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[null,null,"特　　　例"]
[{"$nulls":30},"再　交　付"]
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[{"$nulls":4},"（　　　　　　　　　　　　）技能講習修了証",{"$nulls":34},"申込書"]
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[{"$nulls":30},"書　　　　替"]
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[null,null,"ふ　り　が　な"]
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[{"$nulls":35},"日中の連絡先☎（",{"$nulls":10},"）"]
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[null,null,"修了証番号"]
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[null,null,"交付年月日"]
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[{"$nulls":10},"再　交　付",{"$nulls":7},"書　　替",{"$nulls":7},"変更前",{"$nulls":8},"変更後"]
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[null,null,"書替の理由"]
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[{"$nulls":10},"〒"]
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[null,null,null,"奈良市高天町５－１"]
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[null,null,null,"建設業労働災害防止協会"]
[{"$nulls":5},"奈　良　県　支　部　長　殿"]
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[null,null,"※　・この申込書に記載いただく氏名、生年月日等の各項目は、法律で記入することが定められています。\n　　　誤りのないよう正確に記入して下さい。\n　　 ・記入していただいた氏名、生年月日等は、この技能講習の事業以外では一切使用いたしません。"]
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[{"$nulls":42},"写真"]
[null,null,"(備考）\n１ 表題の「再交付」及び「書替」のうち、該当しない文字を抹消すること。\n２ 損傷による再交付のみの場合にあっては旧修了証、滅失の場合にあっては\n　 その滅失を証する書面を、又　書替の場合にあっては旧修了証及び記載事\n　項の異動を証する書面を添付すること。"]
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[null,null,"住民票 原本／写"]
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[null,null,null,"修了証滅失事由書"]
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[null,null,null,"　　　このたび、下記の理由により修了証を滅失しました。\n　　　今後このようなことのないよう十分留意しますので、再交付をお願いします。\n　　　なお、旧修了証が見つかった場合は直ちに返納いたします。"]
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[{"$nulls":5},"理由　1.　滅失日（いつ）\t",{"$nulls":12},"平成・令和",{"$nulls":7},"年",null,null,"月",null,null,"日"]
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[{"$nulls":5},"　　　　2.　滅失場所（どこで）",{"$nulls":12},"作業場所 ・ 自宅 ・ その他（　　　　　　　　　　　　　　　　　）(該当に〇印)"]
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[{"$nulls":5},"　　　　3.　滅失理由",{"$nulls":12},"紛失 ・ 盗難 ・ その他　（　　　　　　　　　　　　　　　　　　　）(該当に〇印)"]
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[{"$nulls":13},"盗難の場合、以下に記入してください。"]
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[{"$nulls":7},"技能講習修了証再交付（書替）の申請及び受取りを下記の者に委任します。"]
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[{"$nulls":7},"代理人氏名"]
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[{"$nulls":7},"住　　　　　所"]
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[{"$nulls":7},"電 話 番 号"]
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[{"$nulls":7},"※代理人の方は、自動車運転免許証等の代理人本人であることを確認できる書類と印鑑をご持参下さい。"]
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[null,null,null,"受　領　証"]
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[{"$nulls":5},"建設業労働災害防止協会　奈良県支部長　殿"]
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[{"$nulls":7},"上記申請者の技能講習修了証を受領いたしました。"]
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