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[]
["宿舎入居（転居）希望調査表\nRequest for Employee Housing (Moving)"]
[{"$nulls":15},"         　年　  　月　  　日調"]
["部局名等\nDepartment name, etc.",{"$nulls":9},"内線番号\nExtension Number",{"$nulls":4},"職　名\nJob title"]
["ﾌﾘｶﾞﾅ/Name in Katakana",{"$nulls":9},"個人番号\nPersonal number"]
["氏　名/Name"]
["現住所\nAddress",null,null,"〒",{"$nulls":8},"メールアドレス\nE-mail Address"]
[]
["住居区分\nPartition",null,null,"　　自宅/Home，貸家/Rented House，",{"$nulls":8},"級号俸\n（新採用を除く）"]
[{"$nulls":3},"　　貸間/Lodging，公営・公団住宅/Public House，",{"$nulls":12},"職",null,"（　）　－"]
[{"$nulls":3},"　　公務員宿舎等/Apartment house for officials（　　），",{"$nulls":8},"Salary Class\n(Excluding New Hires)\n",null,null,"（換算）行（一）　級相当"]
[{"$nulls":3},"    その他/Others"]
["入居（転居）を希望する理由\nReason for renting employee housing(moving)"]
[{"$nulls":4},"１　住居費/Cost for house（　　　％）　　　",{"$nulls":6},"２　　通勤時間/Commuting time（　　　分/min）"]
[{"$nulls":4},"３　現住居の規模/Size of residence(now living)（１人当たり/Per person　　　　㎡）　　"]
[{"$nulls":4},"４　立退要求/Request due to recession",{"$nulls":6},"５　外国出張等/Overseas business trip"]
[{"$nulls":4},"６　採用，転任等/employment・transfer to Hiroshima Univ.",{"$nulls":9},"７　特別な事情/Special reason"]
[]
["持　点　内　訳　（各要素とも小数第１位で四捨五入）",{"$nulls":18},"＊持点"]
["Breakdown of points (Each elements are rounded to the first decimal place)",{"$nulls":18},"points"]
["Ａ住居費\n   Housing expense",{"$nulls":3},"家賃/Rent(          　）-",{"$nulls":3},"住居手当\nRent allowance",null,null,"(             )"]
[{"$nulls":13},"×１００＝"]
[{"$nulls":4},"本給/Basic salary (  　　　　　　　　　　　　）"]
[]
["Ｂ現住居の状況\nHousing Conditions"]
[{"$nulls":3},"　家族構成/Family"]
[{"$nulls":4},"氏名/Name",null,null,"続柄\nRelationship in family",null,"年齢/Age",null,"職業等/Job",{"$nulls":3},"同居・別居\nLiving together or separately"]
{"$rows_empty":7}
[{"$nulls":4},"住居面積/Floor space",null,null,"＝","(             )",null,"㎡",null,"＝",null,"㎡"]
[{"$nulls":4},"人数/Number of people",{"$nulls":3},"(             )",null,"人/People"]
[]
["Ｃ通勤距離\nCommuting Distance"]
[{"$nulls":4},"（片道/One way）",{"$nulls":4},"㎞"]
[]
["Ｄ在職年数\n   Tenure",null,null,"年月/Period",null,"～","年月/Period",null,"勤務先・職名\nPlace of work ・ Job title",{"$nulls":4},"在職年数\nYears of Tenure",null,null,"計/Total"]
[{"$nulls":3},"・",null,"～","・",{"$nulls":6},"年　　月　"]
[{"$nulls":3},"・",null,"～","・",{"$nulls":6},"年　　月　"]
[{"$nulls":3},"・",null,"～","・",{"$nulls":6},"年　　月　"]
[{"$nulls":3},"・",null,"～","・",{"$nulls":6},"年　　月　"]
["E入居希望回数\nNumber of times that you wish to move",{"$nulls":6},"回目/th（連続している回数/Consecutive number of times）"]
["入居を必要とする特別な事情\nSpecial reason for renting employee housing"]
[]
[]
[]
["持点合計/Total points"]
[]
["希望する地区/District　　  　",null,null,"□","広島地区",{"$nulls":3},"□","東広島地区",{"$nulls":4},"□","その他地区",null,null,"（　　　　　　　　　　）"]
[{"$nulls":4},"Hiroshima City area",{"$nulls":4},"Higashi-Hiroshima City area",{"$nulls":5},"Other area"]
["　　　（希望する地区にレ印を付けてください。/Please check which you want）"]
[]
["希望する宿舎名及び入居希望日　",{"$nulls":10},"（　　          　　　　　　　　　・　　　　    　年　    　月　    　日）"]
["Name of the employee housing that you want to rent and preferred move-in date ",{"$nulls":10},"                                     　　　　      Year    Month      Day"]
[]
["＊印の欄は宿舎事務担当係が記入しますから，記入しないでください。"]
["　 The following items will be filled in by Hiroshima Univ."]