Application sheet

Abstract

To enable visually impaired persons to easily provide application information.SOLUTION: Pieces of required information 12, 22a, 22b, 32, 42, 52, and 62 for applying for a procedure using an application sheet 1 are indicated on the sheet. The application sheet includes an entry date entry column 10, an address entry column 20, a name entry column 30, a photograph attachment column 50, and a seal column 60 for providing the application information required for applying for the procedure, based on the pieces of required information 12, 22a, 22b, 32, 42, 52, and 62. Each of frame parts 11, 21, 31, 41, 51, and 61 of the date entry column 10, the address entry column 20, the name entry column 30, the photograph attachment column 50, and the seal column 60 is embossed.SELECTED DRAWING: Figure 1

Description

[Technical Field]

[0001] The present invention relates to an application sheet used for applying for a procedure. [Background technology]

[0002] Conventionally, application forms of various formats have been used to apply for procedures. These application forms have fields for entering information necessary for the procedure, and the person applying for the procedure fills in the necessary items in these fields (see, for example, Patent Document 1). [Prior art documents] [Patent documents]

[0003] [Patent Document 1] Utility Model Registration No. 3103988 Summary of the Invention [Problem to be solved by the invention]

[0004] Meanwhile, those who apply for procedures using the above-mentioned application forms include not only able-bodied people, but also people with visual impairments such as total blindness and low vision, so-called visually impaired people. When visually impaired people use application forms to apply for procedures, even with the assistance of a caregiver, they have difficulty recognizing the fields to fill out on the application form, which poses a problem in that they are unable to proceed with the procedures smoothly.

[0005] The present invention has been made in consideration of the problems associated with the conventional technology as described above, and aims to provide an application sheet for applying for procedures by adding specified application information, which allows even visually impaired people to easily add application information. [Means for solving the problem]

[0006] In order to achieve the above object, the present invention provides: An application sheet used to apply for a procedure, The application form will display the necessary information to apply for the procedure, The application information required for the application for the procedure is provided in a frame surrounded by the frame. fill in It has a column for adding application information, The frame of the application information entry field is embossed.

[0007] In the present invention configured as described above, application for a procedure is made by entering the application information required for the procedure in the application information field based on the necessary information displayed on the application sheet. However, the embossed frame of the application information field allows the application information field to be recognized without visual recognition. Furthermore, the embossed frame makes the application information field easy to recognize, making it easy for able-bodied individuals to understand, preventing caregivers from making mistakes when filling out the form. Furthermore, the embossed frame allows the front and back of the application sheet to be distinguished without visual recognition, eliminating the risk of entering the application information on the wrong side. Furthermore, when entering application information in the application information field, the embossed frame of the application information field allows the pen tip used to enter the application information to catch on the embossed protrusions, even if the application information is about to overflow the application information field, thereby preventing the application information from overflowing the application information field. Furthermore, when entering application information in the application information entry field, the embossing is applied to the frame portion rather than the entire application information entry field, so that the embossing does not make it difficult to enter application information in the application information entry field.

[0008] Furthermore, if the necessary information is presented in Braille, visually impaired people can recognize the necessary information without the assistance of a caregiver.

[0009] The embossing may be performed by forming a plurality of embossments intermittently along the frame portion. [Effects of the Invention]

[0010] According to the present invention, the frame of the application information field for providing application information required for application procedures is embossed, allowing the application information field to be recognized without visual aid, making it easy for visually impaired people to provide application information. Furthermore, the embossing makes the application information field easy to recognize, making it easy for able-bodied people to understand, preventing caregivers from making mistakes when filling out the form. Furthermore, the embossing allows the front and back of the application sheet to be distinguished without visual aid, eliminating the risk of providing the wrong side. Furthermore, when filling out application information in the application information field, the embossing of the frame of the application information field gives the pen tip used to write the application information a feeling of catching on the embossed protrusions, even if the application information is about to overflow from the application information field, thereby preventing the application information from overflowing from the application information field. Furthermore, when entering application information in the application information entry field, the embossing is applied to the frame portion rather than the entire application information entry field, thereby preventing the embossing from making it difficult to enter application information in the application information entry field.

