{"text_format":"1","workbook":"xlsx","n_sheets":7,"sheets":["説明","基本","入力","健保","年金","３号","記入方法"],"not_rendered":{"charts":0,"images":0,"macros":1,"external_links":0,"defined_names":0,"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":"説明","index":0,"n_rows":11,"n_cols":2,"rows_kept":11,"cut":false,"hidden":false,"merged":[]}
[]
[]
["１．","シート「基本」をひらいて、事業所の基本事項を入力してください。"]
["２．","シート「入力」をひらいて、入力画面右の注意事項を参考に入力してください。"]
["３．","入力が終われば、住所変更届の印刷をクリックしてください。"]
["４．","日本語入力をオフにして使用してください。"]
[null,"漢字入力、カナ入力、英字入力は自動にオンになります"]
["５．","シート「入力」の「列Ｅ」書式を変更しないで下さい。"]
["６．","シート「入力」の「列Ｅ」をクリアして「健保」「年金」「３号」を印刷するとカーボンで手書きも出来ます。"]
["７．","シート「３号」の国民年金第３号被保険者の届出人欄は配偶者の名前等がリンクしていますが自署する場合はクリアしてください。"]
["８．","プリンターによっては印刷範囲がずれることがありますので、セルの大きさ等を調整してください。"]

{"sheet":"基本","index":1,"n_rows":17,"n_cols":3,"rows_kept":17,"cut":false,"hidden":false,"merged":[[1,1,2,2]]}
[]
[null,"基本情報入力画面"]
[]
[]
[]
[]
[null,"入力項目名","入力値"]
[null,"提出日",{"$f":"TODAY()","v":"2022-03-16"}]
[null,"郵便番号","542-0066"]
[null,"事業所所在地","大阪市中央区瓦屋町2-3-1"]
[null,"事業所名称","大阪自動車整備健康保険組合"]
[null,"事業主氏名","理事長　健保　太郎"]
[null,"電話番号","06-6762-6371"]
[]
[]
[null,"※1…提出日にはTODAY関数を入力してあります。日付を変更する場合は入力してください。"]
[null,"※2…郵便番号以下は記入しているものを参考に貴事業所の事項を入力してください。"]

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[]
[null,"被保険者欄",null,null,"入力",null,"注意事項"]
[null,null,"記号",null,532,null,"健康保険の記号を入力してください。"]
[null,null,"番号",null,"999",null,"健康保険の番号を入力してください。"]
[null,null,"年金事務所整理記号",null,"南",null,"年金事務所記号の「南」、「北」、「豊中」を入力してください。"]
[null,null,null,null,"ＷＥＤ",null,"年金事務所記号の「ＷＥＤ」、「ＳＦＨ」を入力してください"]
[null,null,"基礎年金番号",null,"0123456789",null,"基礎年金番号（１０ケタ）を入力してください。"]
[null,null,null,"氏","健保",null,"氏（漢字）を入力"]
[null,null,null,"名","健太",null,"名（漢字）を入力"]
[null,null,"　　氏　名","氏（カナ）","ケンポ",null,"氏（カナ）を入力"]
[null,null,null,"名（カナ）","ケンタ",null,"名（カナ）を入力"]
[null,null,"生年月日","元号",9,null,"明治：１、大正：３、昭和：５、平成：７、令和：９を入力してください。"]
[null,null,null,"年月日","550616",null,"５５年６月１６日の場合は「550616」と入力してください。"]
[null,null,"郵便番号",null,5420066,null,"542-0066を「5420066」とハイフンを無しで入力してください。"]
[null,null,"変更後住所",null,"大阪府大阪市中央区瓦屋町2-11-16\nオートセンタービル３階",null,"変更後の住所を入力してください。\n長い場合は「Alt」+「Enter」で改行してください。"]
[null,null,"変更後住所（カナ）",null,"オオサカフオオサカシチュウオウクカワラヤマチ",null,"変更後の住所（カナ）を入力してください。"]
[null,null,"旧住所",null,"大阪府大阪市中央区瓦屋町2-11-17",null,"旧の住所を入力してください。\n長い場合は「Alt」+「Enter」で改行してください。"]
[null,null,"変更年月日","元号",9,null,"明治：１、大正：３、昭和：５、平成：７、令和：９を入力してください。"]
[null,null,null,"年月日","250401",null,"１８年８月１１日の場合「180811」と入力してください。"]
[]
[null,"配偶者欄","同居チェック",null,1,null,"被保険者と同居の場合は「1」を別居の場合は「2」を入力してください。"]
[null,null,"基礎年金番号",null,"9876543210",null,"基礎年金番号（１０ケタ）を入力してください。"]
[null,null,"生年月日","元号",9,null,"明治：１、大正：３、昭和：５、平成：７、令和：９を入力してください。"]
[null,null,null,"年月日","550616",null,"５５年６月１６日の場合は「550616」と入力してください。"]
[null,null,null,"氏","健保",null,"氏（漢字）を入力"]
[null,null,null,"名","健子",null,"名（漢字）を入力"]
[null,null,"　　氏　名","氏（カナ）","ケンポ",null,"氏（カナ）を入力"]
[null,null,null,"名（カナ）","ケンコ",null,"名（カナ）を入力"]
[null,null,"電話番号",null,"06-6762-6371",null,"06-6762-6371と入力してください。"]
[null,null,null,"郵便番号",5990232,null,"542-0066を「5420066」とハイフンを無しで入力してください。"]
[null,null,null,"変更後住所","大阪府大阪市中央区瓦屋町2-11-18",null,"変更後の住所を入力してください。"]
[null,null,"別居の場合","変更後住所（カナ）","オオサカフオオサカシチュウオウクカワラヤマチ",null,"変更後の住所（カナ）を入力してください。"]
[null,null,"　　　　入力","旧住所","大阪府大阪市中央区瓦屋町2-11-17",null,"旧の住所を入力してください。"]
[null,null,null,"旧住所（カナ）","オオサカフオオサカシチュウオウクカワラヤマチ",null,"旧の住所（カナ）を入力してください。"]
[null,null,null,"年月日","250401",null,"２５年４月１日の場合は「250401」と入力してください。"]

