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["２０21 大阪府民シングルステニス大会"]
[]
["（壮年の部）"]
[]
["参　加　申　込　書"]
[]
[]
[]
["種　目",null,"４５才男子",null,"４５才女子"]
[]
[null,null,"５５才男子",null,"　",null,null,"参加料払込受領書（コピー可）を"]
[null,null,null,null,null,null,null,"このスペースに貼付下さい"]
[]
[null,"該当する種目に○印"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["フリガナ",null,null,null,null,"年齢",null,"　　　　　　　　　才"]
["氏　　名",null,null,null,null,"生年月日",null,"西暦　　   　年　　 月　 　日"]
["自　宅　住　所",null,"〒"]
[]
[]
["携帯電話"]
["勤　務　先",null,"勤務先名"]
[]
[null,null,"勤務先住所",null,"〒"]
["　（自宅住所が"]
["大阪府以外の場合）"]
["所属団体"]
[]
["＊本大会申込書に記載していただきました個人情報につきましては、本大会以外の"]
["　　用途には使用いたしません"]
[]
["＊申込締切",null,null,"２０2１年３月１２日（金）必着"]
[]
["＊申込先",null,"〒５５０－０００３　大阪市西区京町堀２－１３－１－２１１号"]
[null,null,"大阪府テニス協会"]