JP2007276143A - Application form with concealing function - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide an application form with a concealing function which enables concealment of a personal information entry space and presentation of a checking information entry space. <P>SOLUTION: The application form has a sheetlike base 20 having a concealing base part 21 and an application base part 22, an adhesive layer 30 provided at least in a part of one side of the concealing base part 21, a first broken line part 23 provided between the concealing base part 21 and the application base part 22, the personal information entry space 25 provided on the same side of the application base part 22 as the adhesive layer 30, and the checking information entry space 26 adjoining the personal information entry space 25 and provided in the application base part 22. The sheetlike base 20 is folded along the first broken line part 23, and the concealing base part 21 and the application base part 22 are stuck together by the medium of the adhesive layer 30 so that it is possible at least to conceal the personal information entry space 25 and to check the checking information entry space 26. <P>COPYRIGHT: (C)2008,JPO&INPIT

Description

  The present invention relates to an application form with a concealment function that can conceal an information entry field.

  Flyers in which an advertisement column and an application form are integrated are widely used in the general market. For example, the right piece is often used as a postcard formed of an application form and a left piece of concealment paper. In the case of a postcard, since the size is not large, the use as an advertisement is limited. However, in the case of handing over in the store, since the size is limited, various advertisements can be used.

  Such flyers will be handed over to the supplier at the time of application for the application form and the concealment paper, so the advertisement that can be left at the applicant's hand is only the front and back of the release paper that covered the concealment paste of the concealment paper For example, it can be used for a printing service for a package delivery slip. The package delivery slip printing service is a service in which the courier company prints the contents of the delivery slip by the applicant, such as the address and sender, using a dot printer instead of the applicant. Thus, the courier company promotes sales of package delivery.

This delivery slip printing service issues a printed delivery slip according to the following procedure.
1) The applicant submits an application for a delivery slip printing service to a delivery baggage handling store such as a convenience store (CVS store).
2) The CVS store receives the application form and informs the applicant of the scheduled delivery date of the printed delivery slip.
3) The CVS store stores the application form together with other delivery packages.
4) The collector of the delivery company collects the application form together with the collection of the delivery package.
5) The collector of the delivery company delivers the application form to the department specializing in slip printing.

6) The department specializing in slip printing prints the designated number of delivery slips based on the contents of the application form.
7) The department specializing in slip printing confirms that there is no error in the printed contents and the contents of the application form, and puts together the printed delivery slip and application form.
8) The delivery person of the home delivery company receives the printed delivery slip and application form which are collected together.
9) The delivery person of the delivery company delivers the printed delivery slip and the application form to the applicant based on the printed contents.

  In such a procedure, if the application form does not have a concealment function, the personal information entered in the application form will not be transferred until the application form is delivered from the CVS store to the delivery department of the courier. May be easily seen by a person. When delivering a package, the address and sender of the delivery slip affixed to the surface of the package are displayed, so far it has not been necessary to hide the information entry field when applying as described above. However, with the growing awareness of personal information protection, the desire and necessity of concealing the information entry field has become stronger (for example, Patent Document 1). In particular, application forms at CVS stores and the like are often temporarily employed by store employees (part-time workers, etc.), so it is considered necessary to pay attention to information leakage.

Patent Document 1 is an application form used for a credit card application or the like, which describes necessary items and seals the application form in an envelope to conceal the contents of the application. However, since it is necessary to prepare an envelope separately for concealment, such as the application form for the printing service mentioned above, a large number of such application forms are arranged at dealers nationwide to promote sales of delivery packages. As a means to perform, it becomes a factor of cost increase and it becomes difficult to adopt.
In addition, the application form for printing services has been operated at a certain size since the days when no concealment paper was required, and equipment such as shelves and racks that already store application forms have been prepared in an appropriate shape. There is an unacceptable problem with resizing.

Furthermore, with the development of the Internet, Internet auctions are becoming more active, so the number of “payment on delivery” users paying by consignees as well as the “payment” delivery slips for which the delivery requester pays a fee has increased. In the printing service, an entry field for designating the type and number of slips is required. Recently, such application fields are also provided in the application form, but compared to the address and sender fields, there are many omissions in the fields for the type and number of slips, and the confirmation of the delivery company There is a problem that the burden is increasing.
JP 05-092680 A

  An object of the present invention is to provide an application form with a concealment function that can conceal a personal information entry field and can display a confirmation information entry field.

