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["（公社）秋田県トラック協会　　ＦＡＸ：018-863-7354"]
[]
["平成28年度　各種助成金　事前承認申請書兼交付請求書（実績報告書）"]
[]
[{"$nulls":12},"ＴＥＬ"]
[null,"〔申請者〕　会社名",{"$nulls":6},"　担当者名",null,null,null,"ＦＡＸ"]
[]
["●事前申請必要項目"]
["公益社団法人　秋田県トラック協会長　殿"]
[null,"下記の助成金につきまして事前承認申請いたします。",{"$nulls":8},"（ＦＡＸ送信）",{"$nulls":6},"平成　　　年　　　月　　　　日"]
[]
[null,"・睡眠時無呼吸症候群",null,null,null,"・安全装置",null,null,null,"・大型免許等",null,null,null,"・環境対応ﾃﾞｨｰｾﾞﾙ車"]
[null,"・信用保証料",null,null,null,"・DR（ドラレコ）",null,null,null,"・中小企業大学校"]
[null,"・ETC",null,null,null,"・ｱｲﾄﾞﾘﾝｸﾞｽﾄｯﾌﾟ",null,null,null,"・リアバンパー"]
[]
[null,"助成金名（上記に○印）",{"$nulls":4},"件数",null,null,"（台、人）",null,null,"助成金額",null,null,null,"円"]
[{"$nulls":6},"最終導入（受診、受講）予定日",{"$nulls":9},"平成　　　年　　　月　　　日","まで"]
["事前承認申請書は1/31までとします。",{"$nulls":8},"※担当者名・ＦＡＸ番号は必ずご記入願います。"]
[]
["助成金事前申請者　殿"]
[]
[null,"事前承認申請いただきました上記につきまして承認いたします。",{"$nulls":11},"（ＦＡＸ送信）      "]
[]
[null,"※　なお、当該事前承認は、助成金額を当協会が事前把握するための"]
[null,"　　ものであり、実際に助成金を交付するにあたっては、書類不備等により"]
[null,"　　助成を受けられない場合もありますので、ご注意願います。"]
{"$rows_empty":10}
["●事前申請不要項目"]
["公益社団法人　秋田県トラック協会長　殿",{"$nulls":16},"平成　　　年　　　月　　　　日"]
[]
[null,"下記について必要書類を添付し、実績報告並びに助成申請いたします。",{"$nulls":15},"  （必要書類とともに郵送又は持参）  "]
[]
[null,"・運転記録証明書",null,null,null,"・運行管理者等",null,null,null,"・健康診断",null,null,null,"・作業安全講習"]
[null,"・自家スタンド"]
[]
[null,"助成金名（上記に○印）",{"$nulls":4},"件数",null,null,"（台、人、本）",null,null,"助成金額",null,null,null,"円"]
[{"$nulls":16},"※詳細は、別添内訳書及び添付書類参照"]
[null,"　　〔申請者〕"]
[null,null,"住　　所",{"$nulls":7},"振込先","金融機関･支店名",null,"：","   　銀行",null,"　支店"]
[null,null,"会社名",{"$nulls":8},"口座種類",null,"：","当座　・　普通"]
[{"$nulls":11},"口座番号",null,"："]
[null,null,"代表者名",{"$nulls":5},"印",null,null,"口座名義\n　　(ｶﾅ）",null,"："]
[]
[]
["トラック協会使用欄"]

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["決　裁","会　長","専　務","事務局長","総務課長","業務部長","業務課長","担　当"]
["事前","－"]
[]
[]
["決　裁","会　長","専　務","事務局長","総務課長","業務部長","業務課長","担　当"]
["交付","－"]