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- ﾐ頒ｰﾑひｰ ﾑﾐｾﾐｶﾐｴﾐｵﾐｽﾐｸﾑ: 09.05.1999
- ﾐ渙ｾﾐｻ: ﾐｶﾐｵﾐｽﾑﾐｺﾐｸﾐｹ
- ﾐ漬墟ｾﾐｽﾑひｰﾐｺﾑひｵ: 263244931
- ﾐｯﾐｷﾑ巾ｺﾐｸ: ﾐﾑτﾑﾐｺﾐｸﾐｹ
- ﾐ墟ｽﾐｸﾐｳﾐｸ: ﾐ斷ｵﾑσｼﾐｵﾐｻﾑ巾ｹ ﾐｿﾑﾐｸﾐｲﾐｾﾑﾐｾﾑ (ﾐｭﾐｲﾐｵﾐｻﾐｸﾐｽﾐｰ ﾐ籍ｽﾐｴﾐｵﾑﾑﾐｾﾐｽ); ﾐ墫σｻﾐｸﾐｽﾐｰﾑﾐｽﾐｰﾑ ﾑ災ｽﾑﾐｸﾐｺﾐｻﾐｾﾐｿﾐｵﾐｴﾐｸﾑ. ﾐ｢ﾐｾﾐｼ 12. ﾐ (ﾐ墟ｰﾑ威ｾﾐｲﾐｸ 窶 ﾐ墟ｸﾑ威ｼﾐｸﾑ) (ﾐ酉ﾑσｿﾐｿﾐｰ ﾐｰﾐｲﾑひｾﾑﾐｾﾐｲ)
- ﾐ績σｴﾐｸﾐｾﾐｺﾐｽﾐｸﾐｳﾐｸ: ﾐ渙ｵﾐｻﾐｰﾐｳﾐｸﾑ ﾐｸ ﾐｱﾐｵﾐｻﾑ巾ｹ ﾐｱﾑσｻﾑ糊ｴﾐｾﾐｳ (ﾐ岱ｾﾑﾐｸﾑ ﾐ籍ｺﾑσｽﾐｸﾐｽ); ﾐﾐｾﾐｷﾐｰ ﾐｲ ﾑσｿﾐｻﾐｰﾑび (ﾐｭﾐｻﾐｻﾐｸﾑ ﾐ渙ｸﾑひｵﾑﾑ)
- ﾐ慴ｵﾑﾑひｾﾐｿﾐｾﾐｻﾐｾﾐｶﾐｵﾐｽﾐｸﾐｵ: ﾐ榧ｿﾑﾐｵﾐｴﾐｵﾐｻﾐｸﾑび ﾐｼﾐｵﾑﾑひｾﾐｿﾐｾﾐｻﾐｾﾐｶﾐｵﾐｽﾐｸﾐｵ ﾐｿﾐｾ ﾐｽﾐｾﾐｼﾐｵﾑﾑ ﾑひｵﾐｻﾐｵﾑﾐｾﾐｽﾐｰ