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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"常務理事",null,null,null,null,null,"事務長",null,null,null,null,null,"部長",null,null,null,null,null,"課長",null,null,null,null,null,"担当"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"健康保険",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"被保険者住所変更届"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"健康保険記号"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!$E$3),MID(入力!$E$3,1,1),\"\")","v":"5"},null,null,{"$f":"IF(ISNUMBER(入力!$E$3),MID(入力!$E$3,2,1),\"\")","v":"3"},null,null,{"$f":"IF(ISNUMBER(入力!$E$3),MID(入力!$E$3,3,1),\"\")","v":"2"}]
[]
[]
["　届出人欄も必ずご記入ください。",null,null,"◎国民年金第３号被保険者の住所変更については、３枚目の",null,null,"◎「※」印欄は記入しないでください。",null,null,"◎記入方法は裏面に書いてありますからよく読んでください。",null,null,null,"①事業所整理記号",null,null,null,null,null,null,null,null,null,null,null,null,null,"②被保険者\n　整理番号",null,null,null,null,null,null,null,"③基礎年金番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ア　被保険者の氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"④生年月日"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(入力!$E$5),入力!$E$5,\"\")","v":"南"},null,null,null,null,null,{"$f":"IF(ISTEXT(入力!$E$6),MID(入力!$E$6,1,1),\"\")","v":"Ｗ"},null,{"$f":"IF(ISTEXT(入力!$E$6),MID(入力!$E$6,2,1),\"\")","v":"Ｅ"},null,{"$f":"IF(ISTEXT(入力!$E$6),MID(入力!$E$6,3,1),\"\")","v":"Ｄ"},null,{"$f":"IF(ISTEXT(入力!$E$6),MID(入力!$E$6,4,1),\"\")","v":""},null,{"$f":"IF(ISTEXT(入力!$E$4),入力!$E$4,\"\")","v":"999"},null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(入力!$E$7),MID(入力!$E$7,1,1),\"\")","v":"0"},null,{"$f":"IF(ISTEXT(入力!$E$7),MID(入力!$E$7,2,1),\"\")","v":"1"},null,{"$f":"IF(ISTEXT(入力!$E$7),MID(入力!$E$7,3,1),\"\")","v":"2"},null,{"$f":"IF(ISTEXT(入力!$E$7),MID(入力!$E$7,4,1),\"\")","v":"3"},null,{"$f":"IF(ISTEXT(入力!$E$7),MID(入力!$E$7,5,1),\"\")","v":"4"},null,{"$f":"IF(ISTEXT(入力!$E$7),MID(入力!$E$7,6,1),\"\")","v":"5"},null,{"$f":"IF(ISTEXT(入力!$E$7),MID(入力!$E$7,7,1),\"\")","v":"6"},null,{"$f":"IF(ISTEXT(入力!$E$7),MID(入力!$E$7,8,1),\"\")","v":"7"},null,{"$f":"IF(ISTEXT(入力!$E$7),MID(入力!$E$7,9,1),\"\")","v":"8"},null,{"$f":"IF(ISTEXT(入力!$E$7),MID(入力!$E$7,10,1),\"\")","v":"9"},null,"(ﾌﾘｶﾞﾅ)",null,null,null,{"$f":"IF(ISTEXT(入力!$E$10),入力!$E$10,\"\")","v":"ケンポ"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(入力!$E$11),入力!$E$11,\"\")","v":"ケンタ"},null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力!E12=1,\"明治\",IF(入力!E12=3,\"大正\",IF(入力!E12=5,\"昭和\",IF(入力!E12=7,\"平成\",IF(入力!E18=9,\"令和\",\"\")))))","v":"令和"},null,null,null,null,null,"年",null,null,null,"月",null,null,null,"日"]
[]
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[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"変更後",null,null,"⑤郵便番号",null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!$E$14),MID(入力!$E$14,1,1),\"\")","v":"5"},null,{"$f":"IF(ISNUMBER(入力!$E$14),MID(入力!$E$14,2,1),\"\")","v":"4"},null,{"$f":"IF(ISNUMBER(入力!$E$14),MID(入力!$E$14,3,1),\"\")","v":"2"},null,{"$f":"IF(ISNUMBER(入力!$E$14),MID(入力!$E$14,4,1),\"\")","v":"0"},null,{"$f":"IF(ISNUMBER(入力!$E$14),MID(入力!$E$14,5,1),\"\")","v":"0"},null,{"$f":"IF(ISNUMBER(入力!$E$14),MID(入力!$E$14,6,1),\"\")","v":"6"},null,{"$f":"IF(ISNUMBER(入力!$E$14),MID(入力!$E$14,7,1),\"\")","v":"6"},null,"住所",null,null,"(ﾌﾘｶﾞﾅ)",null,null,null,null,{"$f":"IF(ISTEXT(入力!$E$16),入力!$E$16,\"\")","v":"オオサカフオオサカシチュウオウクカワラヤマチ"}]
[]
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[]