[0011] Furthermore, when the necessary information is presented in Braille, visually impaired people can recognize the necessary information without the assistance of a caregiver. [Brief explanation of the drawings]

[0012] [Figure 1] 1A and 1B are diagrams showing one embodiment of the application sheet of the present invention, in which (a) is a diagram showing the surface configuration, (b) is an enlarged view of part A shown in (a), and (c) is a cross-sectional view taken along the line A-A' shown in (b). [Figure 2] 1. FIG. 4 is a diagram for explaining the action when entering an entry date, which is application information, in the entry date entry field of the application sheet shown in FIG. [Figure 3] FIG. 2 is a diagram for explaining the effect of embossing the application sheet shown in FIG. 1 in such a way that the dot-shaped embossments are arranged in a continuous pattern. [Figure 4] 10A and 10B are diagrams showing another embodiment of the application sheet of the present invention, in which (a) is a diagram showing the configuration of a part of the surface, (b) is an enlarged view of part A shown in (a), and (c) is a cross-sectional view taken along the line A-A' shown in (b). [Figure 5] 10A and 10B are diagrams showing another embodiment of the application sheet of the present invention, in which (a) is a diagram showing the configuration of a part of the surface, (b) is an enlarged view of part A shown in (a), (c) is an A-A' cross-sectional view shown in (b), and (d) is a B-B' cross-sectional view shown in (b). [Figure 6] 10A and 10B are diagrams showing another embodiment of the application sheet of the present invention. DETAILED DESCRIPTION OF THE INVENTION

[0013] Hereinafter, an embodiment of the present invention will be described with reference to the drawings.

[0014] FIG. 1 shows one embodiment of the application sheet of the present invention, where (a) is a diagram showing the surface configuration, (b) is an enlarged view of part A shown in (a), and (c) is a cross-sectional view taken along the line A-A' shown in (b).

[0015] As shown in Figure 1, this form is an application sheet 1 used for applying for a specified procedure, which is configured by providing a base sheet 2 with a field for entering the date of entry 10, a field for entering the address 20, a field for entering the name 30, a field for entering additional information 40, a field for attaching a photo 50, and a field for stamping 60, and also having explanatory information 3 printed thereon.

[0016] The entry date entry field 10 serves as the field for providing application information in the present invention. The entry date entry field 10 is defined by being surrounded by a frame 11, and displays required information 12 indicating the entry date, which is the information that must be entered in the entry date entry field 10 in order to carry out the procedure using the application sheet 1. As shown in Figures 1(b) and (c), the frame 11 is embossed with a series of dot-shaped embossments 4 protruding from the front side of the application sheet 1. The spacing between the embossments 4 can be adjusted as appropriate.

[0017] The address entry field 20 serves as the field for providing application information in the present invention. The address entry field 20 is defined by being surrounded by a frame 21, and displays required information 22a indicating the address, which is information that must be entered in the address entry field 20 in order to complete the procedure using the application sheet 1. The frame 21 is embossed with a series of dot-shaped embossments 4 protruding from the front side of the application sheet 1, similar to the frame 11 of the entry date entry field 10. The spacing between the embossments 4 can be adjusted as appropriate. Furthermore, required information 22b, which serves as a note regarding the address to be entered in the address entry field 20, is also displayed in the area outside the frame 21.

[0018] The name entry field 30 serves as the field for providing application information in the present invention. The name entry field 30 is defined by being surrounded by a frame 31, and displays required information 32 indicating the name that must be entered in the name entry field 30 in order to complete the procedure using the application sheet 1. The frame 31 is embossed with a series of dot-shaped embossments 4 protruding from the front side of the application sheet 1, similar to the frame 11 of the entry date entry field 10. The spacing between the embossments 4 can be adjusted as appropriate.

[0019] The additional information entry field 40 serves as the field for providing application information in the present invention. The additional information entry field 40 is defined by being surrounded by a frame 41, and displays required information 42 indicating a telephone number and date of birth, which are information that must be entered in the additional information entry field 40 in order to complete the procedure using the application sheet 1. The frame 41 is embossed with a series of dot-shaped embossments 4 protruding from the front side of the application sheet 1, similar to the frame 11 of the entry date entry field 10. The spacing between the embossments 4 can be adjusted as appropriate.

[0020] The photo attachment field 50 serves as the field for providing application information in the present invention. The photo attachment field 50 is defined by being surrounded by a frame 51, and displays necessary information 52 indicating that a photo should be attached to the photo attachment field 50 in order to complete the procedure using the application sheet 1. The frame 51 is embossed with a series of dot-shaped embossments 4 protruding from the front side of the application sheet 1, similar to the frame 11 of the entry date entry field 10. The spacing between the embossments 4 can be adjusted as needed.

