ݵѺͬͨá
ʱƣͬǵİԽԽڴһʱƶͬһɡôصĺͬôдأСΪռķݵѺͬϣԴ
ݵѺͬ ƪ1
Ѻˣ(¼Ƽ)
֤룺ϵ绰
סַ
ѺȨˣ(¼ҷ)
֤룺ϵ绰
סַ
ڼҷXXԪʱܳΪҷЭһ£ضѺͬ
һҷԸȨֵλXX()XX()XX·()XXXX֮ȫȨ(³ƸõѺƲѺ嵥)ѺΪ֮ͬĵ
ڶѺͬΧΪ֮ͬϢ(ΥԼڻյĸͼյϢ)Ӧ֧ΥԼ⳥ԼʵִծȨ͵ѺȨķ(ʦѡ֤ѼϷ)
ͬйصաǼǡܵȷþɼе
Ѻ
ѺΪXX꣬XXXXXXXXֹ
Ϣ
ÿXX֧ϢÿϢԱͬܶXXȡÿ찴ͬܶXXȡ
ΥԼ
1Ӧ֤ǸõѺĺϷȨˣõѺȨⷢף˶ҷʧʱӦ⳥
2δҷͬ⣬ýѺתáۡٵѺʽ֡
Υǰ涨ҷȨݹܵѺ֪ͨӦڽӵ֪ͨڣѺサҷڲߣҷXԺǿִСҷܵľʧɼ⳥
3Υͬڶ֮涨ֵѺΪЧҷܵľʧɼ⳥
κһΥͬκԷɾʧ`ӦԷ֧ͬ½X%ΥԼΥԼֲԷʧģΥԼӦͲ㲿⳥
бͬκξף˫ӦѺЭ̽;Э̽ɵģɼ˫ͬѡзʽ֮һ
(һ)ύõѺڵԺϽ;
()ύٲίԱþ
ڰδڼ䣬⣬Ӧбͬ涨
ھ
1ͬס˫ǩּӸ²Xй֤֤Ч֤ɼе
2ѺڣʵڳϢҪӳѺߣ룬ҷͬⲢǩЭΪͬĸӳѺޡ
3.ͬδˣס˫Э̣ǩЭ顣Э뱾ͬͬЧ
ͬһʽݣ˫ִһݣ֤浵һݡ
ѺˣXXXѺȨˣXXX
ַXXXַXXXX
мʺţXXXмʺţXXX
XXXXն
ݵѺͬ ƪ2
跽__________
ַ____________
֤룺____________
ϵ绰____________
ҷ____________
ַ____________
֤룺____________
ϵ绰____________
һ
ͬҷ_________ԪңΪ_________죬______________________________________________________ֹΪ_______%
ʽ
1.ȫʽҷӦڽ֮ǰеıϢһԷ
2.ڻʽס˫ԼɷڻӦ˫ԼĻͻʱڻͬʱսʼڵϢ
Ѻ
1.ҷӦϷӵеķѺݾ£
ַ______________
Ȩˣ______________
Ǽ֤ţ______________
Ȩˣ______________
֤ţ______________
ݽ______________
______________
Ѻֵ______________
2.ҷδԼڻȨݱͬԼԸõѺдֵķʽջؽδϢҷӦеɴ˲ȫúʧ
ġʹ
1.ҷӦ_______;Ųá
2.ҷκŲ֮Ӧеɴ˲ȫΡ
塢˫Ȩ
1.Ȩ
1ṩձͬԼҷȡϢ
2ȨݱͬԼҷIJƲв⡢߿Ѻȴʩ
3ȨݱͬԼջصѺԽҷδʱ⡣
4ӦƱܵѺбա
5ӦձͬԼҷ֧֡Эҷˡ
2.ҷȨ
1ڽڰպͬ涨ڻ
2뱣ֵѺ𣬲Դֻתõȡ
3Ųֻڽ;Ͻлѡ
4뱣֤ṩϺϢʵЧΪ˳еӦ'Ρ
ΥԼ취
1.ҷδԼĻڹ黹Ϣͬڻ֮ϢԼ/360ֱʱֹ
2.ҷǷδоȨ÷ֶνҪҷ⳥Ӧʧ
ߡԼ
1.Э_____________ЧڽϢȫֹ
2.ڱЭδˣ˫Э̽Ҳطɷд
3.Эһʽݣס˫ִһݣͬȷЧ
ǩ֣______________
ҷǩ֣______________
ڣ______________
ݵѺͬ ƪ3
跽______________(¼Ƽ)
н跽______________(¼ҷ)
ּҷΪⲻҪʧͷգԼ˫ͬسţּס˫һЭͬ⣬ǩ½Э顣
һϢޣ
һԽִдң__________Ԫ(Сд_________Ԫ)ҷΪһ(________________)ڲϢһҷӦһԽ黹
Ϊ˸ЭֵľзЧҷԸ_______________________סѺҷõѺǼ֤Ϊ______________________㣬______Oʹ֤___________________ţʹ____O˫˫Э飬֤֤ͨҷڽڣûй黹_____________ԪҷԸ_______________ɼȹȨδɼܳҷ飬ҷڻԸǿִСЭһʽݣ˫ظִһݡ֤һݣ˫ڹ֤֤ǩЧоԷЧ
赽__________________ԪҼ꣬ʵͬЭһЧ
ˣ____________
________
ǩ֣__________
ҷǩ֣__________
֤룺_________
֤룺_________________
֤ǩ֣_________________________
ǩڣ_________________________
ݵѺͬ ƪ4
()_________________ ֤룺_____________________
ҷ()_________________ ֤룺______________________
˫ͽˣƽԸЭһµĻϴЭ飬˫ͬء
ҷ(д)______________ ____ ____ ____ǰ
һϢ_________________
ޣ_________________
ڣ ____ ____ ____ա ʽֽ/__________֧
ġΥԼΣ
1ΥԼ
(1)ͬ涨`;ʹýȨջزֻȫΥԼʹõIJ֣й涨ʼշϢ
(2)ڲȨؽӵϢ1% .
