JP4780384B2 - Form - Google Patents

Description

  The present invention relates to an entry form that can be put into a concealed state in a state in which entry contents entered on a form such as a postcard or a questionnaire form cannot be seen by a third party.

Conventionally, personal information is entered on various forms such as postcards and questionnaires, and those forms are sent to the postal mail or in a questionnaire collection box. Deliver information to deliver.
The information entered on these various forms is often information that is difficult to be seen by a third party that contains personal information. There is also a risk of misuse in the application.

  In recent years, the importance of personal information protection has been increasing in particular, and in many cases the collected personal information is protected in various ways so that the personal information is collected by distributing the entry form. However, if the personal information entered on the form can be seen from the surface, it can be easily seen by a third party handling the form, or the personal information can be illegally leaked by being photographed with a camera. There is a risk of end.

For this reason, conventionally, concealment labels that are pasted on written information so that the information cannot be easily stolen by a third party have been used. (For example, see Patent Document 1)
These concealment labels are affixed on the information entered on the entry form by pasting them on the entry form for entering information in advance or attaching the concealment label separately from the entry form. A label is affixed to prevent entry information from being directly seen on the paper.
JP 2004-322430 A

However, preparing a concealment label for concealing the information entered on the entry form and giving it to the scriber is problematic in that it is costly and takes time and effort to produce the concealment label. There is a problem that it is difficult to use the concealment label when distributing the form.
Therefore, the present invention provides an entry form having a specification that allows the entry contents to be easily concealed without being stolen by a third party.

The entry form of the present invention is an entry form in which a personal information entry field is provided on the form, and a part of the form is pasted on the personal information entry field and used to cover the entry information. An information concealment unit, and an adhesive layer is formed on the surface of the information concealment unit, and further, when the information concealment unit of the paper is folded, the personal information entry column on the paper overlapping the information concealment unit ; A release agent layer is formed at a position that does not overlap, and a cutting sewing machine is formed around the information hiding portion.

In addition, the entry sheet of the present invention is characterized in that a release agent layer is further formed on an area provided with a personal information entry column of the sheet.

  Furthermore, the entry sheet of the present invention is characterized in that a part of the sheet is a postcard sheet, and a personal information entry column of the sheet is provided on the postcard sheet.

  In addition, the entry sheet of the present invention is characterized in that the information concealing portion of the sheet is folded and the adhesive layer is detachably bonded to the release agent layer.

  The entry form of the present invention is provided with an information concealment section as a part of the form that can be pasted on the personal information entry field of the form and concealed so that the entry information cannot be viewed by a third party. Therefore, it is possible to conceal the entry information easily without incurring costs and effort compared to the conventional concealment label, and it is possible to prevent the entry contents from being seen by a third party. There is an effect.

  Also, since the entry sheet of the present invention has a release agent layer formed on the area where the personal information entry field of the paper is provided, the information hiding part of the paper is pasted on the personal information entry field of the paper After that, there is an effect that the information concealing part can be easily peeled off to see the entered information.

  Further, since the entry form of the present invention is a part of the postcard paper and the personal information entry field is in the postcard form, the personal information entered in the personal information entry field is used when the postcard form is used. The information concealment part can be pasted and mailed in a concealed state easily, and the contents of the postcard can be prevented from being seen by a third party.

  In addition, since the information hiding part is folded and the adhesive layer is detachably bonded to the release agent layer, the entry sheet of the present invention is peeled off even after the personal information entered in the personal information entry column is concealed. There is an effect that can be.

Hereinafter, an entry form according to an embodiment of the present invention will be described in detail based on the drawings.
1 is a developed view of an entry form according to an embodiment of the present invention, FIG. 2 is a cross-sectional view taken along line AA of FIG. 1, and FIG. 3 is a perspective view of the entry form according to an embodiment of the present invention. FIG. 5 is a cross-sectional view taken along line BB in FIG. 3, and FIG.

As shown in FIG. 1 and FIG. 2, the entry sheet 1 according to the embodiment of the present invention is a postcard sheet 3 having a personal information entry field 2 as a part of the sheet. A cut sewing machine 4 formed for cutting is provided around the postcard paper 3.
The postcard 3 shown in FIG. 1 displays the back side of the postcard when it is a postcard, and each of the personal information entry fields 2 is used for entering a name, a telephone number, an e-mail address, a message, etc. There is an entry field.
A release agent layer 5 is formed at least on the area where the personal information entry column 2 is displayed.

At the other end of the part where the postcard paper 3 is provided, the postcard paper 3 is pasted on the upper side of the personal information entry field 2 and mailed to the personal information entry field 2 when mailed as a postcard. An information concealment unit 6 used to conceal the entry information is provided.
An adhesive layer 7 is formed on the surface of the information hiding portion 6.
The entry sheet 1 is formed with a vertical sewing machine 8 for folding the information concealment unit 6 and for cutting out the information concealment unit 6 during use.
The pressure-sensitive adhesive layer 7 is provided not only on the surface of the information concealment unit 6 but also in an area on the information concealment unit 6 that is partitioned by the cutting machine 8.
The entry form 1 is also formed with a cutting machine 10 for cutting off the information concealment unit 6 in the horizontal direction, and the information concealment unit 6 is cut out by cutting from the cutting machines 8 and 10 during use. It can be pasted on the surface of the portion 6.