[0021] The seal field 60 serves as the field for providing application information in the present invention. The seal field 60 is defined by being surrounded by a frame 61, and displays required information 62 indicating that a seal should be applied to the seal field 60 in order to carry out the procedure using the application sheet 1. The frame 61 is embossed with a series of dot-shaped embossments 4 protruding from the front side of the application sheet 1, similar to the frame 11 of the entry date entry field 10. The spacing between the embossments 4 can be adjusted as appropriate.

[0022] The explanatory information 3 is embossed in the frame portions 11, 21, 31, 41, 51, 61 of the entry date field 10, address field 20, name field 30, additional information field 40, photo attachment field 50 and seal field 60, thereby indicating the presence of unevenness.

[0023] The method of using the application sheet 1 configured as above and its function at that time will be described below.

[0024] The application sheet 1 shown in FIG. 1 can be used by visually impaired people when applying for a specific procedure. In this case, the application information required for the procedure is entered in each of the entry date field 10, address field 20, name field 30 and additional information field 40 based on the necessary information 12, 22a, 22b, 32, 42 displayed on the application sheet 1, a photograph is attached in the photo attachment field 50 based on the necessary information 52, and a seal is affixed in the stamp field 60 based on the necessary information 62, thereby providing the application information required for the procedure and submitting the application for the procedure.However, as mentioned above, the frames 11, 21, 31, 41, 51, 61 of the entry date field 10, address field 20, name field 30, additional information field 40, photo attachment field 50 and stamp field 60 are embossed, so that the entry date field 10, address field 20, name field 30, additional information field 40, photo attachment field 50 and stamp field 60 can be recognized without visual recognition.

[0025] FIG. 2 is a diagram for explaining the operation when entering the entry date, which is application information, in the entry date entry field 10 of the application sheet 1 shown in FIG.

[0026] For example, when entering the date of entry on the application sheet 1 in the entry date field 10, as shown in Figure 2(a), the frame 11 of the entry date field 10 has an embossed embossment 4 that protrudes from the front side of the application sheet 1, so that when the application sheet 1 is touched with a finger 5, the finger 5 touches the embossment 4 at the frame 11 of the entry date field 10, allowing the frame 11 of the entry date field 10 to be recognized without relying on sight. Furthermore, because the embossing makes the entry date field 10 easy to recognize, even able-bodied people can easily identify the entry date field 10, preventing caregivers from making mistakes when entering data. Furthermore, as mentioned above, since the embossing 4 produced by the embossing process protrudes from the front side of the application sheet 1, the front and back of the application sheet 1 can be distinguished without visually, and there is no risk of making a mistake when entering the application information indicated by the required information 12, 22a, 22b, 32, 42 in the entry date entry field 10, address entry field 20, name entry field 30 and additional information entry field 40, attaching a photograph in the photograph attachment field 50, or stamping in the stamp field 60.

[0027] The above-described effect is not limited to the entry date entry field 10, but also occurs in the other application information entry fields, name entry field 20, name entry field 30, additional information entry field 40, photo attachment field 50, and seal field 60, when entering an address in the address entry field 20, entering a name in the name entry field 30, entering additional information in the additional information entry field 40, attaching a photo in the photo attachment field 50, or stamping in the seal field 60. Furthermore, if the necessary information 12, 22a, 22b, 32, 42, 52, and 62 is represented in Braille, a visually impaired person can recognize the necessary information 12, 22a, 22b, 32, 42, 52, and 62 without the assistance of a caregiver.

[0028] Furthermore, when entering the date of entry on the application sheet 1 in the date entry field 10, the embossing 4 formed by embossing on the frame 11 of the date entry field 10 protrudes from the front side of the application sheet 1, so that as shown in Figure 2(b), even if the date of entry on the application sheet 1 is about to go beyond the date entry field 10 when it is being entered in the date entry field 10, the tip of the writing instrument 6 used to enter the date will feel as if it is catching on the protruding part of the embossing 4, thereby preventing the date from going beyond the date entry field 10.

