JP2022094355A - Application sheet - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide an application sheet capable of allowing visually impaired persons to easily fill with application information.

SOLUTION: Multiple pieces of required information 12, 22a, 22b, 32, 42, 52, and 62 for applying the procedure using an application sheet 1 are displayed. The application sheet 1 has multiple columns including an entry date entry column 10, an address entry field 20, a name entry column 30, a photo pasting column 50, and a stamp column 60, which are required for entering application information necessary for applying for the procedure based on the pieces of required information 12, 22a, 22b, 32, 42, 52, and 62. Each column 11, 21, 31, 41, 51, and 61 of the entry date entry column 10, the address entry column 20, the name entry column 30, the photo pasting column 50, and the stamp column 60 is embossed so that the dot-shaped embossing is continuous, but no perforation line is formed around the embossing.

SELECTED DRAWING: Figure 1

COPYRIGHT: (C)2022,JPO&INPIT

Description

The present invention relates to an application sheet used for application for procedures.

Traditionally, application sheets in various formats have been used to apply for procedures. Such an application sheet is provided with an entry field for entering information necessary for the procedure, and a person who applies for the procedure will fill in the necessary items in this entry field (for example, a patent document). 1).

Utility Model Registration No. 3103988

By the way, the persons who apply for the procedure using the application sheet as described above include not only healthy persons but also so-called visually impaired persons who have impaired eyesight such as blindness and amblyopia. When a visually impaired person uses the application sheet to complete the procedure, it is difficult to recognize the entry fields provided on the application sheet, even with the assistance of a caregiver, and the procedure should proceed smoothly. There is a problem that it cannot be done.

The present invention has been made in view of the problems of the conventional technique as described above, and is an application sheet for applying for a procedure by adding predetermined application information, even for a visually impaired person. , The purpose is to provide an application sheet that can easily add application information.

In order to achieve the above object, the present invention
This is an application sheet used to apply for procedures.
On the surface of the base sheet, the necessary information for applying for the procedure using the application sheet is displayed.
On the surface of the base material sheet, there is an application information addition column for adding application information necessary for applying for the procedure based on the necessary information.
The frame of the application information addition column is embossed so that dot-shaped embossing is continuous.
No perforation wire is provided around the embossing.

In the present invention configured as described above, the procedure is applied by adding the application information necessary for the procedure to the application information addition column based on the necessary information displayed on the application sheet. Since the frame of the application information addition column is embossed, the application information addition column can be recognized without visual recognition. In addition, since the application information addition column is easily recognized by the embossing process, the application information addition column is easy to understand even for a healthy person, and it is possible to prevent the caregiver from making an entry error. In addition, the front and back of the application sheet can be discriminated without visual recognition by embossing, and there is no risk of making a mistake in the surface to which the application information is given. In addition, when entering application information in the application information grant column, the application information is displayed even if the application information is about to protrude from the application information grant column because the frame of the application information grant column is embossed. It gives the feeling that the pen tip for writing is caught in the convex part by embossing, thereby preventing the application information from protruding from the application information addition column. Furthermore, when entering application information in the application information granting column, embossing is applied to the frame rather than the entire application information granting column, making it difficult to enter application information in the application information granting column due to embossing. It never ends up.

Further, if the necessary information is expressed in Braille, the visually impaired person can recognize the necessary information without the assistance of a caregiver.

Further, since the embossing is performed so that the dot-shaped embossing is continuous, the frame portion of the application information addition column becomes easier to recognize due to the change in the unevenness due to the embossing.

According to the present invention, the application information addition column is recognized without visual recognition because the frame portion of the application information addition column for adding the application information necessary for applying for the procedure is embossed. Therefore, even visually impaired people can easily add application information. In addition, since the application information addition column is easily recognized by the embossing process, the application information addition column is easy to understand even for a healthy person, and it is possible to prevent the caregiver from making an entry error. In addition, the front and back of the application sheet can be discriminated without visual recognition by embossing, and there is no risk of making a mistake in the surface to which the application information is given. In addition, when entering application information in the application information grant column, the application information is displayed even if the application information is about to protrude from the application information grant column because the frame of the application information grant column is embossed. It gives the feeling that the pen tip for writing is caught in the convex part due to embossing, and thereby it is possible to prevent the application information from protruding from the application information addition column. Furthermore, when entering application information in the application information granting column, embossing is applied to the frame rather than the entire application information granting column, making it difficult to enter application information in the application information granting column due to embossing. It is possible to avoid embossing.

