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[]
[]
[null,null,"調査依頼申請書"]
[]
[{"$nulls":13},"※申請日：",null,"202x年xx月xx日"]
[null,null,"営業担当者　様"]
[]
[{"$nulls":8},"申請者情報",null,"※会社名："]
[{"$nulls":10},"※住　 所："]
[{"$nulls":10},"※担当者："]
[{"$nulls":10},"※電　 話："]
[{"$nulls":10},"※F  A  X："]
[{"$nulls":10},"※ E-mail："]
[{"$nulls":10},"※区　 分：",null,"　　　代理店　　　　エンド　　　　その他"]
[]
[null,null,"下記内容で申請いたします。"]
[null,null,"※：記入必須"]
[null,null,"※調査対象製品"]
[null,null,"極数、ビス指定、カバー 等の品番情報を正確にご記入ください"]
[]
[null,null,"※ビジネス内容",null,null,null,"使用用途："]
[]
[]
[{"$nulls":6},"見込数量："]
[]
[]
[{"$nulls":6},"量産時期："]
[]
[]
[null,null,"※エンドユーザ",null,null,null,"xxxx"]
[null,null,"※環境調査内容",{"$nulls":4},"chemSHERPA",{"$nulls":5},"JAMA"]
[null,null,"調査区分を選択し、 調査内容の詳細をご記入ください",{"$nulls":4},"紛争鉱物(CMRT,EMRT)",{"$nulls":5},"該非判定書"]
[{"$nulls":7},"顧客指定様式："]
[{"$nulls":7},"保証書関連："]
[{"$nulls":7},"その他："]
[]
[null,null,"備　　考"]
[]
[null,null,"※希望納期",null,null,null,"　202x年xx月xx日　迄"]
[null,null,"ご不明な点がございましたら営業窓口または問合せフォームからご連絡ください",{"$nulls":11},"以上"]
[{"$nulls":14},"2024.08.19 rev.03"]