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["私学退職手当資金給付事業届書様式"]
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["目　　　　　　　　次"]
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[null,"加　入　申　込　書(第１号様式)　・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"20頁"]
[null,"加　入　承　諾　書(第２号様式)　・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"21頁"]
[null,"学入法人名簿(第３号様式)　・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"22頁"]
[null,"退職手当資金給付請求書・裁定通知書(第４号様式)　・・・・・・・・・・・・・・・・・・・・・・・・",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"23頁"]
[null,"教　職　員　原　票（第５号様式）　・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"24頁"]
[null,"資格取得報告書・確認通知書（第６号様式）　・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"25頁"]
[null,"資格喪失報告書・確認通知書（第７号様式）　・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"26頁"]
[null,"教職員氏名変更報告書（第８号様式)　・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"27頁"]
[null,"教職員所属異動報告書（第９号様式)　・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"28頁"]
[null,"学校法人（学校）異動報告書（第１０号様式)　・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"29頁"]
[null,"辞　　退　　届(第１１号様式)　・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"30頁"]
[null,"辞　退　承　諾　書(第１２号様式)　・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"31頁"]
[null,"標準給与基礎届・確認通知書(第１３号様式)　・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"32頁"]
[null,"標準給与月額変更届・確認通知書(第１４号様式)　・・・・・・・・・・・・・・・・・・・・・・・・・・",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"33頁"]
[null,"納　付　通　知　書(第１５号様式)　・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"34頁"]
[null,"加入者明細小活表(第１６号様式)　・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"35頁"]
[null,"休職・停職・育児休業等報告書・確認通知書(第１７号様式)　・・・・・・・・・・・・・・・・・・",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"36頁"]
[null,"休職・停職・育児休業等解除報告書・確認通知書(第１８号様式)　・・・・・・・・・・・・・・",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"37頁"]
[null,"特別負担金納入計算書・確認通知書(第１９号様式)　・・・・・・・・・・・・・・・・・・・・・・・・",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"38頁"]
[null,"負　担　金　早　見　表　・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"39頁"]

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[null,"公益財団法人　広 島 県 私 学 振 興 財 団"]
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[null,null,"理事長",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"殿"]
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[null,null,null,"貴財団の趣旨に賛同し、下記のとおり加入の申込みをします。"]
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[null,null,"学校法人(設置者)",null,null,null,null,"名称"]
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[null,"学校法人"]
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[null,null,"理事長",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"殿"]
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[null,null,null,"平成　　　",null,null,null,"年　　　",null,null,"月　　　",null,null,"日付けをもって加入申込書の提出がありましたので、下記のとおり通知します。"]
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[]
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[null,null,"口座名義",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〒"]
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[]
[null,"㊟","1.","円以下は総て切り上げてください。"]
[null,null,"2","複写して２枚とも財団へ提出してください。確認のうえ、裁定通知書をお返しします。"]
[null,null,null,null,"・請求書は学校法人より財団へ提出するもの"]
[null,null,null,null,"･裁定通知書は、退職手当資金の裁定後、学校法人へ返還するもの"]
[null,null,null,null,"･領収書は、取引金融機関の振込金受取書にかえることができます"]

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[null,null,null,null,null,null,null,null,"㋩　学校負担金月額",null,null,null,null,null,null,"転記して下さい。"]

