{"id":31,"date":"2025-08-22T07:46:45","date_gmt":"2025-08-21T22:46:45","guid":{"rendered":"http:\/\/www.ymg-life.jp\/jp\/?page_id=31"},"modified":"2026-03-06T06:36:40","modified_gmt":"2026-03-05T21:36:40","slug":"form1","status":"publish","type":"page","link":"https:\/\/www.ymg-life.jp\/jp\/form1\/","title":{"rendered":"YY\uff01\u30bf\u30fc\u30f3\u30d1\u30b9\u30dd\u30fc\u30c8\u30d5\u30a9\u30fc\u30e0"},"content":{"rendered":"<p>\u4ee5\u4e0b\u306e\u300c<span style=\"color: red;\">(\u203b)<\/span>\u300d\u306f\u5fc5\u9808\u3067\u3059\u3002<\/p>\n<form action=\"\/jp\/kakunin1\" method=\"POST\"><input name=\"orgid\" type=\"hidden\" value=\"00D2w000005l7ha\" \/><input name=\"retURL\" type=\"hidden\" value=\"\/jp\/kakunin1\" \/><input id=\"00NRA000005n6e5\" name=\"00NRA000005n6e5\" type=\"hidden\" value=\"\u30d1\u30b9\u30dd\u30fc\u30c8\u7533\u8acb\u30d5\u30a9\u30fc\u30e0\" \/><input  id=\"00NRA00000Ad7Or\" name=\"00NRA00000Ad7Or\" type=\"hidden\" value=\"1\" \/><\/p>\n<table class=\"tbl-frm\">\n<tbody>\n<tr>\n<th>\u500b\u4eba\u60c5\u5831\u306e\u53d6\u308a\u6271\u3044\u3078\u306e\u540c\u610f<span style=\"color: red;\">(\u203b)<\/span><\/th>\n<td>\u63d0\u4f9b\u3055\u308c\u305f\u7686\u69d8\u306e\u500b\u4eba\u60c5\u5831\u306f\u3001\u300c\u4f4f\u3093\u3067\u307f\u3043\u306d\uff01\u3076\u3061\u3048\u3048\u5c71\u53e3\u300d\u770c\u6c11\u4f1a\u8b70\u306e\u5b9a\u3081\u308b\u500b\u4eba\u60c5\u5831\u7ba1\u7406\u306b\u95a2\u3059\u308b\u898f\u5b9a\u306b\u6cbf\u3063\u3066\u7ba1\u7406\u3055\u308c\u307e\u3059\u3002<br \/><input id=\"00NRA000005n8j7\" name=\"00NRA000005n8j7\" type=\"checkbox\" \/>\u3000\u30d7\u30e9\u30a4\u30d0\u30b7\u30fc\u30dd\u30ea\u30b7\u30fc\uff08https:\/\/ymg-uji.jp\/wp\/wp-content\/themes\/yy-temp\/file\/pdf_privacypolicy.pdf\uff09\u306b\u540c\u610f\u3059\u308b<\/td>\n<\/tr>\n<tr>\n<th>\u30d1\u30b9\u30dd\u30fc\u30c8\u30bf\u30a4\u30d7<span style=\"color: red;\">(\u203b)<\/span><\/th>\n<td><select id=\"passport\" title=\"\u30d1\u30b9\u30dd\u30fc\u30c8\u30bf\u30a4\u30d7\" name=\"passport\"><option value=\"\">--\u306a\u3057--<\/option><option value=\"\u30ab\u30fc\u30c9\u7248\">\u30ab\u30fc\u30c9\u7248<\/option><option value=\"\u96fb\u5b50\u7248\">\u96fb\u5b50\u7248<\/option><\/select><\/td>\n<\/tr>\n<tr>\n<th>\u5e02\u753a\u7ba1\u7406\u756a\u53f7<\/th>\n<td>\u203b5\u6841\u306e\u5e02\u753a\u7ba1\u7406\u756a\u53f7\u3092\u5165\u529b\u3057\u3066\u304f\u3060\u3055\u3044\u3002<br \/>\n\u203b\u3053\u3061\u3089\u306f<span style=\"color: red;\">\u5e02\u753a\u306e\u7ba1\u7406\u8005\u306e\u307f\u3054\u8a18\u5165\u304f\u3060\u3055\u3044<\/span>\u3002\u4e00\u822c\u306e\u65b9\u306f\u5165\u529b\u4e0d\u8981\u3067\u3059\u3002<br \/>\n<input id=\"kanribango\" maxlength=\"5\" name=\"kanribango\" size=\"20\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<th>\u304a\u540d\u524d<span style=\"color: red;\">(\u203b)<\/span><\/th>\n<td>\u59d3<input id=\"last_name\" maxlength=\"80\" name=\"last_name\" size=\"20\" type=\"text\">\u3000\u540d<input id=\"first_name\" maxlength=\"40\" name=\"first_name\" size=\"20\" type=\"text\"><\/td>\n<\/tr>\n<tr>\n<th>\u304a\u540d\u524d\u3075\u308a\u304c\u306a<span style=\"color: red;\">(\u203b)<\/span><\/th>\n<td>\u305b\u3044<input id=\"00N2w00000BGv0Z\" maxlength=\"40\" name=\"00N2w00000BGv0Z\" size=\"20\" type=\"text\">\u3000\u3081\u3044<input id=\"00N2w00000BGv0e\" maxlength=\"80\" name=\"00N2w00000BGv0e\" size=\"20\" type=\"text\"><\/td>\n<\/tr>\n<tr>\n<th>\u30e1\u30fc\u30eb<span style=\"color: red;\">(\u203b)<\/span><\/th>\n<td><input id=\"email\" maxlength=\"80\" name=\"email\" size=\"20\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<th>\u96fb\u8a71\u756a\u53f7\u3010\u643a\u5e2f\u96fb\u8a71\u7b49\u3011<span