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{"sheet":"へき地　様式１　申請書","index":0,"n_rows":89,"n_cols":33,"rows_kept":89,"cut":false,"hidden":false,"merged":[[26,5,26,32],[27,4,27,32],[28,6,28,32],[23,29,24,29],[28,4,28,5],[25,22,25,24],[23,25,24,28],[29,7,29,32],[11,20,11,32],[76,30,76,31],[75,32,75,33],[74,18,74,33],[23,32,24,32],[25,25,25,32],[25,4,25,21],[54,20,54,28],[69,20,69,33],[1,1,1,3],[1,4,1,7],[70,20,70,21],[3,1,3,32],[13,16,15,29],[10,16,10,19],[11,16,11,19],[12,16,12,19],[10,20,10,32],[70,32,70,33],[30,1,32,3],[68,24,68,29],[55,1,55,19],[30,4,30,6],[30,7,30,32],[67,30,67,32],[68,30,68,32],[67,2,73,3],[70,24,70,25],[70,26,70,27],[26,1,29,3],[52,20,52,28],[53,20,53,28],[70,22,70,23],[56,1,56,19],[70,28,70,29],[54,1,54,19],[31,6,31,32],[68,11,68,12],[67,22,67,23],[56,20,56,28],[69,12,69,19],[67,24,67,29],[67,11,67,12],[67,13,67,21],[56,29,56,32],[75,30,75,31],[21,9,22,11],[7,1,7,17],[21,1,22,8],[75,18,75,19],[71,30,71,31],[70,5,70,6],[53,1,53,19],[67,1,78,1],[55,20,55,28],[75,28,75,29],[68,4,68,10],[80,3,80,31],[51,1,51,19],[75,5,75,6],[52,1,52,19],[53,29,53,32],[54,29,54,32],[69,9,69,11],[70,30,70,31],[85,2,85,33],[70,12,70,15],[70,16,70,19],[5,24,5,25],[75,20,75,21],[75,24,75,25],[75,26,75,27],[74,2,78,3],[67,4,67,10],[55,29,55,32],[5,29,5,30],[23,30,24,31],[35,1,35,32],[38,1,47,32],[51,20,51,32],[52,29,52,32],[25,1,25,3],[12,20,12,32],[32,7,32,32],[29,4,29,6],[74,10,75,17],[73,8,73,33],[78,8,78,33],[69,4,69,8],[72,4,73,7],[74,4,74,9],[77,4,78,7],[71,4,71,7],[76,4,76,7],[75,22,75,23]],"flags":["formulas_cached_only"]}
[{"$nulls":4},"↓事務局が記入"]
[null,"受付番号",{"$nulls":30},"(へき地 様式1)"]
[]
[null,"へき地学校教育支援事業申請書"]
[]
[{"$nulls":24},"令和",null,null,"年",null,"月",null,null,"日"]
[]
[null,"公益財団法人 日本教育公務員弘済会　高知支部"]
[null,"　支部長　様"]
[]
[{"$nulls":12},"（申請者）",null,null,null,"所属名"]
[{"$nulls":16},"職　名"]
[{"$nulls":16},"氏　名"]
[{"$nulls":16},"代表者（学校長等）は申請書の記載内容について承認しています（チェックマークを記入⇒）"]
[]
[]
[null,"貴財団のへき地学校教育支援事業について，下記のとおり申請いたします。"]
[]
[{"$nulls":13},"記"]
[]
[null,"1.助成金額"]
[{"$nulls":9},"万円"]
[]
[{"$nulls":25},"へき地級",null,null,null,"(",null,null,")"]
[null,"2.学校情報"]
[null,"学校名",{"$nulls":20},"校長名"]
[null,"住所等",null,null,"〒","　"]
[{"$nulls":4},"　"]
[{"$nulls":4},"Tel:",null,"　"]
[{"$nulls":4},"E-mail:"]
[null,"この申請書に関する\n問い合わせ先",null,null,"氏名:"]
[{"$nulls":4},"Tel:"]
[{"$nulls":4},"E-mail:"]
[]
[null,"3.研究・活動タイトル"]
[]
[]
[null,"4.申請理由・研究・活動概要",{"$nulls":8},"（活動概要は，助成金の使途も含めて記入してください。）"]
{"$rows_empty":10}
[{"$nulls":28},"※裏面あり"]
