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["公益社団法人和歌山県看護協会  山本あて　　　　　　　　　　　　　　　　　　　　　　　　　　　　　（FAX　０７３－４８３－１２６６）　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　"]
["締切日：平成31年１月11日（金）"]
["平成30年度　　研修会受講申込書"]
["                                                                      申込日：平成　　　　　年　　　　月　　　　日"]
["研　修　開　催　日",null,null,null,"平成３1年1月１8日（金）10：00～１６：００"]
["研　修　会　名",null,null,null,"　ワーク・ライフ・バランス推進フォローアップ・ワークショップ"]
["施　　設　　名"]
["　　担　当　者　名"]
["電　話　番　号",{"$nulls":9},"F　　A　　X"]
["               　　　　   　希望のところに○印を記入ください。"]
["優先順位","氏　　名",{"$nulls":4},"職種",null,"会員は　　　○",null,"非会員は　○",null,"１月１8日（金）"]
[{"$nulls":12},"午前",null,"午後"]
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["★楷書でご記入願います。また、各項目に記入漏れがないようにお願い致します。"]
["★職種は「保」「助」「看」「准」の別を記入願います。"]