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["大学共同利用機関法人\n情報・システム研究機構　機構長　殿",{"$nulls":18},"平成　　年　　月　　日"]
[]
["職員等マスタ登録依頼書（新規・変更・廃止）"]
[{"$nulls":20},"機構職員　・　機構職員以外"]
[]
["債主コード",{"$nulls":17},"個人番号"]
["氏名（カナ）",{"$nulls":24},"男　・　女"]
["氏　　　名"]
["勤務先（所属）",{"$nulls":18},"官職（又は職業）　"]
[]
["勤務先住所　〒　　　－"]
["Ｅメールアドレス",{"$nulls":15},"電話番号"]
["自宅住所　　〒　　　－"]
[{"$nulls":16},"電話番号"]
["金融機関名",{"$nulls":15},"※金融機関コード"]
["支店名",{"$nulls":15},"※支店コード"]
["預貯金種別",null,null,null,"普通　・　当座",{"$nulls":7},"口座番号"]
[]
["本人口座名義（カナ）"]
["本人口座名義"]
["基本給表等",{"$nulls":12},"依頼出張者の区分"]
[{"$nulls":6},"一般職２級以下"]
[{"$nulls":6},"一般職３級～６級",{"$nulls":13},"機構の委員等"]
[{"$nulls":6},"一般職７級以上",{"$nulls":13},"上記以外"]
[{"$nulls":6},"指定職",{"$nulls":13},"大学院生"]
[{"$nulls":6},"その他"]
[]
["備　　考",null,null,"※記載内容について照会する際の担当者名およびメールアドレスをご記入ください。　　　　　　　　　"]
[null,null,null,"上記の内容で誤りがないことを確認しました。　会計課長",{"$nulls":24},"印"]
[]
[{"$nulls":20},"研究所名：国立情報学研究所"]
[]
[{"$nulls":20},"担当者名：経理係",{"$nulls":8},"印"]
[]
[null,"※については必須ではありませんが極力記入をお願いします。"]
[]
[]
["個人情報の利用目的"]
["ご記入いただいた個人情報は、旅費、謝金等の支払業務、支払調書の作成、電子メールによる振込通知の送付のために利用します。"]