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["様式第②号",null,null,null,null,null,null,"   出光企業年金基金　一時金裁定請求書"]
["（提出先）"]
[null,null,null,null,null,null,null,null,null,null,"【加入期間20年未満の退職者用】"]
["出光企業年金基金　御中",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和",null,5,"年",3,"月",31,"日提出"]
["フリガナ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"②生年月日","平成",null,null,"年",null,"月",null,"日",null,"②生年月日"]
[null,null,null,null,"（氏）",null,null,null,null,null,null,null,null,null,null,"（名）"]
["①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,{"$f":"VALUE(X5&Z5&AA5&AB5&AC5&AD5&AE5)","v":{"$error":"#VALUE!"}}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"④従業員ｺｰﾄﾞ","加入年月"]
["フリガナ",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,{"$f":"CONCATENATE(F16,G16,H16,I16,J16,K16,L16,M16,N16,O16)","v":"99"},{"$f":"+ROUNDDOWN(+AI11/12,0)","v":0},"年",{"$f":"MOD(AI11,12)","v":1},"ヶ月"]
[null,null,null,null,"郵便番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑤入社年月日","⑥退職年月日"]
["③現住所",null,null,null,null,null,null,null,"－",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(Z16=\"\",\"\",VALUE(T16&V16&W16&X16&Y16&Z16&AA16))","v":""},{"$f":"IF(AB19=\"\",\"\",VALUE(T19&V19&W19&Y19&Z19&AB19&AC19))","v":"2023-03-31"},{"$f":"DATEDIF(MIN(AG11:AH11),MAX(AG11:AH11),\"m\")+1","v":1}]
[]
[null,"〒・Tel",null,null,null,null,null,null,null,null,null,null,null,null,null,"電話",null,null,null,null,null,"－",null,null,null,null,"－"]
[]
[]
["④従業員ｺｰﾄﾞ",null,null,null,null,9,9,null,null,null,null,null,null,null,null,null,"⑤入社",null,null,"平成",null,null,"年",null,"月",null,"日","入社"]
[null,null,null,null,null,"99含む氏名コード10桁",null,null,null,null,null,null,null,null,null,null,"　　年月日"]
[]
["加入者番号",null,null,null,null,{"$f":"VALUE(MID(AG9,3,3)&\"0\"&MID(AG9,6,4)&\"00\")","v":0},{"$f":"VALUE(MID(F19,3,3)&\"0\"&MID(F19,6,4)&\"00\")","v":0},0,0,0,0,0,0,0,0,null,"⑥退職",null,null,"令和",null,5,"年",null,3,"月",null,31,"日","退職"]
[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,"（年齢",null,{"$f":"IF(Y19=\"\",\"\",DATEDIF(AG7,AH11,\"Y\"))","v":{"$error":"#VALUE!"}},null,"歳）"]
["⑦送金先\n（銀行コード、店コードをご承知でしたら記入願います。）",null,null,null,null,"１．.銀行等の振込口座（本人名義の口座をご指定ください。）"]
[]
[null,null,null,null,null,"（フリガナ）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"銀行",null,null,null,null,null,null,null,"支店",null,null,null,"普通預金"]
[]
[]
[null,null,null,null,null,"銀行ｺｰﾄﾞ",null,null,null,null,null,null,null,null,"店コード",null,null,null,null,null,null,"口座番号(7桁)"]
[]
[null,null,null,null,null,null,"※ゆうちょ銀行への振込可能"]
[null,null,null,null,null,null,"(記号番号ではなく銀行コード及び店コード、口座番号をご記入下さい)"]
["⑧一時金の種類\n５つの選択方法のいずれかに○を付けてください。\n\n（20年未満で退職される方は、当基金支給の退職金を年金で受け取ることはできませんが、（２）（３）（４）の方法で年金にすることが可能です。）",null,null,null,null,null,null,null,"　１．脱退一時金"]
[]
[null,null,null,null,null,null,null,null,null,null,"（１）脱退一時金をすぐ受け取る。"]
[]
[null,null,null,null,null,null,null,null,null,null,"（２）企業年金連合会へ移換する。"]
[]
[null,null,null,null,null,null,null,null,null,null,"（３）転職先の年金制度へ移換する。"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,"（４）国民年金基金連合会（個人型確定拠出年金）へ移換する。"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,"（５）現時点では保留とし、1年経過するまでの間に選択する。"]
[null,null,null,null,null,null,null,null,null,null,null,"【10ヶ月以内に再選択されない場合は企業年金連合会へ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"移換することを同意します。】"]
[]
[null,null,null,null,null,null,null,null,null,"※移換期限は、退職後１年以内です。"]
[null,null,null,null,null,null,null,null,null,"※留保中は金利は付きません。"]
[]
["最後に勤務していた\n（引き続き勤務している）\n　会社・事業所"]
[null,null,null,null,null,null,null,null,"(会社名）",null,null,null,"出光興産株式会社"]
[]
[null,null,null,null,null,null,null,null,"（所在地）",null,null,null,"東京都千代田区大手町1丁目2番1号"]
[]
[]
["（添付が必要な書類）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"連絡欄"]
["１．退職所得の受給に関する申告書(下記の場合のみ添付が必要）"]
[null,"・上記⑧-1-(1)　脱退一時金をすぐ受け取る場合"]
[]
[]
[]
[]
["基金欄",null,null,null,null,null,null,null,null,null,null,null,"移換申出"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"移換通知"]
["R4.10.1"]

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