="input_st inp_w100 str_kepicattendinfo" name="STR_KEPICATTEND_COM[]" value=""/></td>
			<td data-th="일자"><input type="text" class="input_st inp_w100 DATE_PICKER str_kepicattendinfo" placeholder="예)2020-00-00" name="STR_KEPICATTEND_DATE[]" value=""/></td>
			<td data-th="참여구분">
				<input type="text" class="input_st inp_w100 str_kepicattendinfo" name="STR_KEPICATTEND_CATE[]" value=""/>
			</td>
			<td data-th="수행업무"><input type="text" class="input_st inp_w100 str_kepicattendinfo" name="STR_KEPICATTEND_JOB[]" value=""/></td>
			<td data-th="비고"><input type="text" class="input_st inp_w100 str_kepicattendinfo" name="STR_KEPICATTEND_BIOGO[]" value=""/></td>
			<td data-th="추가/삭제"><button class="input_st c4 re inp_w100" onclick="delDiv(this);"><i class="tt">삭제</i><i class="xi xi-minus-min"></i></button></td>
		</tr>
		</tbody>
	</table>