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["友 情 バ ッ ジ 交 付 申 請 書"]
[]
[{"$nulls":23},"　平成　　年　　月　　日"]
[]
[{"$nulls":5},"地区",{"$nulls":4},"第",null,"団",null,null,"団委員長",{"$nulls":7},"㊞"]
[]
["当団で「友情バッジ」顕彰促進事業に該当するスカウトに友情バッジを交付したいので"]
["下記の通り申請します。"]
[]
["種別",null,"スカウト交付者氏名",{"$nulls":6},"隊",null,"紹介入団した者の氏名"]
["金"]
[]
[]
[]
[]
["銀"]
[]
[]
[]
[]
["銅"]
[]
[]
[]
[]
["合計"]
[]
[]
["申請受付・提出（地区）",{"$nulls":10},"申請受付（長野県連盟）"]
["受付日",null,null,null,"　組織開発委員長",null,null,"県連提出日",null,null,null,"事務局長",null,null,"　組織開発委員長",null,null,"理事長",null,null,"記章交付日"]
["　・　・",{"$nulls":6},"　・　・",{"$nulls":12},"　・　・"]