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{"sheet":"申込書","index":0,"n_rows":33,"n_cols":27,"rows_kept":33,"cut":false,"hidden":false,"merged":[[12,1,18,3],[19,1,31,3],[31,4,31,26],[32,1,36,3],[8,1,9,5],[8,6,9,17],[8,18,9,26],[10,1,11,3],[10,4,11,13],[10,14,11,16],[10,17,11,26],[3,21,4,22],[3,23,4,24],[3,25,4,26],[5,1,7,2],[5,3,5,5],[5,6,5,17],[6,3,7,5],[6,6,7,17],[0,0,0,1],[3,1,4,12],[3,13,4,14],[3,15,4,16],[3,17,4,18],[3,19,4,20]]}
["様式1"]
[null,"羽村市図書館宅配サービス利用登録申込書",null,null,null,null,null,null,null,null,null,null,null,null,null,"申請日　　　年　　　月　　　日"]
[]
[null,"利用者番号"]
[]
[null,null,null,"ふりがな",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生年月日"]
[null,null,null,"氏　名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"大","昭",null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"平","令"]
[null,"保護者氏名"]
[]
[null,"電話",null,null,null,null,null,null,null,null,null,null,null,null,"メール\nアドレス"]
[]
[null,"利用\n要件"]
[null,null,null,null,null,"　障がい者手帳　　　　級を所持"]
[null,null,null,null,null,"　70歳以上"]
[null,null,null,null,null,"　年齢が65歳以上で来館が困難である。"]
[null,null,null,null,null,"　未就学児及びその保護者"]
[null,null,null,null,null,"　その他　（下の備考欄に理由を記入）"]
[]
[null,"配送\n場所の\n状況"]
[null,null,null,null,null,"　戸建て住宅　　　　門扉・外柵　　あり　　なし"]
[null,null,null,null,null,"　共同住宅　　　玄関先まで入れる　　はい　　いいえ"]
[null,null,null,null,null,"□ポストの設置　　　あり　　　なし"]
[]
[null,null,null,null,null,"置き配の場合の場所指定（略図）"]
[]
[]
[]
[]
[]
[]
[]
[null,"備考"]