(4)業種 Business type

○主たる業種を別紙「業種一覧」から選択して番号を記入（１つのみ）

Select the main business type from the attached sheet "a list of business type" and write the corresponding number (select only one)

○他に業種があれば別紙「業種一覧」から選択して番号を記入（複数選択可） If there are another business types, select from the attached sheet "a list of business type " and write the corresponding number (multiple answers possible)

健康保険及び厚生年金保険の適用事業所であることの有無 Does the place of business apply health insurance and employees pension insurance? health_insurance) && $record->health_insurance == 1 ? 'checked' : '' }} {{ $type == 'detail' ? 'disabled' : '' }}>有 health_insurance) && $record->health_insurance == 2 ? 'checked' : '' }} {{ $type == 'detail' ? 'disabled' : '' }}>無

労災保険及び雇用保険の適用事業所であることの有無 Does the place of business apply industrial accident insurance and employment insurance? labor_insurance) && $record->labor_insurance == 1 ? 'checked' : '' }} {{ $type == 'detail' ? 'disabled' : '' }}>有 labor_insurance) && $record->labor_insurance == 2 ? 'checked' : '' }} {{ $type == 'detail' ? 'disabled' : '' }}>無

(11)労働、社会保険及び租税に関する法令の規定に違反したことの有無
Has the organization ever been in violation of the provisions of laws and regulations concerning labor, social insurance or tax? labor_violation) && $record->labor_violation == 1 ? 'checked' : '' }} {{ $type == 'detail' ? 'disabled' : '' }}>有 labor_violation) && $record->labor_violation == 2 ? 'checked' : '' }} {{ $type == 'detail' ? 'disabled' : '' }}>無

(12)特定技能雇用契約の締結の日前1年以内又は締結の日以後に、外国人が従事する業務と同種の業務に従事していた労働者を非自発的に離職させたことの有無
Has a worker who engaged in work of the same type as that which the foreign national is to engage in ever been forced to leave within one year prior to the date of the foreign national entering into employment contract for specified skilled workers or after the date of the foreign national entering into such contract? forced_leave) && $record->forced_leave == 1 ? 'checked' : '' }} {{ $type == 'detail' ? 'disabled' : '' }}>有 forced_leave) && $record->forced_leave == 2 ? 'checked' : '' }} {{ $type == 'detail' ? 'disabled' : '' }}>無

(13)特定技能雇用契約の締結の日前1年以内又は締結の日以後に、特定技能所属機関の責めに帰すべき事由により外国人の行方不明者を発生させたことの有無
Has the organization ever caused a foreign national to disappear due to a cause attributable to the fault of the organization of affiliation of the specified skilled worker within one year prior to the date of the foreign national entering into the employment contract for specified skilled workers or after the date of the foreign national entering into such contract? missing_foreigner) && $record->missing_foreigner == 1 ? 'checked' : '' }} {{ $type == 'detail' ? 'disabled' : '' }}>有 missing_foreigner) && $record->missing_foreigner == 2 ? 'checked' : '' }} {{ $type == 'detail' ? 'disabled' : '' }}>無

(14)特定技能所属機関・その役員・支援責任者・支援担当者が法令に違反して刑に処せられたことの有無
Has the organization of affiliation of the specified skilled worker or its officer, support manager or support staff ever been sentenced to a criminal punishment due to a violation of laws and regulations? criminal_punishment) && $record->criminal_punishment == 1 ? 'checked' : '' }} {{ $type == 'detail' ? 'disabled' : '' }}>有 criminal_punishment) && $record->criminal_punishment == 2 ? 'checked' : '' }} {{ $type == 'detail' ? 'disabled' : '' }}>無

(15)特定技能所属機関・その役員・支援責任者・支援担当者が特定技能雇用契約の適正な履行に影響する精神の機能の障害を有することの有無
Does the organization of affiliation of the specified skilled worker, its officer, support manager or support staff have a mental disability which will have an impact on proper performance of the employment contract for specified skilled workers? mental_disability) && $record->mental_disability == 1 ? 'checked' : '' }} {{ $type == 'detail' ? 'disabled' : '' }}>有 mental_disability) && $record->mental_disability == 2 ? 'checked' : '' }} {{ $type == 'detail' ? 'disabled' : '' }}>無