The present invention solves the above problems by the following means. In addition, in order to make an understanding easy, although the code | symbol corresponding to embodiment of this invention is attached | subjected and demonstrated in a parenthesis, it is not limited to this.
The invention of claim 1 is provided on at least a part of one side of the sheet-like base material (20) having the concealing base part (21) and the application base part (22) and the concealing base part (21). The applied adhesive layer (30), the first broken line portion (23) provided between the concealing base material portion (21) and the application base material portion (22), and the application base material portion (22). The personal information entry field (25) provided on the same surface as the adhesive layer (30) and the confirmation information entry provided in the application base material part (22) adjacent to the personal information entry field (25) Column (26), the sheet-like base material (20) is bent by the first broken line portion (23), and at least the personal information entry column (25) is concealed, and the confirmation information entry column (26) So that the concealing base material part (21) and the application base material part (22) can be confirmed, Serial an adhesive layer (30), characterized in that the bonding via the hiding function application form (10).

  The invention of claim 2 is the application form (10) with concealment function according to claim 1, wherein the adhesive layer (30) of the concealment base part (21) is separated from the concealment base part (21). It is an application form (10) with a concealing function, characterized in that it comprises a peelable substrate (40) that can be bonded.

  The invention of claim 3 is the application form (10) with concealment function according to claim 1 or claim 2, wherein the concealment base part (21) is formed on the surface opposite to the adhesive layer (30). It is an application form (10) with a concealment function characterized by comprising two confirmation information entry fields (27).

  The invention of claim 4 is the application form (10) with concealment function according to claim 1 or claim 2, wherein the concealment base part (21) is bonded to the second broken line part (24). A first base material part (21-1) having a layer (30) and a second base material part (21-2) are provided, and the first base material part (21-1) is used for entering the personal information. It is an application form (10-3) with a concealment function characterized by concealing the column (25).

  The invention of claim 5 is the application form with concealment function (10) according to claim 4, wherein the second broken line portion (24) is a separation line, and the second base material portion (21-2). ) On the same surface as the adhesive layer (30) so as to be separated from the first base part (21-1) by the second broken line part (24) together with the release base (40). It is an application form (10-4) with a concealment function characterized by comprising a strong adhesive layer (31) that adheres to the release substrate (40) so that it cannot be removed again.

  The invention according to claim 6 is the application form (10) with a concealing function according to any one of claims 1 to 5, wherein the adhesive layer (30) is a re-peelable and re-adhesive adhesive. It is an application form (10) with a concealment function characterized by being.

As described above, the present invention has the following effects.
(1) Since the application form with a concealing function includes a sheet-like base material having a concealing base material part and an application base material part across the first polygonal line part, the sheet-like base material is the first polygonal line part. It is possible to conceal at least the personal information entry field of the application base material part by folding, and to confirm the confirmation information entry field.
(2) Since the application form with a concealing function is provided with a peeling base material in the adhesive layer of the sheet-like base material, the adhesive surface of the adhesive layer can be protected when storing an application form with a concealing function unused. .

(3) Since the sheet-like base material is provided with a second confirmation information entry field on the surface opposite to the adhesive layer of the concealment base part, information that does not need to be concealed can be entered, and personal information Regardless of concealment of the entry field, the entry contents can be confirmed and changed.
(4) The first broken line portion equally divides the sheet-like substrate, and the concealed substrate portion includes a first substrate portion and a second substrate portion having an adhesive layer with the second broken line portion interposed therebetween. Therefore, the personal information entry column can be hidden by folding the sheet-like base material by the first broken line portion, and the confirmation information entry column can be expressed by raising the second base material portion. .

(5) The 2nd broken line part of the application form with a concealment function is a separation line, and the 2nd base material part is provided with the strong adhesion layer which adheres to a exfoliation base material on the same side as an adhesion layer, and cannot be removed again Therefore, the peeling base material is peeled off from the adhesive layer, the second base material part is separated from the first base material part by the second broken line part, and the peeling base material and the second base material part are integrated. The sheet-like base material can be separated from the sheet-like base material, and by folding the sheet-like base material at the first broken line portion, the personal information entry field can be concealed and the confirmation information entry field can be exposed.
(6) Since the adhesive layer of the sheet-like base material is a re-peelable and re-adhesive adhesive, the concealing base part can be peeled off from the application base part, and the concealed personal information entry column can be seen. .

