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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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"財団記入欄"]
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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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,null,null,"月",null,null,null,null,"日",null,"受領"]
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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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"応募番号："]
["公益財団法人",null,null,null,null,null,null,null,null,null,"川嶋みらい文化芸術財団"]
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["代表理事",null,null,null,null,null,null,null,null,null,null,null,null,"川嶋　尚道",null,null,null,null,null,null,null,null,null,null,"殿"]
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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,null,null,null,null,null,"助 成 申 請 書"]
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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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和",null,null,null,null,null,null,null,"年",null,null,null,null,null,"月",null,null,null,null,null,"日"]
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[null,null,null,null,null,null,null,null,null,"氏　名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㊞"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※グループ・団体の場合は、代表者の役職・氏名を記載してください"]
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[null,null,null,null,null,null,null,null,null,"名　称"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※グループ・団体の場合のみ、その名称を記載してください"]
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["活 動 名 称"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※助成を受けようとする活動の名称をできるだけ簡潔に記載してください"]
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["応募者に関する事項",null,null,null,"氏　　　名",null,null,null,null,null,null,null,null,null,null,null,null,"ﾌﾘｶﾞﾅ"]
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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,null,"※グループ・団体の場合は、代表者の役職・氏名を記載してください"]
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[null,null,null,null,"名　　　称",null,null,null,null,null,null,null,null,null,null,null,null,"ﾌﾘｶﾞﾅ"]
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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,null,"※グループ・団体の場合のみ、その名称を記載してください"]
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[null,null,null,null,"窓　　　口\n担　当　者",null,null,null,null,null,null,null,null,null,null,null,null,"ﾌﾘｶﾞﾅ"]
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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,null,"※グループ・団体の場合のみ、窓口担当者の氏名を記載してください"]
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[null,null,null,null,"連　絡　先",null,null,null,null,null,null,null,null,null,null,null,"〒",null,null,null,null,null,null,"-"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"TEL",null,null,null,null,null,null,null,null,null,null,"-",null,null,null,null,null,null,null,"-",null,null,null,null,null,null,null,"（携帯電話の番号可）"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FAX",null,null,null,null,null,null,null,null,null,null,"-",null,null,null,null,null,null,null,"-",null,null,null,null,null,null,null,"（FAXがない場合、記載不要）"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"MAIL",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"@"]
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["※ 通知書類等は、こちらに記載された住所に送付いたします"]
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["経歴 / 実績"]
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["※ 資料がある場合は、別途添付してください"]
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["Ⅰ．助成を受けようとする活動について"]
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[" 概要 / 目的"]
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[" スケジュール / 実施体制"]
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[" 成果の発表方法"]
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[" 将来的な展望"]
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[" 経済状況について（助成金を必要とする理由及び芸術活動を行うための収支を詳細に記入）"]
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[" その他（応募動機、自己PRなど）"]
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["※ スペースが足りない場合は、別途添付してください"]
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["Ⅱ．申 請 金 額",null,null,null,null,null,null,null,null,null,null,null,"（適用欄には、使途・数量・単価等を記載してください）"]
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["費 用 項 目",null,null,null,null,null,null,null,null,null,null,null,null,null,"摘　　要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"金　額 （円）"]
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["例）消耗品費",null,null,null,null,null,null,null,null,null,null,null,null,null,"　例）---に使用する---の購入\n　例）数量：　--- 個, 単価： --- 円",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"例）10,000"]
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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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"合計"]
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["※ スペースが足りない場合は、別途添付してください"]
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["＜応募に関する注意事項＞\n ・「募集要項」を必ずお読みの上でご応募ください。\n ・応募書類の受領に関するご連絡はいたしておりません。\n ・応募書類の作成及び送付に関する費用は応募者側でご負担ください。\n\n  なお、本申請書の提出をもって、次の「個人情報保護に関する基本方針」に基づき、本法人が応募者の\n  個人情報を取得し、利用することにつき同意したものとみなします。\n\n＜個人情報保護に関する基本方針＞\n  本法人は、本事業の実施において取得する個人情報を適正に取扱うため、個人情報の保護に関する法\n  律、関連法令及び官公庁のガイドライン等を遵守し、また個人の人格を尊重する見地から、以下の方\n  針に基づき個人情報の保護に努めます。\n  １　個人情報は、その利用目的を明らかにし、適切かつ公正な方法により取得いたします。\n  ２　取得する個人情報は、選考、通知、その他業務の遂行に必要な範囲で利用いたします。\n  ３　利用目的内の業務を外部に委託する場合、法令等の定めに基づく場合、人の生命、身体又は財産の\n      保護のために必要とする場合等を除き、個人情報を第三者へ提供することはいたしません。また、\n      利用目的内の業務を外部に委託する場合は、適切な委託先を選定し、委託先との間で適正な管理に\n      必要な事項を取り決めることにより、個人情報の保護を図ります。\n  ４　保有する個人情報は、不正アクセス、漏洩、滅失、毀損等が発生しないよう、必要かつ適切な安全\n      管理措置の下、適正に管理いたします。\n  ５　本人から個人情報の開示、訂正、追加、削除、利用の停止等の求めがあった場合は、適切に対応い\n      たします。\n  ６　保有する個人情報を保護するための方針や体制等については、事業内容の変化、事業を取巻く法\n      令、社会環境、ＩＴ環境等の変化に応じて継続的に見直し、改善いたします。"]