[]
[null,"5.助成金使用予定内訳"]
[null,"使　　途",{"$nulls":18},"金　額(単位:円)税込"]
[]
[]
[]
[]
[null,"合　　計",{"$nulls":18},0,{"$nulls":8},"円"]
[null,"注：","以下に記載した費用は対象外とします。"]
[null,null,"(1)","人件費（外部講師費用は除く）"]
[null,null,"(2)","研修参加費（交通費も不可）"]
[null,null,"(3)","学校の一般管理費（例：公共料金の支払い）等"]
[null,null,"(4)","汎用性の高い機器 等"]
[null,null,"(5)","懇親会等の飲食費"]
[null,null,"(6)","その他事業に関係ない物品購入費 等"]
[]
[null,"6.助成金振込口座"]
[null,"※ 下の欄に口座番号等をご記入ください。",{"$nulls":10},"個人口座への振込はできません。"]
[null,"振込先口座番号","ゆうちょ銀行以外の金融機関",{"$nulls":8},"銀行",{"$nulls":10},"組合",{"$nulls":7},"支店"]
[{"$nulls":11},"金庫",{"$nulls":18},"支所"]
[{"$nulls":4},"金融機関コード",{"$nulls":4},"支店コード",null,null,"預金種別",{"$nulls":7},"口座番号　　右づめでご記入ください。↓"]
[{"$nulls":12},"１ 普通",null,null,null,"２ 当座"]
[{"$nulls":4},"フリガナ"]
[{"$nulls":4},"口座名義",null,null,null,"（個人の口座ではなく，学校名の記載がある口座でお願いします。）"]
[]
[null,null,"ゆうちょ銀行",null,"通帳記号",{"$nulls":13},"通帳番号　　右づめでご記入ください。↓"]
[]
[{"$nulls":4},"フリガナ"]
[{"$nulls":4},"口座名義",null,null,null,"（個人の口座ではなく，学校名の記載がある口座でお願いします。）"]
[]
[]
[null,null,null,"注）金融機関コードは，抜かさないよう必ずご記入ください。\n　 　また，口座名義のフリガナは，間違いのないよう正確にご記入ください。"]
[]
[null,null,"★通帳裏ページ（フリガナと口座番号が記載されている面）のコピーを添付してください。"]
[]
[null,"◎個人情報の取り扱いについて"]
[null,1,"公益財団法人　日本教育公務員弘済会（支部を含む。以下，当会といいます。）は，適正に取得した個人情報を当会の目的事業（奨学，研究助成，福祉，教育文化，共済）の運営のために利用します。"]
[null,2,"当会は，上記のうち，共済事業等に関する個人情報を提携会社・団体と共同して利用するために，委託会社・団体に提供することがあります。"]
[null,3,"当会の個人情報の取り扱いについては，当会のホームページ「プライバシーポリシー」を同意の上，申請してください。"]
["　　　　",null,"（http:www.nikkyoko.or.jp）をご覧ください。"]

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["受付番号",{"$nulls":27},"(奨励様式1)"]
[]
["平成24年度 日教弘本部奨励金申請書"]
[]
[{"$nulls":20},"平成２４年　７月１５日"]
[null,"公益財団法人　日本教育公務員弘済会"]
[null,"理事長   　山　田　　篤　　様"]
[]
[{"$nulls":9},"（個人申請）",null,null,null,"申請者氏名",{"$nulls":13},"印"]
[{"$nulls":8},"又は、","（組織申請）",null,null,null,"申請組織名・役職",{"$nulls":5},"(財)日教弘・事務局長"]
[{"$nulls":13},"代表者氏名",{"$nulls":5},"日教　弘",{"$nulls":7},"印"]
[]
[null,null,"貴財団の奨励金事業について、下記のとおり申請いたします。"]
[]
[{"$nulls":14},"記"]
[null,"1.テーマ（５０字以内でご記入下さい。）"]
[null,"１２３４５６７８９０１２３４５６７８９０１２３４５６７８９０１２３４５６７８９０１２３４５６７８９０",{"$nulls":19},"申請\n金額"]
[{"$nulls":23},"　１００万円"]
[]
[]
[]
[null,"2.申請者又は代表者"]
[null,"ふりがな",null,"にっきょう　　ひろし",{"$nulls":11},"生年月日",null,null," 昭和・平成"]
[null,"氏　名",null,"日教　弘",{"$nulls":14},45,null,"年",11,null,"月",22,null,"日生"]
[]
[null,"現住所",null,"〒","150-0001"]
[null,null,null,"東京都千駄ヶ谷５－４－６　教弘会館内"]
[null,null,null,"Tel:",null,"03-3354-4001",{"$nulls":9},"Fax:",null,"03-3354-4068"]
[null,null,null,"E-mail:",null,null,"honbu@nikkyoko.or.jp"]