[]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,"変更年月日",null,null,null,null,null,null,null,{"$f":"IF(入力!E18=1,\"明治\",IF(入力!E18=3,\"大正\",IF(入力!E18=5,\"昭和\",IF(入力!E18=7,\"平成\",IF(入力!E18=9,\"令和\",\"\")))))","v":"令和"},null,null,null,null,null,"年",null,null,null,"月",null,null,null,"日",null,null,null,null,null,null,"ウ備考"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"被保険者と配偶者が同住所の場合は⑧～⑩および⑫欄への記入は不要です。"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"同居の場合は、下記の□欄に「レ」等のしるしを付してください。"]
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[]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,"備考"]
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[]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業主等",null,"事業所等所在地",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(基本!C10),基本!C10,\"\")","v":"大阪市中央区瓦屋町2-3-1"}]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業所等名称",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(基本!C11),基本!C11,\"\")","v":"大阪自動車整備健康保険組合"}]
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[null,null,null,null,null,null,"◎「※」印欄は記入しないでください。",null,null,"◎記入方法は裏面に書いてありますからよく読んでください。",null,null,null,"①事業所整理記号",null,null,null,null,null,null,null,null,null,null,null,null,null,"②被保険者\n　整理番号",null,null,null,null,null,null,null,"③基礎年金番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ア　被保険者の氏名",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,"④生年月日"]
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[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"変更後",null,null,"⑤郵便番号",null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!$E$14),MID(入力!$E$14,1,1),\"\")","v":"5"},null,{"$f":"IF(ISNUMBER(入力!$E$14),MID(入力!$E$14,2,1),\"\")","v":"4"},null,{"$f":"IF(ISNUMBER(入力!$E$14),MID(入力!$E$14,3,1),\"\")","v":"2"},null,{"$f":"IF(ISNUMBER(入力!$E$14),MID(入力!$E$14,4,1),\"\")","v":"0"},null,{"$f":"IF(ISNUMBER(入力!$E$14),MID(入力!$E$14,5,1),\"\")","v":"0"},null,{"$f":"IF(ISNUMBER(入力!$E$14),MID(入力!$E$14,6,1),\"\")","v":"6"},null,{"$f":"IF(ISNUMBER(入力!$E$14),MID(入力!$E$14,7,1),\"\")","v":"6"},null,"住所",null,null,"(ﾌﾘｶﾞﾅ)",null,null,null,null,{"$f":"IF(ISTEXT(入力!$E$16),入力!$E$16,\"\")","v":"オオサカフオオサカシチュウオウクカワラヤマチ"}]
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[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"変更前",null,null,"イ住所",null,null,null,null,null,null,{"$f":"IF(ISTEXT(入力!$E$17),入力!$E$17,\"\")","v":"大阪府大阪市中央区瓦屋町2-11-17"}]
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[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"変更年月日",null,null,null,null,null,null,null,{"$f":"IF(入力!E18=1,\"明治\",IF(入力!E18=3,\"大正\",IF(入力!E18=5,\"昭和\",IF(入力!E18=7,\"平成\",IF(入力!E18=9,\"令和\",\"\")))))","v":"令和"},null,null,null,null,null,"年",null,null,null,"月",null,null,null,"日",null,null,null,null,null,null,"ウ備考"]
[]
[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,{"$f":"IF(ISTEXT(入力!$E$19),MID(入力!$E$19,1,1),\"\")","v":"2"},null,{"$f":"IF(ISTEXT(入力!$E$19),MID(入力!$E$19,2,1),\"\")","v":"5"},null,{"$f":"IF(ISTEXT(入力!$E$19),MID(入力!$E$19,3,1),\"\")","v":"0"},null,{"$f":"IF(ISTEXT(入力!$E$19),MID(入力!$E$19,4,1),\"\")","v":"4"},null,{"$f":"IF(ISTEXT(入力!$E$19),MID(入力!$E$19,5,1),\"\")","v":"0"},null,{"$f":"IF(ISTEXT(入力!$E$19),MID(入力!$E$19,6,1),\"\")","v":"1"}]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"被保険者と配偶者が同住所の場合は⑧～⑩および⑫欄への記入は不要です。"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"同居の場合は、下記の□欄に「レ」等のしるしを付してください。"