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[]
["入会申込書"]
[]
["　私は、特定非営利活動法人京都留学生支援機構の主旨に賛同したので入会金3.000円及び"]
["　別途年会費2.000円《入会の翌月から月額167円の割りで年度末3月までを基準に計算して"]
["　一括納入とする。但し、年度末月は163円》を添えて入会します。"]
[{"$nulls":17},"申込日",{"$nulls":7},"年",null,null,"月",null,null,"日"]
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[null,"フリガナ"]
[null,"氏名",{"$nulls":26},"印"]
[null,"生年月日",{"$nulls":5},"昭","平"]
[{"$nulls":9},"　　　年","　",null,null,"年",null,null,null,"月",null,null,null,"日",null,"性別",null,null,null,"男",null,"女"]
[{"$nulls":7},"西","暦"]
[]
[null,"フリガナ"]
[null,"自宅住所",{"$nulls":5},"〒"]
[]
[{"$nulls":11},"都","道"]
[]
[{"$nulls":11},"府","県"]
[]
[null,"ＴＥＬ",{"$nulls":15},"携帯電話"]
[null,"ＦＡＸ",{"$nulls":15},"Ｅメール"]
[null,"フリガナ"]
[null,"勤務先名"]
[null,"フリガナ"]
[null,"勤務先住所",{"$nulls":5},"〒"]
[]
[{"$nulls":11},"都","道"]
[]
[{"$nulls":11},"府","県"]
[]
[null,"ＴＥＬ",{"$nulls":15},"Ｅメール"]
[]
[]
["  　　　　■　申込書の提出は事務局まで"]
["  　　　　　　〒612-0013　京都市伏見区深草祓川町24-8"]
["  　　　　　　　　　　　　特定非営利活動法人　京都留学生支援機構　事務局"]
["  　　　　　　 　　　　　　　　　　電話　075-643-0407　FAX　075-645-0909"]
[]
["        　■　会費のお支払は現金または下記金融機関まで"]
["   　　     　　　金融機関名　　京都中央信用金庫　稲荷支店　"]
["  　　      　　　　口座番号　　普通預金　００８３４４３"]
["   　　     　　　　口座名義　　特定非営利活動法人　京都留学生支援機構　"]
["  　　    ■　お申込はメールでも受付けております。"]
["            　　　　下記アドレスまでご連絡下さい。"]
["                        　　　　info@info@kisso.ne.jp"]