{"text_format":"1","workbook":"xlsx","n_sheets":2,"sheets":["ｱｸﾛｼﾃｨV3からの差し込みデータ","申込書"],"not_rendered":{"charts":0,"images":1,"macros":0,"external_links":0,"defined_names":5,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"ｱｸﾛｼﾃｨV3からの差し込みデータ","index":0,"n_rows":34,"n_cols":13,"rows_kept":34,"cut":false,"hidden":true,"merged":[]}
[null,null,null,null,null,null,null,"年齢基準日",{"$f":"#REF!","v":{"$error":"#REF!"}},"←基準日は手入力"]
[null,"申請者住民コード","申請者氏名","申請者カナ","申請者生年月日","申請者性別","申請者続柄【印字用】","申請者年齢（現時点）","申請者年齢（4/1時点）"]
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[]
["■世帯の情報①",null,null,null,null,null,null,null,null,"ピンク部分は差込ではなく、関数式。"]
[null,"郵便番号","申請者住所方書",null,"申請者電話番号【印字用】"]
[]
[]
["■世帯の情報②"]
[null,"母子父子世帯","児童扶養手当受給世帯（全世帯）",null,"特別児童扶養手当受給世帯（全世帯）","障害者世帯",null,"生活保護者がいる世帯"]
[]
[]
["■世帯員の構成"]
["対象者","住民コード","氏名","カナ","生年月日","性別","続柄","年齢（4/1時点）",{"$f":"L14","v":"住民税課税情報の有無"},"市区町村民税額_市区町村民税均等割額","市区町村民税額_市区町村民税所得割額","住民税課税情報の有無","生年月日（スペース削除）"]
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[2,null,null,null,null,null,null,{"$f":"DATEDIF(M16,$I$1,\"Y\")","v":{"$error":"#VALUE!"}},{"$f":"IF(L16=1,\"税情報あり\",\"税情報なし\")","v":"税情報なし"},null,null,null,{"$f":"SUBSTITUTE(E16,\" \",\"\")","v":""}]
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[5,null,null,null,null,null,null,{"$error":"#VALUE!"},"税情報なし",null,null,null,""]
[6,null,null,null,null,null,null,{"$error":"#VALUE!"},"税情報なし",null,null,null,""]
[7,null,null,null,null,null,null,{"$error":"#VALUE!"},"税情報なし",null,null,null,""]
[8,null,null,null,null,null,null,{"$error":"#VALUE!"},"税情報なし",null,null,null,""]
[9,null,null,null,null,null,null,{"$error":"#VALUE!"},"税情報なし",null,null,null,""]
[10,null,null,null,null,null,null,{"$error":"#VALUE!"},"税情報なし",null,null,null,""]
[11,null,null,null,null,null,null,{"$error":"#VALUE!"},"税情報なし",null,null,null,""]
[12,null,null,null,null,null,null,{"$error":"#VALUE!"},"税情報なし",null,null,null,""]
[13,null,null,null,null,null,null,{"$error":"#VALUE!"},"税情報なし",null,null,null,""]
[14,null,null,null,null,null,null,{"$error":"#VALUE!"},"税情報なし",null,null,null,""]
[15,null,null,null,null,null,null,{"$error":"#VALUE!"},"税情報なし",null,null,null,""]
[16,null,null,null,null,null,null,{"$error":"#VALUE!"},"税情報なし",null,null,null,""]
[17,null,null,null,null,null,null,{"$error":"#VALUE!"},"税情報なし",null,null,null,""]
[18,null,null,null,null,null,null,{"$error":"#VALUE!"},"税情報なし",null,null,null,""]
[19,null,null,null,null,null,null,{"$error":"#VALUE!"},"税情報なし",null,null,null,""]
[20,null,null,null,null,null,null,{"$error":"#VALUE!"},"税情報なし",null,null,null,""]

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[]
[null,"様式第１号（第６条、第１１条関係）"]
[]
[null,"令和５年度　利用申込書 兼 支給認定申請書〈施設型給付費・地域型保育給付費等〉"]
[]
[]
[null,null,null,null,null,null,null,null,null,"担　当　者　記　入　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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和  　　年　  　月　  　日"]
[null,null,null,null,null,null,null,null,null,"区分",null,null,"　☐新規　\n　☐転園",null,null,null,null,null,null,null,null,null,"認可申込\nきょうだい",null,null,null,null,null,null,"　□無　　　□新規\n　□在園　　□転園",null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IFERROR(\"住民CD_\"&VLOOKUP(#REF!,ｱｸﾛｼﾃｨV3からの差し込みデータ!$A$15:$M$34,2,FALSE),\"\")","v":""}]