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,{"$f":"IF(入力!E21=1,\"✔\",\"\")","v":"✔"},null,"被保険者と配偶者は同居している。）",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,"被扶養者の住所変更欄"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"⑥年金手帳の基礎年金番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"④生年月日"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(入力!$E$22),MID(入力!$E$22,1,1),\"\")","v":"9"},null,{"$f":"IF(ISTEXT(入力!$E$22),MID(入力!$E$22,2,1),\"\")","v":"8"},null,{"$f":"IF(ISTEXT(入力!$E$22),MID(入力!$E$22,3,1),\"\")","v":"7"},null,{"$f":"IF(ISTEXT(入力!$E$22),MID(入力!$E$22,4,1),\"\")","v":"6"},null,{"$f":"IF(ISTEXT(入力!$E$22),MID(入力!$E$22,5,1),\"\")","v":"5"},null,{"$f":"IF(ISTEXT(入力!$E$22),MID(入力!$E$22,6,1),\"\")","v":"4"},null,{"$f":"IF(ISTEXT(入力!$E$22),MID(入力!$E$22,7,1),\"\")","v":"3"},null,{"$f":"IF(ISTEXT(入力!$E$22),MID(入力!$E$22,8,1),\"\")","v":"2"},null,{"$f":"IF(ISTEXT(入力!$E$22),MID(入力!$E$22,9,1),\"\")","v":"1"},null,{"$f":"IF(ISTEXT(入力!$E$22),MID(入力!$E$22,10,1),\"\")","v":"0"},null,{"$f":"IF(入力!E23=1,\"明治\",IF(入力!E23=3,\"大正\",IF(入力!E23=5,\"昭和\",IF(入力!E23=7,\"平成\",IF(入力!E23=9,\"令和\",\"\")))))","v":"令和"},null,null,null,null,null,"年",null,null,null,"月",null,null,null,"日"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(入力!$E$24),MID(入力!$E$24,1,1),\"\")","v":"5"},null,{"$f":"IF(ISTEXT(入力!$E$24),MID(入力!$E$24,2,1),\"\")","v":"5"},null,{"$f":"IF(ISTEXT(入力!$E$24),MID(入力!$E$24,3,1),\"\")","v":"0"},null,{"$f":"IF(ISTEXT(入力!$E$24),MID(入力!$E$24,4,1),\"\")","v":"6"},null,{"$f":"IF(ISTEXT(入力!$E$24),MID(入力!$E$24,5,1),\"\")","v":"1"},null,{"$f":"IF(ISTEXT(入力!$E$24),MID(入力!$E$24,6,1),\"\")","v":"6"}]
[]
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[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力!$E$21=1,\"\",MID(入力!$E$30,1,1))","v":""},null,{"$f":"IF(入力!$E$21=1,\"\",MID(入力!$E$30,2,1))","v":""},null,{"$f":"IF(入力!$E$21=1,\"\",MID(入力!$E$30,3,1))","v":""},null,{"$f":"IF(入力!$E$21=1,\"\",MID(入力!$E$30,4,1))","v":""},null,{"$f":"IF(入力!$E$21=1,\"\",MID(入力!$E$30,5,1))","v":""},null,{"$f":"IF(入力!$E$21=1,\"\",MID(入力!$E$30,6,1))","v":""},null,{"$f":"IF(入力!$E$21=1,\"\",MID(入力!$E$30,7,1))","v":""},null,"※住所コード",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(OR(入力!$E$21=1,入力!$E$21=\"\"),\"\",入力!$E$32)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,null,"月",null,null,null,"日"]
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[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"⑪\n配偶者\n氏名",null,null,null,null,null,"(ﾌﾘｶﾞﾅ)",null,null,null,{"$f":"IF(ISTEXT(入力!$E$27),入力!$E$27,\"\")","v":"ケンポ"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(入力!$E$28),入力!$E$28,\"\")","v":"ケンコ"},null,null,null,null,null,null,null,null,null,null,"⑫旧住所",null,null,null,null,null,"(ﾌﾘｶﾞﾅ)",null,null,null,null,{"$f":"IF(OR(入力!$E$21=1,入力!$E$21=\"\"),\"\",入力!$E$34)","v":""}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(氏)",null,null,null,{"$f":"IF(ISTEXT(入力!$E$25),入力!$E$25,\"\")","v":"健保"},null,null,null,null,null,null,null,null,null,null,"(名)",null,null,null,{"$f":"IF(ISTEXT(入力!$E$26),入力!$E$26,\"\")","v":"健子"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(OR(入力!$E$21=1,入力!$E$21=\"\"),\"\",入力!