(3)ʹýʧ˷ѻýͬΥģӦشϢйصλֱӦ;Ρصģ˾Ρ
2ΥԼ
(1)δṩӦΥԼΥԼΥԼļսķϢͬ
(2)ýͬΥģ;Ρصģ˾Ρ
塢ʽ
˫Э̽ɣύ__________Ժ
ͬ ______Чͬһʽݣ˫ִһݣͬıͬȷЧ
(ǩ֡)_________
ҷ(ǩ֡ ֤ӡ)_________
ͬǩڣ_________
ݵѺͬ ƪ5
ѺȨˣ_______________
ַ____________
룺____________
绰____________
ˣ____________
ְ____________
Ѻˣ__________________
ַ____________
룺____________
绰____________
ˣ____________
ְ____________
Ѻҵַ____________
룺____________
绰____________
ѺȨ֮ͬ____ֵ________
һ
ѺȨѺ____________ջͬǩѺԼ³ơԼѺˣˣͬ뵣____________ǩķͬѺȨ֮ͬȫȨѺڵѺȨˣͬ÷ͬµķҵѺҵ۷λס֪ͨ飨¥ֽѺԸҵѺڵѺȨˣѺȨԵһȵѺȨԸбԼȫ
ѺȨˣˣͬܵѺͬȫȨ漰ͬ·ҵΪԼ´ĵѺܵ˳еԼ´ĵΣѺȨѺṩһڵѺΪѺ˹õѺҵIJ¥
Э̣ضԼӦС
ڶ
ڴ˴ԼڣԼж⣬ʵĶ£ӪҵաָѺȨ˹Ӫҵӡ
ǷѺǷѺȨ˵һпϢйطá
֮ͬȫȨ桱ָѺˣҵ뵣ǩġͬӦӵеȫȨ档
ҵڡ۷λס֪֮ͨǰΪҵڡ
һ____Ԫѹ黹ǰ黹Ŀȡ
Ѻڴ˲ɳȨѺȨ˽ȫԵѺ˹¥壬۷λʻ
Ϊ____꣬ɵѺȨ˴ơ
ʱѺӦϢȫ廹ڣѺ˷ΥԼΪѺȨ˿ɾʵʱ֪ͨѺ˹黹ֹ֧ͣٴѺ˵С
Ϣ
һʰ____дʼ____壨Ϣ㡣
֮ŻʽгһЧѺȨԱʱʵȨ
Լ֮ʣʻݵѺȨ֪ͨгʡ
ġԼЧڣմۼϢÿ____ա
塢еʱɵѺȨ֪ͨѺ˵ʡ
һԼ´ӦϢѺӦ____ڣԿռƣ廹ϢÿӦɸʵӦɽı䣩ɵѺȨ֪ͨѺˣ绹ղӪҵգ÷ڸڻӴһӪҵսɽ
ѺȨȨÿӦ
Ѻ˱____пʻ뱾ѺйصıϢһзãҪոʻ˶¸ʻ֧֧ӣɵѺ˳еΡ
ġӦѺȨ˵ĿӦ____С
塢Ѻ˲ܴеֿۡκο
йʱйطɹ淶£òֿۻκο˰Ѻ˵üѺȨ˲ʹѺȨã൱跴Ӧò۲۵Ŀ
ϢϢ
һÿ·ڸӦɵĽӦչ涨̯ǷڿѺ˱ڿϢϢɵѺȨ˾Ϣ2%5%ȼա
ѺڻɸϢ⣬ѺȨȨԭʻϣѺ˼20%50%ķϢ
Ѻ밴ָʣոδϢֱΪֹڲȷծ֮ǰ֮Ϣۻ㡣
ڰǰ
һõѺȨͬ£Ѻ˿ɰй涨ǰ
1Ѻ˿ÿµķڻգǰֻȫʵÿǰ____ԪıǰĿμԭ
2Ѻ˱ԤǰһǰѺȨһ֪֪ͨͨһɳ
3ѺԸɸԼ涨IJֻȫѺӦѺȨڸòֻȫһϢIJ
Ѻ˺͵ͬ⣬ڷκʱѺȨȨҪѺǰ廹ֻȫʵʴƵˣ
1Ѻ˼/ΥԼκ
2Ѻ˼/˱Ľ⳥ŵծΣΥԼǰڶڳ
3Ѻ˼/˱䣨ȫϲչ顢ԺػκξͨҪɢ̡Ʋرջָӹ˻˵ȥл֮Ʋ
4Ѻ˼/˱ѺֹвҪԾ߲ҵƲвӰ죬õвֲڷ30
5Ѻ˼/˲ܳһծȨ˵Ƿծ̡ʱ峥ծҪֹͣӪҵ
6Ѻ˼/йɹ淶£òϷܼбԼӦΡ
7Ѻ˼/ҵϾӪǰӵвƲֲ仯ӰбԼε
8Ѻ˼/˲ƲȫκҪؼֱûãǿչǷмչƻ
9ѺûȵõѺȨͬԸȨṹ
