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[{"$nulls":11},"郵便番号",{"$nulls":7},{"$f":"IF(入力シート!O24=\"\",\"\",入力シート!O24)","v":""},{"$nulls":3},"-",null,{"$f":"IF(入力シート!T24=\"\",\"\",入力シート!T24)","v":""},{"$nulls":4},"電話番号",{"$nulls":7},{"$f":"IF(入力シート!O25=\"\",\"\",入力シート!O25)","v":""},{"$nulls":5},"-",null,{"$f":"IF(入力シート!V25=\"\",\"\",入力シート!V25)","v":""},{"$nulls":5},"-",null,{"$f":"IF(入力シート!AC25=\"\",\"\",入力シート!AC25)","v":""}]
[]
[{"$nulls":30},"ＦＡＸ番号",{"$nulls":7},{"$f":"IF(入力シート!AK25=\"\",\"\",入力シート!AK25)","v":""},{"$nulls":5},"-",null,{"$f":"IF(入力シート!AR25=\"\",\"\",入力シート!AR25)","v":""},{"$nulls":5},"-",null,{"$f":"IF(入力シート!AY25=\"\",\"\",入力シート!AY25)","v":""}]
[{"$nulls":30},"E - m a i l",{"$nulls":7},{"$f":"IF(入力シート!O26=\"\",\"\",入力シート!O26)","v":""}]
[{"$nulls":11},"会社",{"$nulls":7},{"$f":"IF(入力シート!O27=\"\",\"\",入力シート!O27)","v":""}]
[]
[{"$nulls":11},"住所"]
[]
[]
[null,"写　　真",{"$nulls":10},"注：",null,null,"縦 3cm × 横 2.5cmの無帽・正面・無背景の顔写真を左記の欄"]
[]
[{"$nulls":15},"にノリ付けしてください。"]
[]
[{"$nulls":15},"また、写真の裏には氏名を必ず記入願います。"]
{"$rows_empty":8}
[null,"【提出書類】"]
[]
[{"$nulls":4},"① 受講申込書（様式－１）"]
[{"$nulls":4},"② 実務経験証明書（様式－２）"]
[{"$nulls":4},"③ 職長・安全衛生責任者教育修了証の写し"]
[{"$nulls":4},"④ コンクリート橋架設等作業主任者若しくは土木または建築施工管理技士の合格者証の写し"]
[{"$nulls":4},"⑤ 受講票、写真票、受講料納付報告書（様式－３）"]
[{"$nulls":4},"⑥ 受講料振込領収証等の写し"]

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[]
[{"$nulls":9},"実　務　経　験　証　明　書",{"$nulls":81},"（様式－２）"]
[]
[null,null,"下記の登録ＰＣ基幹技能者講習受講申込者の実務経験の内容は、下記のとおりであることを証明します。"]
[]
[{"$nulls":55},"証明者：",{"$nulls":5},"（住　所）",{"$nulls":6},{"$f":"IF(IF(入力シート!O35=\"\",入力シート!O27,入力シート!O35)=\"\",\"\",IF(入力シート!O35=\"\",入力シート!O27,入力シート!O35))","v":""}]
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[{"$nulls":61},"（代表者）",{"$nulls":6},{"$f":"IF(入力シート!O37=\"\",\"\",入力シート!O37)","v":""},{"$nulls":21},"㊞"]
[]
[null,null,"受講申込者の氏名",{"$nulls":12},{"$f":"IF(入力シート!O15=\"\",\"\",入力シート!O15)","v":""},{"$nulls":20},"勤務先会社名",{"$nulls":9},{"$f":"IF(入力シート!O21=\"\",\"\",入力シート!O21)","v":""},{"$nulls":20},"証明者との関係",{"$nulls":10},{"$f":"IF(入力シート!O38=\"\",\"\",入力シート!O38)","v":""}]
[null,null,"生年月日",{"$nulls":13},{"$f":"IF(入力シート!W16=\"\",\"\",入力シート!W16)","v":""},null,null,"年",null,{"$f":"IF(入力シート!AC16=\"\",\"\",入力シート!AC16)","v":""},null,null,"月",null,{"$f":"IF(入力シート!AI16=\"\",\"\",入力シート!AI16)","v":""},null,null,"日生",{"$nulls":3},"当該経験業種",{"$nulls":38},"業種"]
[{"$nulls":32},"(※下請工事はとび・土工又は鉄筋となり、元請工事(役所と直接契約の工事)は土木となります。)",{"$nulls":58},"注：業種欄は記入しないで下さい。"]
[null,"1.実務経験"]
[{"$nulls":4},"発注者",{"$nulls":12},"工　　事　　名",{"$nulls":19},"作　業　内　容",{"$nulls":17},"実務経験内容",{"$nulls":10},"実務経験期間",{"$nulls":16},"経験月数"]
[{"$nulls":4},"（元請会社）",{"$nulls":77},"実 務",{"$nulls":4},"職 長"]
