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[null,"一般競争（指名競争）参加資格審査申請書（測量・建設コンサルタント等）"]
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[null,null,"令和　     　年度において、貴                    　で行われる測量・建設コンサルタント等業務に係る競争に参加する資格の審査を申請します。"]
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[null,"※欄については、記載しないこと（以下同じ）。"]

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["※ 受付番号",{"$nulls":45},"※ 業者コ－ド"]
[]
[]
["業            態            調            書  （測量・建設コンサルタント等）"]
[]
["測量調査設計業務実績情報システム（テクリス）における企業ＩＤ",{"$nulls":76},"公共建築設計者情報システム（PUBDIS）における会社コ－ド"]
[]
[{"$nulls":43},"（８桁又は１０桁）",{"$nulls":68},"（８桁）"]
[]
[]
["登録部門及び希望業務の確認"]
["登録部門及び希望業務",{"$nulls":4},"測量",{"$nulls":6},"建築関係建設コンサルタント業務",{"$nulls":44},"土木関係建設コンサルタント業務",{"$nulls":89}," 地　　質　　調　　査",null,null,null,"補償関係コンサルタント業務"]
[null,null,null," 測量一般",null,null," 地図の調整",null,null," 航空測量",null,null," 建築一般",null,null," 意匠",null,null," 構造",null,null," 暖冷房",null,null," 衛生",null,null," 電気",null,null," 建築積算",null,null," 機械積算",null,null," 電気積算",null,null,"　工事監理（建築）",null,null,"　工事監理（電気）",null,null,"　工事監理（機械）",null,null,"　調査",null,null,"　耐震診断",null,null,"　地区計画及び地域計画",null,null,"建         設         コ        ン         サ         ル         タ         ン         ト",{"$nulls":62}," 交通量調査",null,null," 環境調査",null,null," 経済調査",null,null," 分析・解析",null,null," 宅地造成",null,null," 電算関係",null,null," 計算業務",null,null," 資料等整理",null,null," 施工管理",{"$nulls":5},"補 償 コ ン サ ル タ  ン ト",{"$nulls":23}," 不動産鑑定"]
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["登録"]
["希望"]
["記載要領"]
["１",null,null,null,"   「測量業務」における「測量一般」、「地図の調整」及び「航空測量」を希望する方は、測量法第55条の登録がなければ希望することはできません。"]
["２",null,null,null,"   「建築関係建設コンサルタント業務」における「建築一般」を希望する方は、建築士法第23条の登録がなければ希望することはできません。"]
["３",null,null,null,"   「補償関係コンサルタント業務」における「不動産鑑定」を希望する方は、不動産の鑑定評価に関する法律第22条による登録がなければ希望することはできません。"]
["４",null,null,null,"　工事監理（建築）、工事監理（電気）及び工事監理（機械）については、自社の設計した事案以外の工事監理業務についても希望する場合、記載してください｡"]

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["※受付番号",{"$nulls":30},"※業者コード"]
["業　態　調　書　（測量・建設コンサルタント等）"]
[]
[]
[]
["該当の有無について",{"$nulls":14},"有",{"$nulls":5},"無"]
["資本関係に関する事項"]
["　親会社等（会社法第２条第４号の２の規定によるもの。）・所属する組合"]
[1,null,null,"法人番号",{"$nulls":42},"本店電話番号（代表）",{"$nulls":38},"組合を記載した場合",{"$nulls":10},"親会社等",{"$nulls":8},"所属する組合"]
[]
[null,null,null,"更生会社･再生手続中の会社",{"$nulls":20},"商号又は名称"]
[]
[null,null,null,"本店住所"]
[]
["　親会社等（会社法第２条第４号の２の規定によるもの。）・所属する組合"]
[2,null,null,"法人番号",{"$nulls":42},"本店電話番号（代表）",{"$nulls":38},"組合を記載した場合",{"$nulls":10},"親会社等",{"$nulls":8},"所属する組合"]
[]
[null,null,null,"更生会社･再生手続中の会社",{"$nulls":20},"商号又は名称"]
[]
[null,null,null,"本店住所"]
[]
["　子会社等（会社法第２条第３号の２の規定によるもの。）"]
[null,null,null,"法人番号",{"$nulls":30},"商号又は名称（４０文字以内）",{"$nulls":20},"　",{"$nulls":5},"法人番号",{"$nulls":30},"商号又は名称（４０文字以内）"]
[1,{"$nulls":32},"　",{"$nulls":24},11,{"$nulls":32},"　"]
[2,{"$nulls":32},"　",{"$nulls":24},12,{"$nulls":32},"　"]