10ѺõѺ
緢κܵ¹ѾѺ˼/Ӧ֪ͨѺȨˣڵѺȨ˵֪ʱѻѺȨ˿ڸõκʱ䣬κʽֵѺݱͬڵʮ˼
һڶĵˡ
ѺȨȨȨʱ˼/ѺܵܿƵʧѺȨ˸Ų
ھѼ
һѺӦɸ____%ڴһθ壬ʵṩԼ漰һϣǩԼֵѺṩʵѺȨȨջظñʴϢԼѣ˻
ѺļѣѺڴһι________Ԫ
֤üѺǼǷãйرԼ漰Ĺ֤ѺǼǵȷãȫɵѺ˸֧
ġѺ粻Լ帶Լڹ涨һпµѺȨ˴գΪκԭʹѺȨ˾ͨκ;ʽһķã紦ѺƷĸѡѡֱշѵȣɵѺ˸ɸȷʵ֧֮յֹ֮ͬۻϢ
ʮȾ
һѺ߷Ѻ뾭ȷϡ
ѺṩõѺĹԼ
ԵѺ壬ѺȨָϿɵıչ˾Ͷ¹õѺȫգյ____Уɸбܡ
ġԼɵѺˡѺȨˡ˸ǩӸǹ¡
塢Լ____֤ع֤
ʮһѺ
һԼµķѺָ
1ҵڵѺ˵ȨѺ
1ָѺˣҵ____۷λǩ____й֤֤ġͬУɵѺ˽ݸùԼӦӵеȨ棬ȵһλѺڵѺȨˣѺ˻δлλѺȨ˼ȡõѺڸáͬڵȫȨ棬峥Ƿ
2õѺȨ֮ͬ뽻ɵѺȨ˱ܡ
2Ѻҵ
1ָѺˣҵ____۷λǩġͬУѺ˹ѽɣɽʹãĵѺҵ
2Ѻ뽫21֮ѺڱԼĸڣȵһλѺѺȨΪǷծѺƷ
3ѺˣҵȨѺȨڽӻˣ۷λס֪ͨ____з췿Ȩ֤飬ѺǼ
Ѻҵıգ
1Ѻڹ涨ʱڣѺȨָıչ˾ѺȨָͶձΪѺͶ¹õѺȫգڴϢ֮ǰѺ˲κжϱգѺжϱգѺȨȨΪͶһзɵѺ˸֧ɴ˶һʧѺȫѺȨˣѺȨȨѺ
2Ѻڹ涨ʱڣյڵѺȨˡ
յøκڵѺȨȨȨκβ⳥Ľ
3յɵѺȨִܣɵѺѺȨ֧ܷѡ
4Ѻ˲ɳȨѺȨΪˣܱ⳥𣬲ɳȨѺȨΪ⳥֧ˣȨǾѺȨͬⲻɳ
5⳥⸶ѺǷѺȨ˵ǷʱѺȨȨѺ˼/ֱѺ廹Ƿ
6ȸ÷ڱԼЧܵչ˾ΪַϾԭߣ⳥֡
ѺҵǼ
1ҵڵĹȨѺذѺ
Ѻˡͬ۷λߵġѽ¥ۿ֤顱ȽɵѺȨִͱܡ
2ҵסҵѺǼǣѺҵġȨ֤顷ɵѺȨִͱܣǼǷɵѺ֧
ġѺ
1һѺʱ廹ѺȨһпкԼȫѺȨڵѺҪейطõ£ڵѺԼжйصѺ'ѺȨ棬˻صѺҵġȨ֤顷ͬ
2Ѻ1£ɵѺȨ˾ߺ____зأȨ֤齻ڵѺ____зذѺĵѺǼע
塢ѺĴ
1Ѻ粻֧Լ涨κοرԼĹ涨κΥԼʱѺȨ˿̽뼰ø¥ȫȡ棻ԵѺȨΪʵۼۻڣ۳÷ȫּȡ档
ѺȨ˿ɹýӹ˻˴ˣ乤ʻɵѺ˸
ýӹ˻˽Ѻ˵ĴˣѺȫ˽ӹ˻˵Ϊʧְ֮
2ίεĽӹ˵Ȩ
1Ҫסͽɽס÷ѼЧⵥվݣȨϡظ桢ѺʽǷס÷ѣ˵ҪվݻˣԵѺ˻ѺȨ˽ҪʼӹǷȨ£
2ӹ˿ݵѺȨ˵֪ͨյĿͶڸ÷ȫּڲPװޡ
3ѺȨյʮһҪѯѺ˻ʿͬ⣬Ȩ÷ȫ֣йع涨֣ѺȨȨǩйظ÷ļԼȡһ˶ʧѺ˲븺
4ѺȨ˿䴦ָ÷Ȩ
1ѺȨ˸Ѻ֪ͨҪ۽Ѻһδظ֪ͨȫѺȨˣ
2Ѻ____δȫӦ
3ѺΥ˺Լ֮κ
4Ѻϵ˶ƲԺܲƲѺΪ˾֯ɢ̣
5Ѻ˵κβƲܻܿѺûգ
6Ѻ÷
5ѺȨȨ۸÷ʱѯй֮ˣѺǷǷѺȨծǷ
ʹκβ֮ԣȻЧѺȨ÷۸
6ѺȨȨⵥͣסͲѺȨյñʿãڸÿIJʧء
7ѺȨ˻壨2ίɽӹ˻ˣ뽫ɳ۸÷õĿд
1Գ۸÷֧һзãɸӹ˻˵ķü꣩
2Կ۽Ƿһ˰Ѻ˸ݴ˺ԼһӦķüӷѣշѼ÷ķã
3ԿۻѺǷӦϢ۳ѺȨ뽫Ѻ˻Ȩȡˣ۸÷üۿ粻ѺǷһпϢѺȨȨѺ˼/ˡ
8ѺȨȨȨʱѺܵܿƵʧѺȨ˸Ų
9ѺȨ˿淢ҪҪйصѺ֪ͨ飬֪ͨʵݷʽѺסլ칫ַͶڸ÷ڣҪ֪ͨ齫ΪڷŻͶ֮7Ч
ʮѺ֤Ѻ֤£
