令和 6 年度           久留米市立南筑高等学校                   【特色化選抜】           入学考査料納付者名簿（1枚目）
 
                                                                                                                    学校長¹    印
 
                                            受検区分                                                           受検区分
      ※                                                                   ※
      受 付 番 号                                ス   ス                   受 付 番 号                              ス   ス
                                                 ポ   ポ                                                            ポ   ポ
                                            地   ー   ー                                                      地    ー   ー
                         氏     名       学 域             備    考                          氏   名       学 域              備       考
                                                 ツ   ツ                                                            ツ   ツ
                                         業 協                                                             業 協
                                                 選   選                                                            選   選
                                            創                                                                創
                                                 抜   抜                                                            抜   抜
                                                 A   B                                                            A   B
 
 
 
 
 5                                                                    30
 
 
 
 
 10                                                                   35
 
 
 
 
 15                                                                   40
 
 
 
 
 20                                                                   45
 
 
 
 
 25                                                                   50
 
        （注）
        1．受検区分は該当欄に○印をつける。                                ※受付
        2．※印欄は記入しない。
        3．令和5年7月7日からの大雨による災害，令和3年8月11日か                                         久留米市立南筑高等学校
        らの大雨による災害、令和2年7月豪雨災害、令和元年台風19                                                 受検区分
        号による災害、平成30年7月豪雨被害、平成29年7月九州北部
        豪雨、平成28年熊本地震による災害及び東日本大震災の被災                                                   ス ス
        者で入学考査料免除の場合は備考欄に 「免除」と記載するこ                                                  ポ ポ
                                                                                                              地 ー ー
        と。                                                                                                                  受検者
                                                                                                           学 域
                                                                                                                 ツ ツ        合計数
                                                                                                           業 協
                                                                                                                 選 選
                                                                                                              創
                                                                                                                 抜 抜
                                                                                                                 A B
 
                                                                                             普通科        0    0    0    0        0