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{"sheet":"様式第1号","index":0,"n_rows":89,"n_cols":36,"rows_kept":89,"cut":false,"hidden":false,"merged":[[31,10,31,26],[31,27,31,33],[32,2,32,9],[45,23,45,28],[40,2,40,26],[36,10,36,26],[33,2,33,9],[34,2,34,9],[44,30,44,34],[35,2,35,9],[1,1,1,34],[2,1,2,34],[37,2,37,9],[37,10,37,26],[37,27,37,33],[47,1,47,34],[32,10,32,26],[32,27,32,33],[52,1,52,34],[31,2,31,9],[23,19,23,34],[24,19,24,34],[25,19,25,34],[27,10,27,15],[27,27,27,32],[34,10,34,26],[33,10,33,26],[33,27,33,33],[23,10,23,17],[24,10,24,17],[25,10,25,17],[34,27,34,33],[27,1,27,9],[30,10,30,26],[88,1,88,34],[38,2,38,9],[38,10,38,26],[38,27,38,33],[39,2,39,9],[39,10,39,26],[39,27,39,33],[35,10,35,26],[72,1,72,34],[45,30,45,34],[80,1,80,34],[70,1,71,34],[49,25,49,29],[35,27,35,33],[49,30,49,34],[44,1,44,29],[40,27,40,33],[30,27,30,33],[29,10,29,26],[29,27,29,33],[30,2,30,9],[27,18,27,26],[28,1,28,34],[29,2,29,9],[16,15,16,17],[22,10,22,17],[21,10,21,17],[22,19,22,34],[16,19,16,21],[16,22,16,23],[17,32,17,34],[19,9,20,34],[21,9,25,9],[15,1,16,8],[16,9,16,10],[16,24,16,34],[21,1,25,8],[19,1,20,8],[17,9,17,31],[21,18,25,18],[17,1,17,8],[16,11,16,13],[21,19,21,34],[9,9,9,17],[9,18,10,22],[9,23,10,34],[10,1,11,8],[13,1,14,8],[12,1,12,8],[12,9,12,34],[13,10,13,12],[13,14,13,17],[6,32,6,33],[7,24,7,26],[7,28,7,30],[6,29,6,30],[15,24,15,26],[15,28,15,30],[15,32,15,34],[6,25,6,27],[7,1,7,23],[14,9,14,34],[15,9,15,10],[15,11,15,13],[15,15,15,17],[15,19,15,21],[15,22,15,23],[9,1,9,8],[11,18,11,22],[11,23,11,34],[10,9,11,17]]}
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(様式第1号）"]
[null,"公益信託エスペック地球環境研究・技術基金"]
[null,"2021年度 助成金交付申請書"]
[]
[null,"公益信託エスペック地球環境研究・技術基金"]
[null,null,"受託者 みずほ信託銀行株式会社 宛"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2021,null,null,"年",null,null,"月",null,null,"日"]
[null,"自薦、他薦の別　（申請者が学生の場合、准教授以上の推薦が必要です）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　自薦",null,null,"・","　他薦"]
[]
[null,"フリガナ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　申請時の年齢"]
[null,"  代表者（申請者）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　役 職"]
[null,"団 体 名（所属機関）"]
[null,"住　所\n(団体又は申請者)",null,null,null,null,null,null,null,"〒",null,null,null,"－"]
[]
[null,"　TEL／FAX／E-mail",null,null,null,null,null,null,null,"TEL：",null,null,null,null,"-",null,null,null,"-",null,null,null,"Fax：",null,null,null,null,"-",null,null,null,"-"]
[null,null,null,null,null,null,null,null,null,"携帯:",null,null,null,null,"-",null,null,null,"-",null,null,null,"Mail:"]
[null,"＊(推薦者所属/役職/氏名）"]
[]
[null,"研究テーマ",null,null,null,null,null,null,null,"　"]
[]
[null,"団体の構成員\n(氏名及び勤務先）",null,null,null,null,null,null,null,"氏名",null,null,null,null,null,null,null,null,"勤務先"]
[]
[]
[]
[]
[]
[null,"研究助成希望額               ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円",null,"関連研究全体に要する費用",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,"　＜研究助成希望額の内訳＞"]
[null,null,"項　　　目",null,null,null,null,null,null,null,"内　　　訳",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 金　　額 （円）"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,"総　額"]
[]
[]
[null,"　確認事項（☑を記入して下さい ）"]
[null,"　同一テーマで他の基金などから二重に助成を、受けているまたは受ける予定はありません。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"確認"]
[null,"　これまでに本基金から助成を受けたことがありますか",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ある",null,"（時期　　　　年）",null,null,null,null,null,null,"なし"]
[null,"　本基金の募集をお知りになった雑誌名または情報入手先を記入して下さい"]
[]
[]
[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,"整理番号"]
[]
[]
[null,"　研究内容の概要"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"　研究内容の詳細"]
[null,"研究の目的、期待される成果、研究方法手段など、研究内容がわかるような\n説明資料（Ａ４サイズ）を添付して下さい。文字サイズは10Pt以上としてください。"]
[]
[null,"　本研究テーマに関する研究実績があれば記入して下さい"]
[]
[]
[]
[]
[]
[]
[]
[null,"　研究に伴う学術交流活動があれば記入して下さい"]
[]
[]
[]
[]
[]
[]
[]
[null,"　研究成果の公表予定があれば記入して下さい"]