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["電設年金会館　利用申込　入力フォーム"]
["申込書提出日",null,null,null,null,null,null,null,null,null,"注意"]
["利用区分",null,null,null,null,null,null,null,null,null,"入力の際は、保護ビューを解除（「編集を有効にする」をクリック）し、"]
["事業所番号",null,null,null,null,null,null,null,null,null,"セキュリティの警告が出る場合は、「コンテンツの有効化」を"]
["事業所（団体）名称",null,null,null,null,null,null,null,null,null,"クリックしてください。"]
["利用責任者　氏名",null,null,null,null,null,null,null,null,null,"セルの追加や修正をすると利用申込書に反映されない場合が"]
["所在地（現住所）の郵便番号",null,null,null,null,null,null,null,null,null,"ありますので、ご注意ください。"]
["所在地（現住所）"]
["電話番号"]
["利用年月日"]
["主な利用目的"]
["利 用 会 場\n\n※ 利用する会場と利用時間及び\n人数を入力してください。",null,null,null,"利用会場",null,null,null,"利用時間",null,null,"利用人数"]
[null,null,null,"①"]
[null,null,null,"②"]
[null,null,null,"③"]
[null,null,null,"④"]
[null,null,null,"⑤"]
["利 用 機 器\n※ 利用する機器にチェックを入れ、\nマイクは本数を入力してください。"]
[null,null,null,null,null,null,null,null,null,"本",null,null,null,null,null,false,false]
[]
[null,null,null,null,null,null,"本"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,false,false]
["備　　考\n（基金への連絡事項等）"]
[null,null,null,null,null,null,null,null,null,null,null,null,"　　　　　全ての項目を入力し、印刷したものを当基金宛にご提出ください。"]
[null,null,null,null,null,null,null,null,null,null,null,null,"　　　　　※ メールでの提出の場合は、PDFで添付してください。"]

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[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"専務理事",null,null,null,null,null,null,null,null,null,"事務長",null,null,null,null,null,null,null,null,null,"総務課長",null,null,null,null,null,null,null,null,null,"係長",null,null,null,null,null,null,null,null,null,"担当"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電設年金会館 利用申込書"]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,"下記のとおり電設年金会館の利用申込をいたします。"]
[]
[]
[]
[]
[null,null,null,null,null,{"$f":"IF(入力フォーム!D2=0,\"\",入力フォーム!D2)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"申込"]
[]
[]
[]
[null,null,null,null,null,"事業所名称",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力フォーム!D5=0,\"\",入力フォーム!D5)","v":""},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,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,"事業所番号"]
[]
[]
[]
[null,null,null,null,null,"または団体名",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,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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,{"$f":"IF(入力フォーム!D4=0,\"\",入力フォーム!D4)","v":""},null,null,null,null,null,null,null,"）"]
[]
[]
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[null,null,null,null,null,"所在地",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〒",null,null,null,{"$f":"IF(入力フォーム!D7=0,\"\",入力フォーム!D7)","v":""}]
[]
[]
[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,{"$f":"IF(入力フォーム!D8=0,\"\",入力フォーム!D8)","v":""}]
[null,null,null,null,null,"（現住所）"]
[]
[]
[]
[null,null,null,null,null,"利用者氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力フォーム!D6=0,\"\",入力フォーム!D6)","v":""},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,null,null,"電話",null,null,null,null,null,null,null,null,null,{"$f":"IF(入力フォーム!D9=0,\"\",入力フォーム!D9)","v":""}]
[]
[]
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[null,null,null,null,null,"（利用責任者）"]
[]
[]
[]
[null,null,null,null,null,"利用年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力フォーム!D10=0,\"\",入力フォーム!D10)","v":""},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,null,"（",null,null,null,{"$f":"TEXT(Z56,\"aaaaa\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[]
[]
[]
[]
