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2021-03-25T09:11:53+09:00
2013-09-10T17:16:43+09:00
2021-03-25T09:11:53+09:00
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uuid:568925c2-49f4-4aa2-ae39-fd7ddd3a8469
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xmp.iid:371A39CD257EEB1181248D8DA29B9816
2021-03-06T11:43:58+09:00
Adobe Photoshop CS6 (Windows)
/
saved
xmp.iid:FBA398C6277EEB119DE288B694A8E060
2021-03-06T11:58:20+09:00
Adobe Photoshop CS6 (Windows)
/
converted
from application/vnd.adobe.photoshop to application/pdf
derived
converted from application/vnd.adobe.photoshop to application/pdf
saved
xmp.iid:FCA398C6277EEB119DE288B694A8E060
2021-03-06T11:58:20+09:00
Adobe Photoshop CS6 (Windows)
/
saved
xmp.iid:01A498C6277EEB119DE288B694A8E060
2021-03-06T12:01:27+09:00
Adobe Photoshop CS6 (Windows)
/
converted
from application/pdf to application/vnd.adobe.photoshop
derived
converted from application/pdf to application/vnd.adobe.photoshop
saved
xmp.iid:02A498C6277EEB119DE288B694A8E060
2021-03-06T12:01:27+09:00
Adobe Photoshop CS6 (Windows)
/
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xmp.iid:3B4C9915BB83EB11B46BC9B0073EDD5A
2021-03-13T15:09:40+09:00
Adobe Photoshop CS6 (Windows)
/
converted
from application/vnd.adobe.photoshop to application/pdf
derived
converted from application/vnd.adobe.photoshop to application/pdf
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xmp.iid:3C4C9915BB83EB11B46BC9B0073EDD5A
2021-03-13T15:09:40+09:00
Adobe Photoshop CS6 (Windows)
/
saved
xmp.iid:035FA696C383EB11B46BC9B0073EDD5A
2021-03-13T15:48:23+09:00
Adobe Photoshop CS6 (Windows)
/
converted
from application/pdf to application/vnd.adobe.photoshop
derived
converted from application/pdf to application/vnd.adobe.photoshop
saved
xmp.iid:045FA696C383EB11B46BC9B0073EDD5A
2021-03-13T15:48:23+09:00
Adobe Photoshop CS6 (Windows)
/
saved
xmp.iid:8253CBC72185EB11A876AE074C394DAF
2021-03-15T09:03:35+09:00
Adobe Photoshop CS6 (Windows)
/
converted
from application/vnd.adobe.photoshop to application/pdf
derived
converted from application/vnd.adobe.photoshop to application/pdf
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xmp.iid:8353CBC72185EB11A876AE074C394DAF
2021-03-15T09:03:35+09:00
Adobe Photoshop CS6 (Windows)
/
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2021-03-15T09:03:53+09:00
Adobe Photoshop CS6 (Windows)
/
converted
from application/pdf to application/vnd.adobe.photoshop
derived
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Adobe Photoshop CS6 (Windows)
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Adobe Photoshop CS6 (Windows)
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Adobe Photoshop for Windows -- Image Conversion Plug-in
軽自動車検査協会
3
sRGB IEC61966-2.1
印
印
印 のコピー
印
印 のコピー 2
印
印 のコピー 3
印
印 のコピー 4
印
申請依頼書の作成日を記入します
申請依頼書の作成日を記入します
記入例
記入例
小池行政書士事務所 行政書士 小池 友紀
小池行政書士事務所 行政書士 小池 友紀
福岡県福岡市南区井尻1丁目37番32-305号
福岡県福岡市南区井尻1丁目37番32-305号
○
○
車両番号を記入します。 車検証の「車両番号」欄に記載されていますので、 そのまま書き写して下さい。
車両番号を記入します。 車検証の「車両番号」欄に記載されていますので、 そのまま書き写して下さい。
車台番号を記入します。 車検証の「車台番号」欄に記載されていますので、 そのまま書き写して下さい。
車台番号を記入します。 車検証の「車台番号」欄に記載されていますので、 そのまま書き写して下さい。
AA12-12345
AA12-12345
福岡 580 て 9876
福岡 580 て 9876
使用者に同じ
使用者に同じ
使用者住所に同じ
使用者住所に同じ
使用者の氏名又は名称、および住所を 車検証通りに記入します。
使用者の氏名又は名称、および住所を 車検証通りに記入します。
所有者の氏名又は名称、および住所を車検証通りに記入します。 所有者が使用者と同じ場合は、左記の通りに記入します。
所有者の氏名又は名称、および住所を車検証通りに記入します。 所有者が使用者と同じ場合は、左記の通りに記入します。
旧所有者の押印 (法人は代表者印)
旧所有者の押印 (法人は代表者印)
所有者の押印(法人は代表者印) ※使用者と同じ場合は、押印の必要はありません。
所有者の押印(法人は代表者印) ※使用者と同じ場合は、押印の必要はありません。
印 のコピー 5
印
印 のコピー 6
印
記入は弊事務所で行いますので、 の箇所のみ押印下さい。(認印可・シャチハタ不可)
記入は弊事務所で行いますので、 の箇所のみ押印下さい。(認印可・シャチハタ不可)
※ 法人は、「氏名又は名称」欄に法人名に加えて、代表者役職と代表者氏名も記入して下さい。 例:株式会社 ○○カンパニー 代
※ 法人は、「氏名又は名称」欄に法人名に加えて、代表者役職と代表者氏名も記入して下さい。 例:株式会社 ○○カンパニー 代表取締役 福岡太郎
令和
令和
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