һѺ˱֤Լ涨ʱڻϢ
ѺͬڵѺȨ˴ʻɳȨѺȨ˶뱾ѺйصıϢһзÿոʻ
ѺȨṩһϾʵɿκαʵ֮ѺڱԼǩǰδѺκС˾ˡ
ġѺ٣κԭκ˵Ĺʧ븺⳥ѺȨ˵ʧ
塢δѺȨͬ⣬Ѻ˲ýѺȫֳۡ⡢תáҡٵѺֳծκηʽѺȫַ𣬲ۺԭ¡ۺ˵ĹʧɵѺ˸ȫΣѺȨ⳥ɴһʧ
Ѻʹø÷ס⣬йܻ˾סʱԤ֪ͨѺȨˣõѺȨͬ⣬ɽУ罫÷⣬Ѻ˱˶ԼԼڱ붩Ѻ˱ԼʱɵѺȨ˷ҼڣͼǨ
ߡѺȨ˼Ȩˣκκʱڽ÷Ա顣
ˡڸĵַʱ֪ͨѺȨˡ
š帶÷ĸãϸ÷ܿѺ漰ϣ
ʮѺڼ䣬ɽ˰йزŶԸ÷յκ˰ѡˮѡѼһӷѣԼؾԼڵģ⳥ѺȨѺ˲˵ʧ
ʮһڵѺȨΪҪʱѺȨָıչ˾ͶջѺ˵ٱգͶԵѺȨΪˡ
ʮκϡٲûԺѶڶԵѺвӰʱ֤ʱ֪ͨѺȨˡ
ʮ絣˴Ѻ˳ȫǷѺͬѺȨ˽ѺҵȨתˣ֤Ըת顣
ʮġ˰Լйع涨Ѻ廹ǷѺȨӦѺµĵѺҵȨת赣ˡ
ʮ塢ȡøõѺҵȨѺͬⵣ˿κηʽָõѺҵԵѺ۸ҵ⳥Ѻ峥ǷʧһйأѺҵãв㣬˿ѺѺ˳ŵв⳥ڵˡ
ʮѺȷϵȡõѺҵȨ漰ֵѺҵĺϷλڴѺҵµѺ˵һʧѺ˷ԵȨ
ʮߡյѺȨ˵ĺȡһдʩǩһйļȷѺȨ˺ϷȨ档
ʮ˼
һ____ַ____Ӫҵִգ____DZԼµѺȨķͬ۷λҲDZԼ´Ѻ˵Ľ˼ˣеɳ£
1ȣԱԼ´Ϣ뱾ԼйϷõΪޡ
2ޣԱԼЧѺ˻˴屾Լ´Ϣһзֹ֮
Σ
1ԸеԼ´ĵΡ
2ѺδܰѺȨ˵Ĺ涨֪ͨлΣѺ˷κΥԼѺȨ˼˫ҺͶʷʽ֪ͨеΣڷ30еѺ峥ǷѺȨ˵һǷ
3˱֤ѺȨ淿ͬ۷λΣʱɵѺҵĽ칤̣ѺȨ˶Դ˲κΣܶԵѺ˻κˣΡ
4ͬѺ˽䷿ͬȨѺѺȨˣϵѺȨڵѺ峥Լ´ȫϢ֮ǰӵи÷ͬеѺȫȨ棬֤Ȩ治κˣˣַ
5˱֤ѺȨ˽ܺʹԼ˳Уرڷס֪ͨ飨¥ֽЭҵѺйԱϵѺȨ˵档
6еȡñԼµĵѺȨ淿ͬѺҵȨκιƽķʽԴ֣ԵֳѺ峥ǷϢʧõѺκηʧѺȨء
7ڴ˵ĵǶӲܵѺȨ˴ӵѺ˴¥ѺȨ棬ֻҪѺΥԼѺȨѺƻõѺҵǿִеڱԼµĵֱɳԺǿִС
ʮѺȨ
ѺȨ˻ڵѺȷбԼȫԸеԼ´ε£
һԼйع涨ʱṩһڵѺѺˣôԵѺ˹¥ת۷λʻ
ѺѺȨ˻屾Լ涨ĴܶϢӦ֮ת÷ȨѺ˵ķãͬʱȫؼбԼߣѺȨ˽õѺȨķͬȨ֤תѺˣͬʱ˵Ρ
Ѻδлɵ˴廹ǷһǷѺȨ˼Ѻ˵ѺѺȨ˵ĵѺҵȨתøˣ˶ԸõѺҵĴѺȨ档
ġԼɸǩ𣬾____й֤֤ɵѺǩ֪ͨ齻ڵѺȨִѺȨȫļڣѺȨ뽫ȫԵѺ˹¥۷λָʻѺȨ볥Ϣ赣ˣϢ㰴һڵѺ˻˳ֵָµѺȨδܴѺȨ˸Ųйظˡ˻
ʮ
һԱԼκԿͷʽʽġֹ
ڱԼڼ䣬ѺȨ˶ԵѺκΥԼΪʩԵκοݣӻбԼеȨȨӰƵѺȨԼйطɹ涨ծȨӦһȨȨ
Ѻ粻бԼκʱѺȨ˿ɲԤ֪ͨѺ˴ڵѺȨ˴ɱԵֳծѺڵѺȨ˴ѺȨɲǷ
ġԼ涨ȨͬʱʹҲԷֱʹۻȨ⳥취ųɹ涨⳥취
塢ѺˡѺȨˣ뱾Լйص֪ͨҪȣӦʽУ紫籨һżͶ7κ͵ݵĺһͳΪʹԷ
ѺȨѺ˺͵ͬ⣬ɽѺȨڱԼµȨתˣѺ˺͵δõѺȨ˵ͬ⣬ýڱԼµκλλתڵߣѺ˻˵ļ̳˻ӰˣѺȨ˻ѺȨ˵ij˼𱾺ԼµĻΡ
ߡԼἰĵѺȨˣѺȨ˵ļ̳ˡˣѺѺȨͬĵѺ˼̳ˡӰˡ
ˡԼԭڷϳΪЧԼЧѺ˺͵ӦһлΡ
ѺȨȨֹԼ˺͵ѺǷϢйؿ
šѺȨѺ˺͵˸ǷʱֻṩѺȨǩ֮ǷĿԴ⣩ΪѺ˺͵Ƿȷ֤ݣѺ˺͵˲顣
ʮ÷ɼĽ
һԼлɶлɱ
鷢ʱ