style=\"color: red;\">(\u203b)<\/span><\/th>\n<td><input id=\"phone\" maxlength=\"40\" name=\"phone\" size=\"20\" type=\"text\" \/>\u96fb\u8a71\u756a\u53f7\u306f\u534a\u89d2\u6570\u5b57\u3067\u5165\u529b\u3057\u3066\u304f\u3060\u3055\u3044\u3002 \u203b\u30cf\u30a4\u30d5\u30f3\u201c\u2212\u201d\u306f\u4e0d\u8981\u3067\u3059\u3002<\/td>\n<\/tr>\n<tr>\n<th>\u73fe\u5728\u306e\u4f4f\u6240<\/th>\n<td>\u90f5\u4fbf\u756a\u53f7<span style=\"color: red;\">(\u203b)<\/span><br \/>\n<input id=\"yubin\" maxlength=\"8\" name=\"zip\" size=\"20\" type=\"text\" \/><br \/>\n\u90fd\u9053\u5e9c\u770c<span style=\"color: red;\">(\u203b)<\/span><br \/>\n<select id=\"state\" title=\"\u90fd\u9053\u5e9c\u770c\" name=\"state\"><option value=\"\">--\u306a\u3057--<\/option><option value=\"\u5317\u6d77\u9053\">\u5317\u6d77\u9053<\/option><option value=\"\u9752\u68ee\u770c\">\u9752\u68ee\u770c<\/option><option value=\"\u5ca9\u624b\u770c\">\u5ca9\u624b\u770c<\/option><option value=\"\u5bae\u57ce\u770c\">\u5bae\u57ce\u770c<\/option><option value=\"\u79cb\u7530\u770c\">\u79cb\u7530\u770c<\/option><option value=\"\u5c71\u5f62\u770c\">\u5c71\u5f62\u770c<\/option><option value=\"\u798f\u5cf6\u770c\">\u798f\u5cf6\u770c<\/option><option value=\"\u8328\u57ce\u770c\">\u8328\u57ce\u770c<\/option><option value=\"\u6803\u6728\u770c\">\u6803\u6728\u770c<\/option><option value=\"\u7fa4\u99ac\u770c\">\u7fa4\u99ac\u770c<\/option><option value=\"\u57fc\u7389\u770c\">\u57fc\u7389\u770c<\/option><option value=\"\u5343\u8449\u770c\">\u5343\u8449\u770c<\/option><option value=\"\u6771\u4eac\u90fd\">\u6771\u4eac\u90fd<\/option><option value=\"\u795e\u5948\u5ddd\u770c\">\u795e\u5948\u5ddd\u770c<\/option><option value=\"\u65b0\u6f5f\u770c\">\u65b0\u6f5f\u770c<\/option><option value=\"\u5bcc\u5c71\u770c\">\u5bcc\u5c71\u770c<\/option><option value=\"\u77f3\u5ddd\u770c\">\u77f3\u5ddd\u770c<\/option><option value=\"\u798f\u4e95\u770c\">\u798f\u4e95\u770c<\/option><option value=\"\u5c71\u68a8\u770c\">\u5c71\u68a8\u770c<\/option><option value=\"\u9577\u91ce\u770c\">\u9577\u91ce\u770c<\/option><option value=\"\u5c90\u961c\u770c\">\u5c90\u961c\u770c<\/option><option value=\"\u9759\u5ca1\u770c\">\u9759\u5ca1\u770c<\/option><option value=\"\u611b\u77e5\u770c\">\u611b\u77e5\u770c<\/option><option value=\"\u4e09\u91cd\u770c\">\u4e09\u91cd\u770c<\/option><option value=\"\u6ecb\u8cc0\u770c\">\u6ecb\u8cc0\u770c<\/option><option value=\"\u4eac\u90fd\u5e9c\">\u4eac\u90fd\u5e9c<\/option><option value=\"\u5927\u962a\u5e9c\">\u5927\u962a\u5e9c<\/option><option value=\"\u5175\u5eab\u770c\">\u5175\u5eab\u770c<\/option><option value=\"\u5948\u826f\u770c\">\u5948\u826f\u770c<\/option><option value=\"\u548c\u6b4c\u5c71\u770c\">\u548c\u6b4c\u5c71\u770c<\/option><option value=\"\u9ce5\u53d6\u770c\">\u9ce5\u53d6\u770c<\/option><option value=\"\u5cf6\u6839\u770c\">\u5cf6\u6839\u770c<\/option><option value=\"\u5ca1\u5c71\u770c\">\u5ca1\u5c71\u770c<\/option><option value=\"\u5e83\u5cf6\u770c\">\u5e83\u5cf6\u770c<\/option><option value=\"\u5fb3\u5cf6\u770c\">\u5fb3\u5cf6\u770c<\/option><option value=\"\u9999\u5ddd\u770c\">\u9999\u5ddd\u770c<\/option><option value=\"\u611b\u5a9b\u770c\">\u611b\u5a9b\u770c<\/option><option value=\"\u9ad8\u77e5\u770c\">\u9ad8\u77e5\u770c<\/option><option value=\"\u798f\u5ca1\u770c\">\u798f\u5ca1\u770c<\/option><option value=\"\u4f50\u8cc0\u770c\">\u4f50\u8cc0\u770c<\/option><option value=\"\u9577\u5d0e\u770c\">\u9577\u5d0e\u770c<\/option><option value=\"\u718a\u672c\u770c\">\u718a\u672c\u770c<\/option><option value=\"\u5927\u5206\u770c\">\u5927\u5206\u770c<\/option><option