（記載例） 黒色のペン又はボールペンで
          青字部分を 丁寧に記入してください！
                  卒業証明書交付願                                                                             卒業証明書交付願
                                        令和××年××月 ××日                                                                令和        年         月       日
          愛知県立一宮商業高等学校長¹           殿                                          愛知県立一宮商業高等学校長²            殿
                     〒 ×××‐××××                                                                 〒
                    住 所 △△県△△市△△△△‐△                                                    住 所
                   連絡先     ○○○‐○○○○‐○○○○                                              連絡先
           携帯等、昼間確実に学校から連絡ができる連絡先を記入ください。
                                昭和                                                                                      昭和
     卒業年号をまるで囲む→                  ○○    年         ○○○     科卒                                                                 年                  科卒
                                平成                                                                                      平成
 
                                 氏名         ○○       ○○○                                                    氏名
 
                              （在校時姓名           △△           ○○○）                               （在校時姓名                                                    ）
                                昭和                                                                                      昭和             年             月        日生
     該当年号をまるで囲む→          ××年××月×× 日生
                                平成                                                                                      平成
 
        下記により卒業証明書を         ○ 通交付してください。                            下記により卒業証明書を                 通交付してください。
 
                                        記                                                                                       記
       1 理由          ×××のため△△△△へ提出するため
     （複数枚必要な方はそれぞれの理由を記入してください。）                                1   理由
 
 
                                 発      行         台     帳                                                             発      行       台        帳
              決 裁 欄                                                                          決 裁 欄
              発行番号                  第                     号                               発行番号                   第                        号
            発行年月日            令和         年         月        日                         発行年月日             令和            年        月        日
            取 扱 者 印                                                                        取 扱 者 印
 
 
 
 ※右側の交付願いに記入の上、身分証明書（写）・返信用封筒（切手貼付）とあわせて学校宛に送付してください。