1____ٲίٲã
2____Ժߡ
ѺԺ̨ȵΪõѺȨȨڵѺ˵סִбԼɵѺ˸ѺȨȨѺ˽ٲáϺִٲû֮þѺȨ˾ִȨٲáϵжѺ˺͵˱ϱԼͬʱܸõķɱϣ飬籾Լκι涨ڸõϣΪЧΪǷӰ涨Ч
ʮ
һԼǩ֣____й֤ع֤
Լ____й֤ع֤ԵѺȨ˴ڣΪԼЧա
Լ
һѺˣҵ뵣ˣ۷λǩķͬΪԼɷָIJ֡
ġԼдҼʽ֣ͬЧѺˡѺȨˡ˸ִҼݡ֤浵Ҽݡ
ʮǩ±ԼͬرԼȫ
Ѻˣ____________________
ѺȨˣ____________________
ˣ____________________
_______________________
ݵѺͬ ƪ6
Ϊȷ________________ǩ____________(³ͬ)УѺ(¼Ƽ)ԸȨֵķزѺѺȨ(¼ҷ)ʵؿ飬ڳ˽Ȩ״ʹ״ĻϣܼͬķزѺ
ݵѺҷʱ÷ռ÷ΧʹȨһѺҷ
˫ƽȡԸԭͬзزѺͬͬء
һ
Ѻķز________________(·С)_______________Ԫ__________ţ䷿ݽ_______2ռ_______2
ڶ
ͬ˫ȷϣծΪ____________________;Ѻ_________________________________
ززֵΪ___________________________(д)__________(Сд)ͬ˫ȷϣҷծȨĶ()_________________(д)__________(Сд)ѺΪٷ֮__________
֤زȨȨծȨծɼеΣɴ˸ҷɵľʧ⳥
ҷ֤ͬе.ҷɾʧģҷе⳥Ρ
Ѻز___________________________ʹá
ڵѺڼԵѺķزеάޡб֤ѺزΣʱҷļල
ڵѺڼʹòɻҷȨҪָزԭ״ṩҷϿɵµĵѺزĻϣҷȨҪծǰϢ
Ѻڼ䣬תáѺزظ趨Ѻδҷͬ⣬ΪЧ
ڰ
Ѻڼ䣬緢ϲɱܵѺزеֱеͬ涨ɢƲҷҪҪǰѺز
ھ
ڱͬЧڣδͬ⣬ҷͬӳͬģнͬ
ʮ
ͬЧסκһԱͬҪͬʱӦ˫Эһ£Э飬ЭδǰͬȻЧ
ʮһ
ִͬ飬˫ӦȡЭ̰취ͬٲûٲãЭ̻ﲻٲʱԺߡ
ʮ
ڵѺڼ䣬ѺزǨʱ뼰ʱ֪ҷҸݾѺͬԷزǨܳۿҷıϢͬǼǻذйصǼ
ʮ
Ѻծ˲ܳծϢδҷЭģѺز峥ծϢѺزüۿԳծϢͳеõģҷȨ;ۿծϢʣģҷӦ˻
ʮ
ͬδˣշزѺ涨ҡʡйع涨
ʮ
ͬ˫ǩָºзزгŵǼǣΪЧ
ʮ
ͬһʽݣ˫ִһݣزгŴ浵һݡ
ʮ
˫̶
(ǩ) (ǩ)
ˣ ˣ
ίдˣ ίдˣ
ַ ַ
ϵ绰 ϵ绰
ͬǩص㣺
ͬǩʱ䣺________________
ݵѺͬ ƪ7
(ˡѺ):
֤ţ
(ˡѺȨ)
֤ţ
һΪ˱ϷزѺ˫ĺϷȨųʵšԸƽԭ20xxxxxxǩͬ
ڶʽתѺȨ˽ңxxԪԸ½ʲ踽xxƷ¥ΪѺݽṹxx֤ţxxʹޣxxʹ:xx,ѺѺȨˣΪѺȨ˹黹ı֤
Ѻڼ䣬÷ɵѺȨ˼ܣȨ֤ɵѺȨ˱ܣռڼѺӦάø÷ãܵѺȨ˵ļල顣
취20xxxxxx֮ǰһԹ黹𣬰xx֧Ϣ
ϢڳǩĽͬԼִС
ѺѺ峥ծѺȨ˴ЭģѺͬЧ
ΧϢΪʵծȨӦ֧.(Ϸѡʦѡִзѡͨѡѵ)
ڰΥԼΣ
