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["様式第４号"]
[]
["小規模工事等契約希望者登録申請書（更新）"]
[]
[{"$nulls":24},"令和",null,null,null,"年",null,null,"月",null,null,"日"]
[]
[null,"玉 城 町 長　 あて"]
[]
[]
[null,"玉城町が発注する小規模工事等について、契約希望者登録の更新を申請します。"]
[null,"なお、この申請書及び添付書類の記載事項については、事実と相違ないことを誓約します。"]
[]
[null,"【申請者】"]
[null,null,"郵便番号",{"$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"]
["　　","　※「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,"添付書類"]
[null,null,"□","町税の完納証明書"]
[]
[]
[null,"◆確認のうえ、□にチェックを記入してください。"]
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[null,null,"□","申請者の登録項目（所在地、商号又は名称、代表者職・氏名等）に変更はありません。"]
[]
[null,null,"□","希望する業種に、変更はありません。"]
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[null,null,null,"※変更がある場合は、登録事項変更届（様式第２号）を提出してください。"]