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["別記様式（第４条関係）"]
[null,"選　手　派　遣　奨　励　金　交　付　申　請　書"]
[]
[{"$nulls":4},"   　　　年　　　月　　　日"]
[]
[]
[null,"奈良市スポーツ少年団本部"]
[]
[null,"　本部長　中　尾　節　子　様"]
[]
[null,null,"単位団の名称"]
[]
[null,null,"単位団代表者氏名"]
[{"$nulls":4},"　　　　　　　　　　　　　㊞"]
[]
[null,"　選手派遣奨励金交付要綱第４条の規定に基づき、奨励金の交付を受けたい"]
[null,"ので、次のとおり申請します。"]
[]
[null,"参加しようとする","期　　　　　　　日","開　　催　　地","参　加　選　手　氏　名"]
[null,"競技大会の名称"]
{"$rows_empty":17}
[null,"※　南都銀行口座をお持ちの団に限り、振込みいたします。"]
[]
[null,"南都銀行",null,null,"本店 ・ 支店 ・ 出張所"]
[null,"口座番号","　　普通　・　当座"]
[null,"口座名義人","フリガナ"]
[null,null,"漢字"]
[]
[null,"※　当該競技大会の開催要項及び当該選手の派遣を証明する書類を添付すること。"]