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["様式第１号（第４条関係）"]
[]
["小規模工事等契約希望者登録申請書"]
[]
[{"$nulls":24},"令和",null,null,null,"年",null,null,"月",null,null,"日"]
[null,"玉 城 町 長　 あて"]
[]
[]
[null,"玉城町が発注する小規模工事等について、契約希望者の登録を申請します。"]
[null,"なお、この申請書及び添付書類の記載事項については、事実と相違ないことを誓約します。"]
[]
[null,"【申請者】"]
[null,null,"郵便番号",{"$nulls":8},"〒"]
[null,null,"住所又は所在地"]
[null,null,"（フリガナ）"]
[null,null,"商号又は名称"]
[null,null,"（フリガナ）",{"$nulls":24},"使用印鑑"]
[null,null,"代表者職・氏名"]
[null,null,"電話番号",{"$nulls":10},"－",null,null,"－"]
[null,null,"ＦＡＸ番号",{"$nulls":10},"－",null,null,"－"]
[null,null,"電子メールアドレス"]
[null,null,"営業年数",{"$nulls":10},"年",null,null,"月"]
["　　","　※「使用印鑑」は、見積書や契約書等に使用するものです。法人の場合は、代表者(登録)印を、\n    個人事業主の場合は、原則として町に印鑑登録した印鑑を使用印鑑としてください。"]
[]
[]
[]
[null,"【希望業種】"]
[null,"番号",null,"工事の種類",{"$nulls":7},"具体的な内容",{"$nulls":10}," 資格、許可を有する場合\n はその名称、種類等    ",{"$nulls":9},"経験\n年数"]
[null,1,{"$nulls":32},"年"]
[null,2,{"$nulls":32},"年"]
[null,3,{"$nulls":32},"年"]
[]
[null,"　※別表「小規模工事等の例示」参照"]
[]
[]
[null,"添付書類"]
[null,null,"□","印鑑(登録)証明書"]
[null,null,"□","登記事項証明書"]
[null,null,"□","身分証明書"]
[null,null,"□","町税の完納証明書"]
[null,null,"□","許可等を証明する書類の写し"]