value=\"\u5bae\u5d0e\u770c\">\u5bae\u5d0e\u770c<\/option><option value=\"\u9e7f\u5150\u5cf6\u770c\">\u9e7f\u5150\u5cf6\u770c<\/option><option value=\"\u6c96\u7e04\u770c\">\u6c96\u7e04\u770c<\/option><option value=\"\u6d77\u5916\">\u6d77\u5916<\/option><\/select><br \/>\n\u5e02\u533a\u753a\u6751<span style=\"color: red;\">(\u203b)<\/span><br \/>\n<input id=\"city\" maxlength=\"40\" name=\"city\" size=\"20\" type=\"text\"><br \/>\n\u753a\u540d\u30fb\u756a\u5730<br \/>\n<input id=\"street\" maxlength=\"40\" name=\"street\" size=\"20\" type=\"text\"><\/td>\n<\/tr>\n<tr>\n<th>\u51fa\u8eab\u90fd\u9053\u5e9c\u770c<\/th>\n<td><select id=\"00N2w000009QZO1\" title=\"\u51fa\u8eab\u90fd\u9053\u5e9c\u770c\" name=\"00N2w000009QZO1\"><option value=\"\">--\u306a\u3057--<\/option><option value=\"\u5317\u6d77\u9053\">\u5317\u6d77\u9053<\/option><option value=\"\u9752\u68ee\u770c\">\u9752\u68ee\u770c<\/option><option value=\"\u5ca9\u624b\u770c\">\u5ca9\u624b\u770c<\/option><option value=\"\u5bae\u57ce\u770c\">\u5bae\u57ce\u770c<\/option><option value=\"\u79cb\u7530\u770c\">\u79cb\u7530\u770c<\/option><option value=\"\u5c71\u5f62\u770c\">\u5c71\u5f62\u770c<\/option><option value=\"\u798f\u5cf6\u770c\">\u798f\u5cf6\u770c<\/option><option value=\"\u8328\u57ce\u770c\">\u8328\u57ce\u770c<\/option><option value=\"\u6803\u6728\u770c\">\u6803\u6728\u770c<\/option><option value=\"\u7fa4\u99ac\u770c\">\u7fa4\u99ac\u770c<\/option><option value=\"\u57fc\u7389\u770c\">\u57fc\u7389\u770c<\/option><option value=\"\u5343\u8449\u770c\">\u5343\u8449\u770c<\/option><option value=\"\u6771\u4eac\u90fd\">\u6771\u4eac\u90fd<\/option><option value=\"\u795e\u5948\u5ddd\u770c\">\u795e\u5948\u5ddd\u770c<\/option><option value=\"\u65b0\u6f5f\u770c\">\u65b0\u6f5f\u770c<\/option><option value=\"\u5bcc\u5c71\u770c\">\u5bcc\u5c71\u770c<\/option><option value=\"\u77f3\u5ddd\u770c\">\u77f3\u5ddd\u770c<\/option><option value=\"\u798f\u4e95\u770c\">\u798f\u4e95\u770c<\/option><option value=\"\u5c71\u68a8\u770c\">\u5c71\u68a8\u770c<\/option><option value=\"\u9577\u91ce\u770c\">\u9577\u91ce\u770c<\/option><option value=\"\u5c90\u961c\u770c\">\u5c90\u961c\u770c<\/option><option value=\"\u9759\u5ca1\u770c\">\u9759\u5ca1\u770c<\/option><option value=\"\u611b\u77e5\u770c\">\u611b\u77e5\u770c<\/option><option value=\"\u4e09\u91cd\u770c\">\u4e09\u91cd\u770c<\/option><option value=\"\u6ecb\u8cc0\u770c\">\u6ecb\u8cc0\u770c<\/option><option value=\"\u4eac\u90fd\u5e9c\">\u4eac\u90fd\u5e9c<\/option><option value=\"\u5927\u962a\u5e9c\">\u5927\u962a\u5e9c<\/option><option value=\"\u5175\u5eab\u770c\">\u5175\u5eab\u770c<\/option><option value=\"\u5948\u826f\u770c\">\u5948\u826f\u770c<\/option><option value=\"\u548c\u6b4c\u5c71\u770c\">\u548c\u6b4c\u5c71\u770c<\/option><option value=\"\u9ce5\u53d6\u770c\">\u9ce5\u53d6\u770c<\/option><option value=\"\u5cf6\u6839\u770c\">\u5cf6\u6839\u770c<\/option><option value=\"\u5ca1\u5c71\u770c\">\u5ca1\u5c71\u770c<\/option><option value=\"\u5e83\u5cf6\u770c\">\u5e83\u5cf6\u770c<\/option><option value=\"\u5c71\u53e3\u770c\">\u5c71\u53e3\u770c<\/option><option value=\"\u5fb3\u5cf6\u770c\">\u5fb3\u5cf6\u770c<\/option><option value=\"\u9999\u5ddd\u770c\">\u9999\u5ddd\u770c<\/option><option value=\"\u611b\u5a9b\u770c\">\u611b\u5a9b\u770c<\/option><option value=\"\u9ad8\u77e5\u770c\">\u9ad8\u77e5\u770c<\/option><option value=\"\u798f\u5ca1\u770c\">\u798f\u5ca1\u770c<\/option><option value=\"\u4f50\u8cc0\u770c\">\u4f50\u8cc0\u770c<\/option><option value=\"\u9577\u5d0e\u770c\">\u9577\u5d0e\u770c<\/option><option value=\"\u718a\u672c\u770c\">\u718a\u672c\u770c<\/option><option value=\"\u5927\u5206\u770c\">\u5927\u5206\u770c<\/option><option