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["一般競争（指名競争）参加資格審査申請書（技術開発・技術調査等）"]
{"$rows_empty":19}
["使用済燃料再処理・廃炉推進機構"]

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["01","１",{"$nulls":4},"01:新規は１、更新は２を記入",{"$nulls":11},"※03 業者CODE",{"$nulls":18},"（参考）",{"$nulls":4},"04適格組合",{"$nulls":4},"  　　年　　月　　日"]
["※02　受付番号",{"$nulls":41},"　　証明",{"$nulls":4},"第　　　　　　　　　　 号"]
[]
["一般競争（指名競争）参加資格審査申請書（技術開発・技術調査等）"]
[]
["2024・2025年度において、使用済燃料再処理・廃炉推進機構が所掌する地層処分に関する技術開発･技術調査等に係る競争に参加する資格の審査を申請します。"]
["なお、この申請書および添付書類の内容については、事実と相違ないことを誓約します。"]
[]
[null,"   ○年○月○日"]
[{"$nulls":28},"使用済燃料再処理・廃炉推進機構　理事長　殿"]
[]
["05",null,"郵便番号",{"$nulls":4},"100",{"$nulls":5}," －",null,"0001"]
[]
["06",null,"フリガナ",{"$nulls":6},"ミナトクシバ"]
[]
[null,null,"本社（店）住所",{"$nulls":6},"東京都 港区 芝１－１－１"]
[]
["07",null,"フリガナ",{"$nulls":6},"タナカショウジ"]
[]
[null,null,"商号又は名称",{"$nulls":6},"（株）田中商事"]
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["08",null,"フリガナ",{"$nulls":32},"ヤマダ　タロウ",{"$nulls":21},"印"]
[]
[null,null,"代表者氏名",{"$nulls":5},"(役職)",null,null,"代表取締役社長",{"$nulls":20},"(氏名)",null,null,"山田　太郎"]
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["09",null,"フリガナ",{"$nulls":6},"ヤマダ　ジロウ"]
[]
[null,null,"担当者氏名",{"$nulls":6},"山田　二郎"]
[{"$nulls":10},"営業第一部○○ｸﾞﾙｰﾌﾟ"]
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["11","FAX番号",{"$nulls":4},"03",null,null,null," －",null,"1234",null,null,null," －",null,"5679"]
[]
[]
[null,"※欄については、記入しないこと。"]

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[]
[null,null,"20","　","自己・自社若しくはその役員等が、「暴力団員による不当な行為の防止等に関する法律第２条に規定する暴力団員、暴力団関係者その他の反社会的勢力"]
[{"$nulls":4},"又はそれらの者との関与があると認められる者」ではない。"]
[{"$nulls":4},"✓","はい",null,null,"　","いいえ"]

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["技術者数一覧表（技術者数および経験年数）"]
[]
[]
["技術部門",{"$nulls":5},"経験年数ごとの技術者数※１"]
[null,null,null,"区分№",null,null,"5年未満","5年以上10年未満","10年以上15年未満","15年以上20年未満","20年以上25年未満","25年以上"]
[]
[" 設計部門",null,null,1,"-","01",null,2,null,null,null,4]
[" 施工部門",null,null,1,"-","02",null,2,null,null,3]
[" 管理部門",null,null,1,"-","03",null,null,1,null,3,2]
[null,null,null,1,"-","04"]
[null,null,null,1,"-","05"]
[null,null,null,1,"-","06"]
[null,null,null,1,"-","07"]
[null,null,null,1,"-","08"]
[null,null,null,1,"-","09"]
[null,null,null,1,"-",10]
[null,null,null,1,"-",11]
[null,null,null,1,"-",12]
[null,null,null,1,"-",13]
[null,null,null,1,"-",14]
[null,null,null,"6","-",13]
["※1上記「技術部門」において経験を有する技術者数を経験年数ごとに整理してください。"]
["　   同一の技術者が複数の分類項目の技術・経験を有している場合には、複数の項目に計上してください。"]
[]
["【本研究に実際に従事できる技術者の総数】"]
["　　本研究に実際に従事できる技術者の総数を経験年数ごとに記入してください。",{"$nulls":5},"5年未満","5年以上\n10年未満","10年以上\n15年未満","15年以上\n20年未満","20年以上\n25年未満","25年以上"]
["　　※各技術分野の延べ人数の合計ではありません。"]
[{"$nulls":7},2,1,null,null,1]

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[null,"※ 受付番号",{"$nulls":16},"※ 業者CODE"]
[]
["営　業　所　一　覧　表"]
["番","営業所名称",{"$nulls":12},"郵便番号",null,null,null,"所在地",{"$nulls":24},"電話・ＦＡＸ番号",{"$nulls":13},"技術者数"]
["号","（　担当者氏名　）"]
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[null,"（",null,"山田　二郎",{"$nulls":8},"）",null,"0001",{"$nulls":28},"03-1234-5679"]
[2,"関東支社",{"$nulls":12},100,null,null,"－","東京都港区新橋〇〇－××－△△",{"$nulls":24},"03-1234-XXXX",{"$nulls":13},5]
[null,"（",null,"山田　三郎",{"$nulls":8},"）",null,"0002",{"$nulls":28},"03-1234-XXXX"]
[{"$nulls":17},"－",{"$nulls":25},"　　－　　　　－"]
[null,"（",{"$nulls":10},")",{"$nulls":30},"　　－　　　　－"]
[{"$nulls":17},"－",{"$nulls":25},"　　－　　　　－"]
[null,"（",{"$nulls":10},")",{"$nulls":30},"　　－　　　　－"]
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[null,"（",{"$nulls":10},")",{"$nulls":30},"　　－　　　　－"]
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[null,"（",{"$nulls":10},")",{"$nulls":30},"　　－　　　　－"]
[{"$nulls":17},"－",{"$nulls":25},"　　－　　　　－"]
[null,"（",{"$nulls":10},")",{"$nulls":30},"　　－　　　　－"]
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[null,"（",{"$nulls":10},")",{"$nulls":30},"　　－　　　　－"]
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[null,"（",{"$nulls":10},")",{"$nulls":30},"　　－　　　　－"]
[{"$nulls":17},"－",{"$nulls":25},"　　－　　　　－"]
[null,"（",{"$nulls":10},")",{"$nulls":30},"　　－　　　　－"]
[{"$nulls":17},"－",{"$nulls":25},"　　－　　　　－"]
[null,"（",{"$nulls":10},")",{"$nulls":30},"　　－　　　　－"]
[{"$nulls":17},"－",{"$nulls":25},"　　－　　　　－"]
[null,"（",{"$nulls":10},")",{"$nulls":30},"　　－　　　　－"]
[null,"１．本表は申請日現在で作成すること。"]
[null,"２．「営業所名称」欄には、常時契約を締結する本店又は支店等営業所の名称を記入するとともに（　　）内に連絡担当者名を記入すること。"]
[null,"３．「所在地」欄には、営業所の所在地を記入すること。"]
[null,"４．「電話・ＦＡＸ番号」欄には、上段に電話番号を、下段にＦＡＸ番号をそれぞれ（市外局番）-（市内局番）-（加入者番号）の順に記入すること。"]
[null,"５．「技術者数」欄には、それぞれの営業所に在籍している技術者数を記入すること。"]