In addition, when the necessary information is expressed in Braille, the visually impaired person can recognize the necessary information without the assistance of a caregiver.

Further, since the embossing is performed so that the dot-shaped embossing is continuous, it is possible to make it easier to recognize the frame portion of the application information addition column due to the change in the unevenness due to the embossing.

It is a figure which shows one embodiment of the application sheet of this invention, (a) is the figure which shows the structure of the surface, (b) is the enlarged view of part A shown in (a), (c) is (b). It is a cross-sectional view taken along the line AA'shown in 1. It is a figure for demonstrating the operation when the entry date which becomes the application information is entered in the entry date entry column of the application sheet shown in FIG. It is a figure for demonstrating the action by embossing by making the dot-shaped embossing continuous in the application sheet shown in FIG. 1. It is a figure which shows the other embodiment of the application sheet of this invention, (a) is the figure which shows the structure of a part of the surface, (b) is the enlarged view of part A shown in (a), (c). Is a cross-sectional view taken along the line AA'shown in (b). It is a figure which shows the other embodiment of the application sheet of this invention, (a) is the figure which shows the structure of a part of the surface, (b) is the enlarged view of part A shown in (a), (c). Is a cross-sectional view taken along the line AA'shown in (b), and (d) is a cross-sectional view taken along the line BB'shown in (b). It is a figure which shows the other embodiment of the application sheet of this invention.

Hereinafter, embodiments of the present invention will be described with reference to the drawings.

1A and 1B are views showing an embodiment of an application sheet of the present invention, in which FIG. 1A is a diagram showing a surface configuration, FIG. 1B is an enlarged view of a part A shown in FIG. Is a cross-sectional view taken along the line AA'shown in (b).

In this embodiment, as shown in FIG. 1, on the base material sheet 2, an entry date entry field 10, an address entry field 20, a name entry field 30, an additional information entry field 40, a photo affixing field 50, and a seal are stamped. It is an application sheet 1 provided with a column 60 and printed with explanatory information 3 and used for applying for a predetermined procedure.

The entry date entry column 10 is an application information addition column in the present invention. The entry date entry field 10 is divided by being surrounded by the frame portion 11, and is necessary information indicating the entry date, which is the information to be entered in the entry date entry column 10 in order to perform the procedure using the application sheet 1. 12 is displayed. As shown in FIGS. 1 (b) and 1 (c), the frame portion 11 is embossed so that the dot-shaped embosses 4 protruding from the surface side of the application sheet 1 are continuous. The interval of the embossing 4 can be adjusted as appropriate.

The address entry field 20 is a field for giving application information in the present invention. The address entry field 20 is divided by being surrounded by a frame portion 21, and necessary information 22a indicating an address, which is information to be entered in the address entry field 20 in order to perform a procedure using the application sheet 1, is displayed. Has been done. Similar to the frame portion 11 of the entry date entry field 10, the frame portion 21 is embossed so that the dot-shaped embossing 4 protruding from the surface side of the application sheet 1 is continuous. The interval of the embossing 4 can be adjusted as appropriate. Further, also in the area outside the frame portion 22a, the necessary information 22b, which is a precaution regarding the address to be entered in the address entry field 20, is displayed.

The name entry field 30 is a field for giving application information in the present invention. The name entry field 30 is divided by being surrounded by a frame portion 31, and necessary information 32 indicating a name, which is information to be entered in the name entry field 30 in order to perform a procedure using the application sheet 1, is displayed. Has been done. Similar to the frame portion 11 of the entry date entry field 10, the frame portion 31 is embossed so that the dot-shaped embossing 4 protruding from the surface side of the application sheet 1 is continuous. The interval of the embossing 4 can be adjusted as appropriate.

The additional information entry column 40 is an application information addition column in the present invention. The additional information entry field 40 is divided by being surrounded by a frame portion 41, and is information that should be entered in the additional information entry field 40 in order to perform a procedure using the application sheet 1. Telephone number and date of birth. The necessary information 42 indicating the above is displayed. Similar to the frame portion 11 of the entry date entry field 10, the frame portion 41 is embossed so that the dot-shaped embossing 4 protruding from the surface side of the application sheet 1 is continuous. The interval of the embossing 4 can be adjusted as appropriate.