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[null,{"$f":"IF(入力シート!U46=\"\",\"\",入力シート!U46)","v":""},{"$nulls":64},{"$f":"IF(入力シート!CA46=\"\",\"\",入力シート!CA46)","v":""},null,null,"・",null,{"$f":"IF(入力シート!CF46=\"\",\"\",入力シート!CF46)","v":""},null,"～",null,{"$f":"IF(入力シート!CK46=\"\",\"\",入力シート!CK46)","v":""},null,null,"・",null,{"$f":"IF(入力シート!CP46=\"\",\"\",入力シート!CP46)","v":""},{"$nulls":4},"月",{"$nulls":4},"月"]
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[{"$nulls":57},"ＰＣ工事実務経験期間の合計",{"$nulls":20},{"$f":"IF(入力シート!CM74=0,\"\",入力シート!CM74)","v":""},null,null,"年",null,{"$f":"IF(入力シート!CU74=0,\"\",入力シート!CU74)","v":""},null,null,"ケ月"]
[{"$nulls":57},"うち職長経験期間の合計",{"$nulls":20},{"$f":"IF(入力シート!CM75=0,\"\",入力シート!CM75)","v":""},null,null,"年",null,{"$f":"IF(入力シート!CU75=0,\"\",入力シート!CU75)","v":""},null,null,"ケ月"]
[]
[null,null,"注：",null,null,"① 受講資格として、１０年以上のＰＣ工事の実務経験と、うち３年以上の職長経験を有し、かつコンクリート橋架設等作業主任者若しくは土木"]
[{"$nulls":5}," 　または建築施工管理技士資格が必要です。"]
[{"$nulls":5},"② 作業内容は型枠工、鉄筋工、ＰＣ鋼材配置工、緊張グラウト工、主桁製作工、主桁架設工、横組工、橋面工等具体的に記入すること。"]
[]
[null,"2.保有資格"]
[null,null,"職長教育修了証",{"$nulls":22},"コンクリート橋架設等作業主任者",{"$nulls":22},"土木施工管理技士（１級・２級）",{"$nulls":22},"建築施工管理技士（１級・２級）"]
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[null,null,"注：",null,null,"① 資格者証の写し（Ａ４版にコピーしたもの）",{"$nulls":28},"② 職長・安全衛生責任者教育修了証は、職長経験期間が３年以上であることを公的に証明するために必要なもの\n　 であり、３年以上前に修了したものを提出する事。修了証取得日が３年未満である場合は、事業主以外の元請\n   建設業者等による職長経験期間が３年以上であることを証明する書類を提出する事。"]
[]
[]
[]
[null,"3.勤続年数"]
[null,"  現在勤務している会社で",{"$nulls":16},{"$f":"IF(入力シート!Q89=\"\",\"\",入力シート!Q89)","v":""},{"$nulls":3},"年",null,null,"＋",null," 以前勤務していた会社で",{"$nulls":15},{"$f":"IF(入力シート!Q90=\"\",\"\",入力シート!Q90)","v":""},{"$nulls":3},"年",null,null,"＝",null,"合　計",{"$nulls":5},{"$f":"SUM(S95,AR95)","v":0},{"$nulls":3},"年"]
[]
[]
[null,"4.事故の有無（該当する箇所に○）"]
[null,null,"直近３年間において自己の責任に関する事故の有無",{"$nulls":33},{"$f":"IF(入力シート!BH90=\"\",\"\",IF(入力シート!BH90=\"有\",\"○\",\"\"))","v":""},null,"有",null,null,{"$f":"IF(入力シート!BH90=\"\",\"\",IF('様式－２'!AK99=\"\",\"○\",\"\"))","v":""},null,"無"]
[{"$nulls":51},"（※3及び4の項目は優秀施工者国土交通大臣顕彰（建設マスター）推薦にも利用致します。）"]
[]
[null,"5.誓　　約"]
[]
[{"$nulls":3},"この証明事項に事実と相違がある場合には、合格を取り消されても異存のないことを誓約いたします。"]
[]
[{"$nulls":10},"令和",null,null,{"$f":"IF(入力シート!P8=\"\",\"\",入力シート!P8)","v":""},null,null,"年",null,null,{"$f":"IF(入力シート!V8=\"\",\"\",入力シート!V8)","v":""},null,null,"月",null,null,{"$f":"IF(入力シート!AB8=\"\",\"\",入力シート!AB8)","v":""},null,null,"日",{"$nulls":38},"氏名",{"$nulls":21},"㊞"]

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[{"$nulls":45}," （様式－３）"]
[]
["（一社）プレストレスト・コンクリート工事業協会"]
[{"$nulls":12},"令和",{"$nulls":3},{"$f":"IF(入力シート!K6=\"\",\"\",入力シート!K6)","v":""},null,null,"年度第",{"$nulls":4},{"$f":"IF(入力シート!U6=\"\",\"\",入力シート!U6)","v":""},null,null,"回　登録ＰＣ基幹技能者講習"]
[]
["受　　　講　　　票"]
[]
[null,null,"受講地",{"$nulls":8},{"$f":"IF(入力シート!L11=\"\",\"\",入力シート!L11)","v":"富士教育訓練センター"},{"$nulls":18},"受講番号",{"$nulls":8}," ※"]
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[]