value=\"\u5bae\u5d0e\u770c\">\u5bae\u5d0e\u770c<\/option><option value=\"\u9e7f\u5150\u5cf6\u770c\">\u9e7f\u5150\u5cf6\u770c<\/option><option value=\"\u6c96\u7e04\u770c\">\u6c96\u7e04\u770c<\/option><option value=\"\u6d77\u5916\">\u6d77\u5916<\/option><\/select><\/td>\n<\/tr>\n<tr>\n<th>\u51fa\u8eab\u5e02\u533a\u753a\u6751<\/th>\n<td><input id=\"00N2w000009QZNw\" maxlength=\"100\" name=\"00N2w000009QZNw\" size=\"20\" type=\"text\"><\/td>\n<\/tr>\n<tr>\n<th>\u73fe\u5728\u306e\u8077\u696d<\/th>\n<td><select  id=\"00N2w000009QZTV\" name=\"00N2w000009QZTV\" title=\"\u73fe\u5728\u306e\u8077\u696d\"><option value=\"\">--\u306a\u3057--<\/option><option value=\"1\uff0e\u9000\u8077\u8005\">1\uff0e\u9000\u8077\u8005<\/option><option value=\"2\uff0e\u4f1a\u793e\u54e1\">2\uff0e\u4f1a\u793e\u54e1<\/option><option value=\"3\uff0e\u516c\u52d9\u54e1\">3\uff0e\u516c\u52d9\u54e1<\/option><option value=\"4\uff0e\u30d1\u30fc\u30c8\u30fb\u30a2\u30eb\u30d0\u30a4\u30c8\">4\uff0e\u30d1\u30fc\u30c8\u30fb\u30a2\u30eb\u30d0\u30a4\u30c8<\/option><option value=\"5\uff0e\u30dc\u30e9\u30f3\u30c6\u30a3\u30a2\">5\uff0e\u30dc\u30e9\u30f3\u30c6\u30a3\u30a2<\/option><option value=\"6\uff0e\u4e3b\u5a66\uff08\u4e3b\u592b\uff09\">6\uff0e\u4e3b\u5a66\uff08\u4e3b\u592b\uff09<\/option><option value=\"7\uff0e\u7121\u8077\">7\uff0e\u7121\u8077<\/option><option value=\"8\uff0e\u5b66\u751f\">8\uff0e\u5b66\u751f<\/option><option value=\"9\uff0e\u81ea\u55b6\u696d\">9\uff0e\u81ea\u55b6\u696d<\/option><option value=\"10\uff0e\u5951\u7d04\u793e\u54e1\">10\uff0e\u5951\u7d04\u793e\u54e1<\/option><option value=\"11\uff0e\u6d3e\u9063\u793e\u54e1\">11\uff0e\u6d3e\u9063\u793e\u54e1<\/option><option value=\"12\uff0e\u305d\u306e\u4ed6\">12\uff0e\u305d\u306e\u4ed6<\/option><option value=\"\u4e0d\u660e\">\u4e0d\u660e<\/option><option value=\"\u56e3\u4f53\u8077\u54e1\">\u56e3\u4f53\u8077\u54e1<\/option><option value=\"\u7d4c\u55b6\u8005\u30fb\u4f1a\u793e\u5f79\u54e1\">\u7d4c\u55b6\u8005\u30fb\u4f1a\u793e\u5f79\u54e1<\/option><\/select><br \/>\n\u305d\u306e\u4ed6\u306e\u5185\u5bb9\u3092\u3054\u8a18\u5165\u304a\u9858\u3044\u3057\u307e\u3059<br \/>\n<textarea id=\"00N2w00000BH78x\" name=\"00N2w00000BH78x\" wrap=\"soft\"><\/textarea><\/td>\n<\/tr>\n<tr>\n<th>\u79fb\u4f4f\u7406\u7531\u30fb\u304d\u3063\u304b\u3051\u3010\u8907\u6570\u53ef\u3011<\/th>\n<td>\n<input type=\"checkbox\" id=\"00NRA00000Ad1I9_03\" name=\"00NRA00000Ad1I9_03\" value=\"\u5b89\u5168\u30fb\u5b89\u5fc3\u306a\u66ae\u3089\u3057\"> \u5b89\u5168\u30fb\u5b89\u5fc3\u306a\u66ae\u3089\u3057<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad1I9_01\" name=\"00NRA00000Ad1I9_01\" value=\"\u90fd\u4f1a\u66ae\u3089\u3057\u306e\u4e0d\u5b89\"> \u90fd\u4f1a\u66ae\u3089\u3057\u306e\u4e0d\u5b89<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad1I9_02\" name=\"00NRA00000Ad1I9_02\" value=\"\u90fd\u4f1a\u306b\u75b2\u308c\u305f\"> \u90fd\u4f1a\u306b\u75b2\u308c\u305f<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad1I9_04\" name=\"00NRA00000Ad1I9_04\" value=\"\u89aa\u306e\u4ecb\u8b77\"> \u89aa\u306e\u4ecb\u8b77<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad1I9_05\" name=\"00NRA00000Ad1I9_05\" value=\"\u5b50\u80b2\u3066\u74b0\u5883\"> \u5b50\u80b2\u3066\u74b0\u5883<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad1I9_06\" name=\"00NRA00000Ad1I9_06\" value=\"\u8fb2\u6797\u6f01\u696d\u3057\u305f\u3044\"> \u8fb2\u6797\u6f01\u696d\u3057\u305f\u3044<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad1I9_07\" name=\"00NRA00000Ad1I9_07\" value=\"TV\u30fb\u96d1\u8a8c\u306e\u5f71\u97ff\"> TV\u30fb\u96d1\u8a8c\u306e\u5f71\u97ff<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad1I9_08\" name=\"00NRA00000Ad1I9_08\" value=\"\u5730\u65b9\u66ae\u3089\u3057\u306b\u8208\u5473\"> \u5730\u65b9\u66ae\u3089\u3057\u306b\u8208\u5473<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad1I9_09\" name=\"00NRA00000Ad1I9_09\" value=\"\u89aa\u306b\u8a00\u308f\u308c\u3066\"> \u89aa\u306b\u8a00\u308f\u308c\u3066<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad1I9_16\" name=\"00NRA00000Ad1I9_16\" value=\"\u305d\u306e\u4ed6\"> \u305d\u306e\u4ed6<br \/>\n\u305d\u306e\u4ed6\u306e\u5185\u5bb9\u3092\u3054\u8a18\u5165\u304a\u9858\u3044\u3057\u307e\u3059<br \/><textarea  id=\"00NRA00000Ad3d1\" name=\"00NRA00000Ad3d1\" type=\"text\" wrap=\"soft\"><\/textarea><\/td>\n<\/tr>\n<tr>\n<th>\u79fb\u4f4f\u5e0c\u671b\u5730\u57df\u3010\u8907\u6570\u53ef\u3011<\/th>\n<td>\n<input type=\"checkbox\" id=\"00NRA00000Ad7Wv_01\" name=\"00NRA00000Ad7Wv_01\" value=\"\u5ca9\u56fd\u5e02\"> \u5ca9\u56fd\u5e02<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7Wv_02\" name=\"00NRA00000Ad7Wv_02\" value=\"\u5149\u5e02\"> \u5149\u5e02<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7Wv_03\" name=\"00NRA00000Ad7Wv_03\" value=\"\u67f3\u4e95\u5e02\"> \u67f3\u4e95\u5e02<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7Wv_04\" name=\"00NRA00000Ad7Wv_04\" value=\"\u5468\u9632\u5927\u5cf6\u753a\"> \u5468\u9632\u5927\u5cf6\u753a<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7Wv_05\" name=\"00NRA00000Ad7Wv_05\" value=\"\u548c\u6728\u753a\"> \u548c\u6728\u753a<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7Wv_06\" name=\"00NRA00000Ad7Wv_06\" value=\"\u4e0a\u95a2\u753a\"> \u4e0a\u95a2\u753a<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7Wv_07\" name=\"00NRA00000Ad7Wv_07\" value=\"\u7530\u5e03\u65bd\u753a\"> \u7530\u5e03\u65bd\u753a<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7Wv_08\" name=\"00NRA00000Ad7Wv_08\" value=\"\u5e73\u751f\u753a\"> \u5e73\u751f\u753a<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7Wv_09\" name=\"00NRA00000Ad7Wv_09\" value=\"\u5c71\u53e3\u5e02\"> \u5c71\u53e3\u5e02<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7Wv_10\" name=\"00NRA00000Ad7Wv_10\" value=\"\u9632\u5e9c\u5e02\"> \u9632\u5e9c\u5e02<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7Wv_11\" name=\"00NRA00000Ad7Wv_11\" value=\"\u4e0b\u677e\u5e02\"> \u4e0b\u677e\u5e02<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7Wv_12\" name=\"00NRA00000Ad7Wv_12\" value=\"\u5468\u5357\u5e02\"> \u5468\u5357\u5e02<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7Wv_13\" name=\"00NRA00000Ad7Wv_13\" value=\"\u4e0b\u95a2\u5e02\"> \u4e0b\u95a2\u5e02<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7Wv_14\" name=\"00NRA00000Ad7Wv_14\" value=\"\u5b87\u90e8\u5e02\"> \u5b87\u90e8\u5e02<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7Wv_15\" name=\"00NRA00000Ad7Wv_15\" value=\"\u5c71\u967d\u5c0f\u91ce\u7530\u5e02\"> \u5c71\u967d\u5c0f\u91ce\u7530\u5e02<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7Wv_16\" name=\"00NRA00000Ad7Wv_16\" value=\"\u8429\u5e02\"> \u8429\u5e02<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7Wv_17\" name=\"00NRA00000Ad7Wv_17\" value=\"\u9577\u9580\u5e02\"> \u9577\u9580\u5e02<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7Wv_18\" name=\"00NRA00000Ad7Wv_18\" value=\"\u7f8e\u7962\u5e02\"> \u7f8e\u7962\u5e02<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7Wv_19\" name=\"00NRA00000Ad7Wv_19\" value=\"\u963f\u6b66\u753a\"> \u963f\u6b66\u753a<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7Wv_20\" name=\"00NRA00000Ad7Wv_20\" value=\"\u305d\u306e\u4ed6\"> \u305d\u306e\u4ed6<br \/>\n\u305d\u306e\u4ed6\u306e\u5185\u5bb9\u3092\u3054\u8a18\u5165\u304a\u9858\u3044\u3057\u307e\u3059<br \/><input  id=\"00NRA00000Ad7a9\" maxlength=\"255\" name=\"00NRA00000Ad7a9\" size=\"20\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<th>\u79fb\u4f4f\u306e\u512a\u5148\u6761\u4ef6\u3010\u8907\u6570\u53ef\u3011<\/th>\n<td>\n<input type=\"checkbox\" id=\"00NRA00000Ad7rt_01\" name=\"00NRA00000Ad7rt_01\" value=\"\u81ea\u7136\u74b0\u5883\u304c\u3088\u3044\">\u81ea\u7136\u74b0\u5883\u304c\u3088\u3044<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7rt_02\" name=\"00NRA00000Ad7rt_02\" value=\"\u6c17\u5019\u304c\u3088\u3044\">\u6c17\u5019\u304c\u3088\u3044<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7rt_03\" name=\"00NRA00000Ad7rt_03\" value=\"\u4ea4\u901a\u306e\u4fbf\u304c\u3088\u3044\">\u4ea4\u901a\u306e\u4fbf\u304c\u3088\u3044<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7rt_04\" name=\"00NRA00000Ad7rt_04\" value=\"\u9996\u90fd\u570f\u306b\u8fd1\u3044\">\u9996\u90fd\u570f\u306b\u8fd1\u3044<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7rt_05\" name=\"00NRA00000Ad7rt_05\" value=\"\u571f\u5730\u30fb\u5efa\u7269\u304c\u5b89\u3044\">\u571f\u5730\u30fb\u5efa\u7269\u304c\u5b89\u3044<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7rt_06\" name=\"00NRA00000Ad7rt_06\" value=\"\u4f4f\u5c45\u304c\u3042\u308b\">\u4f4f\u5c45\u304c\u3042\u308b<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7rt_07\" name=\"00NRA00000Ad7rt_07\" value=\"\u30b9\u30fc\u30d1\u30fc\u5546\u696d\u65bd\u8a2d\">\u30b9\u30fc\u30d1\u30fc\u5546\u696d\u65bd\u8a2d<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7rt_08\" name=\"00NRA00000Ad7rt_08\" value=\"\u5b66\u6821(\u5e7c\u30fb\u5c0f\u30fb\u4e2d\u30fb\u9ad8\uff09\">\u5b66\u6821(\u5e7c\u30fb\u5c0f\u30fb\u4e2d\u30fb\u9ad8\uff09<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7rt_09\" name=\"00NRA00000Ad7rt_09\" value=\"\u75c5\u9662\u30fb\u533b\u7642\u6a5f\u95a2\">\u75c5\u9662\u30fb\u533b\u7642\u6a5f\u95a2<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7rt_10\" name=\"00NRA00000Ad7rt_10\" value=\"\u53d7\u5165\u56e3\u4f53\u304c\u3042\u308b\u5730\u57df\">\u53d7\u5165\u56e3\u4f53\u304c\u3042\u308b\u5730\u57df<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7rt_11\" name=\"00NRA00000Ad7rt_11\" value=\"\u5c31\u52b4\u306e\u5834\">\u5c31\u52b4\u306e\u5834<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7rt_12\" name=\"00NRA00000Ad7rt_12\" value=\"\u8015\u5730\u8fb2\u5730\">\u8015\u5730\u8fb2\u5730<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7rt_13\" name=\"00NRA00000Ad7rt_13\" value=\"\u30af\u30e9\u30a4\u30f3\u30ac\u30eb\u30c6\u30f3\">\u30af\u30e9\u30a4\u30f3\u30ac\u30eb\u30c6\u30f3<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7rt_14\" name=\"00NRA00000Ad7rt_14\" value=\"\u5bb6\u5ead\u8fb2\u5712\">\u5bb6\u5ead\u8fb2\u5712<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7rt_15\" name=\"00NRA00000Ad7rt_15\" value=\"\u6b74\u53f2\u7684\u6587\u5316\u7684\u74b0\u5883\">\u6b74\u53f2\u7684\u6587\u5316\u7684\u74b0\u5883<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7rt_16\" name=\"00NRA00000Ad7rt_16\" value=\"\u6e29\u6cc9\">\u6e29\u6cc9<br \/>\n<input type=\"checkbox\" id=\"00NRA00000Ad7rt_17\" name=\"00NRA00000Ad7rt_17\" value=\"\u305d\u306e\u4ed6\">\u305d\u306e\u4ed6<br \/>\n\u305d\u306e\u4ed6\u306e\u5185\u5bb9\u3092\u3054\u8a18\u5165\u304a\u9858\u3044\u3057\u307e\u3059<br \/><input  id=\"00NRA00000Ad7lR\" maxlength=\"255\" name=\"00NRA00000Ad7lR\" size=\"20\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<th>\u79fb\u4f4f\u5148\u3067\u306e\u50cd\u304d\u65b9\/\u696d\u754c<\/th>\n<td>\n<select  