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{"sheet":"海外渡航届出書","index":0,"n_rows":49,"n_cols":27,"rows_kept":49,"cut":false,"hidden":false,"merged":[[0,16,0,17],[1,16,1,17],[0,18,0,19],[1,18,1,19],[27,6,27,8],[34,11,34,13],[34,15,34,16],[34,18,34,19],[18,16,18,19],[23,7,23,11],[20,16,20,20],[27,14,27,16],[30,7,30,9],[30,14,30,17],[18,21,18,24],[23,13,23,17],[23,19,23,24],[24,18,24,22],[20,9,20,14],[25,1,25,24],[33,11,33,13],[7,11,7,14],[8,11,8,14],[24,7,24,12],[14,16,14,17],[10,1,10,11],[10,13,10,24],[11,1,11,10],[27,3,27,4],[27,10,27,12],[19,21,19,23],[14,0,15,0],[16,0,17,0],[18,0,19,0],[16,11,17,14],[18,11,19,14],[16,1,17,10],[18,1,19,10],[20,0,21,0],[23,0,24,0],[14,1,14,4],[20,2,20,7],[21,2,21,7],[14,5,14,6],[22,1,22,24],[21,19,21,23],[17,21,17,24],[19,16,19,19],[12,1,12,10],[13,1,13,10],[11,15,11,24],[11,11,11,14],[12,11,12,14],[13,11,13,14],[12,15,12,24],[13,15,13,24],[45,0,45,24],[36,1,36,24],[35,1,35,11],[35,13,35,24],[42,0,42,24],[39,0,39,24],[40,0,40,24],[41,0,41,24],[28,2,28,4],[30,2,30,4],[17,16,17,19],[7,1,7,10],[8,1,8,10],[9,1,9,10],[7,15,7,24],[8,15,8,24],[9,15,9,24],[9,11,9,14],[29,21,29,24],[30,18,30,24],[33,14,33,24],[33,1,33,10],[34,1,34,10],[29,11,29,13],[29,18,29,20],[30,11,30,13],[29,14,29,17],[34,21,34,24],[4,0,4,24],[5,0,5,24],[44,0,44,24],[43,0,43,24],[2,0,2,24],[16,21,16,24],[32,0,32,24],[26,0,27,0],[28,11,28,24],[29,1,29,10]],"flags":["formulas_cached_only"]}
[{"$nulls":16},"記入日",null,null,null,"年",null,"月",null,"日"]
[{"$nulls":16},"Date ",null,null,null,"/",null,"/"]
["海外渡航届出書\nNotification of Overseas Travel"]
["学生部長様/To the Dean of Student Affairs"]
["　下記のとおり、日本国外へ渡航（一時帰国）しますので届出いたします。"]
["I hereby inform you in advance of my upcoming visit to overseas (including my home country), as follows."]
[]
["氏名\nName",{"$nulls":10},"学籍番号\nStudent Number"]
["学部・研究科\nSchool/Graduate School",{"$nulls":10},"学科・専攻\nDepartment/Division"]
["学年\nYear of Study Program",{"$nulls":10},"電話番号\nPhone Number"]
["E-mailアドレス(海外で使用可能)\nE-mail address (available in overseas)",{"$nulls":11}," @ "]
["渡航先国名\nCountries of Destination",{"$nulls":10},"渡航先都市名\nCities of Destination"]
["往路航空会社名\nOutbound Airline",{"$nulls":10},"便名\nFlight Number"]
["復路航空会社名\nReturn Airline",{"$nulls":10},"便名\nFlight Number"]
["渡航期間\nLength of Stay","　(日本出発日)",{"$nulls":5},"年　",null,"月",null,"日　 ～ 　(日本到着日)",{"$nulls":6},"年　",null,"月",null,"日"]
[{"$nulls":5},"Departure Date from Japan",{"$nulls":10},"Return Date to Japan"]
["渡航理由\nPurpose of Your Travel",{"$nulls":10},"休学の有無 \nLeave of absence",null,null,null,"□","休学して渡航する ",null,null,null,"□","休学しないで渡航"]
[{"$nulls":16},"Leave of absence ",{"$nulls":4},"Do not "]
["留学（研修）先機関\nName of Study Abroad Organization",{"$nulls":10},"留学タイプ \nType of Program",null,null,null,"□","本学協定校留学",null,null,null,"□","私費留学"]
