{"id":668,"date":"2023-07-18T17:43:09","date_gmt":"2023-07-18T08:43:09","guid":{"rendered":"https:\/\/plaza.umin.ac.jp\/ppi-ed\/?page_id=668"},"modified":"2023-10-19T13:47:34","modified_gmt":"2023-10-19T04:47:34","slug":"ex-learning_request","status":"publish","type":"page","link":"https:\/\/plaza.umin.ac.jp\/ppi-ed\/ex-learning_request\/","title":{"rendered":"\u5916\u90e8\u5b66\u7fd2\u30b3\u30f3\u30c6\u30f3\u30c4\u767b\u9332\u7533\u8acb\u30d5\u30a9\u30fc\u30e0"},"content":{"rendered":"\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">\u5916\u90e8\u5b66\u7fd2\u30b3\u30f3\u30c6\u30f3\u30c4\u3067\u60a3\u8005\u30fb\u5e02\u6c11\u53c2\u753b\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u30fb\u30b3\u30fc\u30c9\u3092\u6d3b\u7528\u3057\u3066\u304f\u3060\u3055\u308b\u65b9\u3078<br>\uff08\u5916\u90e8\u5b66\u7fd2\u30b3\u30f3\u30c6\u30f3\u30c4\u4f01\u753b\u8005\uff09<\/h2>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u3068\u306f<\/h3>\n\n\n\n<p>\u3000\u60a3\u8005\u30fb\u5e02\u6c11\u304c\u304c\u3093\u533b\u7642\u7b49\u306b\u53c2\u753b\u3057\u3066\u3044\u304f\u305f\u3081\u306e\u5b66\u3073\u306f\u3001\u8fd1\u5e74\u3001\u591a\u69d8\u5316\u3057\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u3092\u52b9\u679c\u7684\u306b\u7d50\u3073\u4ed8\u3051\u308b\u305f\u3081\u306b\u3001\u80fd\u529b\u30fb\u8cc7\u8cea\u3092\u6574\u7406\u3057\u3001\u4f53\u7cfb\u7684\u306b\u5b66\u7fd2\u76ee\u6a19\u3092\u69cb\u6210\u3057\u305f\u3082\u306e\u3092<a rel=\"noreferrer noopener\" href=\"https:\/\/plaza.umin.ac.jp\/ppi-ed\/index.php\/study_module\/\" target=\"_blank\"><strong>\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0<\/strong><\/a>\u3068\u547c\u3093\u3067\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 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class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-white-color has-text-color has-background wp-element-button\" href=\"https:\/\/plaza.umin.ac.jp\/ppi-ed\/?search_element_0=52&amp;searchbutton=%E6%A4%9C%E3%80%80%E7%B4%A2&amp;csp=search_add&amp;feadvns_max_line_3=3&amp;fe_form_no=3\" style=\"border-radius:14px;background-color:#1e50a2\">\u5916\u90e8\u5b66\u7fd2\u30b3\u30f3\u30c6\u30f3\u30c4\u3092\u78ba\u8a8d\u3059\u308b<\/a><\/div>\n<\/div>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">\u624b\u9806<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u8cb4\u30b5\u30a4\u30c8\u306b\u9069\u5fdc\u3055\u308c\u308b\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u30fb\u30b3\u30fc\u30c9\u3092\u9078\u629e\u3057\u3066\u304f\u3060\u3055\u3044\u3002<br>\uff08<a href=\"https:\/\/plaza.umin.ac.jp\/ppi-ed\/index.php\/about_curriculum\/\">\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u4e00\u89a7\u306f\u3053\u3061\u3089<\/a>\uff09<\/li>\n\n\n\n<li>\u4ee5\u4e0b\u306e\u7533\u8acb\u30d5\u30a9\u30fc\u30e0\u304b\u3089\u7533\u8acb\u3057\u307e\u3059\u3002<\/li>\n\n\n\n<li>\u7533\u8acb\u5f8c\u3001\u62c5\u5f53\u8005\u304c\u5185\u5bb9\u3092\u78ba\u8a8d\u306e\u4e0a\u3001\u30d0\u30ca\u30fc\u3068URL\u306b\u3064\u3044\u3066\u9023\u7d61\u3044\u305f\u3057\u307e\u3059\u3002\u304a\u9001\u308a\u3057\u305f\u30d0\u30ca\u30fc\u53ca\u3073URL\u3092\u8cb4\u30b5\u30a4\u30c8\u306b\u63b2\u8f09\u3057\u3001\u672c\u30b5\u30a4\u30c8\u306b\u30a2\u30af\u30bb\u30b9\u3067\u304d\u308b\u3088\u3046\u8a2d\u5b9a\u3092\u304a\u9858\u3044\u3044\u305f\u3057\u307e\u3059\u3002<\/li>\n\n\n\n<li>\u30d0\u30ca\u30fc\u3092\u30af\u30ea\u30c3\u30af\u3057\u3066\u672c\u30b5\u30a4\u30c8\u306e\u5916\u90e8\u30b5\u30a4\u30c8\u4e00\u89a7\u306b\u98db\u3076\u3053\u3068\u3092\u3054\u78ba\u8a8d\u304f\u3060\u3055\u3044\u3002<\/li>\n<\/ul>\n\n\n\n<div style=\"height:69px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n                <form class=\"wpuf-form-add wpuf-form-layout4 wpuf-style\" action=\"\" method=\"post\">\n\n\n                   <script type=\"text\/javascript\">\n                        if ( typeof wpuf_conditional_items === 'undefined' ) {\n                            wpuf_conditional_items = [];\n                        }\n\n                        if ( typeof wpuf_plupload_items === 'undefined' ) {\n                            wpuf_plupload_items = [];\n                        }\n\n                        if ( typeof wpuf_map_items === 'undefined' ) {\n                            wpuf_map_items = [];\n                        }\n                    <\/script>\n\n                    <ul class=\"wpuf-form form-label-left\">\n\n                    \n            <li class=\"wpuf-el applicant_name field-size-large\" data-label=\"\u30b5\u30a4\u30c8\u7ba1\u7406\u8005\u53c8\u306f\u56e3\u4f53\u540d\">\n\n                    <div class=\"wpuf-label\">\n            <label for=\"applicant_name_623\">\u30b5\u30a4\u30c8\u7ba1\u7406\u8005\u53c8\u306f\u56e3\u4f53\u540d<\/label>\n        <\/div>\n        \n            <div class=\"wpuf-fields\">\n                <input\n                    class=\"textfield wpuf_applicant_name_623\"\n                    id=\"applicant_name_623\"\n                    type=\"text\"\n                    data-required=\"no\"\n                    data-type=\"text\" name=\"applicant_name\"\n                    placeholder=\"\"\n                    value=\"\"\n                    size=\"40\"\n                \/>\n\n                <span class=\"wpuf-wordlimit-message wpuf-help\"><\/span>\n                            <\/div>\n\n            \n        <\/li>\n\n                <\/li>\n            \n            <li class=\"wpuf-el manager field-size-large\" data-label=\"\u9023\u7d61\u7a93\u53e3\u62c5\u5f53\u8005\">\n\n                    <div class=\"wpuf-label\">\n          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for=\"applicant_mail_623\">\u62c5\u5f53\u8005\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9 <span class=\"required\">*<\/span><\/label>\n        <\/div>\n        \n            <div class=\"wpuf-fields\">\n                <input\n                    id=\"applicant_mail_623\"\n                    type=\"email\"\n                    class=\"email  wpuf_applicant_mail_623\"\n                    data-duplicate=\"no\"\n                    data-required=\"yes\"\n                    data-type=\"email\"\n                    name=\"applicant_mail\"\n                    placeholder=\"\"\n                    value=\"\"\n                    size=\"40\"\n                    autocomplete=\"email\"\n                \/>\n                        <span class=\"wpuf-help\">\u203b\u7533\u8acb\u3055\u308c\u308b\u65b9\u306e\u6c0f\u540d\u53ca\u3073\u9023\u7d61\u5148\u306f\u7533\u8acb\u5185\u5bb9\u306e\u78ba\u8a8d\u4ee5\u5916\u306e\u76ee\u7684\u3067\u4f7f\u7528\u3059\u308b\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093<\/span>\n                    <\/div>\n\n                <\/li>\n            \n            <li class=\"wpuf-el group field-size-large\" data-label=\"\u56e3\u4f53\u540d\">\n\n                    <div class=\"wpuf-label\">\n            <label for=\"group_623\">\u56e3\u4f53\u540d <span class=\"required\">*<\/span><\/label>\n        <\/div>\n        \n            <div class=\"wpuf-fields\">\n                <input\n                    class=\"textfield wpuf_group_623\"\n                    id=\"group_623\"\n                    type=\"text\"\n                    data-required=\"yes\"\n                    data-type=\"text\" name=\"group\"\n                    placeholder=\"\"\n                    value=\"\"\n                    size=\"40\"\n                \/>\n\n                <span class=\"wpuf-wordlimit-message wpuf-help\"><\/span>\n                            <\/div>\n\n            \n        <\/li>\n\n                <\/li>\n                    <li class=\"wpuf-el post_title field-size-large\" data-label=\"\u30da\u30fc\u30b8\u306e\u30bf\u30a4\u30c8\u30eb\">\n                    <div class=\"wpuf-label\">\n            <label for=\"post_title_623\">\u30da\u30fc\u30b8\u306e\u30bf\u30a4\u30c8\u30eb <span class=\"required\">*<\/span><\/label>\n        <\/div>\n        \n            <div class=\"wpuf-fields\">\n                <input\n                    class=\"textfield wpuf_post_title_623\"\n                    id=\"post_title_623\"\n                    type=\"text\"\n                    data-duplicate=\"\"\n                    data-required=\"yes\"\n                    data-type=\"text\" name=\"post_title\"\n                    placeholder=\"\"\n                    value=\"\"\n                    size=\"40\"\n                \/>\n\n                <span class=\"wpuf-wordlimit-message wpuf-help\"><\/span>\n                            <\/div>\n                    <\/li>\n        \n            <li class=\"wpuf-el hold_url field-size-large\" data-label=\"\u30da\u30fc\u30b8\u306eURL\">\n\n                    <div class=\"wpuf-label\">\n            <label for=\"hold_url_623\">\u30da\u30fc\u30b8\u306eURL <span class=\"required\">*<\/span><\/label>\n        <\/div>\n                    <div class=\"wpuf-fields\">\n                <input\n                    id=\"hold_url_623\"\n                    type=\"url\" pattern=\"^(http:\\\/\\\/www\\.|https:\\\/\\\/www\\.|http:\\\/\\\/|https:\\\/\\\/)?[a-z0-9]+([\\-\\.]{1}[a-z0-9]+)*\\.[a-z]{2,20}(:[0-9]{1,20})?(\\\/.*)?$\" class=\"url  wpuf_hold_url_623\"\n                    data-required=\"yes\"\n                    data-type=\"url\"\n                    name=\"hold_url\"\n                    placeholder=\"\"\n                    value=\"\" size=\"40\"\n                    autocomplete=\"url\"\n                \/>\n                            <\/div>\n\n                <\/li>\n            \n            <li class=\"wpuf-el textarea field-size-large\" data-label=\"\u30b3\u30f3\u30c6\u30f3\u30c4\u306e\u8aac\u660e\">\n\n                    <div class=\"wpuf-label\">\n            <label for=\"textarea_623\">\u30b3\u30f3\u30c6\u30f3\u30c4\u306e\u8aac\u660e <span class=\"required\">*<\/span><\/label>\n        <\/div>\n        \n                             <div class=\"wpuf-fields wpuf-rich-validation wpuf_textarea_623\" data-type=\"rich\" data-required=\"yes\" data-id=\"textarea_623\" data-name=\"textarea\">\n            \n                <div id=\"wp-textarea_623-wrap\" class=\"wp-core-ui wp-editor-wrap tmce-active\"><link rel='stylesheet' id='dashicons-css' href='https:\/\/plaza.umin.ac.jp\/ppi-ed\/wp-includes\/css\/dashicons.min.css?ver=6.7.2' type='text\/css' media='all' \/>\n<link rel='stylesheet' id='editor-buttons-css' href='https:\/\/plaza.umin.ac.jp\/ppi-ed\/wp-includes\/css\/editor.min.css?ver=6.7.2' type='text\/css' media='all' \/>\n<div id=\"wp-textarea_623-editor-container\" class=\"wp-editor-container\"><textarea class=\"required wp-editor-area\" rows=\"5\" autocomplete=\"off\" cols=\"40\" name=\"textarea\" id=\"textarea_623\"><\/textarea><\/div>\n<\/div>\n\n                <span class=\"wpuf-wordlimit-message\"><\/span>\n                 \n                 <\/li>\n            \n            <li class=\"wpuf-el content_type field-size-large\" data-label=\"\u30b3\u30f3\u30c6\u30f3\u30c4\u306e\u7a2e\u985e\">\n\n                    <div class=\"wpuf-label\">\n            <label for=\"content_type_623\">\u30b3\u30f3\u30c6\u30f3\u30c4\u306e\u7a2e\u985e<\/label>\n        <\/div>\n        \n            <div class=\"wpuf-fields\">\n\n                \n                        <label class=\"wpuf-radio-block\">\n                            <input\n                                name=\"content_type\"\n                                class=\"wpuf_content_type_623\"\n                                type=\"radio\"\n                                data-type=\"radio\"\n                                data-required=\"no\"\n                                value=\"\u52d5\u753b\"                                ondblclick=\"WP_User_Frontend.doUncheckRadioBtn(this)\"\n                            \/>\n                            \u52d5\u753b                        <\/label>\n                        \n                        <label class=\"wpuf-radio-block\">\n                            <input\n                                