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[]
[null,null,null,null,null,null,null,"入居申込書（個人用）"]
[]
[null,null,null,null,null,null,null,"【東京FAX　03-6891-2522】　【北海道FAX　011-251-0220】　【福岡FAX　092-712ｰ2090】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"申込書を提出される際に、審査必要書類（申込者：身分証明書・収入証明書および連帯保証人：身分証明書収入証明書）をご提出ください。\nお申込書ならびに審査時必要書類をいただいてから２～５日（土・日曜日・祭日を除く）で審査の結果をお知らせいたします。"]
[]
[]
[null,null,null,"仲介会社",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名",null,null,null,null,null,null,null,null,"申込日",null,null,"年   　月　　日",null,null,null,null,null,null,null,null,"連帯保証人①　・  緊急連絡先","ふりがな",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"男\n・\n女",null,"契約者との続柄",null,null,"生年月日",null,null,"年　　　　　　月　　　　　　日生"]
[]
[null,null,null,"TEL",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"仲介会社",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年齢",null,null,"歳"]
[null,null,null,"契約開始日",null,null,null,"年　　　　　　月　　　　　　日",null,null,null,null,null,null,null,null,null,null,null,null,null,"入居希望日",null,null,null,"年　　　　　　月　　　　　　日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"携帯番号"]
[null,null,null,"引越理由"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"勤務先名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現住所",null,null,"〒　　　　　―"]
[null,null,null,"備考"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"役職"]
[null,null,null,"物件名",null,null,null,null,null,null,null,null,null,null,null,"物件住所"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"仕事内容",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現在の\n住まい",null,null,"1.持ち家（戸建・マンション）　2.社宅　\n3.官舎　４．寮　5.賃借（民間・公団）"]
[]
[null,null,null,"号室",null,null,null,null,"賃料",null,null,null,null,null,null,null,null,"共益費",null,null,null,null,"町内会費",null,null,null,null,"駐車場",null,null,null,null,null,null,"自転車",null,null,null,null,null,null,null,null,"年収",null,null,"万円",null,null,null,null,null,null,null,null,null,null,null,null,null,"勤務先\n住所",null,null,"〒　　　　　―"]
[null,null,null,"号室",null,null,null,null,"円",null,null,null,null,null,null,null,null,"円",null,null,null,null,"円",null,null,null,null,"要　・　不要",null,null,null,null,null,null,"台"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"勤務年数",null,null,"年　　　　　ヶ月"]
[null,null,null,"敷金",null,null,null,null,null,"礼金",null,null,null,null,null,"清掃料",null,null,null,null,null,"ペット礼金",null,null,null,null,null,"ペット",null,null,null,null,"ペット種類"]
[null,null,null,"円",null,null,null,null,null,"円",null,null,null,null,null,"円",null,null,null,null,null,"円",null,null,null,null,null,"要　・　不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"連帯保証人②　・  緊急連絡先","ふりがな",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"男\n・\n女",null,"契約者との続柄",null,null,"生年月日",null,null,"年　　　　　　月　　　　　　日生"]
[]
[null,null,null,"車種",null,null,null,null,null,"車両ナンバー",null,null,null,null,null,null,null,null,null,null,"世帯構成",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏名"]
[null,null,null,null,null,null,null,null,null,"地域：",null,null,null,null,null,"番号：",null,null,null,null,"ファミリー",null,null,null,null,null,null,null,null,null,null,null,null,"単身",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年齢",null,null,"歳"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"入居\n者数",null,"名",null,null,null,null,"夫婦・夫婦子供・同棲\n母子・父子・その他",null,null,null,null,null,"独身・単身赴任・その他"]
[null,null,null,null,null,null,null,null,null,"ひらがな：",null,null,null,null,null,null,null,null,null,null,null,null,"（内子供　　　名）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"携帯番号"]
[null,null,null,"申込者情報"]
[null,null,null,"ふりがな",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"男・女","現住所",null,null,null,"〒　　　　－",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"勤務先名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現住所",null,null,"〒　　　　　―"]
[null,null,null,"氏名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"役職"]
[null,null,null,"E-mail\nアドレス",null,null,"　　　＠"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"仕事内容",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現在の\n住まい",null,null,"1.持ち家（戸建・マンション）　2.社宅　\n3.官舎　４．寮　6.賃借（民間・公団）"]
[null,null,null,"生年月日",null,null,"年　　　　　　　　　　月　　　　　　　　　　日生",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年収",null,null,"万円",null,null,null,null,null,null,null,null,null,null,null,null,null,"勤務先\n住所",null,null,"〒　　　　　―"]
