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["第１種・第２種　衛生管理者試験準備講習申込書"]
[]
["ふ　　り　　が　　な"]
["氏　　　　　　名"]
["生　年　月　日",null,null,"　    昭和　・　平成　　　　　　　年　　　　　　月　　　　　　日"]
["現　　住　　所",null,null,"〒","ＴＥＬ"]
[]
["所属事業場","事業場名"]
[null,"所 在 地",null,"〒","ＴＥＬ"]
[]
["テキストの要・否\n（必要なテキストに○をしてください。）　　　　　　　",null,null,"第１種　衛生管理（上）",null,"   ２，３１０円","要　・　否"]
[null,null,null,"第１種　衛生管理（下）",null,"   ２，３１０円","要　・　否"]
[null,null,null,"第１種　衛生管理者問題集",null,"   ２，４２０円","要　・　否"]
["※事前に必要な方はご連絡ください。         （着払いで送付します）",null,null,"第２種　衛生管理（上）",null,"   １，８７０円","要　・　否"]
[null,null,null,"第２種　衛生管理（下）",null,"   １，３２０円","要　・　否"]
[null,null,null,"第２種　衛生管理者問題集",null,"   １，９８０円","要　・　否"]
["受講料の納入方法等",null,null,"銀行振込　・　現金","   　　　 月　　　　　　日　　　　　　　　　　　　　　　円"]
[]
["当事業場は、　（一社）鳥取県労働基準協会支部　(　会　員　・　非会員　）　です。"]
[]
["上記のとおり申し込みます。"]
["令和","　　　年　　　月　　　日"]
[{"$nulls":4},"　　受講者氏名　　　　　　　　　　　　　　　　　　　㊞"]
[]
["〒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いたしません。"]