$E$33)","v":""}]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"備考"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(基本!C8),基本!C8,\"令和　　年　　月　　日提出\")","v":"2022-03-16"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年金事務所受付印"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業主等",null,"事業所等所在地",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(基本!C10),基本!C10,\"\")","v":"大阪市中央区瓦屋町2-3-1"}]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業所等名称",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(基本!C11),基本!C11,\"\")","v":"大阪自動車整備健康保険組合"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"社会保険労務士の提出代行者印"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業主等氏名",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(基本!C12),基本!C12,\"\")","v":"理事長　健保　太郎"}]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話",null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(基本!C13),基本!C13,\"\")","v":"06-6762-6371"}]

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[211,null,null,null,null,null,null,null,null,"1　同一市区町村内\n2　同一市区町村外",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"国民年金第３号被保険者住所変更届"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!$E$3),MID(入力!$E$3,1,1),\"\")","v":"5"},null,null,{"$f":"IF(ISNUMBER(入力!$E$3),MID(入力!$E$3,2,1),\"\")","v":"3"},null,null,{"$f":"IF(ISNUMBER(入力!$E$3),MID(入力!$E$3,3,1),\"\")","v":"2"}]
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[]
[null,null,null,null,null,null,null,null,null,"◎「※」印欄は記入しないでください。",null,null,null,"※事業所整理記号",null,null,null,null,null,null,null,null,null,null,null,null,null,"※被保険者\n　整理番号",null,null,null,null,null,null,null,"ア　基礎年金番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"イ　配偶者の氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※生年月日"]
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[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(入力!$E$5),入力!$E$5,\"\")","v":"南"},null,null,null,null,null,{"$f":"IF(ISTEXT(入力!$E$6),MID(入力!$E$6,1,1),\"\")","v":"Ｗ"},null,{"$f":"IF(ISTEXT(入力!$E$6),MID(入力!$E$6,2,1),\"\")","v":"Ｅ"},null,{"$f":"IF(ISTEXT(入力!$E$6),MID(入力!$E$6,3,1),\"\")","v":"Ｄ"},null,{"$f":"IF(ISTEXT(入力!$E$6),MID(入力!$E$6,4,1),\"\")","v":""},null,{"$f":"IF(ISTEXT(入力!$E$4),入力!$E$4,\"\")","v":"999"},null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(入力!$E$7),MID(入力!$E$7,1,1),\"\")","v":"0"},null,{"$f":"IF(ISTEXT(入力!$E$7),MID(入力!$E$7,2,1),\"\")","v":"1"},null,{"$f":"IF(ISTEXT(入力!$E$7),MID(入力!$E$7,3,1),\"\")","v":"2"},null,{"$f":"IF(ISTEXT(入力!$E$7),MID(入力!$E$7,4,1),\"\")","v":"3"},null,{"$f":"IF(ISTEXT(入力!$E$7),MID(入力!$E$7,5,1),\"\")","v":"4"},null,{"$f":"IF(ISTEXT(入力!$E$7),MID(入力!$E$7,6,1),\"\")","v":"5"},null,{"$f":"IF(ISTEXT(入力!$E$7),MID(入力!$E$7,7,1),\"\")","v":"6"},null,{"$f":"IF(ISTEXT(入力!$E$7),MID(入力!$E$7,8,1),\"\")","v":"7"},null,{"$f":"IF(ISTEXT(入力!$E$7),MID(入力!$E$7,9,1),\"\")","v":"8"},null,{"$f":"IF(ISTEXT(入力!$E$7),MID(入力!$E$7,10,1),\"\")","v":"9"},null,"(ﾌﾘｶﾞﾅ)",null,null,null,{"$f":"IF(ISTEXT(入力!$E$10),入力!$E$10,\"\")","v":"ケンポ"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(入力!$E$11),入力!$E$11,\"\")","v":"ケンタ"},null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力!E12=1,\"明治\",IF(入力!E12=3,\"大正\",IF(入力!E12=5,\"昭和\",IF(入力!E12=7,\"平成\",IF(入力!E18=9,\"令和\",\"\")))))","v":"令和"},null,null,null,null,null,"年",null,null,null,"月",null,null,null,"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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(氏)",null,null,null,{"$f":"IF(ISTEXT(入力!$E$8),入力!$E$8,\"\")","v":"健保"},null,null,null,null,null,null,null,null,null,null,"(名)",null,null,null,{"$f":"IF(ISTEXT(入力!$E$9),入力!$E$9,\"\")","v":"健太"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(入力!$E$13),MID(入力!