[null,null,null,"年齢",null,null,"満　　　　　　　　　　　　　　　歳",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"携帯番号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"勤務年数",null,null,"年　　　　　ヶ月"]
[null,null,null,"勤務先情報"]
[null,null,null,"勤務先名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"勤続年数",null,null,null,"年　　　　　　　　　ヶ月",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"個人情報保護の方針"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　株式会社ビーロット（以下「弊社」といいます。）は、皆様への安心・信頼感をご提供するために、個人情報を大切に保護することの重要性を認識し、個人情報を正確かつ安全に取り扱う事が最大の責務と考え、個人情報に関する法令及びその他の模範を順守すると共に以下の基本方針を定め、弊社が保有する全ての個人情報を管理するため、弊社全ての従業員が本趣旨を理解し遵守します。"]
[null,null,null,"役職",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"勤務先住所"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"１．個人情報の収集・利用について"]
[null,null,null,"仕事内容",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　弊社は、個人情報の収集に当たり、皆様に対し利用目的を明らかにし、収集した個人情報の使用範囲を限定して適切に取り扱います。収集目的以外の利用や、第三者に提供することは致しません。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"皆様の個人情報は、以下の目的のために利用します。"]
[null,null,null,"年収",null,null,"万円",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　①皆様への弊社商品及びサービスに関するご案内のための資料のご送付、情報のご提供を行なうため"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　②顧客動向分析もしくは商品開発等の調査分析のため"]
[null,null,null,"入居者1","ふりがな",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"男・女","年齢",null,null,null,"生年月日",null,null,"年　　　　　　　　　月　　　　　　　　　日生",null,null,null,null,null,null,null,null,null,null,null,null,null,"　③皆様からのお問い合わせに対応するため"]
[null,null,null,null,"氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歳",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　④その他、弊社から皆様へご連絡するため"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"携帯番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"２．個人情報の共有・委託について"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　弊社は、皆様の個人情報を原則として皆様の許可無く第三者に提供することはありません。ただし、弊社が定めた委託先選定基準に基づき、業務を他の会社に委託する場合があります。この場合、弊社はこれらの会社に対し、サービスの提供に必要な情報のみを開示し、それ以外での情報の使用を禁止しています。個人情報をビジネスパートナーなどに委託・開示する場合には、個人情報に関する秘密保持契約書を取り交わした上で行ないます。また、裁判所、警察またはこれらに準じた権限を持った機関から合法的な要請がある場合は、これに応じて情報を開示させていただきます。"]
[null,null,null,"入居者2","ふりがな",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"男・女","年齢",null,null,null,"生年月日",null,null,"年　　　　　　　　　月　　　　　　　　　日生"]
[null,null,null,null,"氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歳",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"個人情報の修正と利用停止について"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"携帯番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"３．弊社は、個人情報に関する苦情・問い合わせ窓口を通じて、皆様の個人情報が変わる場合、あるいは皆様が個人情報の利用停止を希望される場合には、提供された個人情報を合理的な機関、妥当な範囲内でこれに速やかに対応します。"]
[]
[null,null,null,"入居者3","ふりがな",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"男・女","年齢",null,null,null,"生年月日",null,null,"年　　　　　　　　　月　　　　　　　　　日生",null,null,null,null,null,null,null,null,null,null,null,null,null,"４．個人情報に関するお問い合わせについて"]
[null,null,null,null,"氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歳",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　弊社における個人情報の取り扱いに関する照会、訂正、利用停止等のお問い合わせは以下の連絡先までお寄せ下さい。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"携帯番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"株式会社ビーロット"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〒105-0004　　東京都港区新橋2-19-10　新橋マリンビル8階"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"TEL：03-6891-2521  FAX:03-6891-2522"]
[null,null,null,"ご本人様と連帯保証人宛の連絡先及び希望連絡時間をご記入ください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"個人情報保護に関する承諾書（上記「個人情報保護方針」をご確認いただき署名・押印をお願い致します。）"]
[null,null,null,"本人確認用","入居者",null,"連絡先",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"連帯保証人",null,"連絡先",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 私は、私の個人情報が、賃貸借契約に基づく各種手続き及び入居後の管理上必要な案内・連絡のために、住所・氏名・電話番号その他借り主の情報に関し、貸主が必要な範囲内の事項をオーナー、保証会社、管理会社、管理会社の指定する工事業者に開示することを承諾致します。また、私は貴殿による審査の結果に不服を申し立てず、拒否理由を開示請求致しません。"]
[]
[null,null,null,null,null,null,"ご希望時間",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ご希望時間"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年　　　　　　　月　　　　　　　日",null,null,null,null,null,null,null,null,null,"　　氏名：　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　          　　　　　　　印"]