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[]
[null,"株式会社クレイリッシュ御中",null,null,null,null,null,null,null,null,"　割 引 申 込 書",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"申込FAX番号048-682-2302"]
[null,null,{"$f":"[1]送付状!I12","v":0},null,null,null,null,null,null,"宛","（新　規　取　引　用）"]
[null,"弊社(私)は、下記手形または小切手の割引を申込みます。"]
[]
[]
[null,"１.割引の対象となる手形についてご記入ください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"申込年月日 ",null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[null,"割引対象の支払人名",null,null,null,null,null,null,null,null,null,null,"額面金額",null,null,null,null,"支払期日",null,null,null,null,"割引希望日",null,null,null,null,"手形の成因  （記入例：建築工事代金）"]
[]
[]
[]
[]
[]
[null,"２.申込人の事業内容についてについてご記入ください。"]
[null,"申　込　人　の　商  号  又  は  屋  号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㊞",null,null,null,"創　業　又　は　設　立　年　月"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","創業",null,null,null,null,"元号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","設立",null,null,null,null,null,null,null,null,null,"年",null,null,"月"]
[null,"所在地",null,null,null,null,"□","自己所有",null,null,"□","親族所有",null,null,"□","賃貸",null,null,null,null,null,"登記上の本店",null,null,null,null,null,"□","自己所有",null,null,"□","親族所有",null,null,"□","賃貸"]
[null,"〒",null,null,"-",null,null,null,null,"□","登記上の本店所在地と同じ",null,null,null,null,null,null,null,null,null,null,"〒",null,null,"-",null,null,null,null,"□","所在地に同じ"]
[]
[]
[]
[null,"代 表 電 話 番 号　",null,null,null,null,null,null,null,null,null,"Ｆ Ａ Ｘ 番 号",null,null,null,null,null,null,null,null,null,"当　座　預　金",null,null,null,null,null,null,null,null,null,"正社員数",null,null,null,"非正社員数"]
[null,null,null,null,"-",null,null,"-",null,null,null,null,null,null,"-",null,null,"-",null,null,null,null,"□","有り",null,null,"□","無し",null,null,null,null,null,null,"人",null,null,null,"人"]
[null,"業　   　   種",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"最新決算年月",null,null,null,null,null,null,null,null,null,"年　　　　商"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"平成",null,null,null,"年",null,null,"月",null,null,null,null,null,null,null,null,"万円"]
[null,"資　本　金",null,null,null,null,null,null,null,"資本金の25％以上を保有する大株主の氏名又は商号と出資比率"]
[null,null,null,null,null,null,null,"万円",null,"株主名",null,null,null,null,null,null,null,null,null,"出資\n比率",null,null,null,"％","株主名",null,null,null,null,null,null,null,null,null,"出資\n比率",null,null,null,"％"]
[null,null,null,null,null,null,null,null,null,"株主名",null,null,null,null,null,null,null,null,null,"出資\n比率",null,null,null,"％","株主名",null,null,null,null,null,null,null,null,null,"出資\n比率",null,null,null,"％"]
[null,"主　要　販　売　先　（　売　上　高　順　）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主　要　仕　入　先　（　取　引　高　順　）"]
[null,"①",null,null,null,null,null,null,null,null,null,null,null,"□","現金",null,null,null,"％","□","手形",null,null,null,"％","①"]
[null,"②",null,null,null,null,null,null,null,null,null,null,null,"□","現金",null,null,null,"％","□","手形",null,null,null,"％","②"]
[null,"③",null,null,null,null,null,null,null,null,null,null,null,"□","現金",null,null,null,"％","□","手形",null,null,null,"％","③"]
[null,"④",null,null,null,null,null,null,null,null,null,null,null,"□","現金",null,null,null,"％","□","手形",null,null,null,"％","④"]
[null,"⑤",null,null,null,null,null,null,null,null,null,null,null,"□","現金",null,null,null,"％","□","手形",null,null,null,"％","⑤"]
[null,"⑥",null,null,null,null,null,null,null,null,null,null,null,"□","現金",null,null,null,"％","□","手形",null,null,null,"％","⑥"]
[null,"⑦",null,null,null,null,null,null,null,null,null,null,null,"□","現金",null,null,null,"％","□","手形",null,null,null,"％","⑦"]
[]
[null,"３.代表者様及び申し込み担当者様についてについてご記入ください。"]
[null,"フリガナ",null,null,null,null,null,null,null,null,null,null,null,null,"　代表者の自宅住所",null,null,null,null,null,null,"□","自己所有",null,null,"□","親族所有",null,null,"□","賃貸"]
[null,"代表者氏名",null,null,null,null,null,null,null,null,null,null,null,null,"〒",null,null,"-"]
[]
[null,"代表者の生年月日",null,null,null,null,null,null,null,null,null,"性別",null,null,"配偶者",null,null,null,"代表者の携帯電話番号",null,null,null,null,null,null,null,null,null,"代表者の自宅電話番号"]
[null,"昭和",null,null,"年",null,null,"月",null,null,"日","□","男",null,"□","有",null,null,null,null,"-",null,null,null,"-",null,null,null,null,null,null,"-",null,null,null,"-"]
[null,null,null,null,null,null,null,null,null,null,null,"□","女",null,"□","無"]
[null,"ご担当者名",null,null,null,null,null,"担当者様の連絡先",null,null,null,null,null,null,null,null,null,null,null,"連絡用メールアドレス",null,null,null,null,null,null,"□","代表者",null,null,"□","担当者"]
[null,null,null,null,null,null,null,null,null,null,"-",null,null,null,"-",null,null,null,null,null,null,null,null,null,null,null,null,null,"＠"]
[]
[]
[null,"４.申込人及び代表者様の所有する資産（不動産、有価証券など）についてについてご記入ください。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"時価",null,null,null,null,"万円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"時価",null,null,null,null,"万円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"時価",null,null,null,null,"万円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"時価",null,null,null,null,"万円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"時価",null,null,null,null,"万円"]
[]
[]
[]
[]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□",null,null,"明治"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☑",null,null,"大正"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"昭和"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"平成"]