$E$13,1,1),\"\")","v":"5"},null,{"$f":"IF(ISTEXT(入力!$E$13),MID(入力!$E$13,2,1),\"\")","v":"5"},null,{"$f":"IF(ISTEXT(入力!$E$13),MID(入力!$E$13,3,1),\"\")","v":"0"},null,{"$f":"IF(ISTEXT(入力!$E$13),MID(入力!$E$13,4,1),\"\")","v":"6"},null,{"$f":"IF(ISTEXT(入力!$E$13),MID(入力!$E$13,5,1),\"\")","v":"1"},null,{"$f":"IF(ISTEXT(入力!$E$13),MID(入力!$E$13,6,1),\"\")","v":"6"}]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"変更後",null,null,"郵便番号",null,null,null,null,null,null,{"$f":"IF(ISNUMBER(入力!$E$14),MID(入力!$E$14,1,1),\"\")","v":"5"},null,{"$f":"IF(ISNUMBER(入力!$E$14),MID(入力!$E$14,2,1),\"\")","v":"4"},null,{"$f":"IF(ISNUMBER(入力!$E$14),MID(入力!$E$14,3,1),\"\")","v":"2"},null,{"$f":"IF(ISNUMBER(入力!$E$14),MID(入力!$E$14,4,1),\"\")","v":"0"},null,{"$f":"IF(ISNUMBER(入力!$E$14),MID(入力!$E$14,5,1),\"\")","v":"0"},null,{"$f":"IF(ISNUMBER(入力!$E$14),MID(入力!$E$14,6,1),\"\")","v":"6"},null,{"$f":"IF(ISNUMBER(入力!$E$14),MID(入力!$E$14,7,1),\"\")","v":"6"},null,"住所",null,null,"(ﾌﾘｶﾞﾅ)",null,null,null,null,{"$f":"IF(ISTEXT(入力!$E$16),入力!$E$16,\"\")","v":"オオサカフオオサカシチュウオウクカワラヤマチ"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(入力!$E$15),入力!$E$15,\"\")","v":"大阪府大阪市中央区瓦屋町2-11-16\nオートセンタービル３階"}]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"変更前",null,null,"住所",null,null,null,null,null,null,{"$f":"IF(ISTEXT(入力!$E$17),入力!$E$17,\"\")","v":"大阪府大阪市中央区瓦屋町2-11-17"}]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"変更年月日",null,null,null,null,null,null,null,{"$f":"IF(入力!E18=1,\"明治\",IF(入力!E18=3,\"大正\",IF(入力!E18=5,\"昭和\",IF(入力!E18=7,\"平成\",IF(入力!E18=9,\"令和\",\"\")))))","v":"令和"},null,null,null,null,null,"年",null,null,null,"月",null,null,null,"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,{"$f":"IF(ISTEXT(入力!$E$19),MID(入力!$E$19,1,1),\"\")","v":"2"},null,{"$f":"IF(ISTEXT(入力!$E$19),MID(入力!$E$19,2,1),\"\")","v":"5"},null,{"$f":"IF(ISTEXT(入力!$E$19),MID(入力!$E$19,3,1),\"\")","v":"0"},null,{"$f":"IF(ISTEXT(入力!$E$19),MID(入力!$E$19,4,1),\"\")","v":"4"},null,{"$f":"IF(ISTEXT(入力!$E$19),MID(入力!$E$19,5,1),\"\")","v":"0"},null,{"$f":"IF(ISTEXT(入力!$E$19),MID(入力!$E$19,6,1),\"\")","v":"1"}]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"被保険者と配偶者が同住所の場合は③～⑤および⑦欄への記入は不要です。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年金事務所受付印"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"同居の場合は、下記の□欄に「レ」等のしるしを付してください。"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,{"$f":"IF(入力!E21=1,\"✔\",\"\")","v":"✔"},null,"被保険者と配偶者は同居している。）"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"①年金手帳の基礎年金番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"②生年月日"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(入力!$E$22),MID(入力!$E$22,1,1),\"\")","v":"9"},null,{"$f":"IF(ISTEXT(入力!$E$22),MID(入力!$E$22,2,1),\"\")","v":"8"},null,{"$f":"IF(ISTEXT(入力!$E$22),MID(入力!$E$22,3,1),\"\")","v":"7"},null,{"$f":"IF(ISTEXT(入力!$E$22),MID(入力!$E$22,4,1),\"\")","v":"6"},null,{"$f":"IF(ISTEXT(入力!$E$22),MID(入力!$E$22,5,1),\"\")","v":"5"},null,{"$f":"IF(ISTEXT(入力!$E$22),MID(入力!$E$22,6,1),\"\")","v":"4"},null,{"$f":"IF(ISTEXT(入力!$E$22),MID(入力!$E$22,7,1),\"\")","v":"3"},null,{"$f":"IF(ISTEXT(入力!$E$22),MID(入力!$E$22,8,1),\"\")","v":"2"},null,{"$f":"IF(ISTEXT(入力!$E$22),MID(入力!$E$22,9,1),\"\")","v":"1"},null,{"$f":"IF(ISTEXT(入力!$E$22),MID(入力!$E$22,10,1),\"\")","v":"0"},null,{"$f":"IF(入力!E23=1,\"明治\",IF(入力!E23=3,\"大正\",IF(入力!E23=5,\"昭和\",IF(入力!E23=7,\"平成\",IF(入力!E23=9,\"令和\",\"\")))))","v":"令和"},null,null,null,null,null,"年",null,null,null,"月",null,null,null,"日"]