id=\"00NRA00000FEGvV\" name=\"00NRA00000FEGvV\" title=\"\u79fb\u4f4f\u5148\u3067\u306e\u50cd\u304d\u65b9\/\u696d\u754c\"><option value=\"\">-- \u306a\u3057 --<\/option><option value='\u5c31\u8077(\u4f01\u696d\u7b49)'>\u5c31\u8077(\u4f01\u696d\u7b49)<\/option><option value='\u81ea\u55b6\u696d(\u4eca\u306e\u4ed5\u4e8b)'>\u81ea\u55b6\u696d(\u4eca\u306e\u4ed5\u4e8b)<\/option><option value='\u8d77\u696d'>\u8d77\u696d<\/option><option value='\u5f8c\u7d99\u8005\u30fb\u7d99\u696d'>\u5f8c\u7d99\u8005\u30fb\u7d99\u696d<\/option><option value='\u5730\u57df\u304a\u3053\u3057\u5354\u529b\u968a'>\u5730\u57df\u304a\u3053\u3057\u5354\u529b\u968a<\/option><option value='\u30c6\u30ec\u30ef\u30fc\u30af'>\u30c6\u30ec\u30ef\u30fc\u30af<\/option><option value='\u534a\u8fb2\u534aX'>\u534a\u8fb2\u534aX<\/option><option value='\u60a0\u3005\u81ea\u9069'>\u60a0\u3005\u81ea\u9069<\/option><option value='\u8fb2\u696d'>\u8fb2\u696d<\/option><option value='\u6797\u696d'>\u6797\u696d<\/option><option value='\u6f01\u696d'>\u6f01\u696d<\/option><option value='\u4f1d\u7d71\u5de5\u82b8'>\u4f1d\u7d71\u5de5\u82b8<\/option><option value='IT\u4f01\u696d'>IT\u4f01\u696d<\/option><option value='\u4ecb\u8b77\u30fb\u798f\u7949\u7cfb'>\u4ecb\u8b77\u30fb\u798f\u7949\u7cfb<\/option><option value='\u305d\u306e\u4ed6'>\u305d\u306e\u4ed6<\/option><\/select><br \/>\n\u305d\u306e\u4ed6\u306e\u5185\u5bb9\u3092\u3054\u8a18\u5165\u304a\u9858\u3044\u3057\u307e\u3059<br \/><input  id=\"00NRA00000FEHEr\" maxlength=\"255\" name=\"00NRA00000FEHEr\" size=\"20\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<th>\u79fb\u4f4f\u5f8c\u306e\u5bb6\u65cf\u69cb\u6210<\/th>\n<td>\n<select  id=\"00NRA00000CM1ID\" name=\"00NRA00000CM1ID\" title=\"\u79fb\u4f4f\u5f8c\u306e\u5bb6\u65cf\u69cb\u6210\"><option value=\"\">-- \u306a\u3057 --<\/option><option value=\"\u5358\u72ec\u4e16\u5e2f\">\u5358\u72ec\u4e16\u5e2f<\/option><option value=\"\u6838\u5bb6\u65cf\uff08\u89aa\u65cf\u306e\u307f\uff09\">\u6838\u5bb6\u65cf\uff08\u89aa\u65cf\u306e\u307f\uff09<\/option><option value=\"\uff13\u4e16\u4ee3\u4e16\u5e2f\uff08\u89aa\u65cf\u306e\u307f\uff09\">\uff13\u4e16\u4ee3\u4e16\u5e2f\uff08\u89aa\u65cf\u306e\u307f\uff09<\/option><option value=\"\u305d\u306e\u4ed6\u306e\u89aa\u65cf\u4e16\u5e2f\uff08\u89aa\u65cf\u306e\u307f\uff09\">\u305d\u306e\u4ed6\u306e\u89aa\u65cf\u4e16\u5e2f\uff08\u89aa\u65cf\u306e\u307f\uff09<\/option><option value=\"\u975e\u89aa\u65cf\u3092\u542b\u3080\u4e16\u5e2f\">\u975e\u89aa\u65cf\u3092\u542b\u3080\u4e16\u5e2f<\/option><option value=\"\u305d\u306e\u4ed6\u30fb\u4e0d\u8a73\">\u305d\u306e\u4ed6\u30fb\u4e0d\u8a73<\/option><\/select>\n<\/td>\n<\/tr>\n<tr>\n<th>\u79fb\u4f4f\u5e0c\u671b\u6642\u671f<\/th>\n<td>\n<select id=\"00NRA00000AcAwz\" name=\"00NRA00000AcAwz\"><option value=\"\">-- \u306a\u3057 --<\/option><option value=\"\u4eca\u3059\u3050(1\u5e74\u672a\u6e80)\">\u4eca\u3059\u3050(1\u5e74\u672a\u6e80)<\/option><option value=\"\u4eca\u3059\u3050(1~3\u5e74\u4ee5\u5185)\">\u4eca\u3059\u3050(1~3\u5e74\u4ee5\u5185)<\/option><option value=\"3\u5e74\u4ee5\u4e0a\">3\u5e74\u4ee5\u4e0a<\/option><option value=\"\u4f1a\u793e\u3092(\u5b9a\u5e74)\u9000\u8077\u3057\u3066\u304b\u3089\">\u4f1a\u793e\u3092(\u5b9a\u5e74)\u9000\u8077\u3057\u3066\u304b\u3089<\/option><option value=\"\u5b50\u4f9b\u304c\u72ec\u7acb\u3057\u3066\u304b\u3089\">\u5b50\u4f9b\u304c\u72ec\u7acb\u3057\u3066\u304b\u3089<\/option><option value=\"\u4f4f\u5b85(\u501f\u30fb\u8cb7\u4e3b)\u304c\u6c7a\u307e\u3063\u3066\u304b\u3089\">\u4f4f\u5b85(\u501f\u30fb\u8cb7\u4e3b)\u304c\u6c7a\u307e\u3063\u3066\u304b\u3089<\/option><option