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[null,"退職年月日",null,null,null,null,null,"教職員番号",null,null,null,null,null,"脱　　　退　　　時",null,null,null,null,null,null,null,null,null,null,null,null,"退職事由",null,null,null,null,null,null,null,null,null,null,null,null,null,"理事長",null,null,null,null,null,null,null,null,null,null,null,"㊞"]
[null,"(死亡等を含みます)",null,null,null,null,null,null,null,null,null,null,null,"標準給与月額",null,null,null,null,null,null,"教職員１人当たり",null,null,null,null,null,null,null,null,"教　職　員　氏　名"]
[null,"年",null,"月",null,"日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"負担金月額"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円",null,null,null,null,null,"円",null,null,null,null,null,null,null,null,null,null,null,"※　複写して２枚とも財団へ提出下さい。確認の上、確認通知書をお返しします。"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※　記入上の注意"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"１.｢内訳｣"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"この明細表の合計の内訳を｢中断のまま脱退｣と｢その他の脱退｣にわけて必ず記入して下さい。"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"2.｢中断のまま脱退｣"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㋑　教職員人数",null,null,null,null,null,null,null,"を小括表｢⑬中断のまま脱退｣欄に転記して下さい。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㋺　脱退時標準給与月額"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㋩　脱退時学校負担金月額"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"３.｢その他の脱退｣"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㋥　教職員人数",null,null,null,null,null,null,null,"を小括表｢④脱退｣欄に転記して下さい。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㋭　脱退時標準給与月額　"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㋬　脱退時学校負担金月額"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"4.補正欄"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㋠　標準給与遡及合計",null,null,null,null,null,null,"を今月入金分各種明細表の｢補正欄｣と合計して小括表｢⑧補正｣欄に転記して下さい。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㋷　学校負担金遡及合計"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"5.退職事由"]
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[]
[null,null,null,null,null,null,null,null,null,null,"小計",null,"名",null,null,null,null,null,null,"円",null,null,null,null,null,"円"]
[]
[null,null,null,null,null,null,null,null,null,null,"合計","㋑","名",null,null,null,null,null,null,"円",null,null,null,null,null,"円"]
[]
[]
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[]
[null,null,null,"中断のまま脱退",null,null,null,"㋑",null,null,"名","㋺",null,null,null,null,null,null,"円","㋩",null,null,null,null,null,"円",null,null,"遡及分のみ記入\nしてください。",null,null,null,null,null,"標準給与遡及合計　（㋭ｘ㋣）",null,null,null,null,null,null,null,null,null,"㋠",null,null,null,null,null,null,null,"円"]
[null,null,null,"その他の脱退",null,null,null,"㋥",null,null,"名","㋭",null,null,null,null,null,null,"円","㋬",null,null,null,null,null,"円",null,null,null,null,null,null,null,null,"学校負担金遡及合計　（㋬ｘ㋣）",null,null,null,null,null,null,null,null,null,"㋷",null,null,null,null,null,null,null,"円"]

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["公益財団法人　広 島 県 私 学 振 興 財 団"]
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[null,null,"下記のとおり報告します。"]
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[null,null,"変更前の氏名",null,null,null,null,null,null,null,null,null,1,null,null,null,null,null,null,null,null,null,null,null,null,2,null,null,null,null,null,null,null,null,null,null,null,null,3]
[null,null,"ふりがな",null,null,null,null,null,null,null,null,null,1,null,null,null,null,null,null,null,null,null,null,null,null,2,null,null,null,null,null,null,null,null,null,null,null,null,3]
[null,null,"変更後の氏名"]
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["公益財団法人　広 島 県 私 学 振 興 財 団"]
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[null,"理事長",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"殿"]
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[null,null,"下記のとおり報告します。"]
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[null,null,null,null,null,null,null,null,null,null,null,"H",null,null,"年",null,null,"月",null,null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,"H",null,null,"年",null,null,"月",null,null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,"H",null,null,"年",null,null,"月",null,null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,"H",null,null,"年",null,null,"月",null,null,"日"]
[null,"備　　　　考"]

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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（提出日　　平成",null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日）"]
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["公益財団法人　広 島 県 私 学 振 興 財 団"]
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[null,"理事長",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"殿",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"学校法人"]
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[null,null,"下記のとおり報告します。"]
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[null,null,"学校番号"]
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[null,null,"学校の異動内容",null,null,null,null,null,null,null,null,null,null,null,"１．設　　　置",null,null,null,null,null,null,null,null,"２．廃　　　止",null,null,null,null,null,null,null,"３．名称変更",null,null,null,null,null,null,null,"４．位置変更"]
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[null,"　異動内容"]
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[null,null,"学校法人の住所",null,null,null,null,null,null,null,null,null,"H",null,null,"年",null,null,"月",null,null,"日"]
[null,"学校法人代表者(理事長)名",null,null,null,null,null,null,null,null,null,null,"H",null,null,"年",null,null,"月",null,null,"日"]
[null,null,"学校の名称",null,null,null,null,null,null,null,null,null,"H",null,null,"年",null,null,"月",null,null,"日"]
[null,null,"学校の位置",null,null,null,null,null,null,null,null,null,"H",null,null,"年",null,null,"月",null,null,"日"]
[null,null,"備　　　　考"]
[]
[null,null,"(注)　該当の番号を○で囲んでください。"]

