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["様式第⑦号",null,null,null,null,null,null,null,"出光企業年金基金　受給権者変更届"]
["（提出先）"]
["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,null,"令和",null,null,"年",null,"月",null,"日提出"]
[null,"フリガナ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"②性別",null,null,"③生年月日","昭和",null,null,"年",null,"月",null,"日"]
["①氏　名\n（氏名変更時は旧氏名）",null,null,null,null,null,"（氏）",null,null,null,null,null,null,"（名）"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"加入者番号"]
["受給権者番号"]
[]
["変更内容　・　変更する項目のみご記入ください","フリガナ"]
[null,"④変更後\n　 　住所",null,null,null,null,"(住所）\n郵便番号"]
[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,"－"]
[]
[null,"⑤変更後の\n　送金先\n（銀行振り込みか郵便局振込みが選択できます。）\n\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,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,null,"銀行ｺｰﾄﾞ",null,null,null,null,null,null,null,null,null,"店コード",null,null,null,null,null,null,"口座番号\n(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)"]
[null,"フリガナ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑦性別"]
[null,"⑥変更後\n   の氏名",null,null,null,null,"（氏）",null,null,null,null,null,null,"（名）"]
[]
[]
[null,"（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,"連絡欄"]
[null,"＜氏名変更の場合のみ下記書類の添付が必要＞"]
[null,"１．請求者が氏名変更したことを明らかにすることができる\n    戸籍抄本"]
[]
[]
[]
[null,"基金欄"]
[null,null,null,null,null,null,null,null,null,null,null,null,"受給権者番号または加入員番号"]
[]
[null,"R5.1.1"]
[]
[null,"＜送付先＞"]
[null,"〒１００－０００５"]
[null,null,"東京都千代田区丸の内3-1-1帝劇ビル4F"]
[null,null,"出光企業年金基金",null,null,null,null,null,null,null,null,"電話：０３－６２１２－６２７９",null,null,null,null,null,null,null,null,"FAX ：０３－６２１２－６２８１"]
[null,null,"出光企業年金基金　ホームページ",null,null,null,null,null,null,null,null,null,null,null,null,null,"https://www.nenkin-kikin.jp/idemitsu/"]
[null,null,"出光企業年金基金　問合せメールアドレス",null,null,null,null,null,null,null,null,null,null,null,null,null,"kikintoiawase@idemitsu.com"]
[null,"＜注意事項＞"]
[null,null,"ご提出方法：メール､郵送、FAXのいずれかの方法でご提出お願いします。"]
[null,null,"氏名変更には上記の添付書類が必要となりますので同封願います。"]
[null,null,"口座変更の場合、年金支給日（偶数月の１日 ※ ）の２０日前までにご提出をお願いします。"]
[null,null,"２０日前を過ぎた場合は、さらに２か月後の年金支給日から反映されます。"]
[null,null,"※ 2021年6月末までに旧昭和シェル石油をご退職された方は（１，４，７，１０月）"]
[]
[]
[]
["<基金使用欄>"]
["受給権者番号","加入員番号","性別","生年月日"]
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[]
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