Stealth JC 부산 일반4부 참가신청 합니다﻿

<div>                        족구대회참가신청서  <table style="border: 0.28pt solid rgb(0, 0, 0); border-image: none; border-collapse: collapse; mso-table-overlap: never;"><tbody><tr><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 88px; height: 52px;">대회명</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 249px; height: 53px;" colspan="2"> 제11회 금정구청장배 족구대회 </td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 69pt; height: 52px;" colspan="2">클럽(팀)명</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 132pt; height: 53px;">Stealth JC </td></tr><tr><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 88px; height: 46px;">부  서</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 249px; height: 47px;" colspan="2">부산 일반4부 </td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 69pt; height: 46px;" colspan="2">기     타</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 132pt; height: 47px;"> </td></tr><tr><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 88px; height: 24pt;">주  소</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 541px; height: 24pt;" colspan="5"> </td></tr><tr><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 88px; height: 21.75pt;">팀 연락자</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 249px; height: 21.75pt;"> 010-3560-3998</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 80.25pt; height: 21.75pt;" colspan="3">감 독 /지도자</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 132pt; height: 21.75pt;">정 철 진 </td></tr><tr><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 88px; height: 42pt;" rowspan="2">우편물수령주      소</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 249px; height: 42pt;" rowspan="2" colspan="3"> </td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 47.25pt; height: 18.75pt;">전화</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 132pt; height: 18.75pt;"> </td></tr><tr><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 47.25pt; height: 23.25pt;">FAX</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 132pt; height: 23.25pt;"> </td></tr></tbody></table> ※모든란에 빠짐없이 기록해 주시기 바랍니다.. <table style="border: 0.28pt solid rgb(0, 0, 0); border-image: none; border-collapse: collapse; mso-table-overlap: never;"> <tbody><tr><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 46.5pt; height: 21pt;">구 분</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 54.75pt; height: 21pt;">성 명</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 84pt; height: 21pt;">주민등록번호</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 160.5pt; height: 21pt;">주       소</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 75pt; height: 21pt;">전화번호</td></tr><tr><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 46.5pt; height: 18pt;">감 독</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 54.75pt; height: 18pt;"> 정 철 진 </td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 84pt; height: 18pt;"> </td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 160.5pt; height: 18pt;">부산시 부산진구 가야동 </td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 75pt; height: 18pt;"> </td></tr><tr><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 46.5pt; height: 18pt;">선수1</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 54.75pt; height: 18pt;">장 윤 근</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 84pt; height: 18pt;"> </td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 160.5pt; height: 18pt;">부산시 부산진구 가야동 </td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 75pt; height: 18pt;"> </td></tr><tr><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 46.5pt; height: 18pt;">선수2</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 54.75pt; height: 18pt;">박 찬 걸</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 84pt; height: 18pt;"> </td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 160.5pt; height: 18pt;">부산시 부산진구 전포동</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 75pt; height: 18pt;"> </td></tr><tr><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 46.5pt; height: 18pt;">선수3</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 54.75pt; height: 18pt;">이 주 민</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 84pt; height: 18pt;"> </td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 160.5pt; height: 18pt;">부산시 부산진구 가야동 </td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 75pt; height: 18pt;"> </td></tr><tr><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 46.5pt; height: 17.25pt;">선수4</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 54.75pt; height: 17.25pt;">전 민 규</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 84pt; height: 17.25pt;"> </td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 160.5pt; height: 17.25pt;">부산시 부산진구 가야동 </td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 75pt; height: 17.25pt;"> </td></tr><tr><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 46.5pt; height: 39px;">선수5</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 54.75pt; height: 40px;">강 신 철</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 84pt; height: 40px;"> </td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 160.5pt; height: 40px;">부산시 부산진구 전포동</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 75pt; height: 40px;"> </td></tr><tr><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 46.5pt; height: 18pt;">선수6</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 54.75pt; height: 18pt;">박 철 </td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 84pt; height: 18pt;"> </td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 160.5pt; height: 18pt;">부산시 남구 대연동 </td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 75pt; height: 18pt;"> </td></tr><tr><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 46.5pt; height: 18pt;">선수7</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 54.75pt; height: 18pt;"> 김 정 훈</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 84pt; height: 18pt;"> </td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 160.5pt; height: 18pt;">부산시 부산진구 연지동</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 75pt; height: 18pt;"> </td></tr></tbody></table> 위의 기재내용이 사실과 다름이 없음을 확인하고 전국족구연합회가 정하는 규칙을 성실히 준수할 것이며 대회 개회식에 전체 참가하며 만약 불참 시 실격처리에 이의 제기 하지 않을 것을 서약하며 참가를 신청합니다.대  표  자 (감 독) :  정 철 진     인[문의:사무장TEL:010-9707-3282 경기이사TEL:010-9503-7082,] <table style="border: 0.28pt solid rgb(0, 0, 0); border-image: none; border-collapse: collapse; mso-table-overlap: never;"><tbody><tr><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 50.25pt; height: 21pt;">송금은행</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 91.91pt; height: 21pt;">예  금  주</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 139px; height: 21pt;">계 좌 번 호</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 80px; height: 21pt;">송금인</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 67px; height: 21pt;">송금일자</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 72.75pt; height: 21pt;">비  고</td></tr><tr><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 50.25pt; height: 33.75pt;">부산은행</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 91.91pt; height: 33.75pt;">정 순 신</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 139px; height: 33.75pt;">101-2046-1468-02</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 80px; height: 33.75pt;">Stealth JC</td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 67px; height: 33.75pt;">11월 6일 </td><td valign="center" style="padding: 1.41pt; border: 0.56pt solid rgb(0, 0, 0); border-image: none; width: 72.75pt; height: 33.75pt;">이름과송금일기재</td></tr></tbody></table>   국민생활체육 금정구족구연합회   귀중    </div>