[3,{"$nulls":32},"　",{"$nulls":24},13,{"$nulls":32},"　"]
[4,{"$nulls":32},"　",{"$nulls":24},14,{"$nulls":32},"　"]
[5,{"$nulls":32},"　",{"$nulls":24},15,{"$nulls":32},"　"]
[6,{"$nulls":32},"　",{"$nulls":24},16,{"$nulls":32},"　"]
[7,{"$nulls":32},"　",{"$nulls":24},17,{"$nulls":32},"　"]
[8,{"$nulls":32},"　",{"$nulls":24},18,{"$nulls":32},"　"]
[9,{"$nulls":32},"　",{"$nulls":24},19,{"$nulls":32},"　"]
[10,{"$nulls":32},"　",{"$nulls":24},20,{"$nulls":32},"　"]
[{"$nulls":7},"－",{"$nulls":43},"－"]
[{"$nulls":7},"－",{"$nulls":43},"－"]
[{"$nulls":7},"－",{"$nulls":43},"－"]
[]
["役員の兼任に関する事項"]
[null,null,null,"役職名",{"$nulls":11},"氏名",{"$nulls":36},"兼任先の法人番号",{"$nulls":27},"兼任先の商号又は名称（４０文字以内）",{"$nulls":23},"兼任先での役職"]
[1,{"$nulls":80},"　"]
[2,{"$nulls":80},"　"]
[3,{"$nulls":80},"　"]
[4,{"$nulls":80},"　"]
[5,{"$nulls":80},"　"]
[6,{"$nulls":80},"　"]
[7,{"$nulls":80},"　"]
[8,{"$nulls":80},"　"]
[9,{"$nulls":80},"　"]
[10,{"$nulls":80},"　"]
[]
["【記載要領】"]
[null,null,null,"１．本調書は、申請日現在で作成すること。"]
[null,null,null,"２．資本関係に関する事項のうち、親会社等・所属する組合については業種を問わず記載の対象となり、子会社等については地方整備局等（港湾空港関係を除く。）が発注する測量・建設コンサルタント等業務の業種区分・業務内容を"]
[null,null,null,"　　営む者を記載の対象とする（有資格業者であるかは問わない）。"]
[null,null,null,"３．「親会社等・所属する組合」欄に組合を記載した場合は、当該組合が親会社等の場合には「親会社等」欄にレ点を記入し、所属する組合の場合には「所属する組合」欄にレ点を記入すること。"]
[null,null,null,"４．役員の兼任に関する事項については、地方整備局等（港湾空港関係を除く。）が発注する測量・建設コンサルタント等業務の業種区分・業務内容を営む者の役員を兼任している役員を記載の対象とする（有資格業者であるかは問わ\n　　ない）。役職名には、「代表取締役」、「取締役イ」、「取締役ロ」、「取締役ハ」、「取締役ニ」、「取締役ホ」、「執行役」、「業務執行社員」、「理事」、「管財人」、又は「その他」のいずれかを記載する。\n　　「監査役」、「執行役員」等は役員に該当しない。　なお、「取締役イ」、「取締役ロ」、「取締役ハ」及び「取締役ニ」は、平成31年4月1日以後に入札手続きを開始する業務においては役員に該当しないが、「取締役イ」、「取締役ロ」、「取\n　　締役ハ」及び「取締役ニ」が兼務する複数の会社等が同一入札へ参加した場合について、当分の間モニタリングを行うため記載の対象とする。「取締役イ」、「取締役ロ」、「取締役ハ」、「取締役ニ」及び「取締役ホ」の内容は下記の通り。\n　　取締役イ：監査等委員会設置会社における監査等委員である取締役\n　　取締役ロ：指名委員会等設置会社における取締役\n　　取締役ハ：社外取締役\n　　取締役ニ：定款に別段の定めがある場合により業務を執行しないこととされている取締役\n　　取締役ホ：上記イからニに掲げる者以外の取締役"]

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["※ 受付番号",{"$nulls":45},"※ 業者コ－ド"]
[]
["営          業          所          一          覧          表"]
[]
[{"$nulls":100},"電 話 番 号  （上段）"]
["番",null,null,null,"営    業    所    名    称",{"$nulls":32},"郵  便",{"$nulls":7},"所            在            地",{"$nulls":82},"営             業             区             域"]
["号",{"$nulls":36},"番  号",{"$nulls":62},"F A X 番 号  （下段）"]
[]
[{"$nulls":42},"-"]
[]
[{"$nulls":42},"-"]
[]
[{"$nulls":42},"-"]
[]
[{"$nulls":42},"-"]
[]
[{"$nulls":42},"-"]
[]
[{"$nulls":42},"-"]
[]
[{"$nulls":42},"-"]
[]
[{"$nulls":42},"-"]
[]
[{"$nulls":42},"-"]
[]
[{"$nulls":42},"-"]
[]
[{"$nulls":42},"-"]
[]
[{"$nulls":42},"-"]
[]
[{"$nulls":42},"-"]
[]
["記載要領"]
[null,"１",null,null,"本表は、申請日現在で作成すること。"]
[null,"２",null,null,"「営業所名称」欄には、常時契約を締結する本店又は支店等営業所の名称を記載すること。"]
[null,"３",null,null,"「電話番号・ＦＡＸ番号」欄には、上段に電話番号を、下段にＦＡＸ番号を記載することとし、市外局番、市内局番及び番号は、「－（ハイフン）」で区切ること。"]
[null,"４",null,null,"「営業区域」の欄には、その営業所が営業する区域について、該当するコ－ドを記載すること。"]

