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(University) Application for use of subsidized admission and annual fee for use of babysitter

This is the application form for using Nara Institute of Science and Technology University's Plus α Childcare "(University) Babysitter Usage Admission Fee and Annual Fee Subsidy".
・We will subsidize the admission fee and annual membership fee of the babysitter company you wish to use, up to 22,000 yen per person (per fiscal year, advance payment).
・Depending on conditions, it is able to be used in conjunction with the (Cabinet Office) subsidy for the use of babysitter fees.
The "Sentan Nursery" is available as a place for childcare.

Fields marked with * are required.

*Affiliation

*Occupation

*Name

Last Name First Name

*Email address


Name of babysitting company you wish to use


*Do you wish to combine the "Babysitter Dispatch Business Discount Coupon (Cabinet Office)"?

Yes No
・Eligible children are up to 3rd grade, the place of care is at home, and each eligible child can receive a discount of 2 tickets (worth 4,400 yen) per day (times).
・If you answered "Yes," please also indicate the number of sheets you are applying for.

Number of sheets applied for (X number of times per week x X number of weeks)


Please also specify the basis for the estimate of the number of sheets to be used per week as X number of times X number of weeks.
You may apply for several months at once. If you are short, please submit an additional application.


Others (notes, etc.)

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