1ں˲黹ֲģѺ˱֧ΥԼ(İٷ֮ʮ)
2(Ѻ)ڲܹ黹ѺȨ˵Ľ(Ѻ)ԸԺǿִУҲκ顣
3˱ʽɵṩڲܹ黹е˳еΣ黹ϢԼá
ͬһʽݣڳ˸һݣԺͬǩ֮Ч
ˣѺ(ǩ)
ˣѺȨ(ǩ):
(ǩ)
________________________
ݵѺͬ ƪ8
ծȨ(¼Ƽ)_________
ծ(¼ҷ)_________
ҷһʽᲣͶʣ˫Эһͬ⣬ҷ䷿֤(¼ҷѺ)ΪѺѺ£ɼṩ˫̶ĽҷΪˣضͬ
һ
1ܽʮԪ
2;ᲣͶʵҪΪǷʹá
3ޣʱΪһ꣬__________________ֹ
4ϢϢΪ2֣һϢΪǧԪ
ҷ֤ںͬ涨ĽڰϢ
ڶ Ѻ
1ѺƣݲȨ֤(֤ţ_________ )
2Ѻֵҷ֤˫鶨Ϊ_________Ԫ
3ѺޣԱͬЧ֮ҷ뱾ͬйصȫϢΪֹ
˫
(һ)
1ҷѺ֤ҪƱܣʧ١
2ҷڻѺȫݡ֤ҷ
() ҷ
1Ӧϸպͬ涨ʱϢ
2֤ڵѺڼѺﲻҷƲʲָתõӰ졣ҷѺΥڣ֪ͨҷֹͬѽȫϢ
3ҷδͬⲻýѺ⡢ۡתáٵѺʽ֡
ΥԼ
1ҷβͬ涨֧ɾϵʧҷӦΥԼΡ
2ҷ粻ڸϢ£йϽȨԺѺڵֳϢвֳ֣ȨҷֱҷȫϢΪֹ
涨
1֮һʱȨֹͣͬջӦϢ
(1)ҷṩϲʵ
(2)ҷ߷ϣϢ
(3)ҷ`ʲֳܶ为ծܶ
2ҷκһҪͬͬеijһǰʽ֪ͨԷ˫ЭǰͬеĸȻЧ
3˫ṩĽƾ֤ͬйصϣΪͬɲ֣뱾ͬͬȷЧ
Ľ
ͬлķɡ棬飺
1˫Э̽
2Э̲ɣйزŵ⡣
3ⲻɣԺߡ
ͬ__Чͬһʽݣ˫ִһݣͬıͬȷЧ
(ǩ֡)_________
֤룺_________
ҷ(ǩ֡)_________
֤룺_________
ʱ䣺_________
ݵѺͬ ƪ9
ˣ___________
֤룺___________
ϵ绰___________
ס___________
ҷˣ___________
֤룺___________
ϵ绰___________
ס___________
ڼнΪʽ˫ԸƽȡʵõԭЭ飺
һʼ
1.1ʣνҵ;Ϊ___________ע;
1.2ҷ___________дԪҼ㡣
1.3ޣЧΪ___________/꣬ǩЭ֮㡣
ʽ
2.1ʽÿ°___________ķʽϢ
2.2ޣÿ°ԼʽʱٻΪµ___________ա
2.3ǰڱЭ涨ĻʱǰǰӦǰ___________֪ͨҷڼǰ£ҷȡκǰá
2.4ΥԼ𣺼δʱȫϢӦ֧δϢÿ___________%ϢΪΥԼֱ峥ȫδ
ѺPʽ
3.1Ѻӵеķַλ___________ȨϵĸһزȨ֤Լ
3.2ʽееѺΪЭµĵѺ
3.3ѺʼֵѺ`ʼֵΪ___________Ԫ뱾νϢֵҼ㡣
3.4ѺޣѺΪЭЧڣڱЭµĴȫ峥Ϻ
3.5Ѻ䶯иǨӵѺ֪ͨҷҷͬⷽɽб䶯½еѺǩѺЭ顣
ġΥԼ
4.1δպͬԼ֧ϢģӦеΥԼβ⳥ҷܵȫʧ
4.2ʵʩթΪΪģӦ˻ȫеΥԼβ⳥ҷܵȫʧ
塢
5.1Эκ飬˫ӦЭ̽ЭκһȨйϽȨԺ֤ϡ
5.2Э漰δˣлطɷԼ涨ִС
5.3Э˫ǩ/֮ЧЧΪ___________/ꡣ
ˣ___________
ǩ֣£ڣ___________
ҷˣ___________
