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[null,null,null,"退　　会　　者　　届"]
[]
[null,"公益社団法人　日本空手協会 ",{"$nulls":4},"　　　平成　　　年　　　月　　　日"]
[null,"     　       総本部事務局 殿"]
[]
[null,"（県）　　　名",{"$nulls":5},"コード番"]
[]
[null,"支部団体名",{"$nulls":5},"コード番"]
[]
[null,"責   任   者",null,null,null,"印"]
[]
[null,"　　下記の者、退会したことを認めます。"]
[]
[null,"氏   名","会員区分　　永年1一般2","会員番号","退 会 日","氏   名","会員区分　　永年1一般2","会員番号","退 会 日"]
[{"$nulls":4},"　　　年　　月",null,null,null,"　　　年　　月"]
[{"$nulls":4},"　　　年　　月",null,null,null,"　　　年　　月"]
[{"$nulls":4},"　　　年　　月",null,null,null,"　　　年　　月"]
[{"$nulls":4},"　　　年　　月",null,null,null,"　　　年　　月"]
[{"$nulls":4},"　　　年　　月",null,null,null,"　　　年　　月"]
[{"$nulls":4},"　　　年　　月",null,null,null,"　　　年　　月"]
[{"$nulls":4},"　　　年　　月",null,null,null,"　　　年　　月"]
[{"$nulls":4},"　　　年　　月",null,null,null,"　　　年　　月"]
[{"$nulls":4},"　　　年　　月",null,null,null,"　　　年　　月"]
[{"$nulls":4},"　　　年　　月",null,null,null,"　　　年　　月"]
[{"$nulls":4},"　　　年　　月",null,null,null,"　　　年　　月"]
[{"$nulls":4},"　　　年　　月",null,null,null,"　　　年　　月"]
[{"$nulls":4},"　　　年　　月",null,null,null,"　　　年　　月"]
[{"$nulls":4},"　　　年　　月",null,null,null,"　　　年　　月"]
[{"$nulls":4},"　　　年　　月",null,null,null,"　　　年　　月"]
[]
[null,"❈退会日は退会した年月だけ記入して下さい。"]
[null,"❈退会者届は、貴支部又は団体でかならず保存して下さい。"]
[null,"❈退会者の会員番号は永久欠番となります。"]
[null,"❈会員区分はどちらかの番号を記入下さい。"]

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