The photo pasting column 50 is a column for giving application information in the present invention. The photo pasting column 50 is partitioned by being surrounded by a frame portion 51, and necessary information 52 indicating that a photo is to be pasted in the photo pasting column 50 is displayed in order to perform a procedure using the application sheet 1. There is. Similar to the frame portion 11 of the entry date entry field 10, the frame portion 51 is embossed so that the dot-shaped embossing 4 protruding from the surface side of the application sheet 1 is continuous. The interval of the embossing 4 can be adjusted as appropriate.

The stamp column 60 is a column for giving application information in the present invention. The stamping column 60 is partitioned by being surrounded by a frame portion 61, and necessary information 62 indicating that the stamping column 60 is to be stamped in order to perform a procedure using the application sheet 1 is displayed. Similar to the frame portion 11 of the entry date entry field 10, the frame portion 61 is embossed so that the dot-shaped embossing 4 protruding from the surface side of the application sheet 1 is continuous. The interval of the embossing 4 can be adjusted as appropriate.

The explanatory information 3 is provided in the frame portion 11, 21, 31, 41, 51, 61 of the entry date entry column 10, the address entry column 20, the name entry column 30, the additional information entry column 40, the photo pasting column 50, and the stamp column 60. It is embossed to indicate that there are irregularities.

The method of using the application sheet 1 configured as described above and the operation at that time will be described below.

The application sheet 1 shown in FIG. 1 can be used when a visually impaired person applies for a predetermined procedure. In that case, the application information necessary for the procedure based on the necessary information 12, 22a, 22b, 32, 42 displayed on the application sheet 1 is added to the entry date entry field 10, the address entry field 20, the name entry field 30 and the addition. By filling in each of the information entry fields 40, attaching a photo to the photo pasting field 50 based on the required information 52, and stamping the stamping field 60 based on the required information 62, the application information required for the procedure can be obtained. As mentioned above, the entry date entry field 10, the address entry field 20, the name entry field 30, the additional information entry field 40, the photo affixing field 50, and the stamping field 60 are each applied. Since the frame parts 11,21,31,41,51,61 are embossed, the entry date entry field 10, the address entry field 20, the name entry field 30, the additional information entry field 40, and the photo pasting field are used. The 50 and the stamp column 60 can be recognized without visual recognition.

FIG. 2 is a diagram for explaining the action of entering the entry date as the application information in the entry date entry field 10 of the application sheet 1 shown in FIG.

For example, when the entry date of the application sheet 1 is entered in the entry date entry field 10, as shown in FIG. 2A, the frame portion 11 of the entry date entry field 10 has an embossed 4 embossed for application. Since it protrudes from the surface side of the sheet 1, when the application sheet 1 is touched with the finger 5, the finger 5 touches the emboss 4 in the frame portion 11 of the entry date entry field 10, and the entry date is reached. The frame portion 11 of the entry field 10 can be recognized without visual recognition. Further, since the entry date entry field 10 is easily recognized by the embossing process, the entry date entry field 10 is easy to understand even for a healthy person, and it is possible to prevent the caregiver from making an entry error. Further, as described above, since the embossed 4 by embossing is present on the front surface side of the application sheet 1, the front and back of the application sheet 1 can be discriminated without visual observation. Fill in the application information indicated by the required information 12, 22a, 22b, 32, 42 in each of the date entry field 10, address entry field 20, name entry field 30, and additional information entry field 40, or enter a photo in the photo attachment field 50. There is no risk of making a mistake in the surface where the stamp is affixed or the stamp column 60 is stamped.

The above-mentioned action is not limited to the entry date entry column 10, but also in the address entry column 20, the name entry column 30, the additional information entry column 40, the photo affixing column 50, and the stamping column 60, which are other application information addition columns. Enter the address in the address entry field 20, enter the name in the name entry field 30, enter additional information in the additional information entry field 40, paste the photo in the photo pasting field 50, and fill in the stamp field 60. The same thing happens when you make a seal. Further, if the necessary information 12, 22a, 22b, 32, 42, 52, 62 is represented by Braille, the necessary information 12, 22a, 22b, 32, 42 even if the visually impaired person does not have the assistance of a caregiver. , 52, 62 can be recognized.

Further, when the entry date of the application sheet 1 is entered in the entry date entry column 10, the embossing 4 by embossing is projected on the surface side of the application sheet 1 in the frame portion 11 of the entry date entry column 10. Therefore, as shown in FIG. 2B, the entry date of the application sheet 1 is entered in the entry date entry field 10, and even if the entry date is about to exceed the entry date entry field 10, the entry date is entered. The pen tip of the writing tool 6 for writing is given a feeling of being caught in the convex portion by the emboss 4, whereby the entry date is prevented from protruding from the entry date entry column 10.