[]
[]
[]
[]
[]
[null,"う　る　ま　市　長　　様",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"申請保護者氏名 　　　 　　　　　　　　　　　　"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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ページ目の同意事項に同意の上、申請します。"]
[null,"次のとおり、施設型給付費・地域型保育給付費等にかかる「利用申込」と「支給認定申請」を併せて行います。"]
[]
[]
[null,"\n申請にかかる\n小学校就学前\n子   ど   も",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　　名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生 年 月 日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年　齢",null,null,null,null,null,null,null,null,null,null,"性　別"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（ふりなが）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※Ｒ5/4/1時点"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,null,null,null,"月",null,null,null,null,null,"日",null,null,{"$f":"IFERROR(VLOOKUP(#REF!,ｱｸﾛｼﾃｨV3からの差し込みデータ!$A$15:$M$34,8,FALSE)+1,\"\")","v":""}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"平成"]
[]
[]
[]
[null,"\n現　住　所",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〒　　　　 ―",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"前住所",null,null,"(R4年1月1日付住所)\n※父・母で異なる場合はそれぞれ記載"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"うるま市",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"父　　　　　　　　　　　都 道\n府 県",null,null,null,null,null,null,null,null,null,null,"母　　　　　　　　　　　都 道\n府 県"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"市 区\n町 村",null,null,null,null,null,null,null,null,null,null,"市 区\n町 村"]
[]
[]
[]
[null,"連　絡　先",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(父携帯番号)　　   　　　- 　　　    　-",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(母携帯番号)　　　　 　　- 　　    　　-"]
[]
[]
[null,"利用開始を希望\nする期間 ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和　　年　　月　　日　　～　　令和　６年　３月３１日まで（※左記期間が選考対象期間となります。）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※申請日よりさかのぼって支給認定証を発行することはできませんので、余裕をもって申請してください。"]
[]
[null,"①申込区分（☑チェックと園名を記入ください）",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,null,null,null,null,null,null,null,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保育を必要とする事由"]
[]
[null,"　　【1号認定の申込み】※基本14時までの利用となります。　\n□　 (1)教育標準時間認定（1号認定）…認定こども園【　　　　　こども園】\n　　【2号認定、3号認定の申込み】\n□　（2）保育認定（２・３号認定）・・・保育所/認定こども園/小規模保育所/事業所内保育所",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"下記の事由から該当する番号を記入して下さい。※入所希望月の状況（見込み）\n\n　続柄　　　番号　\n【　　父　　】　　　【　　　　　】\n【　　母　　】　　　【　　　　　】\n【　　　　　 】　　　【　　　　　】\n\n【事由番号】\n0：就労　　      　 6：災害復旧\n1：疾病・障害 　　7：妊娠・出産\n2：介護・看護\n3：求職活動\n4：就学\n5：育休、みなし育休"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"②希望する場合施設名を記入（記載されていない園は入所選考に含まれません。）"]
[]
