등록일2014-06-29
조회수4,707
제목
대한민국 최고기록 인증 신청서
|
도전 분야 |
접수번호 | |
|
신청인
인적사항 |
성 명 |
한글 : 진정군 |
주 민 번 호 |
420325-xxxxxxx |
|
한자 : 陳正軍 |
기록보유명 |
세계기네스북 동전 태극기벽화 | ||
|
|
성 별 |
남 | ||
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주 소 |
우:( 157 )-(851 ) 서울시 강서구 방화2동 600-29 | |||
|
전화번호 |
02-2661-1310 |
휴대폰 |
010-8747-1310 | |
|
이 메 일 |
jjk1310@naver.com | |||
1
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세계 기네기록 증서.jpg
진정군
| 2014-06-29
<P style="TEXT-ALIGN: left" class=바탕글><U style="text-underline: #0000ff single"><SPAN style="FONT-FAMILY: HY견고딕; COLOR: #0000ff; FONT-SIZE: 20pt; FONT-WEIGHT: bold; mso-ascii-font-family: HY견고딕; mso-hansi-font-family: HY견고딕">대한민국 최고기록 인증</SPAN></U><U style="text-underline: #000000 single"><SPAN style="FONT-FAMILY: HY견고딕; COLOR: #0000ff; FONT-SIZE: 20pt; FONT-WEIGHT: bold; mso-hansi-font-family: HY견고딕; mso-fareast-font-family: HY견고딕" lang=EN-US> 신청서</SPAN></U><SPAN style="FONT-FAMILY: HY견고딕; COLOR: #0000ff; FONT-SIZE: 15pt; FONT-WEIGHT: bold; mso-hansi-font-family: HY견고딕; mso-fareast-font-family: HY견고딕" lang=EN-US> </SPAN></P>
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<P style="TEXT-ALIGN: center; LINE-HEIGHT: 100%; LAYOUT-GRID-MODE: char" class=바탕글><SPAN style="FONT-FAMILY: 나눔고딕; COLOR: #0000ff; FONT-SIZE: 16pt; FONT-WEIGHT: bold; mso-ascii-font-family: 나눔고딕; mso-hansi-font-family: 나눔고딕">도전 분야</SPAN></P></TD>
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<P style="TEXT-ALIGN: center" class=바탕글><SPAN style="FONT-FAMILY: 나눔고딕; FONT-SIZE: 13pt; mso-ascii-font-family: 나눔고딕; mso-hansi-font-family: 나눔고딕">접수번호</SPAN></P></TD></TR>
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<TABLE style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; BORDER-COLLAPSE: collapse; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid"><TBO-X-DY>
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<P style="TEXT-ALIGN: center" class=바탕글><SPAN style="FONT-FAMILY: 나눔고딕; FONT-SIZE: 12pt; mso-ascii-font-family: 나눔고딕; mso-hansi-font-family: 나눔고딕">신청인</SPAN></P>
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<P style="TEXT-ALIGN: center" class=바탕글><SPAN style="FONT-FAMILY: 나눔고딕; FONT-SIZE: 12pt; mso-ascii-font-family: 나눔고딕; mso-hansi-font-family: 나눔고딕">인적사항</SPAN></P></TD>
<TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 56.82pt; BACKGROUND: #f1f1f1; HEIGHT: 69.87pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid" vAlign=center rowSpan=3>
<P style="TEXT-ALIGN: center" class=바탕글><SPAN style="FONT-FAMILY: 나눔고딕; FONT-SIZE: 12pt; mso-ascii-font-family: 나눔고딕; mso-hansi-font-family: 나눔고딕">성 명</SPAN></P></TD>
<TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 140.32pt; HEIGHT: 23.29pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid" vAlign=center>
<P class=바탕글><SPAN style="FONT-FAMILY: 나눔고딕; FONT-SIZE: 12pt; mso-ascii-font-family: 나눔고딕; mso-hansi-font-family: 나눔고딕">한글 : 진정군</SPAN></P></TD>
<TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 67.16pt; BACKGROUND: #d6d6d6; HEIGHT: 23.29pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid" vAlign=center>
<P class=바탕글><SPAN style="FONT-FAMILY: 나눔고딕; FONT-SIZE: 12pt; mso-ascii-font-family: 나눔고딕; mso-hansi-font-family: 나눔고딕">주 민 번 호</SPAN></P></TD>
<TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 143.51pt; BACKGROUND: #f1f1f1; HEIGHT: 23.29pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 1.7pt solid" vAlign=center>
<P style="TEXT-ALIGN: center" class=바탕글><SPAN style="FONT-FAMILY: 나눔고딕; FONT-SIZE: 12pt; mso-hansi-font-family: 나눔고딕; mso-fareast-font-family: 나눔고딕" lang=EN-US>420325-xxxxxxx</SPAN></P></TD></TR>
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<TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 140.32pt; HEIGHT: 23.29pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid" vAlign=center>
<P class=바탕글><SPAN style="FONT-FAMILY: 나눔고딕; FONT-SIZE: 12pt; mso-ascii-font-family: 나눔고딕; mso-hansi-font-family: 나눔고딕">한자 : 陳正軍</SPAN></P></TD>
<TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 67.16pt; BACKGROUND: #d6d6d6; HEIGHT: 23.29pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid" vAlign=center>
<P class=바탕글><SPAN style="FONT-FAMILY: 나눔고딕; FONT-SIZE: 12pt; mso-ascii-font-family: 나눔고딕; mso-hansi-font-family: 나눔고딕">기록보유명 </SPAN></P></TD>
<TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 143.51pt; BACKGROUND: #f1f1f1; HEIGHT: 23.29pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 1.7pt solid" vAlign=center>
<P style="TEXT-ALIGN: center" class=바탕글><SPAN style="FONT-FAMILY: 나눔고딕; FONT-SIZE: 12pt; mso-ascii-font-family: 나눔고딕; mso-hansi-font-family: 나눔고딕">세계기네스북 동전 태극기벽화</SPAN></P></TD></TR>
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<TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 140.32pt; HEIGHT: 23.29pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid" vAlign=center>
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<TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 143.51pt; BACKGROUND: #f1f1f1; HEIGHT: 23.29pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 1.7pt solid" vAlign=center>
<P style="TEXT-ALIGN: center" class=바탕글><SPAN style="FONT-FAMILY: 나눔고딕; FONT-SIZE: 12pt; mso-hansi-font-family: 나눔고딕; mso-fareast-font-family: 나눔고딕" lang=EN-US>남</SPAN></P></TD></TR>
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<TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 56.82pt; BACKGROUND: #f1f1f1; HEIGHT: 38.98pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid" vAlign=center>
<P style="TEXT-ALIGN: center" class=바탕글><SPAN style="FONT-FAMILY: 나눔고딕; FONT-SIZE: 12pt; mso-ascii-font-family: 나눔고딕; mso-hansi-font-family: 나눔고딕">주 소</SPAN></P></TD>
<TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 350.99pt; HEIGHT: 38.98pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 1.7pt solid" vAlign=center colSpan=3>
<P class=바탕글><SPAN style="FONT-FAMILY: 나눔고딕; FONT-SIZE: 12pt; mso-ascii-font-family: 나눔고딕; mso-hansi-font-family: 나눔고딕">우:( 157 )-(851 )</SPAN></P>
<P class=바탕글><SPAN style="FONT-FAMILY: 나눔고딕; FONT-SIZE: 12pt; mso-ascii-font-family: 나눔고딕; mso-hansi-font-family: 나눔고딕">서울시 강서구 방화2동 600-29</SPAN></P></TD></TR>
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<TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 56.82pt; BACKGROUND: #f1f1f1; HEIGHT: 21.99pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid" vAlign=center>
<P style="TEXT-ALIGN: center" class=바탕글><SPAN style="FONT-FAMILY: 나눔고딕; FONT-SIZE: 12pt; mso-ascii-font-family: 나눔고딕; mso-hansi-font-family: 나눔고딕">전화번호</SPAN></P></TD>
<TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 140.32pt; HEIGHT: 21.99pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid" vAlign=center>
<P class=바탕글><SPAN style="FONT-FAMILY: 나눔고딕; FONT-SIZE: 12pt; mso-hansi-font-family: 나눔고딕; mso-fareast-font-family: 나눔고딕" lang=EN-US>02-2661-1310</SPAN></P></TD>
<TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 67.16pt; BACKGROUND: #d6d6d6; HEIGHT: 21.99pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid" vAlign=center>
<P class=바탕글><SPAN style="FONT-FAMILY: 나눔고딕; FONT-SIZE: 12pt; mso-ascii-font-family: 나눔고딕; mso-hansi-font-family: 나눔고딕">휴대폰</SPAN></P></TD>
<TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 143.51pt; HEIGHT: 21.99pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 1.7pt solid" vAlign=center>
<P style="TEXT-ALIGN: center" class=바탕글><SPAN style="FONT-FAMILY: 나눔고딕; FONT-SIZE: 12pt; mso-hansi-font-family: 나눔고딕; mso-fareast-font-family: 나눔고딕" lang=EN-US>010-8747-1310</SPAN></P></TD></TR>
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<TD style="BORDER-BOTTOM: #000000 1.7pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 56.82pt; BACKGROUND: #f1f1f1; HEIGHT: 24.73pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid" vAlign=center>
<P style="TEXT-ALIGN: center" class=바탕글><SPAN style="FONT-FAMILY: 나눔고딕; FONT-SIZE: 12pt; mso-ascii-font-family: 나눔고딕; mso-hansi-font-family: 나눔고딕">이 메 일</SPAN></P></TD>
<TD style="BORDER-BOTTOM: #000000 1.7pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 350.99pt; HEIGHT: 24.73pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 1.7pt solid" vAlign=center colSpan=3>
<P style="TEXT-ALIGN: center" class=바탕글><SPAN style="FONT-FAMILY: 나눔고딕; FONT-SIZE: 12pt; mso-hansi-font-family: 나눔고딕; mso-fareast-font-family: 나눔고딕" lang=EN-US>jjk1310@naver.com</SPAN></P></TD></TR></TBO-X-DY></Tbo-x-dy></TABLE></P>
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