ǩ֣£ڣ___________
ݵѺͬ ƪ10
ͬλ
(Ѻˣ¼ơ)
(ѺȨˣ¼ơҷ)
мҷ(д)Ԫڹס۷λΪ(д۷λȫ) Ϊά˫棬ݹԺ䷢ġͬ涨˺ͬͬ
һ˫ͬءְסѺ취䲹涨ʵʩϸĸ涨
ҷṩĴֻڹ췭סŲá
Ľҷתʷʽ۷λʩλ(סʱ)ҷĴ
ġ(Ѻ) ҷΪĵѺ(Ѻϸ嵥)ѺֵΪ Ԫ Ԫij
塢 ꣬ ֹΪϢ 롣
ñ¹黹Ϣÿ ǰҷ黹Ϣ Ԫ
ߡͳһʱйع涨ʣȷÿ»Ϣ
ˡڣδͬ涨ʱ䳥ϢһڵģӦ³Ϣʱһ黹ҷ账һ겻óΡڳһ»һڷڵģҷȨÿȡڶ֮ķϢ
š֮һߣҷȨԵѺдѺֿۼǷҷϢʹѺĸúʣಿ˻ڰڵѺס㲿ɼڵλ
1ڴδڹ黹ϢȫںδȫϢ';
2ںͬЧʧٻƾӹ⣬䷨̳˾ܲмϢгϢ;
3Υͬ涨κġ
ʮ֤(ڵλ)ӦЭҷټڳϢڼܰڹ黹ϢҵѺʱ֤˱ظǷҷĽϢ֤˽ӵҷҪϢ֪ͨӦشΪ黹Ϣºδ黹ģҷȨпסпա
ʮһδȫϢǰԵѺеȫȨöɸҷöԵѺκҷĴ
ʮԵѺգյҷܣѺ𣬼Ӧ֪ͨչ˾ҷչ˾⳥Ӧڹ黹Ϣ⳥Թ黹Ϣģ㲿ɼ黹
ʮҷӦͬ涨ҷԭӰÿҷӦӰÿ츶൱Ӱ֮ΥԼ
ʮġ˫κһбͬ˫ȨϷһʮ涨ִС
ʮ塢ͬһʽ ݣ ݣɼ˫֤(ڵλ)²˴ǩ֤֤ЧҷȫϢ֮ʧЧ
ʮ
ǩ()
ַ
ҷǩ()
ַ
֤(ڵλ)ǩ()
ַ
ݵѺͬ ƪ11
(ⷽ)
ҷ(ⷽ)
˫Э̣ͬзⷿͬͬء
һ__________ ·()_____ ŵķ(ݽ_____ ƽףʹ_____ ƽ)ҷʹá÷ĻڱһҷѶԼҪķ˳˽⣬Ը÷
˫鶨Ϊ(д)_____ Ԫ
_____ __________ _____ _____ _____ ֹ()㣬ҷÿ()_____ ڽʽ
ҷʹʱýﷶΧڵ'ʹȨͬʱҷʹá
ġ֤ȨйصIJȨծȨծɼеΣ˸ҷ֤ȨΪ_____ ÷
塢ڣ֤еΣ
1.ϳⷿʹҪ;
2.Ѻǰ_____ ֪ͨҷ
ڣҷ֤еΣ
1.Էݽиװ豸ʱӦüͬ⡣ҷ;
2.תʹû˻ʹʱȡüͬ;
3.ʹòΪԭʹݻ豸ģҷ⳥;
4.ҷԼķݼάЭ; 5.ҷڽʱķеӦǰ_____ Э̣˫ǩ
ߡΥԼΣκһδб涨ΥҺ͵طزйع涨һȨǰɵʧһеҷڽÿһգɼǧ֮_____ ҷΥԼ
ˡɿԭʹⷿݼ豸ģ˫еΡ
š飬˫ӦȡЭ̰취Э̲ʱκһز⣬ҲйϽȨԺߡ
ʮɵ˰ѣɼ˫涨Գе
ʮһԼ
1.________________________________________________________
2.________________________________________________________
ʮⷿͬδ˫鶨䲹鶨龭˫ǩº뱾ͬЧ
ʮⷿͬ˫ǩ²زЧ
ʮġⷿͬһʽݣ˫ִһݣⷿͬһݣͷزء
(ǩ)
ҷ(ǩ)
ˣ
ˣ
ݵѺͬ ƪ12
Ѻ ˣ
ѺȨˣҷ
Ϊȷ______________ǩ____________³ͬУѺˣ¼ƼԸȨֵķزѺѺȨˣ¼ҷʵؿ飬ڳ˽Ȩ״ʹ״ĻϣܼͬķزѺ
ݵѺҷʱ÷ռ÷ΧʹȨһѺҷ
˫ƽȡԸԭͬзزѺͬͬء
һ Ѻķز________________֣·С_______________Ԫ__________ţ䷿ݽ_______m2ռ_______m2