[null,"施設番号及び希望施設名どちらも記入してください。\n（令和５年度入園案内P18～29の施設番号を参照）\n\n※記入漏れがある場合、選考に影響が出る可能性があります。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"希望順",null,null,null,null,"施設番号",null,null,null,null,null,null,"希 望 施 設 名\n（※園の対象年齢と申請児童の年齢が異なる場合、選考対象となりません。）"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第１希望",null,null,null,null,null,null,null,null,null,null,null,"保育所(園)"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第２希望",null,null,null,null,null,null,null,null,null,null,null,"保育所(園)"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第３希望",null,null,null,null,null,null,null,null,null,null,null,"保育所(園)"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第４希望",null,null,null,null,null,null,null,null,null,null,null,"保育所(園)"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第５希望",null,null,null,null,null,null,null,null,null,null,null,"保育所(園)"]
[]
[]
[]
[]
[null,"ア.今後の転居予定",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　□無・□有（転居予定日：Ｒ　　 年   　 月  　  日）　　（転居予定　　　　　　　　　　　　　　　　　　　　　校区）\n  ※こども園校区内加点（+5点）は、原則、入所選考時点の住所地に基づき加点します。（公立幼稚園から移行した認定こども園を希望する3～5歳児が対象）"]
[]
[]
[]
[null,"イ.出産予定の有無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　□無・□有　（予定日:Ｒ　  年     月     日)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"エ.育休中の方",null,null,null,null,null,null,null,null,"　□入所決定後、入所月の翌月1日までに復帰が可能"]
[]
[null,"ウ.出産後の予定",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　□職場復帰 ・ □育休取得 ・ □その他 (         )",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　□育児休業を延長希望 （保育所等はR　　 年 　　月から希望）（延長希望－500点）"]
[]
[]
[null,"④きょうだいの入所選考の希望（「複数のきょうだいの利用申込」をする場合、必ず記入）　※認定こども園（1号）希望の場合は記入不要。"]
[]
[null,"番号記入欄",null,null,null,null,null,null,null,null,null,null,null,"●希望番号（　　　番）"]
[]
[null,1,null,null,null,null,null,null,"申込中のきょうだいと、同園の入園のみ、入園を希望します。　（※入園できない可能性が高くなります。）"]
[]
[null,2,null,null,null,null,null,null,"申込中のきょうだいと、同園の入園を希望しますが、同じ園に入れない場合に限り別々の園でも入園を希望します。"]
[]
[null,3,null,null,null,null,null,null,"申込中のきょうだいで、個々の希望順位を優先で入園を希望します。（きょうだい考慮なし）"]
[]
[null,"※きょうだい番号の記載がない場合や、きょうだいで別々の番号が選択されている場合は、「２」番として入所選考しますので、ご了承ください。"]
[]
[]
[null,"⑤家庭の状況(※入所希望月の1日時点の状況をご記入ください。)"]
[]
[null,"区分",null,null,"氏         名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"申込児童\nとの続柄",null,null,null,null,null,null,null,"生 年 月 日",null,null,null,null,null,null,null,null,null,null,"年\n齢",null,null,"多子軽減対象者",null,null," 入所希望月の1日時点の\n 勤務先（主婦）・学校名・家庭保育　など",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"居　住　状　況\n(別居の場合住所記入)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者記入欄\n個人番号確認"]
[null,null,null,null,"個人番号（マイナンバー）"]
[null,"児童の世帯員",null,null,"（ふりがな）",null,null,null,null,null,null,null,{"$f":"IFERROR(VLOOKUP(#REF!,ｱｸﾛｼﾃｨV3からの差し込みデータ!$A$15:$M$34,4,FALSE),\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"本人",null,null,null,null,null,null,null,"Ｓ\n・\nＨ\n・\nＲ",null,null,null,null,null,null,null,null,null,null,{"$f":"IFERROR(VLOOKUP(#REF!,ｱｸﾛｼﾃｨV3からの差し込みデータ!$A$15:$M$34,8,FALSE)+1,\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（同 ・ 別）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□個人番号\n　カード\n\n□通知カード\n\n□住民票\n　※コピー可"]
[null,null,null,null,{"$f":"IFERROR(VLOOKUP(#REF!,ｱｸﾛｼﾃｨV3からの差し込みデータ!$A$15:$M$34,3,FALSE),\"\")","v":""}]
[null,null,null,null,"マイナンバー"]
[]
[]
[null,null,null,null,"（ふりがな）",null,null,null,null,null,null,null,{"$f":"IFERROR(VLOOKUP(#REF!,ｱｸﾛｼﾃｨV3からの差し込みデータ!$A$15:$M$34,4,FALSE),\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□父　□母\n□きょうだい\n□その他\n　（　　　）",null,null,null,null,null,null,null,"Ｓ\n・\nＨ\n・\nＲ",null,null,null,null,null,null,null,null,null,null,{"$f":"IFERROR(VLOOKUP(#REF!,ｱｸﾛｼﾃｨV3からの差し込みデータ!$A$15:$M$34,8,FALSE)+1,\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（同 ・ 別）"]