[]
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[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"③郵便番号",null,null,null,null,null,null,null,null,null,null,null,null,null,"④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,"⑤変更年月日"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力!$E$21=1,\"\",MID(入力!$E$30,1,1))","v":""},null,{"$f":"IF(入力!$E$21=1,\"\",MID(入力!$E$30,2,1))","v":""},null,{"$f":"IF(入力!$E$21=1,\"\",MID(入力!$E$30,3,1))","v":""},null,{"$f":"IF(入力!$E$21=1,\"\",MID(入力!$E$30,4,1))","v":""},null,{"$f":"IF(入力!$E$21=1,\"\",MID(入力!$E$30,5,1))","v":""},null,{"$f":"IF(入力!$E$21=1,\"\",MID(入力!$E$30,6,1))","v":""},null,{"$f":"IF(入力!$E$21=1,\"\",MID(入力!$E$30,7,1))","v":""},null,"※住所コード",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(OR(入力!$E$21=1,入力!$E$21=\"\"),\"\",入力!$E$32)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,null,"月",null,null,null,"日"]
[]
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[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"⑥\n被保険\n者氏名",null,null,null,null,null,"(ﾌﾘｶﾞﾅ)",null,null,null,{"$f":"IF(ISTEXT(入力!$E$27),入力!$E$27,\"\")","v":"ケンポ"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISTEXT(入力!$E$28),入力!$E$28,\"\")","v":"ケンコ"},null,null,null,null,null,null,null,null,null,null,"⑫旧住所",null,null,null,null,null,"(ﾌﾘｶﾞﾅ)",null,null,null,null,{"$f":"IF(OR(入力!$E$21=1,入力!$E$21=\"\"),\"\",入力!$E$34)","v":""}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(氏)",null,null,null,{"$f":"IF(ISTEXT(入力!$E$25),入力!$E$25,\"\")","v":"健保"},null,null,null,null,null,null,null,null,null,null,"(名)",null,null,null,{"$f":"IF(ISTEXT(入力!$E$26),入力!$E$26,\"\")","v":"健子"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(OR(入力!$E$21=1,入力!$E$21=\"\"),\"\",入力!$E$33)","v":""}]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"備考"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"国民年金第３号被保険者住所変更届を記載のとおり提出します。"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年金事務所長　あて",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(基本!C8),基本!C8,\"令和　　年　　月　　日提出\")","v":"2022-03-16"}]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"届出人",null,"住所",null,null,null,null,null,null,null,null,null,{"$f":"IF(OR(入力!E21=1,入力!E21=2),IF(入力!E21=1,入力!E15,入力!E31),\"\")","v":"大阪府大阪市中央区瓦屋町2-11-16\nオートセンタービル３階"}]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"国民年金第３号被保険者氏名",null,null,null,null,null,null,null,null,null,{"$f":"IF(OR(入力!E21=1,入力!E21=2),IF(ISTEXT(入力!E25),入力!E25,\"\"),\"\")","v":"健保"},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(OR(入力!E21=1,入力!E21=2),IF(ISTEXT(入力!E26),入力!E26,\"\"),\"\")","v":"健子"}]
[]
[]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"健康保険記号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"健康保険",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"被保険者住所変更届"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5,null,null,3,null,null,2]
["記入見本"]
[]
[null,null,null,null,null,null,"　届出人欄も必ずご記入ください。",null,"◎国民年金第３号被保険者の住所変更については、３枚目の",null,"◎「※」印欄は記入しないでください。",null,"◎記入方法は裏面に書いてありますからよく読んでください。",null,null,"①事業所整理記号",null,null,null,null,null,null,null,null,null,null,null,null,null,"②被保険者\n　整理番号",null,null,null,null,null,null,null,"③年金手帳の基礎年金番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ア　