  The present invention aims to provide an application form with a concealing function that can conceal the personal information entry column and can display the confirmation information entry column, with at least part of the concealing base material part being interposed via an adhesive layer. Realized by bonding to the application base material.

Hereinafter, the present invention will be described in more detail with reference to the drawings and the like.
1A and 1B are a plan view and a side view showing details of an application form with a concealing function according to a first embodiment of the present invention. In addition, FIG. 1 (B) is a figure which shows the form at the time of application of the application form with a concealment function. In the following description, the front surface indicates the front surface of the paper and the back surface indicates the opposite surface.
The application form 10 with a concealment function is an application form for a delivery slip printing service including a sheet-like base material 20, an adhesive layer 30, and a peeling base material 40, as shown in FIG.
The sheet-like base material 20 is plain paper including a concealing part 21 and an application part 22 with the first broken line part 23 interposed therebetween.

The concealing unit 21 is a piece of paper that conceals the personal information entry column 25 of the application unit 22 that has an adhesive layer 30 on the front surface and a second confirmation information entry column 27 on the back surface.
The application unit 22 is a piece of paper having a personal information entry field 25 and a confirmation information entry field 26 on the surface.
The first broken line portion 23 is a folding line that equally divides the sheet-like substrate 20.
The personal information entry column 25 is a column for filling in the print contents requested to the print service. For example, information on the destination and sender is entered.

The confirmation information entry column 26 is a column for designating the number of printed sheets and the type of delivery slip requested to the printing service. The type of the delivery slip is, for example, a “payment / payment” delivery slip for which the delivery requester pays a fee, or a “cash on delivery” delivery slip for which the consignee pays.
Similar to the confirmation information entry field 26, the second confirmation information entry field 27 is a field for designating the number of printed sheets and the type of delivery slip requested for the printing service.
The adhesive layer 30 is a re-peelable and re-adhesive adhesive formed in a U shape on the back surface of the concealing portion 21.
The release substrate 40 is a release paper that covers the adhesive layer 30 of the concealing part 21 having a method for filling in an application form on the front surface and a usage rule (not shown) on the back surface.

Next, the usage method of the application form 10 with a concealment function is demonstrated.
As shown in FIG. 1 (A), the applicant looks at the entry method described on the surface of the release substrate 40, and enters the personal information entry field 25, the confirmation information entry field 26, and the second confirmation information entry field 27. After filling in the necessary items and finishing the entry, the peeling substrate 40 is peeled off from the sheet-like substrate 20 (arrow A). Since the terms of use for the printing service are written on the back surface of the peeled release substrate 40, read it before applying.

Subsequently, as shown in FIG. 1 (B), the sheet-like base material 20 is bent by the first broken line portion 23 (arrow B), and the concealing portion 21 is passed through the adhesive layer 30 through the personal information entry column 25 and It is pasted together with the application section 22 so as to hide the confirmation information entry field 26, and the application form 10 with a concealment function is submitted to the delivery baggage handling store. The applicant can confirm the specified contents of the number and type of delivery slips in the second confirmation information entry field 27 of the concealment unit 21 before submitting the application form to the dealer.
If the contents of the confirmation information entry field 26 and the second confirmation information entry field 27 are changed after the concealment part 21 is pasted on the application part 22, the second confirmation information entry field 27 is corrected. As a result, the number and type of printed delivery slips can be transmitted to the delivery company. At this time, if the contents entered in the confirmation information entry field 26 and the second confirmation information entry field 27 do not match, the delivery service specialized department of the delivery company fills in the second confirmation information entry field 27. Prepare a delivery slip with correct (latest) information.