[null,null,"カタカナ",{"$nulls":8},{"$f":"IF(入力シート!O14=\"\",\"\",入力シート!O14)","v":""},{"$nulls":20},"会社名",null,null,{"$f":"IF(入力シート!O21=\"\",\"\",入力シート!O21)","v":""}]
[null,null,"氏名",{"$nulls":8},{"$f":"IF(入力シート!O15=\"\",\"\",入力シート!O15)","v":""}]
[]
[null,null,"生年月日",{"$nulls":24},{"$f":"IF(入力シート!W16=\"\",\"\",入力シート!W16)","v":""},null,null,"年",null,null,{"$f":"IF(入力シート!AC16=\"\",\"\",入力シート!AC16)","v":""},null,null,"月",null,null,{"$f":"IF(入力シート!AI16=\"\",\"\",入力シート!AI16)","v":""},null,null,"日生"]
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[]
[null,"1 .",null,null,"講習日時",{"$nulls":8},"令和",{"$nulls":3},{"$f":"IF(入力シート!P12=\"\",\"\",入力シート!P12)","v":""},null,null,"年",null,null,{"$f":"IF(入力シート!V12=\"\",\"\",入力シート!V12)","v":""},null,null,"月",null,null,{"$f":"IF(入力シート!AB12=\"\",\"\",入力シート!AB12)","v":""},null,null,"日",null,null,"（",null,{"$f":"IF(入力シート!P12=\"\",\"\",入力シート!DT2)","v":""},null,"） ～",{"$nulls":3},{"$f":"IF(入力シート!AS12=\"\",\"\",入力シート!AS12)","v":""},null,null,"月",null,null,{"$f":"IF(入力シート!AY12=\"\",\"\",入力シート!AY12)","v":""},null,null,"日",null,null,"（",null,{"$f":"IF(入力シート!AS12=\"\",\"\",入力シート!DT3)","v":""},null,"）"]
[null,"2 .",null,null,"受付開始",{"$nulls":8}," １３ 時 ００ 分から"]
[null,"3 .",null,null,"入校式",{"$nulls":8}," １３ 時 ０５ 分から"]
[]
[{"$nulls":24},"(切り離さないこと)"]
[]
[]
[{"$nulls":12},"令和",{"$nulls":3},{"$f":"IF(Q4=\"\",\"\",Q4)","v":""},null,null,"年度第",{"$nulls":4},{"$f":"IF(Y4=\"\",\"\",Y4)","v":""},null,null,"回　登録ＰＣ基幹技能者講習"]
[]
["写　　　真　　　票"]
[]
[{"$nulls":3},"受講地",{"$nulls":8},{"$f":"IF(L8=\"\",\"\",L8)","v":"富士教育訓練センター"},{"$nulls":19},"受講番号",{"$nulls":8}," ※"]
[]
[]
[]
[{"$nulls":27},"カタカナ",{"$nulls":8},{"$f":"IF(L11=\"\",\"\",L11)","v":""}]
[{"$nulls":3},"写　真",{"$nulls":23},"氏名",{"$nulls":8},{"$f":"IF(L12=\"\",\"\",L12)","v":""}]
[]
[]
[{"$nulls":27},"撮影年月",{"$nulls":11},"令和",{"$nulls":4},{"$f":"IF(入力シート!P29=\"\",\"\",入力シート!P29)","v":""},null,null,"年",null,null,{"$f":"IF(入力シート!V29=\"\",\"\",入力シート!V29)","v":""},null,null,"月"]
[]
[]
[{"$nulls":20},"注：",{"$nulls":3},"縦 3cm × 横 2.5cmの無帽・正面・無背景の顔写真"]
[{"$nulls":24},"を写真の欄にノリ付けしてください。"]
[{"$nulls":24},"また、写真の裏には氏名を必ず記入願います。"]
[]
[]
[{"$nulls":24},"(切り離さないこと)"]
[]
[]
[{"$nulls":12},"令和",{"$nulls":3},{"$f":"IF(Q4=\"\",\"\",Q4)","v":""},null,null,"年度第",{"$nulls":4},{"$f":"IF(Y4=\"\",\"\",Y4)","v":""},null,null,"回　登録ＰＣ基幹技能者講習"]
[]
["受 講 料 納 付 報 告 書"]
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[null,null,"氏名",{"$nulls":8},{"$f":"IF(L12=\"\",\"\",L12)","v":""},{"$nulls":21},"会社名",{"$nulls":8},{"$f":"IF(AJ11=\"\",\"\",AJ11)","v":""}]
[]
[]
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[]
[null,null,"振込元銀行",{"$nulls":8},{"$f":"IF(入力シート!O32=\"\",\"\",入力シート!O32)","v":""}]
[]
[null,null,"納付金額",{"$nulls":8},{"$f":"IF(入力シート!O33=\"\",\"\",入力シート!O33)","v":{"v":126500,"d":"126,500 "}},{"$nulls":17},"円",{"$nulls":5},"税 率",{"$nulls":5},"本体価格",{"$nulls":9},"消 費 税"]
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