[null,null,null,null,{"$f":"IFERROR(VLOOKUP(#REF!,ｱｸﾛｼﾃｨV3からの差し込みデータ!$A$15:$M$34,3,FALSE),\"\")","v":""}]
[null,null,null,null,"マイナンバー"]
[]
[]
[null,null,null,null,"（ふりがな）",null,null,null,null,null,null,null,{"$f":"IFERROR(VLOOKUP(#REF!,ｱｸﾛｼﾃｨV3からの差し込みデータ!$A$15:$M$34,4,FALSE),\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□父　□母\n□きょうだい\n□その他\n　（　　　）",null,null,null,null,null,null,null,"Ｓ\n・\nＨ\n・\nＲ",null,null,null,null,null,null,null,null,null,null,{"$f":"IFERROR(VLOOKUP(#REF!,ｱｸﾛｼﾃｨV3からの差し込みデータ!$A$15:$M$34,8,FALSE)+1,\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（同 ・ 別）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"身分証確認"]
[null,null,null,null,{"$f":"IFERROR(VLOOKUP(#REF!,ｱｸﾛｼﾃｨV3からの差し込みデータ!$A$15:$M$34,3,FALSE),\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"顔写真つきの公的証明を下記のうちから一つ提示してもらう"]
[null,null,null,null,"マイナンバー"]
[]
[]
[null,null,null,null,"（ふりがな）",null,null,null,null,null,null,null,{"$f":"IFERROR(VLOOKUP(#REF!,ｱｸﾛｼﾃｨV3からの差し込みデータ!$A$15:$M$34,4,FALSE),\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□父　□母\n□きょうだい\n□その他\n　（　　　）",null,null,null,null,null,null,null,"Ｓ\n・\nＨ\n・\nＲ",null,null,null,null,null,null,null,null,null,null,{"$f":"IFERROR(VLOOKUP(#REF!,ｱｸﾛｼﾃｨV3からの差し込みデータ!$A$15:$M$34,8,FALSE)+1,\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（同 ・ 別）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"\n\n□マイナンバー\n　カード\n\n□運転免許証\n\n□パスポート\n\n□住民基本台帳　\n　カード\n\n□その他\n（　　　　　）"]
[null,null,null,null,{"$f":"IFERROR(VLOOKUP(#REF!,ｱｸﾛｼﾃｨV3からの差し込みデータ!$A$15:$M$34,3,FALSE),\"\")","v":""}]
[null,null,null,null,"マイナンバー"]
[]
[]
[null,null,null,null,"（ふりがな）",null,null,null,null,null,null,null,{"$f":"IFERROR(VLOOKUP(#REF!,ｱｸﾛｼﾃｨV3からの差し込みデータ!$A$15:$M$34,4,FALSE),\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□父　□母\n□きょうだい\n□その他\n　（　　　）",null,null,null,null,null,null,null,"Ｓ\n・\nＨ\n・\nＲ",null,null,null,null,null,null,null,null,null,null,{"$f":"IFERROR(VLOOKUP(#REF!,ｱｸﾛｼﾃｨV3からの差し込みデータ!$A$15:$M$34,8,FALSE)+1,\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（同 ・ 別）"]
[null,null,null,null,{"$f":"IFERROR(VLOOKUP(#REF!,ｱｸﾛｼﾃｨV3からの差し込みデータ!$A$15:$M$34,3,FALSE),\"\")","v":""}]
[null,null,null,null,"マイナンバー"]
[]
[]
[null,null,null,null,"（ふりがな）",null,null,null,null,null,null,null,{"$f":"IFERROR(VLOOKUP(#REF!,ｱｸﾛｼﾃｨV3からの差し込みデータ!$A$15:$M$34,4,FALSE),\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□父　□母\n□きょうだい\n□その他\n　（　　　）",null,null,null,null,null,null,null,"Ｓ\n・\nＨ\n・\nＲ",null,null,null,null,null,null,null,null,null,null,{"$f":"IFERROR(VLOOKUP(#REF!,ｱｸﾛｼﾃｨV3からの差し込みデータ!$A$15:$M$34,8,FALSE)+1,\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（同 ・ 別）"]
[null,null,null,null,{"$f":"IFERROR(VLOOKUP(#REF!,ｱｸﾛｼﾃｨV3からの差し込みデータ!$A$15:$M$34,3,FALSE),\"\")","v":""}]
[null,null,null,null,"マイナンバー"]
[]
[]
