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["様式（家畜伝染病予防法施行規則第21条の６関係）"]
["定 期 報 告 書"]
{"$rows_empty":7}
[{"$nulls":41},"西暦",{"$nulls":12},"年",{"$nulls":6},"月",{"$nulls":5},"日"]
[]
[]
["都道府県知事",{"$nulls":32},"殿"]
[]
["※一部都道府県において、システムで読み取るため「農場名」「郵便番号」「住所」「電子メール」「電話番号」「FAX」「氏名」の記載を誤った場合は、\n下の「※訂正欄」に正しい内容を記載してください。"]
[]
["※本報告に関わる記載方法は「定期報告書の記載上の注意」にまとめていますので、そちらをご覧ください。"]
[{"$nulls":19},"経営体ID"]
[]
[{"$nulls":19},"農場ID"]
[]
[{"$nulls":19},"農場名"]
[]
[{"$nulls":19},"農場名\n※訂正欄"]
[]
[{"$nulls":19},"郵便番号",{"$nulls":14},"-"]
[{"$nulls":19},"農場住所",{"$nulls":8},"都道府県",{"$nulls":18},"市区町村郡"]
[]
[{"$nulls":28},"市区町村郡以降"]
[]
[{"$nulls":19},"郵便番号\n※訂正欄",{"$nulls":14},"-"]
[{"$nulls":19},"農場住所\n※訂正欄",{"$nulls":8},"都道府県",{"$nulls":18},"市区町村郡"]
[]
[{"$nulls":28},"市区町村郡以降"]
[]
[{"$nulls":19},"電子メール"]
[]
[{"$nulls":19},"電子メール\n※訂正欄"]
[]
[{"$nulls":19},"（電話番号）",{"$nulls":30},"※ハイフンなし左詰めで記入"]
[]
[{"$nulls":19},"（電話番号）\n※訂正欄",{"$nulls":30},"※ハイフンなし左詰めで記入"]
[]
[{"$nulls":19},"（FAX）",{"$nulls":30},"※ハイフンなし左詰めで記入"]
[]
[{"$nulls":19},"（FAX）\n※訂正欄",{"$nulls":30},"※ハイフンなし左詰めで記入"]
[]
[]
[]
["　家畜伝染病予防法第12条の４第１項の規定により、以下のとおり報告します。"]
[]
[null,null,"１．基本情報"]
[]
[null,null,"フリガナ"]
[null,null,"家畜の所有者の氏名"]
[null,null,"フリガナ\n※訂正欄"]
[null,null,"家畜の所有者の氏名\n※訂正欄"]
[null,null,"家畜の所有者の住所",{"$nulls":18},"郵便番号",{"$nulls":13},"-"]
[{"$nulls":21},"都道府県",{"$nulls":16},"市区町村郡"]
[]
[{"$nulls":21},"市区町村郡以降"]
[]
[null,null,"家畜の所有者の住所\n※訂正欄",{"$nulls":18},"郵便番号",{"$nulls":13},"-"]
[{"$nulls":21},"都道府県",{"$nulls":16},"市区町村郡"]
[]
[{"$nulls":21},"市区町村郡以降"]
[]
[]
[]
[null,null,"家畜の所有者の連絡先",{"$nulls":18},"電子メール"]
[{"$nulls":21},"電子メール\n※訂正欄"]
[{"$nulls":21},"携帯電話番号",{"$nulls":31},"※ハイフンなし左詰めで記入"]
[{"$nulls":21},"携帯電話番号\n※訂正欄",{"$nulls":31},"※ハイフンなし左詰めで記入"]
[{"$nulls":21},"（電話番号）",{"$nulls":31},"※ハイフンなし左詰めで記入"]
[{"$nulls":21},"（電話番号）\n※訂正欄",{"$nulls":31},"※ハイフンなし左詰めで記入"]
[{"$nulls":21},"（FAX）",{"$nulls":31},"※ハイフンなし左詰めで記入"]
[{"$nulls":21},"（FAX）\n※訂正欄",{"$nulls":31},"※ハイフンなし左詰めで記入"]
[]
[null,null,"飼養衛生管理者",{"$nulls":18},"□ 家畜の所有者が自ら飼養衛生管理者の場合、チェックを付け飼養衛生管理者の情報は記入は不要"]
[null,null,"フリガナ"]
[null,null,"飼養衛生管理者の氏名"]
[null,null,"フリガナ\n※訂正欄"]
[null,null,"飼養衛生管理者の氏名\n※訂正欄"]
[null,null,"飼養衛生管理者の住所",{"$nulls":18},"郵便番号",{"$nulls":13},"-"]
[{"$nulls":21},"都道府県",{"$nulls":16},"市区町村郡"]
[]
[{"$nulls":21},"市区町村郡以降"]
[]
[null,null,"飼養衛生管理者の住所\n※訂正欄",{"$nulls":18},"郵便番号",{"$nulls":13},"-"]
[{"$nulls":21},"都道府県",{"$nulls":16},"市区町村郡"]
[]
[{"$nulls":21},"市区町村郡以降"]
[]
[null,null,"飼養衛生管理者の連絡先",{"$nulls":18},"電子メール"]
[{"$nulls":21},"電子メール\n※訂正欄"]
[{"$nulls":21},"携帯電話番号",{"$nulls":31},"※ハイフンなし左詰めで記入"]
[{"$nulls":21},"携帯電話番号\n※訂正欄",{"$nulls":31},"※ハイフンなし左詰めで記入"]
[{"$nulls":21},"（電話番号）",{"$nulls":31},"※ハイフンなし左詰めで記入"]
[{"$nulls":21},"（電話番号）\n※訂正欄",{"$nulls":31},"※ハイフンなし左詰めで記入"]
[{"$nulls":21},"（FAX）",{"$nulls":31},"※ハイフンなし左詰めで記入"]
[{"$nulls":21},"（FAX）\n※訂正欄",{"$nulls":31},"※ハイフンなし左詰めで記入"]
[]
[null,null,"飼養衛生管理者が管理する衛生管理区域の住所",{"$nulls":18},"郵便番号",{"$nulls":13},"-"]
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