{"sheet":"④技術者経歴書","index":6,"n_rows":28,"n_cols":137,"rows_kept":28,"cut":false,"hidden":false,"merged":[[0,13,0,42],[0,60,0,92],[2,0,2,166],[3,8,3,42],[5,1,6,24],[5,29,5,64],[5,72,6,114],[5,121,6,136],[6,29,6,43],[7,0,7,25],[7,26,7,46],[7,47,7,67],[7,68,7,118],[7,119,7,126],[7,130,7,135],[8,0,8,25],[8,26,8,46],[8,47,8,67],[8,68,8,118],[8,119,8,126],[8,130,8,135],[9,0,9,25],[9,26,9,46],[9,47,9,67],[9,68,9,118],[9,119,9,126],[9,130,9,135],[10,0,10,25],[10,26,10,46],[10,47,10,67],[10,68,10,118],[10,119,10,126],[10,130,10,135],[11,0,11,25],[11,26,11,46],[11,47,11,67],[11,68,11,118],[11,119,11,126],[11,130,11,135],[12,0,12,25],[12,26,12,46],[12,47,12,67],[12,68,12,118],[12,119,12,126],[12,130,12,135],[13,0,13,25],[13,26,13,46],[13,47,13,67],[13,68,13,118],[13,119,13,126],[13,130,13,135],[14,0,14,25],[14,26,14,46],[14,47,14,67],[14,68,14,118],[14,119,14,126],[14,130,14,135],[15,0,15,25],[15,26,15,46],[15,47,15,67],[15,68,15,118],[15,119,15,126],[15,130,15,135],[16,0,16,25],[16,26,16,46],[16,47,16,67],[16,68,16,118],[16,119,16,126],[16,130,16,135],[17,0,17,25],[17,26,17,46],[17,47,17,67],[17,68,17,118],[17,119,17,126],[17,130,17,135],[18,0,18,25],[18,26,18,46],[18,47,18,67],[18,68,18,118],[18,119,18,126],[18,130,18,135],[19,0,19,25],[19,26,19,46],[19,47,19,67],[19,68,19,118],[19,119,19,126],[19,130,19,135],[20,0,20,25],[20,26,20,46],[20,47,20,67],[20,68,20,118],[20,119,20,126],[20,130,20,135],[21,0,21,25],[21,26,21,46],[21,47,21,67],[21,68,21,118],[21,119,21,126],[21,130,21,135]],"flags":["formulas_cached_only"]}
["※ 受付番号",{"$nulls":45},"※ 業者コ－ド"]
[]
["技        術        者        経        歴        書　　　　"]
["（種類）"]
[]
[null,"氏　　　　　　　　名",{"$nulls":27},"法   令   に   よ   る   免   許   等",{"$nulls":42},"実              務             経             歴 ",{"$nulls":48},"実務経験年月数"]
[{"$nulls":29},"名          称",{"$nulls":20},"取  得  年  月  日"]
[{"$nulls":127},"年",{"$nulls":8},"月"]
[{"$nulls":127},"年",{"$nulls":8},"月"]
[{"$nulls":127},"年",{"$nulls":8},"月"]
[{"$nulls":127},"年",{"$nulls":8},"月"]
[{"$nulls":127},"年",{"$nulls":8},"月"]
[{"$nulls":127},"年",{"$nulls":8},"月"]
[{"$nulls":127},"年",{"$nulls":8},"月"]
[{"$nulls":127},"年",{"$nulls":8},"月"]
[{"$nulls":127},"年",{"$nulls":8},"月"]
[{"$nulls":127},"年",{"$nulls":8},"月"]
[{"$nulls":127},"年",{"$nulls":8},"月"]
[{"$nulls":127},"年",{"$nulls":8},"月"]
[{"$nulls":127},"年",{"$nulls":8},"月"]
[{"$nulls":127},"年",{"$nulls":8},"月"]
[{"$nulls":127},"年",{"$nulls":8},"月"]
["記載要領"]
[null,"１",null,null,"本表は、業種区分（「測量」、「建築関係建設コンサルタント」、「土木関係建設コンサルタント」、「地質調査」、「補償関係コンサルタント業務」）ごとに作成し、種類欄に記載する。\n"]
[{"$nulls":4},"なお、技術士【上下水道部門】、【衛生工学部門】、二級土木施工管理技士、不動産鑑定士補、公共用地経験者は業種区分「その他」として記載すること。"]
[null,"２",null,null,"「法令による免許等」の欄には、業務に関し法律又は命令による免許又は技術若しくは技能の認定を受けたものを記載すること。"]
[{"$nulls":4},"（例 ： ○○建築士、○○土木施工管理技士）"]
[null,"３",null,null,"「実務経歴」の欄には、最近のものから記載し、純粋に測量、建設コンサルタント等業務に従事した職種及び地位を記載すること。"]