[null,null,null,null,"（ふりがな）",null,null,null,null,null,null,null,{"$f":"IFERROR(VLOOKUP(#REF!,ｱｸﾛｼﾃｨV3からの差し込みデータ!$A$15:$M$34,4,FALSE),\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□父　□母\n□きょうだい\n□その他\n　（　　　）",null,null,null,null,null,null,null,"Ｓ\n・\nＨ\n・\nＲ",null,null,null,null,null,null,null,null,null,null,{"$f":"IFERROR(VLOOKUP(#REF!,ｱｸﾛｼﾃｨV3からの差し込みデータ!$A$15:$M$34,8,FALSE)+1,\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（同 ・ 別）"]
[null,null,null,null,{"$f":"IFERROR(VLOOKUP(#REF!,ｱｸﾛｼﾃｨV3からの差し込みデータ!$A$15:$M$34,3,FALSE),\"\")","v":""}]
[null,null,null,null,"マイナンバー"]
[]
[]
[null,null,null,null,"（ふりがな）",null,null,null,null,null,null,null,{"$f":"IFERROR(VLOOKUP(#REF!,ｱｸﾛｼﾃｨV3からの差し込みデータ!$A$15:$M$34,4,FALSE),\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□父　□母\n□きょうだい\n□その他\n　（　　　）",null,null,null,null,null,null,null,"Ｓ\n・\nＨ\n・\nＲ",null,null,null,null,null,null,null,null,null,null,{"$f":"IFERROR(VLOOKUP(#REF!,ｱｸﾛｼﾃｨV3からの差し込みデータ!$A$15:$M$34,8,FALSE)+1,\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（同 ・ 別）"]
[null,null,null,null,{"$f":"IFERROR(VLOOKUP(#REF!,ｱｸﾛｼﾃｨV3からの差し込みデータ!$A$15:$M$34,3,FALSE),\"\")","v":""}]
[null,null,null,null,"マイナンバー"]
[]
[]
[null,"　〇R5.4月の入所希望・・・・・・・一斉申込受付期間外の希望園変更は受け付けできません。 （*２次選考以降は希望園の変更が可能です。変更受付期間は市HPに掲載します。）\n　〇R5.5月以降の入所希望・・・R5.2月から受付開始となります。入所希望月の前月10日までが新規申込・希望園変更の受付締切りとなります。（*空き状況は毎月初旬に市HPに掲載します。）"]
[]
[]
[]
[null,"⑥発育状況・個別支援保育（該当するものに☑チェック）"]
[]
[null,"NO",null,null,"内容",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"保護者チェック欄"]
[]
[null,1,null,null,"持病、病歴はありますか。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□無　　　　　□有　　□通院中　［病名：　　　　　　　　　　　　　］"]
[]
[null,2,null,null,"発育・発達について気になる点がありますか。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□無　　　　　□有［内容：　　　　　　　　　　　　　　　　　　　　］"]
[]
[null,3,null,null,"乳幼児健診において、要経過観察の説明がありましたか。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□無　　　　　□有［内容：　　　　　　　　　　　　　　　　　　　　］"]
[]
[null,4,null,null,"関係機関から発行済のもの（申請中）のものがあればすべてに☑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,"□療育手帳　　　　□小児慢性特定疾患児手帳　　□指定医療費（指定難病）医療受給者証\n□身体障害者手帳　□特別児童扶養手当証書　　　□発達検査結果等の発達状況に関する所見　　\n□通所受給者証　　□集団保育に係る医療的所見（診断書など）"]
[]
[]
[]
[null,5,null,null,"入所にあたり、個別支援保育利用を希望しますか。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□希望しない　□希望する"]
[]
[null,6,null,null,"入所にあたり、園側で医療的ケアが必要になりますか。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□必要なし　　□必要　※申込時に事前相談が必要となります。"]
[]
[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,null,null,null,null,null,"※チェックの有無に関わらず、発達支援に関する聞き取りを行う場合があります。"]
[]
[null,"⑦入所選考加点項目チェック欄\n　※この項目を確認し加点します。☑チェックされていても加点要件に当てはまらないと判断した場合は、加点対象外とします。"]
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[null,"NO",null,null,"内容",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,null,null,null,null,null,null,null,null,"保護者チェック欄",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"職員確認欄"]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"加点なし",null,null,null,null,null,"加点あり"]
[null,1,null,null,"保護者（父及び母）の不在で、祖父母等が保育している。（100点）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現に監護を行うものが児童手当を受給している。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,null,null,"保護者（父又は母）の不在である。（40点）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"離婚、未婚、死別、離婚調停中、行方不明、拘禁など",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,null,null,"保護者が単身赴任中である。（5点）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"沖縄本島外への単身赴任等",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,null,null,null,null,null,"□"]