[null,"所属組織",null,"名称",null,null,"公益財団法人　日本教育公務員弘済会"]
[null,null,null,"所在地",null,null,"〒","150-0001"]
[{"$nulls":6},"東京都千駄ヶ谷５－４－６　教弘会館内"]
[{"$nulls":6},"Tel:",null,"03-3354-4001",{"$nulls":7},"Fax:",null,"03-3354-4068"]
[{"$nulls":6},"E-mail:",null,null,"honbu@nikkyoko.or.jp"]
[null,"この申請書に関する\n問い合わせ先",{"$nulls":4},"組織名",null,null,"公益財団法人　日本教育公務員弘済会",{"$nulls":6},"氏　名",null,null,"日教　弘子"]
[{"$nulls":6},"E-mail:",null,null,"honbu@nikkyoko.or.jp",{"$nulls":8},"Tel:",null,"03-3354-4068"]
[]
[null,"3.共同者(ある場合、ご記入下さい。)"]
[null,"氏　　名",{"$nulls":5},"所　　属",{"$nulls":9},"研究等分担事項"]
[null,"日教　弘子",{"$nulls":5},"ああああああああああ会"]
[null,"日教　弘志",{"$nulls":5},"いいいいいいいいいい会 "]
[]
[]
[null,"4.指導者又は推薦者（任意）"]
[null,"氏　名",null,"日教　弘太郎",{"$nulls":5},"印",null,"職業・学位等",null,null,null,"(公財)日本教育公務員弘済会・理事長"]
[null,"【推薦理由】"]
[null,"　ああああああああああああああああああああああああああああああああああああああああああああああああああああああああああああああああああああああああああああああああああああああああああああああああああああああああ。\n　いいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいいい。\n　ううううううううううううううううううううううううううううううううううううううううううううううううううううううううう。"]
{"$rows_empty":8}
[null,"5.予定される奨励金使用内訳（費目別内訳）"]
[null,"費　　　目",{"$nulls":7},"内 　　　　訳",{"$nulls":13},"金額(単位:円)"]
[null,"調査用紙印刷費",{"$nulls":7},"5000円×20冊",{"$nulls":13},100000]
[]
[null,"…",{"$nulls":7},"…",{"$nulls":13},"…"]
[]
[]
[]
[]
[]
[]
[{"$nulls":9},"当年度合計　"]
{"$rows_empty":8}
[{"$nulls":9},"次年度以降繰越金額合計　"]
[{"$nulls":9},"（合　計）　",{"$nulls":13},1000000]
[]
[null,"注：","１.","数年間の計画の場合は当年度また次年度に必要な金額について記入して下さい。"]
[null,null,"２.","下記の経費は給付対象となりません。　"]
[null,null,null,"(1)","申請者本人（共同者を含む）の人件費"]
[null,null,null,"(2)","汎用性のある機器（パソコン等）の購入費"]
[null,null,null,"(3)","組織等の一般管理費（例：懇親会等の飲食費）　等"]
[]
[null,"6.この研究・活動について、本財団以外から交付された奨励金等"]
[null,"年 月",null,"機関・団体名",{"$nulls":9},"テーマ",{"$nulls":10},"金額(単位:円)"]
[null,"H20年10月",null,"○○○○○○会",{"$nulls":9},"××××××の開発研究",{"$nulls":10},"　　100万"]
[]
[]
[]
[]
[]
[null,"7.研究・活動の目的・計画等"]
[null,"【研究・活動目的】",{"$nulls":4},"どのような問題意識により、何をどこまで明らかにしようとするかがわかるように焦点を絞り、具体的に記入してください。"]
[]
[null,"・\n\n・\n\n・"]
{"$rows_empty":7}
[null,"【研究・活動計画】",{"$nulls":4},"目的達成のためにどのような方法で、何を、どこまで行うのかを具体的になるべく箇条書きで記入してください。"]
[]
[null,"（1）これまでの研究・活動計画及び成果"]
[null,"・\n\n・\n\n・"]
[]
[]
[]
[]
[]
[null,"（2）当年度の計画（平成25年度）"]
[null,"・\n\n・\n\n・"]
{"$rows_empty":13}
[null,"（3）次年度以降の計画（平成26年度～27年度）"]
[null,"・\n\n・\n\n・"]
[]
[]
[]
[]
[null,"（4）研究完了予定年月"]
[null,null,"平成２７年６月"]
[null,"【研究・活動上の資料等】主な文献・資料、施設、使用方法等具体的に記入してください。"]
[]
[]
[]
[]
[]
[null,"※","個人情報の取り扱いについては、実施要項「７申し込み手続き」の項目をご覧下さい。"]