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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,"(第１1号様式)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"辞　　　　　退　　　　　届",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"学校法人→財団"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（提出日   平成",null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日）"]
[]
[null,"公益財団法人　広 島 県 私 学 振 興 財 団"]
[]
[null,null,"理事長",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"殿"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"学校法人"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"理事長",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㊞"]
[]
[null,null,null,"下記の事由により貴財団を脱退いたす旨お届けいたします。"]
[]
[null,null,"学　校　番　号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"学　校　名"]
[null,null,"辞退年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,"平成",null,null,null,null,null,null,null,"年",null,null,null,null,null,null,null,"月",null,null,null,null,null,null,null,"日"]
[null,null,"辞　退　理　由"]

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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,"(第１2号様式)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"辞　　退　　承　　諾　　書",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"財団→学校法人"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（提出日  平成",null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日）"]
[null,"学校法人"]
[]
[null,null,"理事長",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"殿"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"公益財団法人　広 島 県 私 学 振 興 財 団"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"理事長",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㊞"]
[]
[null,null,null,"平成　　　　年　　　　月　　　　日付け提出の辞退届については、下記のとおり承諾いたしました。"]
[]
[null,null,"辞退年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,"平成",null,null,null,null,null,null,null,"年",null,null,null,null,null,null,null,"月",null,null,null,null,null,null,null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"交　　　付　　　金　　　計　　　算　　　式"]
[null,null,"脱　退　理　由"]
[null,null,null,null,null,null,"解散",null,null,null,null,null,null,null,"退職手当資金　ｘ　平成",null,null,null,null,null,null,null,null,null,null,null,"年度　支払準備金充足率（",null,null,null,null,null,null,null,null,null,null,null,null,null,"％）"]
[]
[]
[null,null,null,null,null,null,"辞退",null,null,null,null,null,null,null,"〔退職手当資金　ｘ　平成",null,null,null,null,null,null,null,null,null,null,null,null,"年度　支払準備金充足率（",null,null,null,null,null,null,null,null,null,null,null,null,"％）〕　ｘ　1/2"]
[]
[]
[null,null,null,null,null,null,"除名"]
[]
[]
[]
[null,null,null,"備考"]
[]
[]
[null,null,null,null,"㊟　上記、交付金は貴学校法人が資格を喪失した日から１年は支払いを行わない。ただし、据置期間中の利子は付けないものとする。"]

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[null,null,"標準給与基礎届",null,null,null,null,null,null,null,null,"（平成",null,null,null,null,"年",null,null,"月）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（第１3号様式）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"学校法人",null,"→","財団"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"←"]
[]
[null,null,null,"報　告　書",null,null,null,"・",null,null,"確認通知書",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"学校法人"]
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[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"（提出日　　平成",null,null,null,null,null,null,"年",null,null,"月",null,null,"日）",null,null,null,null,null,"公益財団法人　広 島 県 私 学 振 興 財 団"]
[null,"学校番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第",null,null,"葉",null,null,null,null,null,null,null,null,null,null,"理事長",null,null,null,null,null,null,null,null,null,null,null,null,null,"㊞"]
[]
[null,"教職員",null,null,"現在の標準給与",null,null,null,null,null,"新基本給月額",null,null,null,null,"新標準給与",null,null,null,null,null,"新負担金",null,null,null,null,"標準給与月額",null,null,null,null,"職名",null,null,"教職員氏名",null,null,null,null,null,"性別",null,"学校種別",null,null,"備　　考"]
[null,"番号",null,null,"等級",null,"月　　額",null,null,null,null,null,null,null,null,"等級",null,"月　　額",null,null,null,"月額",null,null,null,null,"新旧差額"]
[null,null,null,null,null,"級",null,null,null,"千円",null,null,null,null,"円",null,"級",null,null,null,"千円",null,null,null,null,"円",null,null,null,null,"千円",null,null,null,null,null,null,null,null,null,"男・女",null,"小・中・高"]
[]
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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,"男・女",null,"小・中・高"]
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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,"男・女",null,"小・中・高"]
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["小計",null,null,"名",null,null,null,null,null,"円",null,null,null,null,null,null,null,null,null,null,"円",null,null,null,null,"円",null,null,null,null,"円","小学校",null,null,null,null,"名","中学校",null,null,null,null,"名","高等学校",null,null,null,null,null,"名"]
["合計",null,null,"名",null,null,null,null,null,"円",null,null,null,null,null,null,null,null,null,null,"円",null,null,null,null,"円",null,null,null,null,"円","小学校",null,null,null,null,"名","中学校",null,null,null,null,"名","高等学校",null,null,null,null,null,"名"]
[]
[null,null,"㊟　","１.複写して２枚とも財団へ提出してください。確認のうえ、確認通知書をお返しします。"]
[null,null,null,"２.拠出中断者については、標準給与が新しく変わっても現在のまま記入して下さい。休職･停職･育児休業等解除報告書で変更を報告して下さい。"]