A release agent layer 9 is formed in a region on the entry sheet 1 that overlaps the information concealment unit 6 when the information concealment unit 6 is folded from the cutting machine 8.
The area where the release agent layer 9 is formed is not only on the entry sheet 1 that overlaps the information hiding part 6 when the information hiding part 6 is folded from the cutting sewing machine 8 but also in all the areas that overlap the adhesive layer 7. It may be provided.

As the pressure-sensitive adhesive used for the pressure-sensitive adhesive layer 7, a pressure-sensitive adhesive that adheres with a known pressure sensitivity can be applied.
The pressure-sensitive adhesive is not particularly limited. For example, acrylic acid, acrylic acid ester, vinyl acetate, acrylonitrile, hydrocarbon resin, alkylphenol resin, rosin, or an aqueous dispersion of these mixtures, rosin triglyceride, hydrogenation An organic solvent liquid such as rosin is applied by a known coating method and dried.
In addition, isobutylene-isoprene copolymer, isobutylene-butadiene copolymer, and ethylene-styrene-containing block copolymer to which tackifiers such as aliphatic olefin resin, rosin, and terpene phenol resin are added are provided by hot melt coating method. May be.

As the release agent used for the release agent layers 5 and 9, a known release agent can be applied. For example, a medium of ultraviolet curable ink is used.
The area where the release agent layers 5 and 9 are provided is preferably wider than the area where the pressure-sensitive adhesive layer 7 is provided.
The area where the release agent layers 5 and 9 are provided is wider than the area where the pressure-sensitive adhesive layer 7 is provided, so that the information concealing part 6 is detachably pasted on the upper side of the personal information entry column 2 of the postcard paper 3. Even if it does, it can stick easily in the state which does not protrude the adhesive layer 7 from the peeling agent layer 5. FIG.

As shown in FIGS. 3 and 4, the entry form 1 according to the embodiment of the present invention is such that the sheet portion including the information hiding part 6 is folded from the cutting machine 8, and the entry forms 1 are bonded to each other by the adhesive layer 7. It is in a state.
However, since the release agent layer 9 is formed in a region on the surface of the sheet in the folded portion of the entry sheet 1 in the area overlapping the information hiding portion 6, the cut formed on the entry sheet 1 The information hiding part 6 can be peeled off by cutting the paper from the sewing machines 8 and 10.

Next, a method for using the entry form 1 according to the embodiment of the present invention will be described.
The user of the entry form 1 enters necessary information in the personal information entry field 2 of the postcard form 3.
Then, as shown in FIG. 5, the information hiding part 6 is cut off from the cutting machines 8 and 10, and the information hiding part 6 is peeled off from the adhesive layer 7 and pasted on the upper side of the personal information entry column 2 of the postcard paper 3. By doing so, the entry information entered in the personal information entry column 2 is hidden.
Then, the postcard paper 3 is cut out from the cutting machine 4 and mailed as a postcard.
The recipient of the postcard can see the information entered in the personal information entry field 2 by peeling off the information concealment portion 6 attached to the postcard from the release agent layer 5.

The entry form of the present invention is not limited to a form provided with a postcard form but can be applied to a form used for various purposes such as a questionnaire form.
For example, when the entry form of the present invention is adapted to a questionnaire form, a release agent layer is provided in the area on the personal information entry area of the questionnaire form, and the information concealment part of the entry form is cut off to obtain the personal information entry area. By sticking the information concealing part on the top in a peelable manner, leakage of the entry information can be prevented.

  As described above, the entry sheet according to the present invention is configured so as to prevent leakage of information by making the entered contents invisible to a third party as described above. It can be applied to various forms of entry forms as well as questionnaire forms.

It is an expanded view of the entry form which concerns on embodiment of this invention. It is the sectional view on the AA line of FIG. It is a perspective view of the entry paper concerning the embodiment of the present invention. FIG. 4 is a sectional view taken along line BB in FIG. 3. It is a figure explaining the usage method of the entry paper which concerns on embodiment of this invention.

Explanation of symbols

1 entry form
2 Personal information entry column
3 postcard paper
4,8,10 Cut-off sewing machine
5 Release agent layer
6 Information hiding part
7 Adhesive layer
9 Release agent layer

Claims (4)

An entry form with a personal information entry field on the form,
A part of the paper is an information concealment unit used for concealing the entry information by being affixed on the personal information entry column, and an adhesive layer is formed on the surface of the information concealment unit. When the information concealing part is folded, a release agent layer is formed at a position that does not overlap the personal information entry column on the paper overlapping the information concealing part, and a cutting sewing machine is formed around the information concealing part An entry form characterized by being. 2. The entry form according to claim 1, wherein a release agent layer is further formed on an area of the form where a personal information entry column is provided.   2. The entry sheet according to claim 1, wherein a part of the sheet is a postcard sheet, and a personal information entry field of the sheet is provided on the postcard sheet.   2. The entry sheet according to claim 1, wherein an information concealing portion of the sheet is folded and the adhesive layer is detachably bonded to the release agent layer.

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