[null,null,null,null,null,"利用者区分",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力フォーム!D3=0,\"\",入力フォーム!D3)","v":""}]
[]
[]
[]
[]
[]
[null,null,null,null,null,"利用会場\n・\n利用時間\n・\n人数"]
[]
[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,{"$f":"IF(入力フォーム!E13=0,\"\",入力フォーム!E13)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,{"$f":"IF(入力フォーム!I13=0,\"\",入力フォーム!I13)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）",null,null,null,null,{"$f":"IF(入力フォーム!L13=0,\"\",入力フォーム!L13)","v":""},null,null,null,null,null,null,null,null,"名"]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・",null,null,null,null,{"$f":"IF(入力フォーム!E14=0,\"\",入力フォーム!E14)","v":""},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,{"$f":"IF(入力フォーム!I14=0,\"\",入力フォーム!I14)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）",null,null,null,null,{"$f":"IF(入力フォーム!L14=0,\"\",入力フォーム!L14)","v":""},null,null,null,null,null,null,null,null,"名"]
[]
[]
[]
[]
[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,{"$f":"IF(入力フォーム!E15=0,\"\",入力フォーム!E15)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,{"$f":"IF(入力フォーム!I15=0,\"\",入力フォーム!I15)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）",null,null,null,null,{"$f":"IF(入力フォーム!L15=0,\"\",入力フォーム!L15)","v":""},null,null,null,null,null,null,null,null,"名"]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・",null,null,null,null,{"$f":"IF(入力フォーム!E16=0,\"\",入力フォーム!E16)","v":""},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,{"$f":"IF(入力フォーム!I16=0,\"\",入力フォーム!I16)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）",null,null,null,null,{"$f":"IF(入力フォーム!L16=0,\"\",入力フォーム!L16)","v":""},null,null,null,null,null,null,null,null,"名"]
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[]
[]
[]
[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,{"$f":"IF(入力フォーム!E17=0,\"\",入力フォーム!E17)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,{"$f":"IF(入力フォーム!I17=0,\"\",入力フォーム!I17)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）",null,null,null,null,{"$f":"IF(入力フォーム!L17=0,\"\",入力フォーム!L17)","v":""},null,null,null,null,null,null,null,null,"名"]
[]
[]
[]
[]
[]
[null,null,null,null,null,"主な利用目的",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力フォーム!D11=0,\"\",入力フォーム!D11)","v":""}]
[]
[]
[]
[]
[]
[null,null,null,null,null,"利用機器"]
[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,"なし",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"無線マイク",null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,{"$f":"IF(入力フォーム!$I$19=0,\"\",入力フォーム!$I$19)","v":""},null,null,null,"本",null,null,null,"）"]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ピンマイク",null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,{"$f":"IF(入力フォーム!F21=0,\"\",入力フォーム!F21)","v":""},null,null,null,"本",null,null,null,"）",null,null,null,null,null,null,null,null,null,null,null,null,"プロジェクター"]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,"備　考　（基金への連絡事項など）",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,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,null,null,null,null,null,null,null,null,"受　　　付"]
[]
[]
[]
[]
[null,null,null,null,null,null,{"$f":"IF(入力フォーム!D23=0,\"\",入力フォーム!D23)","v":""}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,"※ 申込前に必ず別紙「留意事項」をご確認ください。"]
[]
[]
[null,null,null,null,null,"※ 申込書は下記のいずれかの方法で提出してください。　提出先：東京都電設工業企業年金基金　総務課 宛"]
[]
[]
[null,null,null,null,null,"　● 郵送の場合　〒169-8556　東京都新宿区大久保2－8－3"]
[]
[null,null,null,null,null,"　● FAXの場合　03-5273-0120　　　● メールの場合（PDF等にて添付）　soumu@dskikin.jp"]
[]
[]
[]
[]
[]
[null,null,null,"－ 留意事項 －"]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,"◆ 会館の貸出について"]
