ⷿЭ飨ѡ15ƪ
ճУǶЭֱӻӵϵǩЭ̶ܹȵıԼĺϷȨһЭôݵأСྫⷿЭ飬οһɡ
ⷿЭ 1
()_____________
ҷ():_____________
ס˫ͷˣЭ飺
һе____(Ʊ)ҷ________ʹãⷿЭ鷶˫ԼΪ__ ա ¡
Ϊ(Ҵд)_(Сд____)ÿ㣬θ塣
֧ʱ估ʽһ ǰ֧ Ԫڶ ǰ֧ Ԫ
ġҷڼ䣬ˮѡѡԼҷס.ҷеˮ Ԫÿ֣ˮ Ԫÿÿ£ Ԫÿȣ Ԫÿ£Ϸÿ ȡһΡ
__ȣˮ____֡
塢ݳⱣ֤
1״νʱҷӦ֤(Ҵд)_ҼǪ_Ԫ(Сд_____Ԫ)ʱ˫κ飬֤˻ҷ
ҷñӦע
ֵҷⷿڶɵʧͶԵɵκε¡þס
1ҷӦйɣΥҼ͵ĻΥɣҷ
2ҷӦעסȫвȡ𡢷Ȱȫʩǿõ簲ȫҽӵߣڷõ簲ȫо顣ҷʩʧʧҷгеɼݲƲʧҷȫ⳥ɵݲƲʧҷҷȫ⳥ԷΥԼ
3þ߲ʧռ⳥
4ֽȹƷҷƱܣжʧԸ
5ҷðɢԱ뷿ڣȫ
ߡҷ÷ûдȨ˺⡢תˣҲܸı;ΥԼдȨЭ鲢ջطݡ
ˡҷҪޣǰ__յҷҪ____ڴͬޣǩͬͬ£ҷȨԭѵڣµЭ黹δǩ£ȨջطݣǩԼ⡣
šҷδڶҪʱЭһ£֤˻ҷӦù黹ݺԿйƷⷿڵ豸ҷڱ֤ڿ۳Ӧ⳥
ʮͬĽ
ڼ䣬ҷ֮һģȨֹͬջر
(1)ԽתãͶɻ˵
(2)óⷿݽзǷṫģ
(3)ҷδԼ֧һ¡
123Լͬͬʱû֤Ϊ⳥𣬲ȨҷΡ
ʮһʱס˫ѺЭ̽Э̲ɣɵԺٲá
ʮͬһʽݣס˫ִһݣ˫ǩ֮Ч
ҷ
________________________
ⷿЭ 2
ҷ
䣺
һҷסǰӦƱԿסвŹƷⲻԱ뷿䡣ԡٵȷΪҷʧŲ
ҷԱ뷿ݺŵԵԱȫȫΣκ¹ʾҷȫ⳥
ֻΪסʹãԸ;ҷýΥΥȨֹͬزź˲顣
˫ںͬṩϢӦʵЧͬеǼǵϵ绰Ϊ֪ͨʹ`ϵʽбӦ֪Է
ġԷ弰ʩʹùгֵĥάޣҷסӦѲ鷢λΣ֪ʹòѲ鲻λɵʧҷ
塢ҷǩԼʱѾ֪ˮ硢ʹ÷Ͱȫάʽȫ¹ʲһкҷге
ҷԸķݽṹڷӹҳز
ߡݵͬǰõ߱۸ҷҲӦͬ30ǰҷûϵЭǩЭ鲢Ϊ⣬ڰ
ˡҷתⷿݣδǩͬתЭһɲϣҷеΡǰֹЭģҷӦǰ30ո֪Э̴취
šݵں10ڣͨͬעĵ绰ϵҷģҷԸȫƷȨԴƷе⳥Ρ
ʮЭ龭˫Эһ£ԸִͬС˫һݣͬЧͿЧЭ˫ⷿʱͬЧ
ҷ
ǩڣ________________________
ⷿЭ 3
ⷿͬӦȷݣ
1.˫˵ͬӦд˺ͳ˵סַȸ
2.ססľλá
3.ס;סڳסһҾס˻ͥ˺ססǽھסͬʱ;칫ȡ
4.ޡڳ˲ϣƵңҲϣڶʱҪѰµķͣ˫ҪһαȽȶʱ䣬ҪںͬԼһޡ
5.⼰֧ʽסɳ˺ͳЭȷڣ˲߷⡣
