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["株式会社　大分銀行　御中",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"パソコンFBサービス（全銀VALUX）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"お申込日",null,null,"   20    　　年　　　　月　　　　日"]
[null,"私（当社）は、「FBサービス利用規定」（当行ホームページ掲載）に同意したうえで、次のとおり申込みいたします。本サービスの取扱いについては、本利用申込書および覚書または協定書の届出内容により行ってください。当サービスの取扱手数料等は、下記に記載の口座より毎月指定の日に支払います。本サービスで使用するパスワード等は、私（当社）に代わって貴行での登録を依頼します。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"パソコンサービス（全銀VALUX）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FBデータ受付サービス利用申込書"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コンピュータサービス（AnserDATAPORT）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（兼　口座振替依頼書　兼　パスワード登録依頼書）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"【お申込サービス・お申込口座】"]
["【お客さま情報】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※お申込口座に対して、登録・抹消するサービスコードを、下表＜サービスコード一覧＞より、サービスコードをご記入ください。"]
["郵便番号",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,"サービスコード",null,null,null,null,null,null,null,"登録・抹消区分\n（○で囲んでください）",null,null,null,null,null,"店番号",null,null,"預金種目",null,null,null,"口座番号"]
[]
["おところ",null,null,null,null,null,null,null,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,null,null,null,null,null,null,null,null,"登録",null,null,"抹消",null,null,null,null,null,"普通",null,"当座"]
[]
[null,null,null,null,null,null,null,null,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,null,null,null,null,null,null,null,null,"登録",null,null,"抹消",null,null,null,null,null,"普通",null,"当座"]
[]
["おなまえ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,3,null,null,null,null,null,null,null,null,"登録",null,null,"抹消",null,null,null,null,null,"普通",null,"当座"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"お届印",null,null,null,null,null,null,4,null,null,null,null,null,null,null,null,"登録",null,null,"抹消",null,null,null,null,null,"普通",null,"当座"]
[]
["ご連絡部署",null,null,null,null,null,null,null,null,null,null,null,null,null,"ご担当者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5,null,null,null,null,null,null,null,null,"登録",null,null,"抹消",null,null,null,null,null,"普通",null,"当座"]
[]
["ご連絡先\nメールアドレス"]
[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,"＜サービスコード一覧＞"]
["契約料、基本料、\n使用度数料引落口座",null,null,null,null,null,"店番号",null,null,"預金種類（○印）",null,null,null,null,null,null,null,null,null,null,null,null,"口座番号(右詰め)",null,null,null,null,null,null,null,null,null,"サービス名",null,null,null,null,"コード",null,"サービス名",null,null,null,null,"コード",null,"サービス名",null,null,null,null,"コード",null,"サービス名",null,null,null,null,"コード"]
[null,null,null,null,null,null,null,null,null,"１．普通預金　　　　２．当座預金"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　振込入金通知",null,null,null,null,"01",null,"入出金取引明細",null,null,null,null,"03",null,"残高通知",null,null,null,null,"04",null,"代金回収",null,null,null,null,"08"]
[]
["＜サービス共通＞",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"給与振込",null,null,null,null,"11",null,"賞与振込",null,null,null,null,"12",null,"総合振込",null,null,null,null,"21",null,"預金口座振替",null,null,null,null,"91"]
["お申込区分\n（○で囲んでください）",null,null,null,null,null,"１．新規",null,null,null,null,"２．解約",null,null,null,null,"３．変更",null,null,null,"「お取扱希望日」には、\n「１．新規」の場合：「初回伝送日」\n「２．解約」の場合：「サービス終了日」\n「３．変更」の場合：「サービス変更日」\nをご記入ください。",null,null,null,null,null,null,null,null," "]
[]
["お取扱希望日",null,null,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,"＜銀行使用欄＞"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"委託者コード①",null,null,null,null,null,null,null,null,null,"委託者コード②",null,null,null,null,null,null,null,null,null,"委託者コード③"]
