JPH0453969Y2 - - Google Patents

Description

[Detailed Description of the Invention] Industrial Application Field The present invention relates to application forms for shopping cards, cash cards, installments, loans, etc.

Conventional technology In this type of application form, in addition to the applicant's address and name, there are so-called privacy-related items such as assets and annual income that you do not want others to know. Therefore, it is required to configure the application so that the filled-in application details are hidden.

For this reason, in the past, a space for glue was provided in advance on the application form, and after the applicant filled out the application details, the applicant folded the application form as appropriate to create a sealed letter, and then added glue to the space for glue. It is generally configured to be sealed.

Problems that the invention aims to solve: Therefore, in the past, although the applicant's privacy was protected, it was cumbersome to seal the application form each time, and
Because there is not enough space to post explanatory text related to filling in the application details, the explanatory information is kept to the bare minimum, making it difficult for applicants to understand, as well as advertising the work related to the application. It is not possible to write advertisements, etc., and the advertisement must be prepared and distributed as a separate document that has no relation to the application form, so the application form has no advertising effect. .

The present invention aims to provide an application form that eliminates these drawbacks.

Means to Solve the Problem An application form with an application content entry column and an explanation sheet on which explanatory matters related to application content entry are printed are connected on one side, and a predetermined side of each form, for example, the connecting side. Perforations for cutting are formed along the and two sides adjacent to the connecting side, while on the side of the explanation sheet on which the explanatory matters are printed, there are three sides excluding the connecting side with the application form. A transparent or translucent sheet is releasably adhered by providing an adhesive so as to be located on the outside of each side where the cutting perforations are formed.

Function: Additional explanatory matters can be printed as needed on the transparent or translucent sheet provided on the explanatory sheet, so applicants can fill out their application while reading the necessary and sufficient explanatory text. The sheet forms a pocket section on the back side of the instruction sheet, in which advertising documents, etc. can be inserted, while the non-adhesive side of the sheet is easy to put your finger on, making it easy to peel off. Moreover, the application form and the explanation sheet can be glued together after they are peeled off, making it impossible for outsiders to understand the written contents.Furthermore, if the application form and the explanation sheet are torn apart along the cut-out perforations, the application form and the explanation sheet can be glued together. Since it is possible to deviate from the application form except for one side, the recipient of the application form can confirm the contents filled in.

Embodiments Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the accompanying drawings.

Here, Figure 1 is an overall plan view of the application form;
Figure 2 is an end view of the entire application form, Figure 3 is a back view of the explanation sheet, Figure 4 is a plan view of the application form with part of the deposit account transfer request form turned up, and Figure 5 is a top view of the application form. An end view of the application form with the transparent sheet peeled off and the explanation sheet and the application form glued together, FIG. 6 is an overall plan view of the application form showing another embodiment, and FIG. 7 is an end view of the entire application form as well. be.

As shown in Figures 1 and 2, application form 1
consists of an explanation sheet 3 and an application form 4, which are bound together on one side with glue 2 and are connected.
Perforations 5 and 6 for cutting are provided on the inside of the bound portion of the connected sides of each of these sheets 3 and 4 in corresponding positions to each other.

As shown in FIGS. 1 and 3, the front side of the explanation sheet 3 is provided with an applicant display field 7 in which the applicant's address and name are written, while the back side of the explanation sheet 3 is provided with: An explanatory text printing unit 8 is provided in which an explanatory text regarding filling in application details is printed. Cutting perforations 9 and 10 are provided along two sides of the explanatory sheet 3 adjacent to the connected side so as to be orthogonal to the cutting perforation 5, respectively.

Further, as is clear from FIGS. 2 and 3, adhesive glue 11 is applied to the back side of the explanation sheet 3 along three sides excluding the side where it connects to the application form 4. The portions corresponding to the sides on which the cutting perforations 9 and 10 of No. 11 are provided are coated on the outside of each of the cutting perforations 9 and 10. Then, a transparent synthetic resin sheet 12 having almost the same width as the explanatory sheet 3 and slightly shorter in length,
This glue 11 is used to releasably adhere to the back surface of the explanation sheet 3. Since the three sides of the sheet 12 are glued together, a pocket portion will be formed on the back side of the instruction sheet. Furthermore, the sheet 1
Since the sheet 2 is transparent, there is no problem in reading the contents written in the explanatory text printing part 8 of the explanatory sheet 3, and additional explanatory matters and notes can be printed as necessary.

As shown in FIGS. 1 and 2, the side of the application form 4 opposite to the connecting side with the explanation sheet 3 is extended longer than the explanation sheet 3, and this extended portion is used for deposit account transfer. Copy section 13a of request form 13
It is becoming. As is clear from FIGS. 2 and 4, the entry section 13b, which serves as a copy of the financial institution of the deposit account transfer request form 13, is superimposed on the copy section 13a, and the side opposite to the explanation sheet 3 is superimposed on the copy section 13a. They are separably bound together with glue 14 along the sides. Further, as is clear from FIGS. 1 and 4, the copying section 13a and the writing section 13
Transfer request entry columns 15 and 16 are provided on each front side of the entry section 13b to fill in predetermined items such as account numbers so as to correspond to each other. A copying transfer agent layer (not shown) is provided in the portion for copying into the transfer request entry field 15 of the copying section 13a.