[0029] In addition, when entering the entry date in the entry date entry field 10, the embossing is applied not to the entire entry date entry field 10 but to the frame part 11, so that the embossing does not make it difficult to enter the entry date in the entry date entry field 10.

[0030] The above-mentioned effect is not limited to the entry date entry field 10, but also occurs in the other application information entry fields, name entry field 20, name entry field 30 and additional information entry field 40, when entering an address in the address entry field 20, a name in the name entry field 30 or additional information in the additional information entry field 40.

[0031] FIG. 3 is a diagram for explaining the effect of the application sheet 1 shown in FIG. 1, which is embossed with a series of dot-shaped embossments 4. In FIG.

[0032] As described above, in the application sheet 1 shown in Fig. 1, the frames 11, 21, 31, 41, 51, and 61 of the entry date field 10, address field 20, name field 30, additional information field 40, photo field 50, and seal field 60 are embossed with a series of dot-like embossments 4. Therefore, as shown in Fig. 3, when a finger 5 touches the embossments 4, the changes in the relief caused by the embossments 4 make the frames 11, 21, 31, 41, 51, and 61 of the entry date field 10, address field 20, name field 30, additional information field 40, photo field 50, and seal field 60 even easier to recognize. In particular, when the finger 5 is moved in the direction in which the embossments 4 are connected, the changes in relief caused by the embossments 4 are easily felt. Furthermore, by using dot-shaped embossing instead of line-shaped embossing as described below, the embossing can easily increase the protrusion height depending on the manufacturing method, thereby making the frames 11, 21, 31, 41, 51, and 61 of the entry date field 10, address field 20, name field 30, additional information field 40, photo field 50, and seal field 60 more easily recognizable. Furthermore, in order to distinguish from the creases and creasing that occur when the application sheet 1 is folded, using dot-shaped embossing instead of line-shaped embossing as described below is more preferable, as it makes it easier to distinguish from creases and the like when touching the embossing. However, to make it easier to distinguish between the dot-shaped embossing and the perforation lines, when using the dot-shaped embossing, it is recommended to use micro-perforations, or no perforation lines, or to arrange the dot-shaped embossing so that there are no perforations around it.

[0033] In this embodiment, the application information fields are exemplified by the entry date field 10, address field 20, name field 30, additional information field 40, photo attachment field 50, and stamp field 60, and the configuration has been described in which all of these frame sections 11, 21, 31, 41, 51, 61 are embossed, but it is also possible for some of the entry date field 10, address field 20, name field 30, additional information field 40, photo attachment field 50, and stamp field 60 to not have embossed frame sections.

[0034] (Other embodiments) FIG. 4 shows another embodiment of the application sheet of the present invention, where (a) is a diagram showing the configuration of a part of the surface, (b) is an enlarged view of part A shown in (a), and (c) is a cross-sectional view taken along the line A-A' shown in (b).

[0035] As shown in Fig. 4, this embodiment is an application sheet 101 that differs from the one shown in Fig. 1 in that it has been embossed by forming line-shaped embossments 104. The application sheet 101 of this embodiment has an information entry field 110 as a field for providing application information. The information entry field 110 is defined by being surrounded by a frame 111, and required information 112 is displayed indicating the information that should be entered in the information entry field 110 in order to carry out the procedure using the application sheet 101. As shown in Figs. 4(b) and (c), the frame 111 is embossed by forming line-shaped embossments 104 that protrude from the front side of the application sheet 101.

[0036] In the application sheet 101 configured as described above, the frame 111 of the information entry field 110 is embossed by forming a line-shaped embossment 104, so that the information entry field 110 can be recognized without relying on vision, and the same action and effect as that shown in Figure 1 is achieved.

[0037] Figure 5 shows another embodiment of the application sheet of the present invention, where (a) is a diagram showing the configuration of part of the surface, (b) is an enlarged view of part A shown in (a), (c) is an A-A' cross-sectional view shown in (b), and (d) is a B-B' cross-sectional view shown in (b).

[0038] As shown in Fig. 5, this embodiment is an application sheet 201 that differs from the one shown in Fig. 4 in that embossing is performed by forming embossments 204 intermittently along a frame portion 211. The application sheet 201 of this embodiment has an information entry field 210 as a field for providing application information. The information entry field 210 is defined by being surrounded by a frame portion 211, and displays necessary information 212 indicating information that should be entered in the information entry field 210 in order to carry out a procedure using the application sheet 201. As shown in Figs. 5(b) to (d), the frame portion 211 is embossed by forming embossments 204 that protrude toward the front side of the application sheet 201 intermittently along the frame portion 211.