The collector receives the application form 10 with the concealment function from the dealer, and delivers it to the specialized department of the printing service without touching the personal information entry column 25 of the application form 10 with the concealment function.
The specialized department of the printing service peels off the concealment part 21 of the application form 10 with the concealment function, and designates based on the contents entered in the personal information entry field 25, the confirmation information entry field 26, and the second confirmation information entry field 27. Print the specified content on the delivery slip for the specified number of sheets, check the printed content and the contents of the personal information entry field 25 for errors, and then bundle the printed delivery slip and concealment function application form 10 together. To the delivery person (driver).
The delivery person delivers the bundled printed delivery slip and concealment function application form 10 to the applicant with reference to the address of the sender of the delivery slip.
The applicant confirms the contents of the request and the printed delivery slip, attaches the delivery slip to a predetermined package, and requests the delivery company to deliver the package.

As described above, the application form 10 with the concealment function of the first embodiment has the following effects.
(1) The application form 10 with the concealment function includes the sheet-like base material 20 having the concealment part 21 and the application part 22 with the first broken line part 23 interposed therebetween. The personal information entry column 25 of the application unit 22 can be hidden by being bent by the broken line portion 23.
(2) Since the application form 10 with the concealment function includes the release base material 40 on the adhesive layer 30 of the sheet-like base material 20, the adhesive surface of the adhesive layer 30 is stored when the application form 10 with the concealment function is unused. Can be protected.

(3) Since the sheet-like base material 20 includes the second confirmation information entry field 27 similar to the confirmation information entry field 26 on the surface opposite to the adhesive layer 30 of the concealing portion 21, the personal information entry field 25 is provided. Even after concealing, the contents entered in the confirmation information entry field 26 can be confirmed and changed.
(4) Since the adhesive layer 30 of the sheet-like base material 20 is a re-peelable and re-adhesive adhesive, the concealing part 21 can be peeled off from the application part 22, and the concealed personal information entry column 25 can be viewed. it can.

FIG. 2 is a plan view and a side view showing details of the application form 10-2 with a concealment function according to the second embodiment of the present invention. FIG. 2 (B) is a diagram showing a form when an application form with a concealment function is applied. In each of the embodiments described below, the same functions as those of the first embodiment described above are denoted by the same reference numerals or the same reference numerals at the end, and repeated descriptions and drawings are appropriately omitted.
As shown in FIG. 2A, the application form 10-2 with a concealing function is a service for printing a delivery slip for the same use as that of the first embodiment including the sheet-like base material 20, the adhesive layer 30, and the peeling base material 40. It is an application form.
The sheet-like base material 20 is plain paper provided with a concealing part 21, an application part 22, a first broken line part 23, and a second broken line part 24.

The concealing part 21 is a piece of paper that has an adhesive layer 30 on its surface and conceals the personal information entry field 25 of the application part 22.
The first broken line portion 23 is a folding line that is provided between the concealment portion 21 and the application portion 22, and is formed so that the concealment portion 21 is smaller than the application portion 22, and when the personal information entry column 25 is concealed. Used for.
The 2nd broken line part 24 is a folding line which equally divides a sheet-like base material, and is used when storing application 10-2 with a concealment function.

Next, the usage method of the application form 10-2 with a concealment function is demonstrated. In addition, the description which overlaps with Example 1 is abbreviate | omitted suitably.
The application form 10-2 with a concealment function is stored in a state in which the sheet-like substrate 20 is folded by the second broken line portion 24 when not used.
When requesting the printing service, the applicant opens the application form 10-2 with a concealment function folded by the second broken line portion 24, and as shown in FIG. The necessary information is entered in the confirmation information entry column 26, and the release substrate 40 is peeled off from the sheet-like substrate 20 (arrow A). Subsequently, as shown in FIG. 2 (B), the sheet-like base material 20 is bent by the first broken line portion 23 (arrow B), and the personal information entry column 25 of the application portion 22 is concealed and the delivery baggage handling store. Submit to
Even if the contents of the confirmation information entry field 26 are changed after the concealment part 21 is pasted to the application part 22, the confirmation information entry field 26 is displayed on the application form 10-2 with the concealment function. Therefore, it can be easily corrected.

As described above, the application form with concealment function 10-2 of the second embodiment has the following effects in addition to the effects of the first embodiment.
In the application form 10-2 with the concealment function, the first broken line part 23 divides the concealed part 21 into a shape smaller than the application part 22, so the sheet-like base material 20 is bent by the first broken line part 23, Only the personal information entry field 25 of the application unit 22 can be concealed, and the displayed confirmation information entry field 26 can easily confirm and correct the contents of entry.

