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["ガ　ス　溶　接　技　能　講　習　申　込　書"]
[]
["※修了証番号　　　（協会記入欄）",{"$nulls":5},"受講希望会場を○で囲んでください。"]
["受講希望会場",null,null,"                     米　子　　　・　　　鳥　取　　　・　　　倉　吉　　"]
[null,null,null,"                 　 (7/26～)           (8/21～)           (12/11～) "]
["ふりがな",{"$nulls":7},"写 　真　　　貼付欄"]
["氏名",{"$nulls":7},"（縦３㎝×　　横２.４㎝）"]
["生年月日",null,null,"昭和","　　　　年　　　　　月　　　　　日",null,null,null,"写 　真　　　貼付欄   （修了証用）"]
[null,null,null,"平成",{"$nulls":4},"修了証用の写真は、後ではがしますので軽く貼っておいてください。"]
["現住所",null,null,"〒",null,null,"ＴＥＬ"]
[]
["所属","学校名"]
["学校","所在地",null,"〒",null,null,"ＴＥＬ"]
[]
[null,null,null,"受講料の払込",null,"銀行振込 ・ 現金　　　　　　月　　　　　　日"]
[]
["上記のとおり申し込みます。"]
[null,"令和　　　年　　　月　　　日"]
[{"$nulls":5},"受講者氏名",null,null,"印"]
["〒689-1112"]
["鳥取市若葉台南1-17"]
[null,"（一社）鳥取県労働基準協会長　　殿"]
[]
["※申込書に記載された個人情報は講習業務以外には使用致しません。"]