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[{"$nulls":9},"様式３"]
["中国国民訪日個人観光旅行帰国報告総括表"]
["【平成　　年　　月旅行取扱い分】"]
[]
[{"$nulls":6},"会 社 名 ："]
[{"$nulls":6},"担 当 者 ："]
[{"$nulls":6},"連 絡 先 ："]
[]
["報告日 ： 平成　　年　　月　　日　　　　　"]
["No.","旅行期間",null,"中国側旅行会社名",null,"指定番号","旅行者数",null,null,"備考"]
[{"$nulls":6},"男性","女性","計"]
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[" 提　出　先　",null," 観光庁国際交流推進課",null,"〒１００ー８９１８　　東京都千代田区霞が関２－１－３　 電話：03-5253-8923"]
[]
["〔注記〕",null,"１．合計欄にも、旅行者数を記入して下さい。"]
[null,null,"２．様式２とともに、旅行取扱い翌月末までに観光庁に郵送して下さい。"]

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