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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",{"$nulls":4},"  　　年　　月　　日"]
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["一般競争（指名競争）参加資格審査申請書（物品・役務提供等）"]
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[null,"2024・2025年度において、使用済燃料再処理・廃炉推進機構が所掌する物品購入・役務提供等に係る競争に参加する資格の審査を申請します。"]
[null,"なお、この申請書および添付書類の内容については、事実と相違ないことを誓約します。"]
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[null,"     ○年○月○日"]
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["07",null,"フリガナ",{"$nulls":6},"タナカショウジ"]
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[null,null,"商号又は名称",{"$nulls":6},"（株）田中商事"]
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["09",null,"フリガナ",{"$nulls":6},"ヤマダ　ジロウ"]
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[null,"※欄については、記入しないこと。"]

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[null,null,"23","　","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。"]
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["営　業　所　一　覧　表"]
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[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。"]