被保険者の氏名",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,"④生年月日"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"南",null,null,null,null,null,null,null,"Ｗ",null,"Ｅ",null,"Ｄ",null,999,null,null,null,null,null,null,null,1,null,2,null,3,null,4,null,5,null,6,null,7,null,8,null,9,null,0,null,"(ﾌﾘｶﾞﾅ)",null,null,null,"ケンポ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ケンタ",null,null,null,null,null,null,null,null,null,null,"昭和",null,null,null,null,null,"年",null,null,null,"月",null,null,null,"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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(氏)",null,null,null,"健保",null,null,null,null,null,null,null,null,null,null,"(名)",null,null,null,"健太",null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,null,9,null,0,null,5,null,2,null,4]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"変更後",null,null,"⑤郵便番号",null,null,null,null,null,null,5,null,4,null,2,null,0,null,0,null,6,null,6,null,"住所",null,null,"(ﾌﾘｶﾞﾅ)",null,null,null,null,"オオサカフオオサカシチュウオウクカワラヤマチ"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"大阪府大阪市中央区瓦屋町2-11-16"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"変更前",null,null,"イ住所",null,null,null,null,null,null,"大阪府大阪市淀川区十八条○町○-○"]
[]
[]
[]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"変更年月日",null,null,null,null,null,null,null,"平成",null,null,null,null,null,"年",null,null,null,"月",null,null,null,"日",null,null,null,null,null,null,"ウ備考"]
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[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"被保険者と配偶者が同住所の場合は⑧～⑩および⑫欄への記入は不要です。"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"同居の場合は、下記の□欄に「レ」等のしるしを付してください。"]
[]
[]
[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,"被保険者と配偶者は同居している。）"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑥年金手帳の基礎年金番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"④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,null,null,"被扶養者の住所変更欄"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,9,null,8,null,7,null,6,null,5,null,4,null,3,null,2,null,1,null,0,null,"昭和",null,null,null,null,null,"年",null,null,null,"月",null,null,null,"日"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,1,null,1,null,0,null,2,null,2]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑧郵便番号",null,null,null,null,null,null,null,null,null,null,null,null,null,"⑨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,"⑩変更年月日"]
[]
[]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,"月",null,null,null,"日"]
[]
[]
[]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑪\n配偶者\n氏名",null,null,null,null,null,"(ﾌﾘｶﾞﾅ)",null,null,null,"ケンポ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ケンコ",null,null,null,null,null,null,null,null,null,null,"⑫旧住所",null,null,null,null,null,"(ﾌﾘｶﾞﾅ)"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(氏)",null,null,null,"健保",null,null,null,null,null,null,null,null,null,null,"(名)",null,null,null,"健子"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"備考"]
[]
[]
[]
[]
[]
[null,null,null,null,null,"（記入方法）"]
[]
[]
[null,null,null,null,null,"１　被保険者のみの住所変更の場合は、被扶養配偶者の住所変更欄の記載および３枚目の国民年金第３号被保険者住所変更届の提出は不要です。"]
[]
[null,null,null,null,null,"２　被保険者と被扶養配偶者の変更後の住所が同一の場合は、被扶養配偶者の住所変更欄の⑧～⑩の記入を省略できます。(注1　同居の旨表示してください)"]
[]
[null,null,null,null,null,"３　被保険者と被扶養配偶者の変更前の住所が同一の場合は、被扶養配偶者の住所変更欄の⑫の記入を省略できます。(注1　同居の旨表示してください)"]
[]
[null,null,null,null,null,"４　被扶養配偶者のみの住所変更の場合は、３枚目の①～⑦およびア、イを記入のうえ、３枚目のみを提出してください。"]
[]
[null,null,null,null,null,"５　事業主印の押印については、署名（自筆）の場合は省略することができます。"]
[]
[null,null,null,null,null,"６　国民年金第３号被保険者の印の押印については、署名（自筆）の場合は省略することができます。"]