人ⷿͬ
ŷξزϷӺͬͬеʹԽԽ㷺ǩͬҲDZ˵÷ʽ֮һⶨͬע࣬ȷдСΪռ人ⷿͬ棬ӭĶղء
人ⷿͬ1
(ⷽ)_______________ ֤_______________
ҷ(ⷽ)_______________ ֤_______________
־˫˽⡢Э̣һ´¸ⷿЭ飺
һݵ䡢װʩ豸
ޣ__________________ա
ʱ䣺ÿ___ԪҷӦÿ¸һΣȸסһҷӦڼݽͬʱ⸶;ڶμԺҷӦǰһ¸塣
ġⷿѺҷӦǩԼͬʱѺ___Ԫڽ㣬黹
塢ڼԼ
1˫ӦṩʵЧķ֤֤֤
2ṩõķݡʩ豸ҷӦעⰮƻװޡṹʩ豸Ӧ⳥ʹзΪӦɼ
3ˮ硢ú绰硢ߵӵȵ'ʹ÷Ѽҵݡѵзöҷ֧סճˮ___ȣ___ȣú___ȡзҷӦʱ塣
4ֻҷʹãҷ˽ת⡢ıʹʻǷ;±ҷӦǼǡס˿ڵǼǵǷ¼ҷԸڣȷǰջطʱӦ̵ҷͬ⣬ҷʧģӦ⳥
5ͬһǩ˫ǰڣɿصбͬģͬȻֹ˫еΥԼΡ
6˫Լҷ迪߷ⷢƱ˲˰ҷ֧
7˺ͬδˣ˫Э̽뱾ͬͬЧ˫־ףѺЭ̣Э̲ɵģԺö
8ⷿЭ龭ǩ()Ч
9Լ
ΥԼΣ
˫һΥԼģΥԼӦԼ֧ΥԼΥԼΪԪʧΥԼʱ⳥
ߡͬһʽݣִһݣͬȷЧ
(ǩ)ҷ(ǩ)______
ϵ绰______ϵ绰______
人ⷿͬ2
ⷽ(¼Ƽ)_________
ⷽ(¼ҷ)_________
ϷЭ̣xҷͬЭ飺
һڣ20_1020ֹ3ꡣ
20_1020ÿΪҼԪ
ʽͬǩҷӦ֧ҷǪԪΪˮ硢ҵѱ֤(ñ֤ҷˮ硢ҵѺ˻ҷ)ÿȸһΣӦÿµ20ǰһԽ½ɽ𣬼ȨҷֹͬдҷIJƲҷȨ档
ġʾȨ֤ͬӰӡҷӪҵִաҷڲƻṹ£ԼӪص㣬װޣװҷֹͬӦ⳥ҷھӪϵʧ
塢ڼ䣺ҷӪ˰ѡѡˮѵȣҷгеͬʱҷӦԳİȫͷ𣬲еӦΡ
ҷ谴չ̹йزŵĹ涨ϷӪӪڼһоáҷԸ
ߡͬҷӦڼӦɽĹѡˮѡӪҵ˰˰ѣھӪծȨծҷи
ˡҷδͬ⣬˽Խ()Ȩȫֳ衢ת⡢תûⷽʹáһ֣Ȩջطݡ
šҷӦǰ콻ݹ黹ҷ⣬ǰһЭ̣ͬ£ҷȳȨҷƳʱװӦʹãòۡмҾװòģɼҷ飬澭˫պƽ黹
ʮͬδˣɼס˫Э̽ⶨЭ顣
ʮһͬǩ֮ЧҼʽݣɼס˫ִҼݣͬȷЧ
()_________ҷ()_________
(ǩ)_________(ǩ)_________
__________________________________
人ⷿͬ3
ⷽ(¼Ƽ)_______________
֤ţ___________________________
ⷽ(¼ҷ)_______________
֤ţ___________________________
ݡлͬйع涨Ϊȷס˫Ȩϵ˫Эһ£ǩͬ
һҷüλ____________________淿____䣬ƽ(һ)______________淿ڸʩ________________________.
______(____________________________________)ƾΪ________Ԫ(д____________Ǫ____________ʰ______Ԫ)ҷǩ֮ͬս巿⡣
ͬЧҷӦ________ԪѺ(Ϣ)ͬѺ˻ء
ģ֤÷ȨףҷӪҪҪṩݲȨ֤й֤ϵģӦЭ
壺ҷڼ䣬ôΥҷɷ治ľӪҷҪ÷ʩȫõ硣ҷƣֻ֡ˮֵȸɾʧҷҪ⳥
ҷڼҪַݽṹʩԭδüͬ£ý졣Ҫ죬ҷеҷڼʩҷάޡڼ䣬ˮѼҷӪһзҷԼ涨ɡʱҷ뽻Ƿѡ
ߣҷڼδɲתˡͬԼⷿݵģҷӵȳȨҷӦںͬǰ________Ƿ⡣ҷã˫̶ǩͬҷ⣬Ȩںͬǰ________ڷ档ͬҷԭҷڷŲǨַ________¡
ˣںͬԭҪ۷ݣǰ______֪ҷͬ£ҷȹȨ
ţɿܵԭٻɼ˫ʧģеΡ
ʮ˫Э̽
ʮһ˺ͬǩЧ˫ͬأͬһʽ______ݣ˫ִ______ݡ
ǩ֣__________________ϵ绰__________________
ҷǩ֣__________________ϵ绰__________________
_____________________________________________
人ⷿͬ4
ⷽ (¼Ƽ)
ⷽ (¼ҷ)
ס˫ֿˣЭ飺
һλ ҷסʹã ֹ ¡
ֿΪ 㡣Ѹ һԸ塣
ҷڼ䣬ˮѡѡԼҷסķҷʱҷ뽻Ƿѡ
ġֿΪ꣬ աڴڼ䣬κһҪֹͬǰ֪ͨԷԷ50%ΥԼ;
塢ڳڼ䣬δͬ⣬ҷȨתתòֿ;øıֿṹ;ҷΪԭɸòֿ⼰ʩģҷе⳥Ρ
ͱͬף˫Э̽Э̲ɣκһȨԺϣ˾
ߡͬһʽ2ݣס˫ִ1ݣ˫ǩ֮Ч
ǩ֣ ҷǩ֣
人ⷿͬ5
ⷽ()________Ա___________ճ
ⷽ(ҷ)_________Ա____________ճ֤룺_______________
ס˫ͷˣЭ飺
һλ________ֵ___С___¥ŵķݳҷסʹã______________________գ___¡
Ϊ_____Ԫ½ÿ³15ڣҷ֧ȫ
ҷڼ䣬ˮѡѡȡůѡȼѡ绰ѡҵԼҷסķҷʱҷ뽻Ƿѡ
ġҷʩװ죬üͬ⣬еװáʱҷ뽫ʩָԭ״
塢ҷҪޣǰ1յҷҪ7ڴͬޣǩͬͬ£ҷȨ
ڼ䣬κһֹͬǰ1֪ͨԷ˫Э̺ǩֹͬ顣һǿֹͬһ֧ΥԼ______Ԫ
ߡ飬ס˫ѺЭ̽Э̲ʱɵԺٲá
ˡͬһʽݣס˫ִһݣ˫ǩ֮Ч
_____________ϵ绰_______________
ҷ_____________ϵ绰_______________
___________
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