[]
["お申込者名\n（カタカナでご記入ください）",null,null,null,null,null,"カナ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"委託者コード④",null,null,null,null,null,null,null,null,null,"委託者コード⑤",null,null,null,null,null,null,null,null,null,"委託者コード⑥"]
[]
[]
["使用文字コード",null,null,null,null,null,"　１．EBCDICコード",null,null,null,null,null,null,"　２．JISコード",null,null,null,null,null,null,"伝送時に使用する文字コードを \n○ で囲んでください。",null,null,null,null,null,null,null,null,null,null,null,"委託者コード⑦",null,null,null,null,null,null,null,null,null,"委託者コード⑧",null,null,null,null,null,null,null,null,null,"委託者コード⑨"]
[]
["センタ確認コード",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,0,0,1,"お客さまの電話番号を市外局番から\nご記入ください。\n(下4桁は変更可能です）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"委託者コード⑩",null,null,null,null,null,null,null,null,null,"委託者コード⑪",null,null,null,null,null,null,null,null,null,"委託者コード⑫"]
[]
[]
["＜パソコンFBサービス・パソコンサービス＞"]
["伝送テキスト長",null,null,null,null,null,null,null,null,null,"伝送データのレコード長に対応する伝送テキスト長をご記入ください。\n※会計情報サービス：200または2000　　データ受付サービス：240または2040",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"企　業　コ　ー　ド",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"受付日",null,null,null,null,"検印",null,null,"印鑑照合",null,null,"係印"]
[]
["データ圧縮区分",null,null,null,null,null,"　１．圧縮なし",null,null,null,null,null,null,"　２．圧縮あり",null,null,null,null,null,null,"伝送時に伝送データの圧縮を行うか\n否かを選択し、○ で囲んでください。"]
[]
["障害時再送区分",null,null,null,null,null,"　１．全再送",null,null,null,null,null,null,"　２．継続再送",null,null,null,null,null,null,"伝送障害時の再送区分を選択し、\n○ で囲んでください。"]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"2025.9.改訂【書式集掲載場所】為替>EB"]
["サイクル管理区分\n（〇で囲んでください）",null,null,null,null,null,"　１．管理あり",null,null,null,"　２．０１固定",null,null,null,"　３．管理なし",null,null,null,null,null,"通常は「１．管理あり」となります。それ以外を選択する場合はご相談ください。"]
[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,"【パスワード・ファイルアクセスキー・照合識別コード】"]
["VALX接続ID",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"NTTデータから受領した10桁のVALUX接続IDをご記入ください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"パスワード",null,null,null,null,null,null,null,null,null,null,"データ種別",null,null,"ファイルアクセスキー",null,null,null,null,null,"照合識別コード※\nコンピュータサービスのみ",null,null,null,null,null,"　※照合識別コードは、照合情報をデータ送付する場合、またはLGWANをご利用になる場合に必要です。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"総合振込"]
["＜コンピュータサービス＞"]
["回線種類",null,null,null,null,null,"１．　Connecure\n２．　LGWAN",null,null,null,null,null,null,"使用する回線種類を〇で囲んでください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"数字またはアルファベット大文字で、\n"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"※１については、NTTデータとのConnecure回線契約が別途必要です。\n※２については、NTTデータへ「pufure」利用申込が別途必要です。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"６文字ご記入ください。",null,null,null,null,null,null,null,null,null,null,"給与賞与振込"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　","また、上段には「ｲﾁ・ﾆ」等のﾌﾘｶﾞﾅを"]
["照合情報送付方法",null,null,null,null,null,"１．　照合データ送付　　",null,null,null,null,null,null,"データ送信時に合計件数・金額等の照合情報を送付する方法を\n ○ で囲んでください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ご記入ください。"]
[null,null,null,null,null,null,"２．　照合票FAX送付",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"口座振替"]
["接続IPアドレス",null,null,null,null,null,null,null,null,"．",null,null,null,"．",null,null,null,"．",null,null,null,"会計情報サービス（振込入金通知、入出金取引明細、残高通知）をご利用の場合にご記入ください。"]
[]
[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,null,null,null,null,null,"会計情報\n（振込入金・入出金明細・残高通知）"]