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[null,null,null,null,null,"標準給与月額変更届",null,null,null,null,null,null,null,null,null,null,"（新月額で拠出する月）平成",null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（第１4号様式）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"学校法人",null,null,"→","財団"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"←"]
[null,null,null,null,null,"報　告　書",null,null,null,null,"・",null,null,"確認通知書",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（提出日　　平成",null,null,null,null,null,null,null,null,"年",null,null,null,"月",null,null,null,"日）"]
[]
[null,null,null,"学校番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第",null,null,"葉"]
["月額変更",null,null,"教職員",null,null,"変　　　更　　　前",null,null,null,null,null,null,null,"新基本給月額",null,null,null,null,"変　　　更　　　後",null,null,null,null,null,null,null,"標準給与月額",null,null,"職名",null,"教職員氏名",null,null,null,null,"備　　考",null,null,null,null,"㊟　","1.","複写して２枚とも財団へ提出してください。確認のうえ、確認通知書をお返しします。"]
["年月",null,null,"番号",null,null,"標準給与月額",null,null,"負担金月額",null,null,null,null,null,null,null,null,null,"標準給与月額",null,null,"負担金月額",null,null,null,null,"新旧差額"]
[null,"年","月",null,null,null,null,null,"千円",null,null,null,null,"円",null,null,null,null,"円",null,null,"千円",null,null,null,null,"円",null,null,"千円"]
["H",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"2.","月額変更年月ごとに、標準給与月額変更届を提出してください。"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"*　記戴上の注意"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1.","合計差額"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ｲ.","標準給与月額、教職員負担金月額の変更後と変更前の差額を合計差額欄に記入して下さい。"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ﾛ.","合計差額を小括表「⑥変更差額」欄へ転記してください。"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"2.","補正欄"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㋠　標準給与遡及合計"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㋷　学校負担金遡及合計"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"を今月入金分各種明細表の「補正欄」と合計して小括表「⑧補正」欄へ転記してください。"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3.","拠出中断者については、標準給与が新しく変わっても現在のまま記入して下さい。"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"4.","一旦提出されたこの明細表の取消訂正は、この表で行ない、"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"①　変更後欄には訂正すべき正しい金額を"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"②　変更前欄には取消すべき誤った金額を"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"③　変更年月欄は取消訂正すべき年月を"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"記入して下さい。"]
[]
[null,"小計",null,null,null,"名",null,null,"千円",null,null,null,null,"円",null,null,null,null,null,null,null,"千円",null,null,null,null,"円",null,null,"千円"]
[]
[null,"合計",null,null,null,"名","㋑",null,"千円","㋺",null,null,null,"円",null,null,null,null,null,"㋩",null,"千円","㋥",null,null,null,"円",null,null,"千円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　補正欄（合計差額の遡及分のみ記入）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"遡及月数",null,null,null,null,null,null,null,"㋣",null,null,null,null,null,null,"ｶ月"]
[null,"学校法人",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　合計差額（変更後　-　変更前）"]
[null,null,"理事長",null,null,null,null,null,null,null,null,null,null,null,null,null,"㊞",null,null,null,null,null,null,null,null,null,"標準給与月額　",null,null,null,null,null,null,null,null,null,null,null,null,"円",null,"標準給与遡及合計",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㋭　（㋩　ｰ　㋑）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㋠　(㋭×㋣)"]
[null,"公益財団法人　広 島 県 私 学 振 興 財 団",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"学校負担金月額　",null,null,null,null,null,null,null,null,null,null,null,null,"円",null,"学校負担金遡及合計",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,"理事長",null,null,null,null,null,null,null,null,null,null,null,null,null,"㊞",null,null,null,null,null,null,null,null,null,"㋬　（㋥　-　㋺）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㋷　（㋬×㋣）"]