FIG. 3 is a plan view and a side view showing details of the application form 10-3 with a concealment function according to the third embodiment of the present invention. FIG. 3B is a diagram illustrating a form when an application form with a concealment function is applied.
As shown in FIG. 3 (A), the application form 10-3 with a concealing function is a service for printing a delivery slip for the same use as that of the first embodiment including the sheet-like base material 20, the adhesive layer 30, and the peeling base material 40. It is an application form.
The sheet-like base material 20 is plain paper provided with a concealing part 21, an application part 22, a first broken line part 23, and a second broken line part 24.

The concealing part 21 includes a first base part 21-1 and a second base part 21-2 with the second broken line part interposed therebetween.
The 1st base material part 21-1 is a piece of paper which hides personal information entry column 25 of application part 22 provided with adhesion layer 30 on the surface.
The first broken line portion 23 is a folding line that equally divides the sheet-like substrate 20 and is provided between the concealing portion 21 and the application portion 22.
The second broken line portion 24 is a folding line that bends the concealing portion 21.

Next, the usage method of the application form 10-3 with a concealment function is demonstrated. In addition, the description which overlaps with Example 1 is omitted suitably.
As shown in FIG. 3A, the applicant enters necessary information in the personal information entry field 25 and the confirmation information entry field 26, and peels the release substrate 40 from the sheet-like substrate 20 (arrow A). Subsequently, as shown in FIG. 3 (B), the sheet-like base material 20 is bent by the first broken line portion 23 (arrow B), and the concealing portion 21 is bonded to the application portion 22 to be a delivery baggage handling store. hand in.
Even if the contents of the confirmation information entry field 26 are changed after the concealment part 21 is pasted to the application part 22, the confirmation information entry field 26 raises the second base material part 21-2. Therefore, it can be easily corrected.

As described above, the application form with concealment function 10-3 of the third embodiment has the following effects in addition to the effects of the first embodiment.
The first broken line portion 23 equally divides the sheet-like substrate 20, and the concealing portion 21 includes the first substrate portion 21-1 and the second substrate portion 21-1 having the adhesive layer 30 across the second broken line portion 24. Since the base material part 21-2 is provided, the sheet-like base material 20 can be bent by the first broken line part 23 so that only the personal information entry column 25 is concealed, and the second base material part 21-2. By confirming, the confirmation information entry field 26 can be confirmed and corrected.

FIG. 4 is a plan view and a side view showing details of the application form 10-4 with a concealment function according to the fourth embodiment of the present invention. FIG. 4B is a diagram showing a process of creating a form at the time of application for an application form with a concealment function, and FIG. 4C is a diagram showing a form at the time of application for an application form with a concealment function. is there.
As shown in FIG. 4A, the application form 10-4 with a concealing function is a service for printing a delivery slip for the same use as that of the third embodiment including the sheet-like base material 20, the adhesive layer 30, and the peeling base material 40. It is an application form.
The 2nd base material part 21-2 is the paper piece which provided the strong adhesion layer 31 on the surface, and was adhere | attached on the peeling base material 40 so that it cannot be peeled again.
The 2nd broken line part 24 is a perforation which isolate | separates the 2nd base material part 21-2 from the 1st base material part 21-1.

Next, the usage method of the application form 10-4 with a concealment function is demonstrated. In addition, the description which overlaps with Example 3 is abbreviate | omitted suitably.
As shown in FIG. 4A, the applicant fills in the necessary information in the personal information entry field 25 and the confirmation information entry field 26, peels the release substrate 40 from the sheet-like substrate 20 (arrow A), The second base material part 21-2 is cut off from the first base material part 21-1 by the two broken line parts 24 and integrated with the second base material part 21-2 as shown in FIG. The separated release substrate 40 is separated from the sheet-like substrate 20 (arrow B). Subsequently, as shown in FIG. 4C, the sheet-like base material 20 is bent by the first broken line portion 23 (arrow C), and the first base material portion 21-1 is bonded to the application portion 22 to make an individual. The information entry field 25 is concealed and submitted to the delivery package dealer.
Even if the contents of the confirmation information entry field 26 are changed after the first base material portion 21-1 is pasted to the application part 22, the confirmation information entry field 26 is hidden in the application form 10 with the concealment function. Since it is shown in -4, it can be easily corrected.