[{"$nulls":16}," Partner University Program",{"$nulls":4}," Private Program"]
["種別/Type of Organization\n(※いずれかに〇/Choose one)","□","本学協定校/Partner Institution",{"$nulls":5},"□","大学/University ",{"$nulls":5},"□"," 短大/Junior College"]
[null,"□","専門学校/Professional School ",{"$nulls":5},"□","語学学校/Language School ",{"$nulls":5},"□","その他/Other (",{"$nulls":7},")"]
["留学先住所\nAddress"]
["現地宿泊先(※いずれかに〇)\nType of Local Residence (Choose one)","□","寮/Student Residence",null,null,null,"□","ホームステイ/Homestay",{"$nulls":4},"□","アパート/Private Apartment",{"$nulls":4},"□","ルームシェア/Shared Apartment"]
[null,"□","ホテル/Hotel (名称/Name:",{"$nulls":10},")","□","その他/Other (",{"$nulls":7},")"]
["現地宿泊先住所\nAddress of Local Residence"]
["現地宿泊先TEL \nPhone Number of Local Contact ",null,"国番号/Country Code"]
[null,null,"＋ (",null,null,")",null,null,null,"－",null,null,null,"－",{"$nulls":12},"          "]
["海外旅行者傷害保険等\nOverseas Travel Insurance　　　　","□","加入/Have ",null,null,null,"□","未加入/Do not have",null,null,null,"※クレジットカード等に自動付帯されている保険では、実際に事故に遭遇した場合には、補償されないケースもあるので海外旅行者傷害保険へ加入してください。（治療費・救援費用は無制限タイプがおすすめです。）"]
["保険会社名\nName of Insurance Company",{"$nulls":10},"保険タイプ\nName of Insurance Plan",{"$nulls":6},"保険証券番号\nRegistration Number"]
["持病の有無\nChronic Illness","□","有/Have",null,null,null,"□","無/Do not have",null,null,null,"病名\nName of Illness",{"$nulls":6},"※常用薬と主治医の英文診療情報(診断名、薬、緊急時の対処方法等)は渡航時に持参しましょう。常備薬だけを持参する際にも薬の英文説明書を持参しましょう。"]
["「在留届」の届出：","□","済","□","未（現地で届出）",null,null,null,"※下記4参照",null,null,null,"「たびレジ」の登録：",{"$nulls":4},"□","済","□","未",null,"※下記4参照"]
["日本国内緊急連絡先/Emergency Contact Information in Japan（※電話番号は、携帯番号など、必ず連絡の取れる番号を記入してください）"]
["氏名\nName",{"$nulls":10},"続柄\nRelation"]
["住所\nAddress",{"$nulls":10},"電話番号\nPhone Number",null,null,"(",null,null,")",null,null,"－"]
["E-mailアドレス\nE-mail address",{"$nulls":11}," @ "]
["連絡事項（学生室記入欄）\nInternational Affairs use only"]
[]
["※注意事項（Attention）"]
["1.　現地連絡先を変更した場合は、変更内容を学生室へ連絡してください。"]
["   If you change your local contact address or E-mail address, please contact the Student Affairs Office as described below."]
["2.　渡航期間が6ヵ月を経過した時点で、現況を学生室へ連絡してください。"]
["  You must inform the Student Affairs Office of your status within 6 months of departure from Japan."]
["3.　日本に帰国したら、1ヵ月以内に「帰国報告書」を学生室へ提出してください。"]
["  Upon returning to Japan, you must submit a \"Notification of Return\" form to the Student Affairs Office within one month of returning."]
["4.　旅券法第16条により、外国に住所又は居所を定めて3か月以上滞在する日本人は、その住所又は居所を管轄する日本の大使館又は総領事館\n     （在外公館）に「在留届」を提出するよう義務付けられています。渡航前に外務省HP「在留届電子システム」により届出をしてください。\n      3か月未満の滞在の場合は渡航前に外務省HPより海外旅行登録システム「たびレジ」へ登録をしてください。"]
[]
["【連絡先】静岡県立大学学生部学生室　 University of Shizuoka, Student Affairs Office"]
["              TEL　+81-54-264-5009   E-mail：kaigaitokou@u-shizuoka-ken.ac.jp"]