[]
[]
[]
[]
[null,null,null,null,null,null,null,"・",null,null,"利用申込書を提出後、基金より「利用承認書」を送付します。"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,"会館利用料については、「利用承認書」に記載の金額を利用年月日の2日前までに指定"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,"の金融機関へ入金してください。"]
[]
[]
[]
[null,null,null,null,null,null,null,"・",null,null,"会館利用の取消しは、利用年月日の2日前までに基金へ連絡してください。"]
[]
[]
[]
[null,null,null,null,null,null,null,"・",null,null,"次の事項に該当する場合、利用日当日であっても利用の取消しを行う場合があります。"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,"また、2項に該当した場合は、以降の会館利用を制限します。"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,"1.",null,null,"天災地変、交通途絶、その他基金がやむを得ないと認めた場合"]
[]
[]
[null,null,null,null,null,null,null,null,null,"2.",null,null,"利用料の入金がなかった場合、基金への連絡を怠り利用しなかった場合、"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"利用申込書の記載内容と異なった目的の使用を行った場合"]
[]
[]
[]
[null,null,null,null,null,null,null,"・",null,null,"会館を利用できる権利を他に転貸譲渡することはできません。"]
[]
[]
[]
[]
[null,null,null,null,null,"◆ 会館の利用について"]
[]
[]
[]
[]
[null,null,null,null,null,null,null,"・",null,null,"基金の開門は8時45分、閉門は17時となります。指定時間外の入退場はできません。"]
[]
[]
[]
[null,null,null,null,null,null,null,"・",null,null,"申出た利用時間を超過する利用はできません。"]
[]
[]
[]
[null,null,null,null,null,null,null,"・",null,null,"各会場の机、椅子及び備品は、利用後に所定の位置に必ず戻してください。"]
[]
[]
[]
[null,null,null,null,null,null,null,"・",null,null,"利用する会場（施設）の清潔保持に努め、ゴミ等は各自持ち帰りください。"]
[]
[]
[]
[null,null,null,null,null,null,null,"・",null,null,"会館を利用する団体及び全ての利用者に次のことを禁止します。"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,"1.",null,null,"駐車場以外の駐車（基金駐車場の利用を希望する場合、事前にお知らせください。）"]
[]
[]
[null,null,null,null,null,null,null,null,null,"2.",null,null,"指定場所以外での飲食、喫煙"]
[]
[]
[null,null,null,null,null,null,null,null,null,"3.",null,null,"飲酒状態での入館"]
[]
[]
[null,null,null,null,null,null,null,null,null,"4.",null,null,"発火物、爆発物等危険物の持ち込み"]
[]
[]
[null,null,null,null,null,null,null,null,null,"5.",null,null,"利用会場以外の会場（施設）及び立入禁止場所への立ち入り"]
[]
[]
[null,null,null,null,null,null,null,null,null,"6.",null,null,"秩序、風紀を乱す行為及び他に迷惑を及ぼす行為"]
[]
[]
[]
[null,null,null,null,null,null,null,"・",null,null,"次の事項いずれかに該当する場合は、利用の取り消し又は利用中であっても、停止"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,"する場合があります。（利用料返還無）"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,"1.",null,null,"上記、各項の禁止事項等に違反したとき"]
[]
[]
[null,null,null,null,null,null,null,null,null,"2.",null,null,"基金の運営に支障のある会合を行ったとき"]
[]
[]
[null,null,null,null,null,null,null,null,null,"3.",null,null,"反社会的勢力の関わる会合等を行ったとき"]
[]
[]
[null,null,null,null,null,null,null,null,null,"4.",null,null,"利用者の故意又は重大な過失による事故等により施設の利用ができなくなったとき"]
[]
[]
[null,null,null,null,null,null,null,null,null,"5.",null,null,"基金の指示に従わないとき"]
[]
[]
[]
[]
[null,null,null,null,null,"◆ その他"]
[]
[]
[]
[]
[null,null,null,null,null,null,null,"・",null,null,"利用者の故意又は重大な過失により、建物、施設の設備・什器・備品等を破損又は滅失"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,"したときは、当該利用者及び利用申込責任者にその損害を弁償していただく場合があり"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,"ます。"]
[]
[]
[]
[null,null,null,null,null,null,null,"・",null,null,"天災地変又はこれに準ずる災害や利用者の責任による盗難、負傷、疾病、その他の事故"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,"については、基金はその責任を一切負わないものとします。"]

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["加入事業所（者）",null,"9：00～17：00",null,"なし"]
["年金受給者",null,"9：00～12：00",null,"２階　第一会議室"]
["一般",null,"13：00～17：00",null,"２階　第二会議室"]
[null,null,null,null,"２階　第三会議室"]
[null,null,null,null,"３階　特別会議室"]
[null,null,null,null,"３階　研修室"]
[null,null,null,null,"４階　小会議室"]
[null,null,null,null,"地下　地下会議室"]