このことについて交付してよいでしょうか。伺います。                                             発行年月日                    発行番号
 
 卒            校    長   副校長       教    頭    事務長
                                                                 事 務
                                                                 担当者
                                                                             グループ
                                                                             リーダー
                                                                                              発 行
                                                                                              担当者               年    月    日
 
                                                                                                              公         印         第                  号
 
                                                                                                                   年    月    日
 
 
                                             証     明          書        等        交        付       願
                           昭和                                                                                                                  卒    業
  卒業年月日・学科         平成                    年            月            日       全日制の課程 普通科                                      修    了
                           令和         西暦（                        年）                                                                       退    学
  卒業時学級及び担任名                                                 組                                   教諭
         ふりがな                                                                                           昭和・平成
                                                                                                                                                        男
                                                                                                                          年        月          日生    ・
        卒業時氏名                                                                                                                                      女
                                                                                                            西暦（                  ）年
                          （〒                           ）
         住    所
                                                                                                        電話番号（                                          ）
 証明書を必要とす           □        進学          □        就職           □        資格取得             □     奨学生出願
 る理由                     □        外国留学      □        その他（                                                              ）
 
                          卒業証明書                                                                   通
 
                          修了証明書                                                                   通
                          成績証明書                                                                   通
 
                          単位修得証明書                                                               通
                          児童（生徒・学生）健康診断票の写し                                           通           1通につき 400 円
 
   証明書等の種類         推薦¹書                                                                       通
                          発行できない旨の証明書                                                       通
                          ＊必要な証明書の種類（                                                       ）
                          その他                                                                       通
                          （                                                                           ）
                          調査書                                                                       通           1通につき 500 円
 
                          発行できない旨の通知書                                                       通           無        料
 
    合              計                                                                                 通                                                   円
 
 上記のとおり交付を申請します。
                     年          月           日
 
    神奈川県立鎌倉高等学校長                         殿
                                                                                  氏     名
 
 注意    証明書を必要とする理由の欄は、該当理由にレ点をつけてください。                                                                  窓口・郵送
         英文での証明書が必要な場合は英文用の証明書等発行願を使用して申請してください。                                                  原符
         発行できない旨の「証明書」が必要な場合はその他証明書の欄より申請してください。                                                    第                号
                          本人確認書類（身分証）：保険証・運転免許証・学生証・マイナンバーカード・その他（                                                   ）