value=\"\u5b9a\u4f4f\u5148\u3067\u306e\u5c31\u8077\u304c\u6c7a\u307e\u3063\u3066\u304b\u3089\">\u5b9a\u4f4f\u5148\u3067\u306e\u5c31\u8077\u304c\u6c7a\u307e\u3063\u3066\u304b\u3089<\/option><option value=\"\u5b9a\u4f4f\u5148\u3067\u306e\u4f4f\u5c45\u304c\u6c7a\u307e\u3063\u3066\u304b\u3089\">\u5b9a\u4f4f\u5148\u3067\u306e\u4f4f\u5c45\u304c\u6c7a\u307e\u3063\u3066\u304b\u3089<\/option><option value=\"\u5b50\u4f9b\u306e\u9032\u5b66\u30fb\u65b0\u5e74\u5ea6(\u5b66\u671f)\u306b\u5408\u308f\u305b\u3066\">\u5b50\u4f9b\u306e\u9032\u5b66\u30fb\u65b0\u5e74\u5ea6(\u5b66\u671f)\u306b\u5408\u308f\u305b\u3066<\/option><option value=\"\u7d50\u5a5a(\u51fa\u7523\u3092\u542b\u3080)\u3092\u6a5f\u306b\">\u7d50\u5a5a(\u51fa\u7523\u3092\u542b\u3080)\u3092\u6a5f\u306b<\/option><option value=\"\u4e21\u89aa\u306e\u4ecb\u8b77\u304c\u5fc5\u8981\u306b\u306a\u3063\u3066\u304b\u3089\">\u4e21\u89aa\u306e\u4ecb\u8b77\u304c\u5fc5\u8981\u306b\u306a\u3063\u3066\u304b\u3089<\/option><option value=\"\u305d\u306e\u4ed6\">\u305d\u306e\u4ed6<\/option><\/select><br \/>\n\u305d\u306e\u4ed6\u306e\u5185\u5bb9\u3092\u3054\u8a18\u5165\u304a\u9858\u3044\u3057\u307e\u3059<br \/><input  id=\"00NRA00000Ad7gb\" maxlength=\"255\" name=\"00NRA00000Ad7gb\" size=\"20\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<th>\u79fb\u4f4f\u5148\u3067\u306e\u4f4f\u307e\u3044<\/th>\n<td><select  id=\"00NRA00000AdAMj\" name=\"00NRA00000AdAMj\" title=\"\u79fb\u4f4f\u5148\u3067\u306e\u4f4f\u307e\u3044\"><option value=\"\">-- \u306a\u3057 --<\/option><option value=\"\u8cc3\u8cb8\">\u8cc3\u8cb8<\/option><option value=\"\u5b9f\u5bb6\">\u5b9f\u5bb6<\/option><option value=\"\u8cfc\u5165\uff0f\u53d6\u5f97\">\u8cfc\u5165\uff0f\u53d6\u5f97<\/option><\/select><\/td>\n<\/tr>\n<tr>\n<th>\u30e1\u30fc\u30eb\u3067\u306e\u79fb\u4f4f\u60c5\u5831\u306e\u63d0\u4f9b<span style=\"color: red;\">(\u203b)<\/span><\/th>\n<td>\u5e0c\u671b\u3059\u308b<input id=\"00NRA00000Ad7yL_1\" name=\"00NRA00000Ad7yL\" type=\"radio\" value=\"1\" \/>\u5e0c\u671b\u3057\u306a\u3044<input id=\"00NRA00000Ad7yL_0\" name=\"00NRA00000Ad7yL\" type=\"radio\" value=\"0\" \/><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><input name=\"submit\" type=\"submit\" value=\"\u78ba\u8a8d\u753b\u9762\u3078\" \/><\/p>\n<\/form>\n","protected":false},"excerpt":{"rendered":"<p>\u4ee5\u4e0b\u306e\u300c(\u203b)\u300d\u306f\u5fc5\u9808\u3067\u3059\u3002 \u500b\u4eba\u60c5\u5831\u306e\u53d6\u308a\u6271\u3044\u3078\u306e\u540c\u610f(\u203b) \u63d0\u4f9b\u3055\u308c\u305f\u7686\u69d8\u306e\u500b\u4eba\u60c5\u5831\u306f\u3001\u300c\u4f4f\u3093\u3067\u307f\u3043\u306d\uff01\u3076\u3061\u3048\u3048\u5c71\u53e3\u300d\u770c\u6c11\u4f1a\u8b70\u306e\u5b9a\u3081\u308b\u500b\u4eba\u60c5\u5831\u7ba1\u7406\u306b\u95a2\u3059\u308b\u898f\u5b9a\u306b\u6cbf\u3063\u3066\u7ba1\u7406\u3055\u308c\u307e\u3059\u3002\u3000\u30d7\u30e9\u30a4\u30d0\u30b7\u30fc\u30dd\u30ea\u30b7\u30fc\uff08https: [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/www.ymg-life.jp\/jp\/wp-json\/wp\/v2\/pages\/31"}],"collection":[{"href":"https:\/\/www.ymg-life.jp\/jp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ymg-life.jp\/jp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ymg-life.jp\/jp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ymg-life.jp\/jp\/wp-json\/wp\/v2\/comments?post=31"}],"version-history":[{"count":90,"href":"https:\/\/www.ymg-life.jp\/jp\/wp-json\/wp\/v2\/pages\/31\/revisions"}],"predecessor-version":[{"id":497,"href":"https:\/\/www.ymg-life.jp\/jp\/wp-json\/wp\/v2\/pages\/31\/revisions\/497"}],"wp:attachment":[{"href":"https:\/\/www.ymg-life.jp\/jp\/wp-json\/wp\/v2\/media?parent=31"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}