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[null,null,null,null,null,null,"加入者明細小括表",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（第16号様式）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 学校法人 → 財団　"]
[]
[null,null,"公益財団法人　広島県私学振興財団"]
[null,null,null,"理事長",null,null,null,null,null,null,null,null,null,null,null,"殿",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"学校法人"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"　(提出日",null,null,null,"平成",null,null,null,"年",null,null,"月",null,null,"日)",null,null,null,null,null,null,null,"理事長",null,null,null,null,null,null,null,null,null,null,null,null,"㊞"]
[null,null,"下記のとおり提出します。"]
[null,"今月増減",null,null,null,"区分",null,null,null,null,null,null,null,null,"教職員人数",null,null,null,null,"標準給与月額",null,null,null,null,null,null,null,null,"学校負担金月額",null,null,null,null,null,null,null,null,null,null,null,"備考"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"人",null,null,null,null,null,null,null,null,"円",null,null,null,null,null,null,null,null,"円"]
[null,null,"①",null,"前月の⑦を転記"]
[null,"+","②",null,"資格取得",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月","分"]
[null,"+","③",null,"拠出の復活",null,null,null,"（下段の⑭を転記）"]
[null,"-","④",null,"脱退"]
[null,"-","⑤",null,"拠出の中断",null,null,null,"（下段の⑬を転記）"]
[null,"±","⑥",null," 標準給与月額",null,null,null,null,"の変更差額"]
[null,null,null,null," 学校負担金"]
[null,"+","⑦",null,"合計",null,null,null,"①＋②＋③－④-"]
[null,null,null,null,null,null,null,null,null,null,null,"⑤±⑥"]
[null,"±","⑧",null,"補　　　正（遡及分等）"]
[null,"+","⑨",null,"特別負担金"]
[null,"+","⑩",null,"登録料"]
[null,null,"⑪",null,"今月入金合計",null,null,null,null,"(⑦±⑧＋⑨+⑩)"]
[]
[null,"中断増減","⑫",null,"前月の⑯を転記"]
[null,"+","⑬",null,"今月より中断"]
[null,"-","⑭",null,"今月より復活"]
[null,"-","⑮",null,"中断のまま脱退"]
[null,null,"⑯",null,"中断分合計",null,null,null,"（⑫+⑬-⑭-⑮）"]
[]
[null,null,"⑰",null,"総合計",null,null,null,null,"（⑦+⑯）"]

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[]
[null,null,"休職・停職・育児休業等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（第17号様式）"]
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[]
[null,null,"報　告　書",null,null,null,"・",null,"確認通知書",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"学校法人"]
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[]
[null,null,null,null,null,null,null,null,null,null,null,"　(提出日",null,null,null,"平成",null,null,null,"年",null,null,"月",null,null,"日)",null,null,null,null,null,"公益財団法人　広島県私学振興財団"]
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[]
[]
[]
[null,"学校番号",null,null,null,null,null,null,null,null,null,null,"教職員番号",null,null,null,null,null,null,null,null,null,null,"教職員氏名"]
[null,"中断期間",null,null,null,null,null,"平成",null,null,null,"年",null,null,"月",null,null,"日より",null,null,null,null,"中断時の　　　標準給与月額",null,null,null,null,null,null,null,null,null,null,"円","中断時の　　　納付金月額",null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,"平成",null,null,null,"年",null,null,"月",null,null,"日まで"]
[null,"中断理由\n(いずれかに○印を\n付してください。)",null,null,null,null,null,"1. 休　　　　　職",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"具体的理由"]
[null,null,null,null,null,null,null,"2. 停　　　　　職"]
[null,null,null,null,null,null,null,"3. 育児休業(出産年月日　　　　　　　　　　　　　　　　)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,"4. そ　　の　　他"]
[null,"備　　考"]
[]
[null,"※　","・複写して２枚とも財団へ提出下さい。確認の上、確認通知書をお返しします。"]
[null,null,"・休職等期間を延長するときは、新に延長期間について『休職等報告書』を提出してください。"]