6.סΡסIJȨ˻Ȩ˵ίˣסdz˵Ρ
7.ס״ӦðסʩԲ𡢸ġӡȷʵҪסб䶯ʱҪó˵ͬ⣬ǩЭ顣
8.תԼеijⷿĿIJסͨתȡ롣
9.ΥԼΡǩͬʱ˫Ҫ뵽ܲΥͬΪںͬй涨Ӧijͷ취
10.ͬıֹг˺ͳΪбҪıͬޡȣ˫ͨЭ̶Ժͬб
____Ϻⷿ()
ⷽ()_______________ⷽ(ҷ)_______________
ݡлͬϺзĹ涨ס˫ƽȡԸƽͳʵõĻϣЭһ£ҷķزˣͬ
1ڱͬͬҷת⣬ҷڣüͬ⣬ɽ÷ݲֻȫתˡͬһסݣ÷ָת⡣
2ҷת÷ݣӦ涨ⷽתͬ涨÷طزĻũϵͳǼDZ
3ڣҷ÷תø˳˳ķݽнüͬ⡣תû÷ݳȨ˻Ӧǩͬбͬ
4 ڣ۸÷ݣӦǰ֪ͨҷҷͬȹȨ
5ͬ
ס˫ͬڣ֮һ'ֹͬ˫еΣ
(һ)÷ռ÷ΧڵʹȨǰջصġ
()÷ṫ汻õģ
()÷нҪ뷿ݲǨɷΧģ
()÷ݻʧ߱ΪΣշݵģ
()Ѹ֪ҷ÷ݳǰ趨Ѻֱֵġ
6ס˫ͬ⣬֮һģһ֪ͨһͬΥͬһӦһ________֧ΥԼ𣻸˫ʧģ֧ΥԼָһʧģӦ⳥ɵʧΥԼIJ֣
(һ)δʱ÷ݣҷ߸δģ
()ĸ÷ݲϱͬԼʹʵĿĵģķݴȱݡΣҷȫġ
()ҷδüͬı䷿;ʹģ
()ҷԭɷṹģ
()ҷת÷ݡתø÷ݳȨ˽Գķݵģ
()ҷڲ֧ۼƳ_______µģ
() ________________________________________________
7ΥԼ
(һ)÷ݽʱȱݵģӦԽ֮____ڽڲģͬй
()δڸúͬи֪ҷ÷ݳǰѵѺȨתܵƣҷʧģӦ⳥
()ڼ䣬ʱбͬԼάޡΣʹҷƲʧ˺ģӦе⳥Ρ
()ڼ䣬DZͬ涨Խⷿͬǰջظ÷ݵģӦǰջ________ҷ֧ΥԼ֧ΥԼָҷʧģӦ⳥
()ҷδüͬ߳ͬķΧҪװݻ踽ʩģҪҷ________(ָԭ״/⳥ʧ)
()ڼ䣬DZͬ涨ҷ;ģҷӦǰ________֧ΥԼΥԼָʧģҷӦ⳥ɴޱ֤еֿֿ֤ۡ۵ģ㲿ҷ֧
8
(һ)ڼ䣬Ѻ÷ݣӦ֪ҷҷŵ÷ݵѺЭۼۡʽָ÷ǰ________ѯҷ÷ݵ
()ͬ˫ǩ/ǩֺ________ЧЧ15ڣɼ𰴹涨ڵطزĻũϵͳǼDZȡǼDZ֤ͬǼDZֹͬģ________(/ҷ)ڱֹ֮ͬ15ڣԭǼǻֹǼDZδǼDZֹǼDZģķɾףɼеһΡ
()ͬδˣס˫Эһ£ɶͬΪͬɷָһ֣ͬ䲹ڿոдǦӡ־ͬá
()ס˫ǩ𱾺ͬʱԸԵȨףԸͬ涨ϸִСһΥͬһȨⷿͬ涨⡣
()ס˫бͬз飬ӦͨЭ̽Э̽ɵģ˫ͬѡе________ַʽ
()ύ________ٲίԱٲã
()Ժߡ
