ϣ˶ڽͬ
ǵķʶǿᣬںͬԽԽ࣬ͬǶ˫ıһԼôͬĸʽСΪռĸ˶ڽͬοϣܹҡ
˶ڽͬ ƪ1
()___________
֤________________
ҷ()___________
֤________________
֤ˣ________________
֤________________
֤ˣ________________
֤________________
˫ƽԸʵõԭЭһ£ɱִ֤ͬͬС
һ ҷ______ Ǫ______Ԫ(________ )
;Ϊ ________________________
ϢΪϢ_____룬_____Ϣ
ġʽͬǩֽҷʹá
塢ޣ Ϊ____£________________________ֹҷյӦ߽ݣ뱾ͬͬȷЧ
ʽǰȫ塣
ߡ֤
1ҷ밴սͬ涨;ʹý,Ųáҷ밴ͬ涨Ϣڲ.֣Ȩؽ
2֤˶ԽеΣҷнϢΪֹ
ˡΥԼΣҷδͬ涨黹ҷӦеܽٷ֮ ΥԼֱҷȫϢΪֹ
šͬĽʽͬйз飬˫Э̽
ʮͬ˫ǩ֮Ч
֤ˣ
ҷ
֤ˣ
֤ˣ
ǩڣ______________
˶ڽͬ ƪ2
ˣ______________________
ˣ______________________
Ϊ˽м죬豸Ʒжڴ˫ݹԺ䲼ġͬЭǩͬͬ
һ ߽ͬΪ______________Ԫ
ͬ´Ϊ________________________________________________ֹ
; ͬ´ڹ̶ʲʣ____________________________
ġʼϢ
ͬΪϢ________(һ°30)
1.ʹڼ䣬йлйеʣͬ涨ʽӦ
2.ͬ´ϢգÿһµĶʮΪϢա
3.ϢɴڽϢӽڴ˼֧֡רûȡ
塢֧ ÿƻ
1.ͬ´Ӧʹʱ֧ãиı䣬Ӧôͬ⡣
2.δı֧ʱ벢ȡô˵ͬ⣬䳬ͬʹʱ֧ôһȫʱ䣬ӦΪԶȡδ֧ýټ֧á
3.֧ôʱӦʵ֧ǰύйؽƾ֤ƾԷŴ
ƻ
1.ͬ´Ӧлƻڿԭ˲ܰڹ黹Ӧչ룬ͬڳ
2.ԴĿ˰ǰ黹
ߡ֤ ͬµĴ____________________ߵɳΪı֤
ˡΥԼΥԼ
(һ)ΥԼ ˷һʱΥԼ
(1)˲ܰͬеĻƻϢ
(2)δ涨;ʹô
(3)ͶʵĿڴκԭءͣת
(4)Υͬ`Ϊ
()ΥԼ ˹ǰΥԼΪȨһ涨
(1)֪ͨˣ֪ΥԼ⣬ڲȡЧʩΥԼ
(2)Խδ涨;ʹõģռŲôڱͬ涨ʻϼϢ100%
(3)Խδ涨˶ڲֵĴڱͬ涨ʻϼϢ30% (4)ֹͣűͬµȫδ֧õĴ
(5)ǰջرͬµIJֻȫϢɴ˴ӽרûʻաȡΪҪʩδĴϢ
(6)δıͬµȫϢ
šͬЧ
ͬˡ˫ǩºЧڴϢȫ峥ԶʧЧ
1.ڴΥԼԭ⣬˻κһҪͬӦ̵һͬ⣬˫δЭһǰͬȻЧ
2.ͬݵĹйع涨˱仯ͬ˫ӦԱͬӦġЭ
ʮ
ͬ´ĿĴDZͬɷָĸ뱾ͬµйͬȷЧ
1.˱֤˰ṩйؼƻͳơƱйϡ
˹£______________
ǩ£______________ ____________________
˹£______________
ǩ£______________ ____________________
˶ڽͬ ƪ3
ˣ________
ˣ________
ո֪ҹΪֻ壺һΪȫΪȻ;һΪչҵĹ˾ҪȡصĽգĿǰҪΪСС˾ѽڹ˾䵱Сй˾ȡ֮⣬δȡýյκι˾չҵΪΥ
ˣݽͬʱһҪעʸ⣬ʵЩȻԼƵķǽ˾巢ŽDzϷġ
ΪȷΣã˫йطɣЭһ£ͬ
һ½
