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[{"$nulls":4},"第４条５号"]
["平成２８年度　社会貢献推進活動月間　　（規程第４条地方協会員表彰者用　申請項目）"]
["表　彰　申　請　書"]
["申請者","協会名"]
[null,"代表者"]
[null,"所在地","〒"]
[null,"電話番号"]
[]
["被表彰者会社名","会社名"]
[null,"代表者名"]
[null,"所在地","〒"]
[null,"電話・ＦＡＸ",null,"（担当者）"]
[]
["申 請 項 目","申請部門","　　（該当するものに○をつけてください）"]
[null,"　　　（１）　災害復旧支援活動　　　　　　　　　（５）　建設業ふれあい活動"]
[null,"　　　（２）　防災支援活動　　　　　　　　　　　　（６）　建設業の啓蒙・イメージアップ活動"]
[null,"　　　（３）　環境美化・保全活動　　　　　　　　 （７）　その他"]
[null,"　　　（４）　社会福祉活動"]
[null,"タイトル"]
[null,"　　第４条５号該当の詳細な事由"]
{"$rows_empty":17}
[null,"　　地方協会長の副申"]
{"$rows_empty":14}
[null,"○会社概要、当該事例の活動内容等を紹介した写真、会報記事、新聞等における報道記事、パンフレット等を、また、自治体等からの表彰を受けた場合は、その写し等を添付すること。"]