9ͬͬһʽ________ݡУס˫һݣ(Ϻ/________/)زһݣԼ________________һݣͬЧ
________________֤ţ________________绰_______________
ҷ________________֤ţ________________绰_______________
ǩڣ________________________ǩص㣺_______________
ⷿЭ 4
ˣ
ҷ ˣ
˫ѺЭ̣ݡͬҡԷйع涨һ´Э飬Э顣
һ ݸſ1 ֤ҷķϵ ˣУӵȫȨʹȨзȨ .ǹУӦӣѾͬ⣬ͬίޣӦзȨ˵ίЭ飩
2 ݷɸſ1Ȩ֤Ǽˣ__________ ֤룺_______
2Ȩ֤ţ_______
3ʹȨ֤ţ_______
4Ȩ֤ϵǼǵķݽ_______
5ݵʹ
6ݵĸ鷿Ȩʹõʩ
3 ⷿݸſַơ;ʹ桢ǽҾ豸ȣ
ڶ 4 ޣ ֹӦ˳ӣ
1 ɿɵģ
2 ԭڽݵģ
3 ҷԭʹסģ
4 ˫Эһ²ĵġ
5 ÿ Ԫд
6 𰴼֧ԱͬЧ֮ʮڣҷӦ֧1ȵԺӦÿһµµǰһȵ𡣣ҲԼ¡֧ڣ
7 ֧ص㣺_______
8 ֧ʽ ֽ֧ƱƱתʵȣ
9 ȡʱӦṩϷЧķƱҷȨܾ֧
IJ طõ10 ڼ˰ еͬЧ䶯˫Դ˴Э11 ڼ䣬ҷ֮Ҫúѡˮѡ绰ѡߵӷѡʹ÷ѵҷеѡΰѡҵõ е
12 ڼ䣬ݵʹȨҷȨʹȨķǽݶ¿ռ䡢ݵĸʩгλλȡ
岿 ݱȨ13 ڼ䣬罫ȨתƸӦǰ3֪ͨҷҷͬȼ۸.ȹȨȨתƸõΪͬĵȻԭȨͳеԭٳеͬԼȨ
14 ڼ䣬ҷתʹãüͬ⡣ȡʹȨĵΪͬĵȻҷԭҷȨͳеԭҷҷٳеͬԼȨ
15 ڼ䣬ԷѺȨǰ2֪ҷҷȨǷ⡣ҷ7ΪΪϿɼΪҷֹͬϵֹ֪ͬͨ鵽Ĵ㡣
ûаԼ֪ҷҷʱͬȨΥԼΡ
16 ȨԲҷͬ⣬Ӧǰ1֪ҷ
ɵ17 ڼ䣬ӦݵάޣίгⷽάޣάɼеӦ֤ҷʹú;ס֮Ҫ
18 ڼ䣬緿ݷҷԭɵȻΪ©ˮȣӰҷסɵģӦڽӵҷ֪֮ͨ7ɣ7죬ҷȨɡ
19 ڼ䣬緿㵹ΣգطҷסģвҷƲȫģӦڽӵҷ֪ͨɻʱȣԴ˵ǣȡάޱʩҷɡ
20 ԷݽеɷãҷԵΥԼΡ
21 ֤ʵҷͺ˵ܱ߸ſӦȨάҵΰȣʵشҷѯΪթΪ
22 δͬ涨ʱҷṩݣÿҷΥԼ ԪۼƲ3µ
23 ڼ䣬ȷջطסǰ3֪ͨҷͬӦ֧ΥԼΥԼʣӦܶ20%㡣
24 ڼ䣬ϷIJǨΪչҲǨ͵صIJǨйع涨ִС
25 ҷ÷ڽеװޣԭʹҷںͬʱеΥԼ⣬Ӧۼװһ֧ҷͬЭ顷ۼװ˫Э̣Э̲һ£յؼԲǨݵװõIJִ߱С