(16)特定技能所属機関・その役員・支援責任者・支援担当者が破産手続開始の決定を受けて復権を得ないことの有無
Has the organization of affiliation of the specified skilled worker, its officer, support manager or support staff become subject to the commencement of bankruptcy procedures and yet to have its rights restored? bankruptcy) && $record->bankruptcy == 1 ? 'checked' : '' }} {{ $type == 'detail' ? 'disabled' : '' }}>有 bankruptcy) && $record->bankruptcy == 2 ? 'checked' : '' }} {{ $type == 'detail' ? 'disabled' : '' }}>無

(17)特定技能所属機関・その役員・支援責任者・支援担当者が技能実習法第16条第1項の規定により実習認定を取り消されたことの有無
Has the organization of affiliation of the specified skilled worker, its officer, support manager or support staff ever had its accreditation of the training revoked as provided for in Article 16, paragraph (1) of the Technical Intern Training Act? training_revocation) && $record->training_revocation == 1 ? 'checked' : '' }} {{ $type == 'detail' ? 'disabled' : '' }}>有 training_revocation) && $record->training_revocation == 2 ? 'checked' : '' }} {{ $type == 'detail' ? 'disabled' : '' }}>無

(18)特定技能所属機関・その役員・支援責任者・支援担当者が技能実習法第16条第1項の規定により実習認定を取り消された法人の役員であったことの有無
Has the organization of affiliation of the specified skilled worker, its officer, support manager or support staff ever been an officer of a corporation that has had its accreditation of training revoked as provided for in Article 16, paragraph (1) of the Technical Intern Training Act? revoked_officer) && $record->revoked_officer == 1 ? 'checked' : '' }} {{ $type == 'detail' ? 'disabled' : '' }}>有 revoked_officer) && $record->revoked_officer == 2 ? 'checked' : '' }} {{ $type == 'detail' ? 'disabled' : '' }}>無

(19)特定技能所属機関・その役員・支援責任者・支援担当者が特定技能雇用契約の締結の日前5年以内又は締結の日以後に、出入国又は労働に関する法令に関して不正又は著しく不当な行為をしたことの有無
Has the organization of affiliation of the specified skilled worker, its officer, support manager or support staff ever committed a wrongful or seriously unjust act in relation to immigration or labor-related laws or regulations within five years of the date of entering into the employment contract for specified skilled workers or after the date of entering into such contract? wrongful_act) && $record->wrongful_act == 1 ? 'checked' : '' }} {{ $type == 'detail' ? 'disabled' : '' }}>有 wrongful_act) && $record->wrongful_act == 2 ? 'checked' : '' }} {{ $type == 'detail' ? 'disabled' : '' }}>無

(20)特定技能所属機関・その役員・支援責任者・支援担当者が暴力団員であること又は5年以内に暴力団員であったことの有無
Is the organization of affiliation of the specified skilled worker, its officer, support manager or support staff currently an organized crime member or was it formerly an organized crime member within the past five years? crime_member) && $record->crime_member == 1 ? 'checked' : '' }} {{ $type == 'detail' ? 'disabled' : '' }}>有 crime_member) && $record->crime_member == 2 ? 'checked' : '' }} {{ $type == 'detail' ? 'disabled' : '' }}>無

(21)特定技能所属機関・その役員・支援責任者・支援担当者の法定代理人（法人である場合はその役員）が(14)から(20)に該当することの有無（特定技能所属機関・その役員・支援責任者・支援担当者が営業に関し成年者と同一の行為能力を有しない未成年者である場合に記入）
Does the statutory agent (its officer in the case of a corporation) of the organization of affiliation of the specified skilled worker, its officer, support manager or support staff fall under any of (14) to (20)? (Fill in this section if the organization of affiliation of the specified skilled worker, its officer, support manager or support staff is a minor who does not have the same capacity to act as a person who has reached the age of majority in relation to business.) statutory_agent) && $record->statutory_agent == 1 ? 'checked' : '' }} {{ $type == 'detail' ? 'disabled' : '' }}>有 statutory_agent) && $record->statutory_agent == 2 ? 'checked' : '' }} {{ $type == 'detail' ? 'disabled' : '' }}>無