1 / 2 XXXXXXXXX1XXXXXE 植物、輸入禁止品等輸入検査申請控 XXXXXXXXXE 下記の通り輸入いたしたいので検査を申請いたします。 住所 XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXXXXXX4XXXXXXXXX5XXXXXXXXX6XXXXXXXXX7XXXE 氏名 XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXXXXXX4XXXXXXXXX5XXXXXXXXXE 植 物 防 疫 官 殿 申請NO 共通管理NO 積載船(機)名 入港年月日 XXXXXXXXX1XXXXXE B/L(AWB) XXXXXXXXXE 荷送人住所 XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXE XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXE XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXE XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXE XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXXXXXX4XXXXXXXXX5XXXXXXXXX6XXXXXXXXXE XXXXXXXXX1XXXXE XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXE XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXE XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXXXXXX4XXXXXXXXX5XXXXXXXXX6XXXXXXXXXE XXXXXXXXX1XE XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXXXXXX4XXXXXXXXX5XXXXXXXXX6XXXXXXXXXE 荷送人氏名 荷受人住所 荷受人氏名 卸下場所 記事 XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXE 協会 X 輸出港名 XXXXE - XXXXXXXXX1XXXXXXXXXE XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXE 経由港名 XXXXE - XXXXXXXXX1XXXXXXXXXE XXXXXXXXXE ＰＣ番号 XXXXXXXXX1XXXXXXXXXE XXXXXXXXX1XXXXXXXXXE JJJJJJJJJ1JJJJJJJJJ2JJJJJJJJJ3JJJJJJJJJ4JJJJJJJJJ5JJJJJJJJJ6JJJJJJJJJ7JJJJ JJJJJ8JJJJJJJJJ9JJJJJJJJJ0JJJJJJJJJ1JJJJJJJJJ2JJJJJJJJJ3JJJJJJJJJ4JJJJJJJJ J5JJJJJJJJJ6JJJJJJJJJ7JJJJJJJJJ8JJJJJJJJJ9JJJJJJJJJ0JJJJJJJJJ1JJJJJJJJJ2JE 申請受付者名 検査月日・防疫官名 合否通知月日・相手名 JJJJJJJJJE NE JJJJJJJJJ1JJJJJE JJJE JJJE 記録確認者名 検疫措置月日・立会者名 XXXXXXXXX1XXXXXXXXXE XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXXXXXXE JJJJJE 1,234 JJJJJJJJJE NNE XXXXXXXXX1XXXXE XXXXXXXXXE XE JJJE 1,234,567,890 XXXE NNNNNE - XXXXXXXXX1XXXXXXXXXE JJJJJJJE JJJJJJJJJ1JE JJJJJJJJJ1JJJJJE JJJJJJJJJE JJJJJJJJJ1JE JJJJJJJJJE NE JJJJJJJJJ1JJJJJE JJJE JJJE XXXXXXXXX1XXXXXXXXXE XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXXXXXXE JJJJJE 1,234 JJJJJJJJJE NNE XXXXXXXXX1XXXXE XXXXXXXXXE XE 1,234,567,890 XXXE JJJE NNNNNE - XXXXXXXXX1XXXXXXXXXE JJJJJJJE JJJJJJJJJ1JE JJJJJJJJJ1JJJJJE JJJJJJJJJE JJJJJJJJJ1JE CAH005-P-1 ＜2013.10修正＞ 2 / 2 植物、輸入禁止品等輸入検査申請控（つづき） 申請NO XXXXXXXXX1XXXXXE NE JJJJJJJJJE JJJJJJJJJ1JJJJJE JJJE JJJE 共通管理NO XXXXXXXXXE XXXXXXXXX1XXXXXXXXXE XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXXXXXXE XXXXXXXXX1XXXXE JJJJJE 1,234 JJJJJJJJJE NNE XXXXXXXXXE XE JJJE 1,234,567,890 XXXE NNNNNE - XXXXXXXXX1XXXXXXXXXE JJJJJJJE JJJJJJJJJ1JE JJJJJJJJJ1JJJJJE JJJJJJJJJE JJJJJJJJJE NE JJJJJJJJJ1JJJJJE JJJE JJJE JJJJJJJJJ1JE XXXXXXXXX1XXXXXXXXXE XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXXXXXXE JJJJJE 1,234 JJJJJJJJJE NNE XXXXXXXXX1XXXXE JJJE XXXXXXXXXE XE 1,234,567,890 XXXE NNNNNE - XXXXXXXXX1XXXXXXXXXE JJJJJJJE JJJJJJJJJ1JE JJJJJJJJJ1JJJJJE JJJJJJJJJE NE JJJJJJJJJE JJJJJJJJJ1JJJJJE JJJE JJJE JJJJJJJJJ1JE XXXXXXXXX1XXXXXXXXXE XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXXXXXXE XXXXXXXXX1XXXXE JJJJJE 1,234 JJJJJJJJJE NNE XXXXXXXXXE XE JJJE 1,234,567,890 XXXE NNNNNE - XXXXXXXXX1XXXXXXXXXE JJJJJJJE JJJJJJJJJ1JE JJJJJJJJJ1JJJJJE JJJJJJJJJE JJJJJJJJJE NE JJJJJJJJJ1JJJJJE JJJE JJJE JJJJJJJJJ1JE XXXXXXXXX1XXXXXXXXXE XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXXXXXXE JJJJJE 1,234 JJJJJJJJJE NNE XXXXXXXXX1XXXXE XXXXXXXXXE XE JJJE 1,234,567,890 XXXE NNNNNE - XXXXXXXXX1XXXXXXXXXE JJJJJJJE JJJJJJJJJ1JE JJJJJJJJJ1JJJJJE JJJJJJJJJE NE JJJJJJJJJE JJJJJJJJJ1JJJJJE JJJE JJJE JJJJJJJJJ1JE XXXXXXXXX1XXXXXXXXXE XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXXXXXXE JJJJJE 1,234 JJJJJJJJJE NNE XXXXXXXXX1XXXXE XXXXXXXXXE XE JJJE 1,234,567,890 XXXE NNNNNE - XXXXXXXXX1XXXXXXXXXE JJJJJJJE JJJJJJJJJ1JE JJJJJJJJJ1JJJJJE JJJJJJJJJE NE JJJJJJJJJE JJJJJJJJJ1JJJJJE JJJE JJJE XXXXXXXXXE JJJJJJJJJ1JE XXXXXXXXX1XXXXXXXXXE XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXXXXXXE XXXXXXXXX1XXXXE JJJJJE 1,234 JJJJJJJJJE NNE XXXXXXXXXE XE JJJE 1,234,567,890 XXXE NNNNNE XXXXXXXXX1XXXXXXXXXE JJJJJJJE JJJJJJJJJ1JE JJJJJJJJJ1JJJJJE JJJJJJJJJE JJJJJJJJJ1JE CAH005-P-2 ＜2013.10修正＞
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