ڰ˲ ҷȨ26 ҷͬԼ𣬼ɾգҷӽΡ
27 ڼ䣬ҷҪ˷ǰ ֪ͨ˫Эһ½ͬҷӦΥԼΥԼʣӦܶ20%㡣
28 ڼ䣬ҷδͬı䷿ݵĽṹ;ʧ÷ݺ豸ĻӦָԭ״⳥ʧҷװǽװͷŵȣüͬ⣬ҪģӦйزʩ
29 ҷڷڵװװ豸Ʒںͬʱһۼתø˫Э飬ҷӦԺ֮ͬ7вָԭ״7죬Ȩвҷںڳе
30 ݱͬԼǰֹͬͬҷӦյʽ֪֮ͨ15ڰȫ豸˫Э̳⡣ҷҷȷʵѻӦҷ30죬ҷӦͬԼһ_________𡣰Ǩ7ڷ˫ԼΪҷȨɼ
31 ͬҷڲǨҷӦ⳥ܵľʧ
32 ҷ⣬Ӧǰ30֪ͨյ֪֮ͨ30ӦҷЭԼڽӵҷ֪֮ͨ30ڼΪĬͬҷ⣬ͬԶӳһ꣬30ơ
33 ҷͬȳȨ
ھŲ ɿ34 ɿָԤܱҲܿ˷ĿȻ
35 ɿ¼˫һлȫбЭԼйʱ˫еΥԼΡвɿһ˫Ӧڲɿ10ڽ֮Էṩйزŵ֤ڲɿӰĺʱڣһ˫Ӧкͬ
36 ɿӰ2ϣһȨֹͬ
37 ͬڼ䣬ҷԭݷ©ˮݱΪΣԭʹҷסģڼά֮ǰӦڵ
38 ɿʹͬУͬȻֹӦڱֹ֮ͬʮڷҷ֧йⰴع涨
ʮ ֪ͨ39 ձЭҪκһ֪ͨϵӦд֪ͨר˵ݽԹҺżԹϵĿݷͼĴ淢͵һ֪ͨΪЧʹӦȷ
1ר˵ݽ֪ͨר˽֮Ϊʹ
2ͼĴ淢͵֪ͨڳɹͺͽպĵ1Ϊʹ
ʮһ 40 Эж飬˫ӦЭ̽Э̲ɣڵطԺϡ
ʮ ͬЧ41 Э˫ǩ֮ЧͬԼɡй涨ģԼ涨
42 Ӧҹ涨֤ޱǼǡΰ֤ȹҹ涨ӦĸڱЭ˫ǩ֮30ڣȻûаҷȨͬ
ʮ ΥԼε43 κһδбЭԼκһΪΥԼ
44 κһյԷľ˵ΥԼ֪ͨӦ15ڶԴȷϻ˵15ڲشΪ֪ͨݡڴ£˫ӦԴЭ̣Э̲ɵģЭΥԼӦеԼΥԼΪԼɵľʧ
ʮIJ
߲ Ȩ45 ԭʹͬУӦҷѾҷͶĸãҷнáҷذǨáҷѾ֧δ֧ҪװáҷΪסҪӵĹ̶豸װã磺ߵӰװѡ绰װѡװáߵװѡյͨװѡúܵװѡ簲װѡůװѵȣ
46 ԭʹͬУӦں֮ͬ7һ֧ҷ Ԫд Ϊҷļʧ
47 ҷԭʹͬУҷӦںͬЧ֮7һ֧ Ԫд ΪҷļʧȨʱҷѾҷͶĸãͬ45壩Բ
48 ҷ֧Ӧ֧֮ÿհӦ2%֧ΥԼ𣬵ΥԼۼƲ3µҷǷ60ϣȨջطݲҷΥԼε49 ͬԼݸҷ֮ÿҷ֧ΥԼ ԪΥԼۼƲ3µ𡣼ڽݳ60죬ҷȨͬΡ
50 ˫бͬвЭһ½ģΥԼӦеԼΪάԼȨ֧İڲ÷ѡϷѡȡ֤ѡʦѵȷá
ʮ岿 51 Эһʽ½ݣס˫ݣ˰һݣһݣͬȷЧ
52 Эδˣɾ˫Э涨涨ЭͬЧ粹涨뱾ͬһ£Բ涨Ϊ
53 Эеġɡָȫ䳣ίƶ䲼ģ桱ָ͵طԷ棺¡ָŹº͵طƶĹ¡
ǩ֣ˣ
סַ_______
֤룺
绰
ʱ䣺
ҷǩ֣ˣ
סַ_______
֤룺
绰