[]
[null,4,null,null,"生活保護世帯である。（5点）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活保護受給証明書等により確認できる。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,null,null,"障がい者がいる世帯である。（住民票同一世帯）（6点）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"障害者手帳、療育手帳の写し等により確認できる。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□",null,null,null,null,null,"□",null,null,null,null,null,null,null,null,null,null,null,null,null,"□"]
[]
[null,6,null,null,"多子世帯（こども３人以上）である。（6点）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"保護者が扶養する別世帯のこども（県外在住等）も対象とする。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□",null,null,null,null,null,"□",null,null,null,null,null,null,null,null,null,null,null,null,null,"□"]
[]
[null,7,null,null,"教育・保育施設で従事する者（有資格者）（200点）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"教育・保育施設等で保育士または幼稚園教諭として従事しているもの（保育補助を除く）　\n※認可保育所（小規模保育所、事業所内保育所を含む）、認定こども園、認可外保育所、幼稚園での就労を対象とする。（幼稚園教諭または看護師、保健師がみなし保育士として従事する場合を含む）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□",null,null,null,null,null,"□幼稚園教諭　□保育士\n□看護師　　　□保健師\n□その他（　　　　　）",null,null,null,null,null,null,null,null,null,null,null,null,null,"□"]
[]
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["　",8,null,null,"認定こども園校区内\n(公立幼稚園から移行した認定こども園の3～5歳児クラスの希望者で、原則、入所選考時点で校区内に住所を有するものを対象)（５点）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"転居予定地の認定こども園を希望する場合であって、入所選考時点で転居予定であることが確認できた場合は対象とする。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□",null,null,null,null,null,"園名：　　　　　□",null,null,null,null,null,null,null,null,null,null,null,null,null,"□"]
[" "]
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[null,null,null,null,"同意事項"]
[null,null,null,null,"１.うるま市長は、子ども・子育て支援法第16条（第30条の3により準用される場合を含む）の規定に基づき、支給認定証の交付、入所調整、保育料の決定・徴収事務等のため、申請者及び同一世帯員の個人情報を次の方法により確認し提供を求めることがあります。\n　①住民基本台帳の閲覧・複写\n　②市民税課税台帳、課税資料等の閲覧・複写\n　③児童扶養手当受給者台帳及び特別児童扶養手当受給者台帳の閲覧・複写\n　④生活保護受給に関する情報、身体障害者手帳及び精神障害者保健福祉手帳の交付に関する\n　　情報の閲覧・複写\n　⑤保護者又は扶養義務者の雇い主、その他関係人への聴取、資料提供依頼\n　⑥世帯状況、課税状況等に関して、他市町村に対しての情報照会\n　⑦その他の関係機関からの資料取得\n　\n2.うるま市長は、入所児童及び保護者又は扶養義務者の個人情報について、次の場合に限り関係機関等第三者へ情報提供することができることとします。\n　①特に必要と認められる場合に限り、教育・保育施設への次の個人情報の提供\n　　1）氏名、生年月日、連絡先などの入所申込書及び添付資料等に記載された個人情報\n　　2）保育料に関する情報\n　②児童相談所等の公的機関から、法令等により個人情報の提供を求められた場合\n　③児童が給付を受けることに関し、関係機関・部署と連絡調整することが必要と認められた\n　　場合\n　④その他、市長が必要と認めた場合\n\n3.提供された個人番号について（マイナンバー）について、子ども・子育て支援法に基づく支給認定に関する事務または児童福祉法に基づく保育の実施に関する事務に利用することがあります。（保育の実施に関する事務については、保育認定を受けた場合または希望する場合のみ利用します。）\n\n4.個人番号（マイナンバー）の提供が困難な場合、地方公共団体情報システム機構または住民基本台帳より番号確認を行います。また、上記の方法で番号確認ができない場合は、追加書類の提出を求めることがあります。\n\n5.認定申請に当たって、４月入所の場合は認定事務及び利用調整事務が集中するため審査に時間を要することから、支給認定証の交付は利用調整の結果とともに２月頃に通知いたします。\n\n6.申請内容や添付書類（勤務証明書等）に虚偽がある場合は、利用認定取消し及び保育給付の額に相当する金額の全部または一部を子ども・子育て支援法第１２条に基づき徴収します。"]
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[null,null,null,null,"【参考】　子ども・子育て支援法（抜粋）\n　第16条　市町村は、子どものための教育・保育給付に関して必要があると認めるときは、この法律の施行に必要な限度において、小学校就学前子ども・小学校就学前子どもの保護者又は小学校就学前子どもの扶養義務者の 資産又は収入の状況につき、官公署に対し必要な文書の閲覧もしくは資料の提供を求め、又は銀行、信託会社その他の期間若しくは小学校就学前子どもの保護者の雇用主その他の関係人に報告を求めることができる。"]