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[]
[]
["普及啓発用資器材借用書"]
[null,null,null,null,null,null,{"$f":"TODAY()","v":"2022-06-04"}]
["東成消防署長様"]
[null,null,null,null,"事業所名"]
[]
[null,null,null,null,"借用者氏名",null,null,null,null,null,"＊青枠内すべての入力をお願いします。"]
["　応急手当の普及指導を実施しますので、普及啓発用資器材の借用をお願いします。"]
[]
["講習種別"]
[]
["借用資器材",null,"訓練人形　","成人",null,"小児",null,"乳児",null,null,"＊必要資器材の入力をお願いします。"]
[null,null,"訓練用AED",null,null,"マット"]
[null,null,"講習DVD ",null,null,"その他"]
[null,null,"気道模型"]
["借用期間",null,"借用日時","令和　年　月　日　　　時頃"]
[null,null,"返却日時","令和　年　月　日　　　時頃"]
["講習日時",null,"令和　　年　　月　　日　　時　　分～　　時　　分",null,null,null,null,null,null,null,"＊講習場所の名称、所在地を入力してください。勤務先と同じ場合は、プルダウンから「上記事業者名に同じ」を選択し、異なる場合は直接入力してください。"]
[]
["講習場所",null,"名称"]
[null,null,"所在地"]
["講習指導者（応急手当普及員）"]
[]
["受講人員",null,null,"新規",null,"再受講",null,"合計",{"$f":"E25+G25","v":0}]
["＊　受付欄",null,null,"＊　備考"]
[null,null,null,"お問合わせ",null,null,"東成消防署"]
[null,null,null,null,"TEL　  ０６－６９７１－０１１９　                                                　　　　　　　　　　　　　　     　　　　　FAX     ０６－６９７１－９４１２"]
[]
["＊普通救命講習修了証を申請される場合は、普通救命講習修了証等交付申請書及び受講者名簿が必要となりますのでご注意ください。"]

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