Further, when the entry date is entered in the entry date entry column 10, the entry date is entered in the entry date entry column 10 by embossing because the embossing process is applied to the frame portion 11 instead of the entire entry date entry column 10. It does not become difficult to fill in.

The above-mentioned action is not limited to the entry date entry field 10, but the address is entered in the address entry field 20 not only in the address entry field 20, the name entry field 30, and the additional information entry field 40, which are other application information addition fields. It also occurs when a name is entered in the name entry field 30 or when additional information is entered in the additional information entry field 40.

FIG. 3 is a diagram for explaining the action of embossing the application sheet 1 shown in FIG. 1 so that the dot-shaped embosses 4 are connected in a row.

As described above, in the application sheet 1 shown in FIG. 1, the frame portion of the entry date entry field 10, the address entry field 20, the name entry field 30, the additional information entry field 40, the photo pasting field 50, and the stamping field 60. Each of 11,21,31,41,51,61 is embossed so that dot-shaped embossing 4 is connected. Therefore, as shown in FIG. 3, when the finger 5 is touched on the emboss 4, the entry date entry field 10, the address entry field 20, the name entry field 30, the additional information entry field 40, and the photograph are due to the change in the unevenness caused by the emboss 4. The frame portions 11,21,31,41,51,61 of the sticking column 50 and the stamping column 60 can be further easily recognized. In particular, when the finger 5 is moved in the direction in which the embosses 4 are continuous, it is easy to feel the change in the unevenness due to the embossing 4. Further, by configuring the embossing with dot-shaped embossing instead of the line-shaped embossing as described later, the protrusion height due to the embossing tends to be high depending on the manufacturing method. , Address entry field 20, name entry field 30, additional information entry field 40, photo pasting field 50, and stamping field 60 frame portions 11,21,31,41,51,61 can be further recognized. Further, in order to distinguish from the creases and streaks that occur when the application sheet 1 is folded, if the embossing is composed of dot-shaped embossing instead of line-shaped embossing as described later, the embossing is touched. Sometimes it becomes easier to distinguish from creases and the like, which is more preferable. However, in order to make it easier to distinguish between the dot-shaped embossing and the sewing machine wire, when using the dot-shaped embossing, the micro sewing machine wire may not be used for the sewing machine processing, or the sewing machine wire may not be used. , It is advisable to devise an arrangement in which no perforation line is applied around the dot-shaped embossing.

In this embodiment, as application information granting fields, an entry date entry field 10, an address entry field 20, a name entry field 30, an additional information entry field 40, a photo pasting field 50, and a stamping field 60 are taken as examples. The configuration in which all the frame portions 11,21,31,41,51,61 are embossed has been described, but the entry date entry field 10, the address entry field 20, the name entry field 30, and the additional information entry field 40 have been described. , Of the photo affixing column 50 and the stamping column 60, the frame portion may not be embossed.

(Other embodiments)
4A and 4B are views showing another embodiment of the application sheet of the present invention, FIG. 4A is a view showing a partial configuration of a surface, and FIG. 4B is an enlarged view of part A shown in FIG. 4A. , (C) is a cross-sectional view taken along the line AA'shown in (b).

As shown in FIG. 4, this embodiment is an application sheet 101 which is different from the one shown in FIG. 1 in that it is embossed by forming a line-shaped emboss 104. The application sheet 101 of this embodiment has an information entry field 110 as an application information addition field. The information entry field 110 is partitioned by being surrounded by a frame portion 111, and necessary information 112 indicating information to be entered in the information entry field 110 in order to perform a procedure using the application sheet 101 is displayed. .. As shown in FIGS. 4 (b) and 4 (c), the frame portion 111 is embossed by forming a line-shaped emboss 104 protruding on the surface side of the application sheet 101.

Even in the application sheet 101 configured as described above, since the information entry field 110 is visually embossed by forming a line-shaped emboss 104 in the frame portion 111 of the information entry field 110. It can be recognized regardless of the above, and the same actions and effects as those shown in FIG. 1 will occur.

5A and 5B are views showing another embodiment of the application sheet of the present invention, FIG. 5A is a view showing a partial configuration of a surface, and FIG. 5B is an enlarged view of part A shown in FIG. 5A. , (C) is a cross-sectional view taken along the line AA'shown in (b), and (d) is a cross-sectional view taken along the line BB'shown in (b).

