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[null,"（様式２）","（現任研修のみ）"]
[null,"実務経験証明書"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"日付；"]
[null,"法人等名称"]
[null,"代表者・職・氏名",null,null,"（職）",null,null,null,null,null,null,"（氏名）",null,null,null,null,null,null,null,"（代表者印）"]
[null,"所在地",null,null,"〒"]
[null,"（〒・番地等；半角英数）"]
[]
[null,"　下記の者の実務経験は、以下のとおりであることを証明します。"]
[null,"氏名"]
[null,"生年月日"]
[null,"所在地",null,null,"〒"]
[null,"（〒・番地等；半角英数）"]
[null,"事業所等の名称"]
[]
[null,null,null,null,"（事業所等の主な種別）"]
[null,null,null,null,null,null,null,null,null,"（※該当無しの場合は、下段の「その他」に入力する。）"]
[null,null,null,null,"その他",null,"（",null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"従事期間\n（令和８年度末の見込み）\n（病休等その他の長期休暇期間は含まない。）（年月；半角英数）",null,null,null,null,null,null,"～"]
[null,null,null,null,null,null,null,"年",null,"ヶ月間"]
[null,"業務内容",null,null,"（職名）"]
[]
[]
[]
[]
[null,null,null,null,"（※記載例；〇〇事業の〇〇業務）"]
[]
[null,"（備考）"]
[null,"1.","初任者研修受講に必要な実務経験",null,null,null,null,null,"（募集要項「３．受講対象者」参照）"]
[null,null,"提出不要。"]
[null,"2.","現任研修受講に必要な実務経験",null,null,null,null,null,"（募集要項「３．受講対象者」参照）"]
[null,null,"提出必要。"]
[null,"（注）"]
[null,"1.","「▼部分」；該当する項目を選択する。（クリック）"]
[null,"2.","「日付」、「生年月日」等は、半角数字〇(西暦)/〇/〇の入力により年月日が表示される。"]
[null,null,"(1)申込日付；",null,"和暦"]
[null,null,"(2)生年月日；",null,"西暦"]
[null,null,"(3)従事期間；",null,"和暦"]

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[null,"法人格",null,"種別",null,0]
[1,"行政機関",1,"基幹相談支援センター",null,1]
[2,"特定非営利活動法人",2,"指定一般相談支援事業所",null,2]
[3,"一般社団法人",3,"指定特定相談支援事業所",null,3]
[4,"社会福祉法人",4,"指定障がい児相談支援事業所",null,4]
[5,"医療法人",null,null,null,5]
[6,"株式会社",null,null,null,6]
[7,"有限会社",null,null,null,7]
[8,"合資会社",null,null,null,8]
[9,"合名会社",null,null,null,9]
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