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[null,"令和６年度",null,null,null,null,null,null,null,null,null,"第１回",null,null,null,null,"整備管理者選任前研修受講申込書"]
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["複数人出席の場合はこの用紙を人数分コピーして使用して下さい(一人一枚)",null,null,null,null,"自動車協会",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"申 込 日",null,null,null,null,null,"令和",null,null,null,null,"年",null,null,null,"月",null,null,null,"日"]
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[null,null,null,null,null,"(〒",null,null,null,null,null,"－",null,null,null,null,null,"）",null,"※太枠内を必ずご記入下さい。"]
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[null,null,null,null,null,"事業者の氏名\n又は名称"]
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[null,null,null,null,null,"事業者住所"]
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[]
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[null,null,null,null,null,"ＴＥＬ：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," ＦＡＸ："]
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["ふりがな"]
[]
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["受講者の氏名\n(大きな文字で)\n(印鑑は不可)"]
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[]
[]
[]
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["生年月日\n(西暦で入力)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,null,null,null,"月",null,null,null,null,null,"日生",null,null,null,null,{"$f":"IFERROR(A86,\"\")","v":""}]
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[]
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["　※平日９：００～１７：００の間の連絡先を記入して下さい。"]
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[null,"連 絡 先",null,null,null,null,null,"ＴＥＬ:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名:"]
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[{"$f":"L1","v":"第１回"},null,null,"実　施　日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"以下の欄に受講者の免許証のコピーを必ず貼付して下さい。(氏名、生年月日の確認の為)"]
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[null,null,null,"2024-05-23",null,null,null,null,null,null,null,null,null,null,null,null,"木"]
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[null,null,null,"場　　　所",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"＊ご提出された個人情報は、今回の選任前研修以外には使用致しません"]
[]
[null,null,null,"釧路市生涯学習センターまなぼっと幣舞　７階学習室705･706"]
[]
[null,null,null,"釧路市幣舞町４番２８号"]
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["申込締切日",null,null,null,null,null,null,"2024-05-16",null,null,null,null,null,null,null,null,null,"木"]
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["申込方法",null,null,null,null,null,null,"①自動車協会に直接申込"]
[]
[null,null,null,null,null,null,null,"②ＦＡＸ　③郵送　④メール"]
[]
[]
["･各回とも申込先着順で定員になり次第締切です(50名)"]
[]
["･研修受付完了通知(メール含む)はしていませんのでお問合せください"]
[]
["･駐車スペースが少ないのでお早めにお越しください"]
[]
["･マスクは自己責任でお願いします"]
[]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※申込先および問合せ先※"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〒０８４－０９０６"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"釧路市鳥取大通６丁目１番１号"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"一般社団法人　",null,null,null,null,null,null,"　釧根自動車協会"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者",null,null,null,null,null,"北川・久田"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ＴＥＬ:",null,null,null,"０１５４－５１－３２５４"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ＦＡＸ:",null,null,null,"０１５４－５３－２０２６"]
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["/"]
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