Furthermore, as shown in FIG. 4, on the front side of the application form 4, excluding the copy section 13a, there is an application entry field 17 in which the applicant's address, name, assets, annual income, and other specified items are entered. is provided.
Then, along the two sides of the application form 4 adjacent to the connecting side with the explanation sheet 3, cut out perforations 1 and 1, respectively, so as to be perpendicular to the cut out perforations 6.
8 and 19 are provided, and these perforations 18 and 19 are located corresponding to the perforations 9 and 10 of the explanation sheet 3, respectively. Note that the copy section 13a in the application form 4
A folding line 20 is provided at the boundary.

Since the present embodiment is configured as described above, the applicant flips over the explanation sheet 3 to expose the front side of the application form 4 and the back side of the explanation sheet 3, and explains through the transparent sheet 12 to write an explanation. While reading the explanation items on the printing section 8, the user can fill in the prescribed items in the application details entry field 17. Further, when the applicant writes predetermined information in the transfer request entry field 16 of the entry section 13b of the deposit account transfer request form 13, the same information is copied and entered in the transfer request entry field 15 of the copying section 13a. Then, after peeling off the sheet 12 from the back side of the explanation sheet 3, as shown in FIG.
When the application area 17 is lightly pressed, the explanation sheet 3 and the application form 4 are bound together by the glue 11, and the sheets 3 and 4 become inseparable, and the filled-in application details field 17 is It is hidden by the explanation sheet 3. In addition, if the applicant
By filling in the prescribed information in the applicant display column 7, all entries in the application form 1 are completed.

On the other hand, the recipient of the application form, such as a credit card company, will
0, 18, and 19 to release the stitching on the three sides, and then flip up the explanation sheet 3 in the direction of the deposit account transfer request form 13 to complete the application form 4.
It is possible to check the contents entered in the application contents entry column 17.

Subsequently, other embodiments of the present invention are shown in the sixth figure of the attached drawings.
This will be explained based on the diagram and FIG. 7.

The application form 21 of this embodiment is constructed by connecting an explanation sheet 23 and an application entry form 24 via a connecting part 22 consisting of a cut-out perforation. Since the other configurations are the same as those of the first embodiment described above, corresponding parts are given the same reference numerals, and their explanation will be omitted. If the connecting part 22 is composed of fold lines that cannot be easily broken, the parts along both sides of the connecting part 22, or the opposite side of the connecting part 22 between the explanation sheet 23 and the application form 24. It is desirable to provide perforations for cutting on either one of the inner parts of the glue 11 along each side. Furthermore, the method of using the application form 21 in this example is as follows:
Since it is the same as the first embodiment described above, the explanation thereof will be omitted.

Note that the present invention is not limited to the above-mentioned embodiments; for example, a copying transfer agent layer may be provided on the back side portion of the explanation sheets 3 and 23 corresponding to the applicant display field 7, and the above-mentioned applicant display field may be provided with a copy transfer agent layer. The content entered in 7 may be copied to the area where the applicant's address, name, etc. are to be written in the application content entry field 17 of the application entry forms 4 and 24.
It is also possible to cut out a portion to form a through hole, and to expose the portion where the applicant's address, name, etc. in the application details entry field 17 is written through the through hole, and in this way, the applicant display If column 7 is a through hole, apply glue around the hole and releasably adhere it to the application forms 4 and 24.
It is desirable that the structure is such that the inside cannot be seen through the through-hole portion. Further, the deposit account transfer request form 13 may be formed separately from the application form 4. Further, the sheet 12 is not limited to being transparent, and may be semi-transparent.

Effects As is clear from the above explanation, according to the present invention, the applicant's privacy can be protected since the contents of the application form are not seen by others, and the sheet is large and easy to put one's fingers on. Therefore, peeling off the sheet is extremely easy, and the work of binding the application form and the explanation sheet following this peeling process is also extremely easy, as it is simply a matter of overlapping the two sheets and pressing lightly on the adhesive-applied area. It is easy to use, and since a pocket is formed by the sheet and the application form, effective advertising can be done by inserting advertising documents etc. Since it is translucent, it does not impair the decipherability of the explanations on the explanation sheet, and additional explanations to the explanations on the explanation sheet can be displayed in color on this sheet.
By displaying the notes, it is possible to have many beneficial effects such as further increasing the applicant's understanding when filling out the application form.

[Brief explanation of the drawing]

The figures show preferred embodiments of the present invention, in which Figure 1 is a plan view of the entire application form, Figure 2 is an end view of the entire application form, Figure 3 is a back view of the explanation sheet, and Figure 4 is a deposit account. Figure 5 is a plan view of the application form with part of the transfer request form turned up, and Figure 6 is an end view of the application form with the transparent sheet peeled off and the explanation sheet and application form glued together. 7 is an overall plan view of an application form showing another embodiment, and FIG. 7 is an end view of the entire application form. 1,21...Application form, 2...Glue, 3,23...
Explanation sheet, 4, 24...Application form, 5, 6,
9, 10, 18, 19, 22...Perforation for cutting, 7...Applicant display field, 8...Explanation print section, 11...Glue, 12...Sheet, 13...Deposit account transfer request form , 17...Application details entry field.

Claims (1)

[Scope of utility model registration request] An application form having a field for filling in application details and an explanation sheet on which explanatory matters related to filling out the application details are printed are connected on one side, and perforations for cutting are formed along predetermined sides of each of the forms. On the other hand, on the side of the explanatory sheet on which the explanatory matters are printed, along the three sides excluding the connecting side with the application form, the perforations for cutting are located on the outside of each side. An application form characterized by a transparent or translucent sheet that is removably adhered to the adhesive.