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["令和7年度\n世田谷区外遊び普及啓発事業補助金申請書兼収支予算書"]
[]
[]
[null,null,null,null,null,null,"年　　月　　日　"]
["1．申請者（法人名・団体名）　【公開情報】"]
[]
[]
["２．従事者名簿【非公開情報】"]
["①責任者",null,"ふりがな"]
[null,null,"氏名"]
[null,null,"電話"]
[null,null,"メール"]
[null,null,"外遊び活動歴"]
["②連絡担当者",null,"ふりがな"]
[null,null,"氏名"]
[null,null,"電話"]
[null,null,"メール"]
[null,null,"外遊び活動歴"]
["③メンバー　※協力団体も含む",null,"名前","外遊び活動歴",null,"備考（所属団体等）"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["※いただいた個人情報は、当事業に関する連絡以外には使用しません。"]
[]
["３．申請する活動の概要【公開情報】"]
["名称"]
["目的",null,"本事業は、外遊びの普及啓発を目的として、外遊びを行う活動や外遊びに対する区民の理解を促進する活動を対象にしています。申請事業はどのようなことを目指して実施し、どのような普及啓発の効果が期待できるのか、記載してください。"]
[]
["日時"]
["場所"]
["活動内容"]
["参加対象者",null,"該当するものにチェック（☑）をしてください。（複数選択可）"]
[]
[null,null,"目標参加人数","１日あたり　            　名　／　総数　　　　　　　　　　　名"]
[]
["4．物品の借用希望【非公開情報】"]
["貸出物品",null,"物品名","借用希望数量",null,"物品名","借用希望数量"]
[null,null,"人工芝（１m×１０ｍ×30mm）",null,null,"タライ"]
[null,null,"折り畳みテーブル（幅９０ｃｍ)",null,null,"じょうろ"]
[null,null,"簡易テント（2m×2m）",null,null,"ちりとり"]
[null,null,"デッキブラシ",null,null,"買い物かご"]
[null,null,"ブルーシート（3.6m×5.4ｍ）",null,null,"ほうき"]
[null,null,"脚立",null,null,"火ばさみ"]
[null,null,"台車",null,null,"折り畳みコンテナ（50ℓ）"]
[null,null,"バケツ",null,null,"※別途、PPロープ（太６ｍｍ）と養生テープを支給します。\n　 未使用分は返却をお願いします。"]
["期間",null,"　　　年　　　月　　　日　～　　　　　年　　　月　　　日"]
[]
["５．協力団体【公開情報】"]
["団体名",null,null,"状況","協力の内容"]
[]
[]
[]
[]
[]
["６．申請する活動の予算　【非公開情報】"]
["支出","費目","支出の内容","金額",null,"内訳（単価・人数など）"]
[]
[null,"人件費",null,null,"円"]
[]
[]
[null,null,null,null,"円"]
[]
[]
[null,"消耗品費",null,null,"円"]
[]
[]
[null,null,null,null,"円"]
[]
[]
[null,"印刷製本費",null,null,"円"]
[]
[]
[null,null,null,null,"円"]
[]
[]
[null,"報償費",null,null,"円"]
[]
[]
[null,null,null,null,"円"]
[]
[]
[null,"郵送・広告・保険料",null,null,"円"]
[]
[]
[null,null,null,null,"円"]
[]
[]
[null,"委託料",null,null,"円"]
[]
[]
[null,null,null,null,"円"]
[]
[]
[null,"賃借料",null,null,"円"]
[]
[]
[null,null,null,null,"円"]
[]
[]
[null,"合　　計 ",null,{"$f":"SUM(D68:D109)","v":0},"円","（A）"]
[]
["収入の内容には、補助金・寄付・会費・参加費・自己負担などを記入してください。\nまた、本補助金以外の補助金や、財団等の助成を受ける予定がある場合も記入してください。"]
["収入","収入の内容",null,"金額",null,"内訳（単価・人数など）"]
[null,"当該補助金以外の収入",null,null,"円"]
[null,null,null,null,"円"]
[null,null,null,null,"円"]
[null,"小　　計 ",null,{"$f":"SUM(D114:D116)","v":0},"円","（B)"]
[null,"世田谷区子ども・若者基金",null,null,"円","（E)"]
[null,"合　　計",null,{"$f":"SUM(D117:D118)","v":0},"円","※収入と支出が同じとなるよう記載してください。"]
[]
["7．選定額の選定　【非公開情報】"]
["⑴支出（予定）額の算出"]
["補助対象経費",null,null,null,"円","（A）"]
["寄附金その他収入額",null,null,null,"円","（B）"]
["実支出（予定）額",null,null,{"$f":"D123-D124","v":0},"円","（C）　※（A）－（B）"]
[]
["⑵選定額の算出"]
["１団体あたりの補助上限",null,null,200000,"円","（D）"]
["選定額",null,null,null,"円","（E）　※（C）と（D）を比較して少ない方の額"]
[]
["８．申請金額　【非公開情報】"]
["希望する申請金額をご記入ください。予算書の補助金（（E）の金額）と合致するようにしてください。"]
[]
[{"$f":"D129","v":0},null,null,null,null,null,"円"]