һ_____(д)____(Сд)
ڶ;____
ޣ__________________ֹ
ո֪Ϊǣ浽¼⣺
(1)ͷϢ⡣ʵУʵʳʽ֮ǰȫ/ϢԿ۳ٷŸˣԼĽȴDZ۳Ϣ֮͡ݡͬڶĹ涨ϢԤڱп۳ϢԤڱп۳ģӦʵʽϢˣͷϢַʽDzϿɵģϿɵĽΪʵʳĽ
(2)ԽĽת˵ķʽвҪֽʽɽֽھ֤ѶȽϴͨת˵ķʽԺܺõı֤ݡԣ֤ԼʵʷŽǽϵΪĵһΪֻ֤ʽת˼¼ܷͬЧһڡͬڶһʮĹ涨ԿȻ֮ĽͬԴṩʱЧҲ˵ֻʵʵṩ˽ܷͬЧ
(3)ʵʳͬԼIJһ£ô?⣬ʵгзڸԭδܰսͬԼʱ䡢Žͬڶһ涨δԼڡṩɽʧģӦ⳥ʧӷ˵δܰպͬԼʱ䡢Ž˾ΥԼǿΥԼεġ
ڱͬڣʵʷſպͻԽΪǺͬɲ֣뱾ͬͬȷЧ
Ӧڽ˰___Ӫҵڽų
ͬڣӦ黹ȫϢ黹ģͬ˴ӽ˻ա
ڶ½Ϣ
ͬ½ʸݹйع涨ȷΪϢǧ֮___
ڰͬ½Դſ֮ϢռϢϢڻ屾Ϣ
ھͬ⣬ǰ黹ģͬԼʺʵÿϢ
ʮڴ˽ϢǰӦ˻ӦϢɴ˴ӽ˻ա
µ
ʮһͬ½ϢͿܷΥԼʵծȨķ____ṩ____ʽǩͬ____ĵͬ
ʮͬԼйΪӰ쵣˵ĵģӦṩĵ
˫ŵ
ʮ˳ŵ
(1)ձͬ涨;ʹý
(2)ýΥӪ
(3)ڱͬ½ȫ峥ǰκһָı侭ӪʽΪ(аޡϲɷƸ졢Ӫ̺ʻʽ)ʱӦڸı侭Ӫʽǰʮ֪ͨˣ֤Ϣ峥
(4)Ъҵɢͣҵ١Ӫҵִաʱ֤黹Ϣ
(5)Σȫʱ(漰شþϡ״)Ӧ¼___֪ͨˣ֤Ϣij
(6)ʱʵṩҪ(ʲծпС˺š)ϴ˵顢ͼйصӪƲ
ʮ˳ŵ
(1)Ŵ
(2)Խ˵ծӪܡ
ºͬı
ʮҪӳ`Ӧڽǰ____룬õͬ⡣
ʮҪͬծתøߣӦͬ⡣˺ʹǩͬǰͬЧ
ʮˡһͬӦ֪ͨԷ˫Эһ£Э顣
ʮ衢˫ЭͬݣӦõͬ⡣
ΥԼ
ʮδͬԼ;ʹý˿ֹͣδŵĴǰջѾŵIJֻȫͬʱΥԼʹòְҹ涨ΥԼʹڼÿռ֮____Ϣ
ڶʮδͬԼĻʱ黹Ϣʱ˰ҹ涨ڴÿռ֮____Ϣ
ڶʮһΥͬʮһ֧ϢģԽδ֧Ϣո
ڶʮΥͬʮʮ234ʮʱ˿ֹͣδŵĽǰջѾŵIJֻȫջصģΪڣȨҹ涨ڴϢ
ڶʮΥͬʮ56ʱӦ֧ΥԼ_____
ڶʮδͬԼṩģӦΥԼΥԼÿո֮___ΥԼ
Ľ
ڶʮڱͬзľף˫ӦЭ̽Э̲ɵģסԺϡ
ڰ
ڶʮͬ˺ʹ˫Ӹǹ²˫˻ɷȨĴǩºЧеͬģͬЧɰ
ڶʮͬ´ϢͿܷΥԼʵծȨķõõȫ峥ʱԶʧЧ
ڶʮ˱סͨѶַԼӪҵΧˡעʽȹ̵ǼʱӦй____֪ͨˡ
ڶʮ˫Լ
ʮͬδˣչйطɡ°
ʮһͬһʽ____ݣ˺ʹ˸ִһݡ
(ǩ)________
ڣ____________
(ǩ)________
ڣ____________
˶ڽͬ ƪ4
_________
ҷ_________
_________Ůʿܣס˫ѺЭ̴½ͬϸС
һ
ʰԪҡ
;
ѧУ蹤̸
ʱ估Ϣ㻹취
ʱ䣺һꡣ(______________________________)Ϣ֡ÿĩһΡҷʽͻǰͬҷǰһʵʹʱǰ黹Ϣ
ġѺƷյĴʩ
ҷù˾ѧУһŰ칫¥Ȩ֤(˸ֵ__________)Ѻҷܰʱ黹ϢȨѺݱջرϢÿ3%ɽ
塢ͬһʽݣǩֵ֮Чס˫֤˸һݡ飬Э̽
ǩӡ_________
ҷǩָ£_________
ܼ֤ǩ֣_________
___________________________
___________________________
___________________________
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