[0039] In the application sheet 201 configured as described above, the frame 211 of the information entry field 210 is embossed by forming embossments 204 intermittently along the frame 211, so that the information entry field 210 can be recognized without visual recognition, and the same action and effect as that shown in Figure 1 is achieved.

[0040] FIG. 6 is a diagram showing another embodiment of the application sheet of the present invention, showing the configuration of a part of the front surface.

[0041] This embodiment differs from that shown in FIG. 1 in that embossments are formed only in a portion of the frame of the application information field. As shown in FIG. 6, this embodiment is an application sheet 301 having an information entry field 310 as the application information field. The information entry field 310 is defined by being surrounded by a frame 311, and required information 312 is displayed, indicating the information to be entered in the information entry field 310 in order to complete the procedure using the application sheet 301. An embossment formation portion 307 is provided at each of the four corners of the frame 311, and the embossment is formed to achieve an embossed finish. The embossments formed in the embossment formation portion 307 may be a series of dots as shown in FIG. 1, a line as shown in FIG. 4, or discontinuously formed along the frame 311 as shown in FIG. 5.

[0042] In the application sheet 301 configured as described above, the frame 311 of the information entry field 310 is embossed by forming embossments in the embossing formation areas 307 at its four corners, so that the information entry field 310 can be recognized without relying on vision, and the same action and effect as that shown in Figure 1 is achieved.

[0043] In this embodiment, embossing portions 307 are provided at the four corners of frame portion 311, and frame portion 311 is embossed by forming embossments in these embossing portions 307. However, in a configuration in which embossing is formed only in a portion of the frame of the application information providing field, as in this embodiment, the area in which embossing is formed is not limited to the four corners of the frame, but may be any area in which the application information providing field can be easily recognized without relying on the eye, such as the four sides of the frame. However, if embossing is formed over the entire frame, the application information providing field becomes easier to recognize without relying on the eye.

[0044] In the application sheets 1, 101, 201, 301 shown in the above-mentioned embodiments, in order to enable the application information fields, namely the entry date field 10, address field 20, name field 30, photo field 50, seal field 60 and information field 110, 210, 310, to be recognized without visual aid, the frame portions 11, 21, 31, 41, 51, 61, 111, 211, 311 of the entry date field 10, address field 20, name field 30, photo field 50, seal field 60 and information field 110, 210, 310 are embossed. However, once a dedicated blade mold is made, the embossing can be performed simply by pressing the blade mold against the sheet, so that a configuration that enables the application information fields to be recognized without visual aid can be realized at low cost.

[0045] In addition, the application information entry fields are not limited to the above-mentioned fields for entering information, such as the entry date field 10, address field 20, name field 30, additional information field 40, and information entry fields 110, 210, and 310, the photo attachment field 50, and the seal field 60, but can also include check boxes for selectively entering check marks and document attachment fields for attaching documents such as identification documents. [Explanation of symbols]

[0046] 1,101,201,301 Application Sheet 2 Base sheet 3. Explanatory Information 4,104,204 Embossed 5 fingers 6 Writing instruments 10. Date of entry 11,21,31,41,51,61,111,211,311 Frame 12,22a,22b,32,42,52,62,112,212,312 Required information 20 Address field 30 Name entry field 40 Additional information entry field 50 Photo attachment area 60 Stamp area 110,210,310 Information entry field 307 Embossing section

Claims

1. An application sheet used to apply for a procedure, The application form will be used to display the necessary information for applying for the procedure. The application information entry field is surrounded by a frame and is used to enter application information necessary for applying for the procedure based on the required information. The frame of the application information column is embossed, An application sheet in which explanatory information indicating the presence of unevenness is displayed by embossing the frame portion of the application information column.

2. The application sheet according to claim 1, A plurality of sets of the necessary information and the application information assignment field are provided, An application sheet in which the embossing is applied to each of the frame portions of the plurality of application information fields.

3. The application sheet according to claim 1 or 2, An application sheet on which the necessary information is written in Braille.

4. The application sheet according to any one of claims 1 to 3, The application sheet is embossed by forming a plurality of embossments intermittently along the frame portion.

Images