ڶ ͬ˫ȷϣծΪ____________________Ѻ____________________________
ززֵΪ___________________________д__________Сдͬ˫ȷϣҷծȨĶ𣩣_________________д__________СдѺΪٷ֮ __________
֤زȨȨծȨծɼеΣɴ˸ҷɵľʧ⳥
ҷ֤ͬеҷɾʧ`ҷе⳥Ρ
Ѻز___________________________ʹá
ڵѺڼԵѺķزеάޡб֤ѺزΣʱҷļල
ڵѺڼʹòɻҷȨҪָزԭ״ṩҷϿɵµĵѺزĻϣҷȨҪծǰϢ
Ѻڼ䣬תáѺزظ趨Ѻδҷͬ⣬ΪЧ
ڰ Ѻڼ䣬緢ϲɱܵѺزеֱеͬ涨ɢƲҷҪҪǰѺز
ھ ڱͬЧڣδͬ⣬ҷͬӳͬģнͬ
ʮ ͬЧסκһԱͬҪͬʱӦ˫Эһ£Э飬ЭδǰͬȻЧ
ʮһ ִͬ飬˫ӦȡЭ̰취ͬٲûٲãЭ̻ﲻٲʱԺߡ
ʮ ڵѺڼ䣬ѺزǨʱ뼰ʱ֪ҷҸݾѺͬԷزǨܳۿҷıϢͬǼǻذйصǼ
ʮ Ѻծ˲ܳծϢδҷЭģѺز峥ծϢѺزüۿԳծϢͳеõģҷȨۿծϢʣģҷӦ˻
ʮ ͬδˣշزѺ涨ҡʡйع涨
ʮ ͬ˫ǩָº֤֤зزгŵǼǣΪЧ
ʮ ͬһʽݣһݣҷִݣִ֤һݣزгŴ浵һݡ
ʮ ˫̶
ǩ£
ҷǩ£
ˣ
ˣ
ίдˣ
ίдˣ
ַ
ַ
ϵ绰
ϵ绰
ͬǩص㣺
ͬǩʱ䣺
ݵѺͬ ƪ13
跽_________ (¼Ƽ)
н跽________ (¼ҷ)
ּҷΪⲻҪʧͷգԼ˫ͬسţּס˫һЭͬ⣬ǩ½Э顣
һϢޣ
һԽֽ(дң_________;Сд_________Ԫ)ҷ( ________________________________________________)ڲϢҷӦһԽ黹
Ϊ˸ЭֵľзЧҷԸסѺ֤Ϊ__________________㣬______M2ʹ֤_______________ţʹ_________M2˫Э飬ҷڽڣûй黹_________ԪҷԸ______ɼȹȨδɼܳҷ飬ҷڻԸǿִС
Эһʽݣ˫ִһݣŮһݣ˫ЧоԷЧ
ˣ_________
нˣ_________
___________________
ݵѺͬ ƪ14
һ;
¸徭Ӫһʽ
ҹ**Ԫ
Ϣ
֧ô֮𣬰ʵ֧õϢ㸴ںͬ涨Ľڵ7%չ涨ڹ黹ڵIJֽҪ05%
ġ
˱֤******Ϊֹձͬ涨ϢڲIJ֣Ȩش
塢
ұʣҪͬʱ˫ǩͬļΪͬɲ֡
Ȩ
Ȩලʹ˽ijծӦʵṩйصϡ粻ͬ涨ʹôȨջزִΥԼֲй涨շϢǰģӦ涨Ϣ
ߡ֤
(һ)з6Ѻڲܹ黹ĴȨѺƷ黹ģѺȨ
()밴սͬ涨;ʹýŲãýΥ
()밴ͬ涨Ϣ
()ܴļ顢ලʹ˽ļƻִСӪʿ
()Ҫб֤˵ʱ֤κ'ȨԱ֤˽г
ˡͬĽʽ
ͬйз飬ɵ˫ѺЭ̽Ҳɵ˵⡣Э̻ⲻɵģһԺߡ
šͬδԼģաлͬйع涨ִС
ͬһʽ2ݣ˫ִ1ݡ
ˣ
ˣ
ݵѺͬ£
ݵѺͬ10-22
ݵѺͬ02-25
ݵѺͬ03-15
ݵѺͬ10-22
ݵѺͬ07-27
ݵѺͬ03-02
ݵѺͬ10-26
˷ݵѺͬ10-31
˽˷ݵѺͬ12-25
ݵѺͬģ04-06