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[]
[]
["救　急　広　報　受　講　申　込　書"]
[null,null,null,null,null,null,{"$f":"TODAY()","v":"2022-06-04"}]
["東成消防署長様"]
[null,null,null,null,null,"申請者（代表者）"]
[null,null,null,null,null,"氏名",null,null,null,"＊青枠内すべての入力をお願いします。"]
[]
[]
["講習種別",null,"救　急　広　報"]
[]
["受講希望者",null,"氏名",null,null,null,"他何名",null,null,"＊救急広報参加者の概ねの人数の入力をお願いします"]
[null,null,"（代表者）"]
[null,null,"連絡先　　電話番号"]
[]
["勤務先",null,"名称"]
[null,null,"所在地"]
["受講日時",null,"令和　　年　　月　　日　　時　　分～　　時　　分",null,null,null,null,null,null,"＊受講場所の名称、所在地を入力してください。勤務先と同じ場合は、プルダウンから「同上」を選択し、異なる場合は直接入力してください。"]
[]
["受講場所",null,"名称"]
[null,null,"所在地"]
["講習内容　　　　　　　　　　　（✅してください）",null,null,"心肺蘇生法（　　成人　　　小児　　　乳幼児）"]
[]
[null,null,null,null,"（　　　　　　）"]
["＊　受付欄",null,null,"＊　備考",null,"担当：　部",null,"担当隊："]
[null,null,null,"お問合わせ"]
[null,null,null,"東成消防署","TEL　０６－６９７１－０１１９　                                                　FAX      ０６－６９７１－９４１２"]
[]
["１　事業所又は学校等の団体で申し込まれる場合は、勤務先欄を記入してください。"]
["２　申し込みは勤務先又は住所地を管轄する消防署で行ってください。"]
["３　＊印は、記入しないでください。"]

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["普通救命講習Ⅰ",null,null,null,"初回受講者のみ",null,null,null,"分割無",null,null,"１名",null,"同上"]
["普通救命講習Ⅲ",null,null,null,"再受講者のみ",null,null,null," eラーニング分割",null,null,"２名"]
["救命入門コース９０分",null,null,null,"初回受講者及び再受講者",null,null,null,"回数分割（2回）",null,null,"３名"]
["救命入門コース４５分",null,null,null,null,null,null,null,"回数分割（３回）",null,null,"４名"]
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