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[null,"（参考様式１０）"]
[null,"役 員 等 名 簿"]
[]
[{"$nulls":10},"申請者（法人）名",null,null,null,"（","社会福祉法人ゆめネット",null,null,null,")"]
[null,"（ふりがな）",null,null,null,"生年月日",{"$nulls":4},"住　　所",{"$nulls":7},"押印"]
[null,"氏　　名",null,null,null,"役職名・呼称",{"$nulls":4},"TEL",null,null,null,"FAX"]
[null,"鷹巣孝久",null,null,null,"1976-01-18",{"$nulls":4},"名古屋市中川区篠原橋通3丁目61番地の1　503号"]
[{"$nulls":5},"理事長",{"$nulls":4},"052-352-9132"]
[null,"小山仁司",null,null,null,"1977-10-20",{"$nulls":4},"愛知県岡崎市菅生町蟹沢12-1　403号"]
[{"$nulls":5},"副理事長",{"$nulls":4},"0564-25-4623"]
[null,"濱口秀子",null,null,null,"1955-08-04",{"$nulls":4},"名古屋市西区五才美町240　205"]
[{"$nulls":5},"理事",{"$nulls":4},"052-503-7130"]
[null,"酒井仁",null,null,null,"1965-11-22",{"$nulls":4},"名古屋市中川区中郷1丁目218番地　グレイス高畑Ⅱ203"]
[{"$nulls":5},"理事",{"$nulls":4},"052-352-3751"]
[null,"秋好真澄",null,null,null,"1959-02-06",{"$nulls":4},"名古屋市中川区愛知町45-11"]
[{"$nulls":5},"理事",{"$nulls":4},"052-352-9114"]
[null,"横山辰夫",{"$nulls":8},"愛知県安城市今本町四丁目8番16号"]
[{"$nulls":5},"理事",{"$nulls":4},"0566-98-5568"]
[null,"上原直人",null,null,null,"1981-03-20",{"$nulls":4},"名古屋市中村区岩塚町小池1-62　ザ・パークハウス八田708"]
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[null,"注","　当該法人の役員（業務を執行する社員、取締役、執行役又はこれらに準ずる者をいい、相談役、顧問その他いかなる名称を有する者であるかを問わず、法人に対し業務を執行する社員、取締役、執行役又はこれらに準ずる者と同等の支配力を有するものと認められる者を含む。）及び事業所を管理する者について記入・押印してください。　"]

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