As shown in FIG. 5, this embodiment is different from the one shown in FIG. 4 in that the embossing 204 is intermittently formed along the frame portion 211 to be embossed. Sheet 201. The application sheet 201 of this embodiment has an information entry field 210 as an application information addition field. The information entry field 210 is partitioned by being surrounded by a frame portion 211, and necessary information 212 indicating information to be entered in the information entry field 210 in order to perform a procedure using the application sheet 201 is displayed. .. As shown in FIGS. 5 (b) to 5 (d), the frame portion 211 is embossed by intermittently forming embossing 204 protruding toward the surface side of the application sheet 201 along the frame portion 211. It has been subjected.

Even in the application sheet 201 configured as described above, the frame portion 211 of the information entry field 210 is embossed by intermittently forming embossing 204 along the frame portion 211. The information entry field 210 can be recognized without visual recognition, and the same actions and effects as those shown in FIG. 1 will occur.

FIG. 6 is a diagram showing another embodiment of the application sheet of the present invention, and shows a structure of a part of the surface.

This embodiment differs from the one shown in FIG. 1 in that embossing is formed only in a part of the frame portion of the application information addition column. As shown in FIG. 6, this embodiment is an application sheet 301 having an information entry field 310 as an application information addition field. The information entry field 310 is partitioned by being surrounded by a frame portion 311, and necessary information 312 indicating information to be entered in the information entry field 310 in order to perform a procedure using the application sheet 301 is displayed. .. The frame portion 311 is provided with embossing forming portions 307 at its four corners, respectively, and is embossed by forming the embossing. The embossing formed on the embossing portion 307 may be a series of dots as shown in FIG. 1 or a line shape as shown in FIG. , It may be formed intermittently along the frame portion 311 as shown in FIG.

Even in the application sheet 301 configured as described above, since the frame portion 311 of the information entry field 310 is embossed by embossing the embossing forming portions 307 at the four corners thereof, information is entered. Column 310 can be recognized without visual recognition, and the same actions and effects as those shown in FIG. 1 will occur.

In this embodiment, embossing forming portions 307 are provided at each of the four corners of the frame portion 311, and the frame portion 311 is embossed by forming embossing on the embossing forming portion 307. In a configuration in which embossing is formed only in a part of the frame portion of the application information giving column, the area where embossing is formed is not limited to the four corners of the frame portion, but the application information such as the four sides of the frame portion. It suffices if the given column is an area that is easy to recognize regardless of visual observation. However, if the embossing is formed over the entire frame portion, it becomes easier to recognize the application information addition column without visual recognition.

In the application sheets 1, 101, 201, and 301 shown in the above-described embodiment, the application information addition fields are the entry date entry field 10, the address entry field 20, the name entry field 30, the photo affixing field 50, and the seal. In order to be able to recognize the column 60 and the information entry columns 110, 210, 310 without visual recognition, these entry date entry column 10, address entry column 20, name entry column 30, photo pasting column 50, The frame portions 11,21,31,41,51,61,111,211,311 of the stamp column 60 and the information entry columns 110, 210, 310 are embossed, but the embossing is a dedicated blade type. Once the blade is made, it can be applied simply by pressing the blade against the sheet, so it is possible to realize a configuration that allows the application information addition field to be recognized without visual recognition at low cost. can.

The application information granting fields include fields for entering information such as the above-mentioned entry date entry field 10, address entry field 20, name entry field 30, additional information entry field 40, and information entry fields 110, 210, 310. Not limited to the photo pasting column 50 and the stamping column 60, a check box for selectively entering a check mark and a document pasting column for pasting documents such as identity verification documents can also be applied.

1,101,201,301 Application sheet 2 Base sheet 3 Explanation information 4,104,204 Embossed 5 Fingers 6 Writing tools 10 Entry date entry fields 11,21,31,41,51,61,111,211,311 Frames Part 12, 22a, 22b, 32, 42, 52, 62, 112, 212, 312 Necessary information 20 Address entry field 30 Name entry field 40 Additional information entry field 50 Photo sticking field 60 Stamp field 110, 210, 310 Information entry field 307 Embossed part

Claims (1)

This is an application sheet used to apply for procedures.
On the surface of the base sheet, the necessary information for applying for the procedure using the application sheet is displayed.
On the surface of the base material sheet, there is an application information addition column for adding application information necessary for applying for the procedure based on the necessary information.
The frame of the application information addition column is embossed so that dot-shaped embossing is continuous.
An application sheet with no perforation wire around the embossing.

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