name=\"content_type\"\n                                class=\"wpuf_content_type_623\"\n                                type=\"radio\"\n                                data-type=\"radio\"\n                                data-required=\"no\"\n                                value=\"\u518a\u5b50\"                                ondblclick=\"WP_User_Frontend.doUncheckRadioBtn(this)\"\n                            \/>\n                            \u518a\u5b50                        <\/label>\n                        \n                        <label class=\"wpuf-radio-block\">\n                            <input\n                                name=\"content_type\"\n                                class=\"wpuf_content_type_623\"\n                                type=\"radio\"\n                                data-type=\"radio\"\n                                data-required=\"no\"\n                                value=\"\u305d\u306e\u4ed6\"                                ondblclick=\"WP_User_Frontend.doUncheckRadioBtn(this)\"\n                            \/>\n                            \u305d\u306e\u4ed6                        <\/label>\n                        \n                \n            <\/div>\n\n                <\/li>\n            \n            <li class=\"wpuf-el ________ field-size-large\" data-label=\"\u305d\u306e\u4ed6\u30b3\u30f3\u30c6\u30f3\u30c4\">\n\n                    <div class=\"wpuf-label\">\n            <label for=\"_________623\">\u305d\u306e\u4ed6\u30b3\u30f3\u30c6\u30f3\u30c4<\/label>\n        <\/div>\n        \n            <div class=\"wpuf-fields\">\n                <input\n                    class=\"textfield wpuf__________623\"\n                    id=\"_________623\"\n                    type=\"text\"\n                    data-required=\"no\"\n                    data-type=\"text\" name=\"________\"\n                    placeholder=\"\"\n                    value=\"\"\n                    size=\"40\"\n                \/>\n\n                <span class=\"wpuf-wordlimit-message wpuf-help\"><\/span>\n                            <\/div>\n\n            \n        <\/li>\n\n                <\/li>\n                    <script type=\"text\/javascript\">\n            wpuf_conditional_items.push({\"condition_status\":\"yes\",\"cond_field\":[\"content_type\"],\"cond_operator\":[\"=\"],\"cond_option\":[\"\\u305d\\u306e\\u4ed6\"],\"cond_logic\":\"all\",\"type\":\"text\",\"name\":\"________\",\"form_id\":\"623\"});\n        <\/script>\n        \n            <li class=\"wpuf-el target field-size-large\" data-label=\"\u5b66\u7fd2\u5bfe\u8c61\u8005\">\n\n                    <div class=\"wpuf-label\">\n            <label for=\"target_623\">\u5b66\u7fd2\u5bfe\u8c61\u8005 <span class=\"required\">*<\/span><\/label>\n        <\/div>\n        \n        <div class=\"wpuf-fields\">\n\n                                <label class=\"wpuf-checkbox-block\">\n                        <input\n                            type=\"checkbox\"\n                            class=\"wpuf_target_623\"\n                            name=\"target[]\"\n                            value=\"\u304c\u3093\u4f53\u9a13\u8005\u30fb\u5bb6\u65cf\"                            data-required=\"yes\"\n                            data-type=\"checkbox\"\n                        \/>\n                        \u304c\u3093\u4f53\u9a13\u8005\u30fb\u5bb6\u65cf                    <\/label>\n                                        <label class=\"wpuf-checkbox-block\">\n                        <input\n                            type=\"checkbox\"\n                            class=\"wpuf_target_623\"\n                            name=\"target[]\"\n                            value=\"\u5e02\u6c11\uff08\u8ab0\u3067\u3082\uff09\"                            data-required=\"yes\"\n                            data-type=\"checkbox\"\n                        \/>\n                        \u5e02\u6c11\uff08\u8ab0\u3067\u3082\uff09                    <\/label>\n                    \n            \n        <\/div>\n\n                <\/li>\n            \n            <li class=\"wpuf-el main_code field-size-large\" data-label=\"\u30e1\u30a4\u30f3\u30b3\u30fc\u30c9\uff11\">\n\n                    <div class=\"wpuf-label\">\n            <label for=\"main_code_623\">\u30e1\u30a4\u30f3\u30b3\u30fc\u30c9\uff11 <span class=\"required\">*<\/span><\/label>\n        <\/div>\n        \n        <div class=\"wpuf-fields\">\n            <select\n                class=\"wpuf_main_code_623\"\n                id=\"main_code_623\"\n                name=\"main_code\"\n                data-required=\"yes\"\n                data-type=\"select\">\n\n                                    <option value=\"-1\">\u9078\u629e<\/option>\n                \n                                        <option value=\"\u53c2\u753b-1_\u8208\u5473\">\u53c2\u753b-1\u3000\u8208\u5473<\/option>\n                                                <option value=\"\u53c2\u753b\u20102_\u53c2\u753b\u30c1\u30e3\u30ec\u30f3\u30b8\u3068\u610f\u898b\u4ea4\u63db\">\u53c2\u753b\u20102\u3000\u53c2\u753b\u30c1\u30e3\u30ec\u30f3\u30b8\u3068\u610f\u898b\u4ea4\u63db<\/option>\n                                                <option value=\"\u304c\u3093-1_\u816b\u760d\u5b66\">\u304c\u3093-1\u3000\u816b\u760d\u5b66<\/option>\n                                                <option value=\"\u304c\u3093-2_\u793e\u4f1a\u533b\u5b66\">\u304c\u3093-2\u3000\u793e\u4f1a\u533b\u5b66<\/option>\n                                                <option value=\"\u7814\u7a76-1_\u306a\u305c\u7814\u7a76\u304c\u5fc5\u8981\u306a\u306e\u304b\">\u7814\u7a76-1\u3000\u306a\u305c\u7814\u7a76\u304c\u5fc5\u8981\u306a\u306e\u304b<\/option>\n                                                <option value=\"\u7814\u7a76-2_\u30a2\u30a6\u30c8\u30e9\u30a4\u30f3\u3068\u8a08\u753b\">\u7814\u7a76-2\u3000\u30a2\u30a6\u30c8\u30e9\u30a4\u30f3\u3068\u8a08\u753b<\/option>\n                                                <option value=\"\u7814\u7a76-3_\u7814\u7a76\u65b9\u6cd5\u3068\u30c7\u30b6\u30a4\u30f3\">\u7814\u7a76-3\u3000\u7814\u7a76\u65b9\u6cd5\u3068\u30c7\u30b6\u30a4\u30f3<\/option>\n                                                <option value=\"\u7814\u7a76-4_\u30c7\u30fc\u30bf\u7ba1\u7406\u3068\u516c\u8868\">\u7814\u7a76-4\u3000\u30c7\u30fc\u30bf\u7ba1\u7406\u3068\u516c\u8868<\/option>\n                                                <option value=\"\u7d71\u8a08\u20101_\u7d71\u8a08\u7528\u8a9e\">\u7d71\u8a08\u20101\u3000\u7d71\u8a08\u7528\u8a9e<\/option>\n                                                <option value=\"eb\u20101_\u79d1\u5b66\u7684\u6839\u62e0\uff08ebm\uff09\u3068\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\">EB\u20101\u3000\u79d1\u5b66\u7684\u6839\u62e0\uff08EBM\uff09\u3068\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3<\/option>\n                                                <option value=\"eb-2_\u60c5\u5831\u30ea\u30c6\u30e9\u30b7\u30fc\">EB-2\u3000\u60c5\u5831\u30ea\u30c6\u30e9\u30b7\u30fc<\/option>\n                                                <option value=\"el\u20101_\u304c\u3093\u533b\u7642\u306e\u502b\u7406\">EL\u20101\u3000\u304c\u3093\u533b\u7642\u306e\u502b\u7406<\/option>\n                                                <option value=\"el-2_\u304c\u3093\u533b\u7642\u306e\u95a2\u9023\u6cd5\u898f\u30fb\u5236\u5ea6\">EL-2\u3000\u304c\u3093\u533b\u7642\u306e\u95a2\u9023\u6cd5\u898f\u30fb\u5236\u5ea6<\/option>\n                                    <\/select>\n                    <span class=\"wpuf-help\">\u30b3\u30fc\u30c9\u3092\u9078\u629e\u3059\u308b\u3068\u30b3\u30fc\u30c9\u306e\u8aac\u660e\u304c\u8868\u793a\u3055\u308c\u307e\u3059<\/span>\n                <\/div>\n\n                <\/li>\n                    <li class=\"wpuf-el custom_html\" data-label=\"Custom HTML\">\n\n            <div class=\"wpuf-fields html_623 wpuf_custom_html_623\">\n                <b>\u53c2\u753b-1\u3000\u8208\u5473<\/b><br>\u60a3\u8005\u30fb\u5e02\u6c11\u53c2\u753b\u306e\u30e2\u30c1\u30d9\u30fc\u30b7\u30e7\u30f3\u3092\u9ad8\u3081\u308b\u3002            <\/div>\n\n        <\/li>\n\n                <script type=\"text\/javascript\">\n            wpuf_conditional_items.push({\"condition_status\":\"yes\",\"cond_logic\":\"all\",\"cond_field\":[\"main_code\"],\"cond_operator\":[\"=\"],\"cond_option\":[\"\\u53c2\\u753b-1_\\u8208\\u5473\"],\"type\":\"html\",\"name\":\"custom_html\",\"form_id\":\"623\"});\n        <\/script>\n                <li class=\"wpuf-el custom_html_1\" data-label=\"Custom HTML\">\n\n            <div class=\"wpuf-fields html_623 wpuf_custom_html_1_623\">\n                <b>\u53c2\u753b\u20102\u3000\u53c2\u753b\u30c1\u30e3\u30ec\u30f3\u30b8\u3068\u610f\u898b\u4ea4\u63db<\/b><br>\u60a3\u8005\u30fb\u5e02\u6c11\u306e\u53c2\u753b\u306b\u30c1\u30e3\u30ec\u30f3\u30b8\u3057\u3001\u5efa\u8a2d\u7684\u306a\u610f\u898b\u4ea4\u63db\u304c\u3067\u304d\u308b\u3002            <\/div>\n\n        <\/li>\n\n                <script type=\"text\/javascript\">\n            wpuf_conditional_items.push({\"condition_status\":\"yes\",\"cond_logic\":\"all\",\"cond_field\":[\"main_code\"],\"cond_operator\":[\"=\"],\"cond_option\":[\"\\u53c2\\u753b\\u20102_\\u53c2\\u753b\\u30c1\\u30e3\\u30ec\\u30f3\\u30b8\\u3068\\u610f\\u898b\\u4ea4\\u63db\"],\"type\":\"html\",\"name\":\"custom_html_1\",\"form_id\":\"623\"});\n        <\/script>\n                <li class=\"wpuf-el custom_html_2\" data-label=\"Custom HTML\">\n\n            <div class=\"wpuf-fields html_623 wpuf_custom_html_2_623\">\n                <b>\u304c\u3093-1\u3000\u816b\u760d\u5b66<\/b><br>\u304c\u3093\uff08\u816b\u760d\u5b66\uff09\u306b\u3064\u3044\u3066\u3001\u81ea\u3089\u306e\u30da\u30fc\u30b9\u3067\u77e5\u8b58\u3092\u6df1\u3081\u3066\u3044\u304f\u3053\u3068\u304c\u3067\u304d\u308b\u3002            <\/div>\n\n        <\/li>\n\n                <script type=\"text\/javascript\">\n            wpuf_conditional_items.push({\"condition_status\":\"yes\",\"cond_logic\":\"all\",\"cond_field\":[\"main_code\"],\"cond_operator\":[\"=\"],\"cond_option\":[\"\\u304c\\u3093-1_\\u816b\\u760d\\u5b66\"],\"type\":\"html\",\"name\":\"custom_html_2\",\"form_id\":\"623\"});\n        <\/script>\n                <li class=\"wpuf-el custom_html_3\" data-label=\"Custom HTML\">\n\n            <div class=\"wpuf-fields html_623 wpuf_custom_html_3_623\">\n                <b>\u304c\u3093-2\u3000\u793e\u4f1a\u533b\u5b66<\/b><br>\u304c\u3093\u306b\u95a2\u3059\u308b\u793e\u4f1a\u533b\u5b66\u306b\u3064\u3044\u3066\u3001\u81ea\u3089\u306e\u30da\u30fc\u30b9\u3067\u77e5\u8b58\u3092\u6df1\u3081\u3066\u3044\u304f\u3053\u3068\u304c\u3067\u304d\u308b\u3002            <\/div>\n\n        <\/li>\n\n                <script type=\"text\/javascript\">\n            wpuf_conditional_items.push({\"condition_status\":\"yes\",\"cond_logic\":\"all\",\"cond_field\":[\"main_code\"],\"cond_operator\":[\"=\"],\"cond_option\":[\"\\u304c\\u3093-2_\\u793e\\u4f1a\\u533b\\u5b66\"],\"type\":\"html\",\"name\":\"custom_html_3\",\"form_id\":\"623\"});\n        <\/script>\n                <li class=\"wpuf-el custom_html_4\" data-label=\"Custom HTML\">\n\n            <div class=\"wpuf-fields html_623 wpuf_custom_html_4_623\">\n                <b>\u7814\u7a76-1\u3000\u306a\u305c\u7814\u7a76\u304c\u5fc5\u8981\u306a\u306e\u304b<\/b><br>\u306a\u305c\u7814\u7a76\u304c\u5fc5\u8981\u306a\u306e\u304b\uff1f\n\u7814\u7a76\u3068\u3044\u3046\u55b6\u307f\u306b\u3064\u3044\u3066\u7406\u89e3\u3059\u308b\u3002            <\/div>\n\n        <\/li>\n\n                <script type=\"text\/javascript\">\n            wpuf_conditional_items.push({\"condition_status\":\"yes\",\"cond_logic\":\"all\",\"cond_field\":[\"main_code\"],\"cond_operator\":[\"=\"],\"cond_option\":[\"\\u7814\\u7a76-1_\\u306a\\u305c\\u7814\\u7a76\\u304c\\u5fc5\\u8981\\u306a\\u306e\\u304b\"],\"type\":\"html\",\"name\":\"custom_html_4\",\"form_id\":\"623\"});\n        <\/script>\n                <li class=\"wpuf-el custom_html_5\" data-label=\"Custom HTML\">\n\n            <div class=\"wpuf-fields html_623 wpuf_custom_html_5_623\">\n                <b>\u7814\u7a76-2\u3000\u30a2\u30a6\u30c8\u30e9\u30a4\u30f3\u3068\u8a08\u753b<\/b><br>\u7814\u7a76\u3092\u9042\u884c\u3059\u308b\u305f\u3081\u306e\u7814\u7a76\u69cb\u9020\uff08\u30a2\u30a6\u30c8\u30e9\u30a4\u30f3\uff09\u3092\u7406\u89e3\u3057\u3001\u7814\u7a76\u8a08\u753b\u304c\u3069\u306e\u3088\u3046\u306b\u7acb\u6848\u3055\u308c\u308b\u306e\u304b\u3092\u7406\u89e3\u3059\u308b\u3002            <\/div>\n\n        <\/li>\n\n                <script type=\"text\/javascript\">\n            wpuf_conditional_items.push({\"condition_status\":\"yes\",\"cond_logic\":\"all\",\"cond_field\":[\"main_code\"],\"cond_operator\":[\"=\"],\"cond_option\":[\"\\u7814\\u7a76-2_\\u30a2\\u30a6\\u30c8\\u30e9\\u30a4\\u30f3\\u3068\\u8a08\\u753b\"],\"type\":\"html\",\"name\":\"custom_html_5\",\"form_id\":\"623\"});\n        <\/script>\n                <li class=\"wpuf-el custom_html_6\" data-label=\"Custom HTML\">\n\n            <div class=\"wpuf-fields html_623 wpuf_custom_html_6_623\">\n                <b>\u7814\u7a76-3\u3000\u7814\u7a76\u65b9\u6cd5\u3068\u30c7\u30b6\u30a4\u30f3<\/b><br>\u7814\u7a76\u65b9\u6cd5\u3068\u30c7\u30b6\u30a4\u30f3\u306b\u3064\u3044\u3066\u8cea\u554f\u3067\u304d\u308b\u3002            <\/div>\n\n        <\/li>\n\n                <script type=\"text\/javascript\">\n            wpuf_conditional_items.push({\"condition_status\":\"yes\",\"cond_logic\":\"all\",\"cond_field\":[\"main_code\"],\"cond_operator\":[\"=\"],\"cond_option\":[\"\\u7814\\u7a76-3_\\u7814\\u7a76\\u65b9\\u6cd5\\u3068\\u30c7\\u30b6\\u30a4\\u30f3\"],\"type\":\"html\",\"name\":\"custom_html_6\",\"form_id\":\"623\"});\n        <\/script>\n                <li class=\"wpuf-el custom_html_7\" data-label=\"Custom HTML\">\n\n            <div class=\"wpuf-fields html_623 wpuf_custom_html_7_623\">\n                <b>\u7814\u7a76-4\u3000\u30c7\u30fc\u30bf\u7ba1\u7406\u3068\u516c\u8868<\/B><br>\u7814\u7a76\u30c7\u30fc\u30bf\u5b89\u5168\u7ba1\u7406\u3068\u7814\u7a76\u6210\u679c\u306e\u516c\u8868\u3068\u6d3b\u7528\u306b\u3064\u3044\u3066\u7406\u89e3\u3059\u308b\u3002            <\/div>\n\n        <\/li>\n\n                <script type=\"text\/javascript\">\n            wpuf_conditional_items.push({\"condition_status\":\"yes\",\"cond_logic\":\"all\",\"cond_field\":[\"main_code\"],\"cond_operator\":[\"=\"],\"cond_option\":[\"\\u7814\\u7a76-4_\\u30c7\\u30fc\\u30bf\\u7ba1\\u7406\\u3068\\u516c\\u8868\"],\"type\":\"html\",\"name\":\"custom_html_7\",\"form_id\":\"623\"});\n        <\/script>\n                <li class=\"wpuf-el custom_html_8\" data-label=\"Custom HTML\">\n\n            <div class=\"wpuf-fields html_623 wpuf_custom_html_8_623\">\n                <b>\u7d71\u8a08\u20101\u3000\u7d71\u8a08\u7528\u8a9e<\/b><br>\u533b\u7642\u7d71\u8a08\u306e\u8a00\u8449\u306b\u89e6\u308c\u308b\u4f53\u9a13\u3092\u3057\u3088\u3046\u3002            <\/div>\n\n        <\/li>\n\n                <script type=\"text\/javascript\">\n            wpuf_conditional_items.push({\"condition_status\":\"yes\",\"cond_logic\":\"all\",\"cond_field\":[\"main_code\"],\"cond_operator\":[\"=\"],\"cond_option\":[\"\\u7d71\\u8a08\\u20101_\\u7d71\\u8a08\\u7528\\u8a9e\"],\"type\":\"html\",\"name\":\"custom_html_8\",\"form_id\":\"623\"});\n        <\/script>\n                <li class=\"wpuf-el custom_html_9\" data-label=\"Custom HTML\">\n\n            <div class=\"wpuf-fields html_623 wpuf_custom_html_9_623\">\n                <b>EB\u20101\u3000\u79d1\u5b66\u7684\u6839\u62e0\uff08EBM\uff09\u3068\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3000<\/b><br>\u304c\u3093\u7814\u7a76\u3067\u5f97\u3089\u308c\u305f\u79d1\u5b66\u7684\u6839\u62e0\u304c\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u7b49\u3092\u901a\u3057\u3066\u3069\u306e\u3088\u3046\u306b\u610f\u601d\u6c7a\u5b9a\u306b\u7528\u3044\u3089\u308c\u308b\u304b\u77e5\u308d\u3046\u3002            <\/div>\n\n        <\/li>\n\n                <script type=\"text\/javascript\">\n            