As described above, the application form with concealment function 10-4 of the fourth embodiment has the following effects in addition to the effects of the third embodiment.
The 2nd broken line part 24 is a perforation, and the 2nd substrate part 21-2 is provided with the strong adhesion layer 31 which adheres to exfoliation substrate 40 on the same side as adhesion layer 30, and cannot be removed again. Therefore, only the personal information entry field 25 can be concealed, and the contents entered in the confirmation information entry field 26 can be easily confirmed and corrected.

(Modification)
The present invention is not limited to the embodiments described above, and various modifications and changes are possible, and these are also within the equivalent scope of the present invention.
(1) In each embodiment, the concealing portion 21 and the application portion 22 are formed by connecting the long side portions to form the sheet-like base material, but may be formed by connecting the short side portions, and the sheet. Each entry field may be printed so that the substrate 20 is spread horizontally or vertically. For example, as shown in FIG. 5, the personal information entry field 25 and the confirmation information entry field 26 can be arranged above and below the application part 22 so that the concealing part 21 and the short side part of the application part 22 can be connected. It is.
(2) In each embodiment, the application form for the delivery slip printing service is described, but it may be used for other application forms. For example, it can also be used for applications such as credit cards.

(3) In each Example, although the peeling base material 40 was a dimension substantially equivalent to the concealing part 21, you may form by the dimension other than that. For example, the peeling base material 40 can be formed with the same dimensions as the sheet-like base material 20, and the amount of information such as a usage method and advertisement described in the peeling base material 40 can be increased.
(4) It is also possible to print a transmission information entry column or an advertisement on the front and back surfaces of the concealment unit 21 and the back surface of the application unit 22. For example, an information entry column used by the delivery company may be provided on the back surface of the concealing unit 21.

It is the top view and side view which show the detail of the application form with a concealment function of Example 1 by this invention. It is the top view and side view which show the detail of the application form with a concealment function of Example 2 by this invention. It is the top view and side view which show the detail of the application form with a concealment function of Example 3 by this invention. It is the top view and side view which show the detail of the application form with a concealment function of Example 4 by this invention. It is a top view which shows the detail of the application form with a concealment function of the modification of each Example by this invention.

Explanation of symbols

DESCRIPTION OF SYMBOLS 10 Application form with concealment function 20 Sheet-like base material 21 Concealment part 22 Application part 23 1st broken line part 25 Personal information entry column 26 Confirmation information entry column 30 Adhesive layer 40 Peeling substrate

Claims (6)

A sheet-like base material having a concealing base material part and an application base material part;
An adhesive layer provided on at least a part of one side of the concealing base part;
A first polygonal line portion provided between the concealing base material portion and the application base material portion;
Personal information entry field provided on the same surface as the adhesive layer of the application base material part,
Adjacent to the personal information entry field, provided with a confirmation information entry field provided in the application base material part,
The concealed base material portion and the application base material portion so as to be able to bend the sheet-like base material by the first broken line portion, conceal at least the personal information entry field, and confirm the confirmation information entry field. Are bonded through the adhesive layer,
An application form with a concealment function. In the application form with concealment function according to claim 1,
The adhesive layer of the concealing base material portion includes a peeling base material that is detachably bonded to the concealing base material portion;
An application form with a concealment function. In the application form with concealment function according to claim 1 or claim 2,
The concealing base material portion includes a second confirmation information entry column on the surface opposite to the adhesive layer;
An application form with a concealment function. In the application form with concealment function according to claim 1 or claim 2,
The concealing base material portion includes a first base material portion and a second base material portion having the adhesive layer across a second broken line portion,
The first base portion conceals the personal information entry field;
An application form with a concealment function. In the application form with concealment function according to claim 4,
The second broken line portion is a separation line,
The second base material portion is separated from the release base material on the same surface as the adhesive layer so that the second base material portion is separated from the first base material portion together with the release base material by the second broken line portion. Having a strong adhesive layer that adheres as possible,
An application form with a concealment function. In the application form with a concealment function according to any one of claims 1 to 5,
The adhesive layer is a re-peelable and re-adhesive adhesive;
An application form with a concealment function.

Images