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[]
[null,null,"休職・停職・育児休業等解除",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（第18号様式）"]
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[]
[null,null,"報　告　書",null,null,null,"・",null,"確認通知書",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"学校法人"]
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[]
[null,null,null,null,null,null,null,null,null,null,null,"　(提出日)",null,null,null,"平成",null,null,null,"年",null,null,"月",null,null,"日",null,null,null,null,null,"公益財団法人　広島県私学振興財団"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"理事長",null,null,null,null,null,null,null,null,null,null,null,"㊞"]
[]
[]
[]
[null,"学校番号",null,null,null,null,null,null,null,null,null,null,"教職員番号",null,null,null,null,null,null,null,null,null,null,"教職員氏名"]
[null,"中断期間",null,null,null,null,null,"平成",null,null,null,"年",null,null,"月",null,null,"日より",null,null,null,null,"中断時の　　　標準給与月額",null,null,null,null,null,null,null,null,null,null,"円","中断時の　　　納付金月額",null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,"平成",null,null,null,"年",null,null,"月",null,null,"日まで"]
[null,"解除理由"]
[null,"備　　考"]
[]
[null,"※　複写して２枚とも財団へ提出下さい。確認の上、確認通知書をお返しします。"]

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[null,null,null,null,null,null,"特　別　負　担　金",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（第19号様式）"]
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[]
[null,null,null,null,null,null,null,"納入計算書",null,null,null,"・",null,"確認通知書",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"学校法人"]
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[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"　(提出日)",null,null,null,"平成",null,null,null,"年",null,null,"月",null,null,"日",null,null,null,null,"公益財団法人　広 島 県 私 学 振 興 財 団"]
[null,"学校番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第",null,null,"葉",null,null,null,null,null,null,null,null,null,null,"理事長",null,null,null,null,null,null,null,null,null,null,null,null,"㊞"]
[]
[null,"教職員　番号",null,null,"教職員氏名",null,null,null,null,null,"在職",null,"旧",null,null,null,null,null,null,null,null,null,"新",null,null,null,null,null,null,null,null,null,"新旧差額",null,null,null,"超過額",null,null,null,"特別負担金",null,null,null,null,"備　　考"]
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[null,null,null,null,null,null,null,null,null,null,"Ⓓ",null,null,null,null,null,"等級",null,"月　額　",null,null,"Ⓐ",null,null,null,null,"等級",null,"月　額　",null,null,"Ⓑ","Ⓑ－Ⓐ＝ⓒ",null,null,null,"相当額＝Ⓔ",null,null,null,null,null,null,1000]
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[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,"名",null,null,null,null,null,"円",null,null,null,null,null,"円",null,null,null,"円",null,null,null,null,null,"円",null,null,null,"円",null,null,null,"円",null,null,null,null,"円"]
[null,"小　計"]
[null,null,null,null,null,null,null,null,null,"名",null,null,null,null,null,"円",null,null,null,null,null,"円",null,null,null,"円",null,null,null,null,null,"円",null,null,null,"円",null,null,null,"円",null,null,null,null,"円"]
[null,"小　計"]
[]
[null,null,"㊟　","１.この報告書は、標準給与月額が３等級相当額以上増額した者についてのみ提出する。"]
[null,null,null,"２.複写して２枚とも財団へ提出してください。確認のうえ、確認通知書をお返しします。"]
[null,null,null,"３.在職期間Ⓓは、加入した月から、新標準給与月額に基づく負担金を納付する月の前月までの期間の月数"]
[null,null,null,"４.ⅹは、負担金の率となります。"]

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["公益財団法人　　広島県私学振興財団　　"]
["負　担　金　早　見　表"]
["（平成19年４月１日から適用）"]
[]
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[null,null,null,"円",null,"円",null,null,"円",null,null,null,"円"]
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[null,29,320000,null,315000,null,"～",324999,null,28160]
[null,30,330000,null,325000,null,"～",334999,null,29040]
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[null,"※　円以下切上げ"]