wpuf_conditional_items.push({\"condition_status\":\"yes\",\"cond_logic\":\"all\",\"cond_field\":[\"main_code\"],\"cond_operator\":[\"=\"],\"cond_option\":[\"eb\\u20101_\\u79d1\\u5b66\\u7684\\u6839\\u62e0\\uff08ebm\\uff09\\u3068\\u30ac\\u30a4\\u30c9\\u30e9\\u30a4\\u30f3\"],\"type\":\"html\",\"name\":\"custom_html_9\",\"form_id\":\"623\"});\n        <\/script>\n                <li class=\"wpuf-el custom_html_10\" data-label=\"Custom HTML\">\n\n            <div class=\"wpuf-fields html_623 wpuf_custom_html_10_623\">\n                <b>EB-2\u3000\u60c5\u5831\u30ea\u30c6\u30e9\u30b7\u30fc<\/b><br>\u78ba\u304b\u306a\u60c5\u5831\u3092\u898b\u5206\u3051\u3088\u3046\u3002\n\u60c5\u5831\u30ea\u30c6\u30e9\u30b7\u30fc\u306e\u91cd\u8981\u6027\u3092\u77e5\u308d\u3046\u3002            <\/div>\n\n        <\/li>\n\n                <script type=\"text\/javascript\">\n            wpuf_conditional_items.push({\"condition_status\":\"yes\",\"cond_logic\":\"all\",\"cond_field\":[\"main_code\"],\"cond_operator\":[\"=\"],\"cond_option\":[\"eb-2_\\u60c5\\u5831\\u30ea\\u30c6\\u30e9\\u30b7\\u30fc\"],\"type\":\"html\",\"name\":\"custom_html_10\",\"form_id\":\"623\"});\n        <\/script>\n                <li class=\"wpuf-el custom_html_11\" data-label=\"Custom HTML\">\n\n            <div class=\"wpuf-fields html_623 wpuf_custom_html_11_623\">\n                <b>EL\u20101\u3000\u304c\u3093\u533b\u7642\u306e\u502b\u7406<\/b><br>\u533b\u7642\u502b\u7406\u30fb\u7814\u7a76\u502b\u7406\u3001\u5229\u76ca\u76f8\u53cd\u3001\u500b\u4eba\u60c5\u5831\u4fdd\u8b77\u306b\u3064\u3044\u3066\u5b66\u3076\u3002            <\/div>\n\n        <\/li>\n\n                <script type=\"text\/javascript\">\n            wpuf_conditional_items.push({\"condition_status\":\"yes\",\"cond_logic\":\"all\",\"cond_field\":[\"main_code\"],\"cond_operator\":[\"=\"],\"cond_option\":[\"el\\u20101_\\u304c\\u3093\\u533b\\u7642\\u306e\\u502b\\u7406\"],\"type\":\"html\",\"name\":\"custom_html_11\",\"form_id\":\"623\"});\n        <\/script>\n                <li class=\"wpuf-el custom_html_12\" data-label=\"Custom HTML\">\n\n            <div class=\"wpuf-fields html_623 wpuf_custom_html_12_623\">\n                <b>EL-2\u3000\u304c\u3093\u533b\u7642\u306e\u95a2\u9023\u6cd5\u898f\u30fb\u5236\u5ea6<\/b><br>\u305d\u306e\u6642\u4ee3\u306e\u6700\u65b0\u306e\u3082\u306e\u3092\u5b66\u3076\u3002<br>\n\u304c\u3093\u5bfe\u7b56\u57fa\u672c\u6cd5\u3001\u85ac\u6a5f\u6cd5\u3001\u304c\u3093\u767b\u9332\u63a8\u9032\u6cd5\u3001\u5065\u5eb7\u4fdd\u967a\u6cd5\uff08\u8a3a\u7642\u5831\u916c\u3001\u4fdd\u967a\u9069\u5fdc\u5185\u5916\uff09\u3001\u4ecb\u8b77\u4fdd\u967a\u6cd5\u3001\u81e8\u5e8a\u7814\u7a76\u6cd5\u3001\u502b\u7406\u6307\u91dd\u3001\u5065\u5eb7\u5897\u9032\u6cd5\u3001\u52b4\u50cd\u5b89\u5168\u885b\u751f\u6cd5\u3001\u516c\u7684\u533b\u7642\u4fdd\u967a\u5236\u5ea6\u3001\u9ad8\u984d\u533b\u7642\u8cbb\u5236\u5ea6\u3001\u60a3\u8005\u7533\u51fa\u533b\u7642\u5236\u5ea6\u7b49            <\/div>\n\n        <\/li>\n\n                <script type=\"text\/javascript\">\n            wpuf_conditional_items.push({\"condition_status\":\"yes\",\"cond_logic\":\"all\",\"cond_field\":[\"main_code\"],\"cond_operator\":[\"=\"],\"cond_option\":[\"el-2_\\u304c\\u3093\\u533b\\u7642\\u306e\\u95a2\\u9023\\u6cd5\\u898f\\u30fb\\u5236\\u5ea6\"],\"type\":\"html\",\"name\":\"custom_html_12\",\"form_id\":\"623\"});\n        <\/script>\n        \n            <li class=\"wpuf-el main_code_2 field-size-large\" data-label=\"\u30e1\u30a4\u30f3\u30b3\u30fc\u30c9\uff12\">\n\n                    <div class=\"wpuf-label\">\n            <label for=\"main_code_2_623\">\u30e1\u30a4\u30f3\u30b3\u30fc\u30c9\uff12<\/label>\n        <\/div>\n        \n        <div class=\"wpuf-fields\">\n            <select\n                class=\"wpuf_main_code_2_623\"\n                id=\"main_code_2_623\"\n                name=\"main_code_2\"\n                data-required=\"no\"\n                data-type=\"select\">\n\n                                    <option value=\"-1\">\u9078\u629e<\/option>\n           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