ʱ䣺________________________
ⷿЭ 5
()
ҷ ()
˫ѺЭ̣ݡͬҡԷйع涨һ´Э
һ ݸſ
1 ֤ҷķϵ (ˣ)ӵȫȨʹȨзȨ .(ǹУӦӣѾͬ⣬ͬίޣӦзȨ˵ίЭ)
2 ݷɸſ
1Ȩ֤Ǽˣ__________ ֤룺_______
2Ȩ֤ţ_______
3ʹȨ֤ţ_______
4Ȩ֤ϵǼǵķݽ_______
5ݵʹ
6ݵĸ鷿Ȩʹõʩ
3 ⷿݸſ(ַơ;ʹ桢ǽҾ豸)
ڶ
4 ޣ ֹӦ˳ӣ
1) ɿɵģ
2) ԭڽݵģ
3) ҷԭʹסģ
4) ˫Эһ²ĵ`
5 ÿ Ԫ(д )
6 𰴼֧ԱͬЧ֮ʮڣҷӦ֧1ȵԺӦÿһµµǰһȵ(ҲԼ¡֧)
7 ֧ص㣺_______
8 ֧ʽ (ֽ֧ƱƱתʵ)
9 ȡʱӦṩϷЧķƱҷȨܾ֧
IJ ط
10 ڼ˰ еͬЧ䶯˫Դ˴Э
11 ڼ䣬ҷ֮Ҫúѡˮѡ绰ѡߵӷѡʹ÷ѵҷеѡΰѡҵõ е
12 ڼ䣬ݵʹȨҷȨʹȨķǽݶ¿ռ䡢ݵĸʩ(гλλ)ȡ
岿 ݱȨ
13 ڼ䣬罫ȨתƸӦǰ3֪ͨҷҷͬȼ۸ȹȨȨתƸõΪͬĵȻԭȨͳеԭٳеͬԼȨ
14 ڼ䣬ҷתʹãüͬ⡣ȡʹȨĵΪͬĵȻҷԭҷȨͳеԭҷҷٳеͬԼȨ
15 ڼ䣬ԷѺȨǰ2֪ҷҷȨǷ⡣ҷ7ΪΪϿɼΪҷֹͬϵֹ֪ͬͨ鵽Ĵ㡣
ûаԼ֪ҷҷʱͬȨΥԼΡ
16 ȨԲҷͬ⣬Ӧǰ1֪ҷ
ɵ17 ڼ䣬ӦݵάޣίгⷽάޣάɼеӦ֤ҷʹú;ס֮Ҫ
18 ڼ䣬緿ݷҷԭɵȻΪ©ˮȣӰҷסɵģӦڽӵҷ֪֮ͨ7ɣ7죬ҷȨɡ
19 ڼ䣬緿㵹ΣգطҷסģвҷƲȫģӦڽӵҷ֪ͨɻʱȣԴ˵ǣȡάޱʩҷɡ
20 ԷݽеɷãҷԵΥԼΡ
21 ֤ʵҷͺ˵ܱ߸ſӦȨάҵΰȣʵشҷѯΪթΪ
ǩ֣()
סַ_______
֤룺
绰
ʱ䣺________________________
ҷǩ֣()
סַ_______
֤룺
绰
ʱ䣺________________________
ⷿЭ 6
绰
绰
˫Э־ԭⷿͬδ²䣬ЭԭⷿͬͬȷЧ
1ԸҷÿķΪ ͬΪҼ꣬涨˷ҷֻʹȨҷڼҷת⣬뾭üͬ⣬δͬⲻתˣתЭЧ
2ںͬڵǰһ£ҷ֪ͨһķ⡣˳гҷԶͬջطӡ
3ҷı䷿Ľṹı䣬뾭ͬ⡣粻ͬı䷿Ľṹ˶'һкҷе
4ҷκηþҷ
5ͬһʽݣҷһݣΪ____________________________________ա
עҷһ֤ӡ
ǩ֣
ҷǩ֣
________________________
ⷿЭ 7
(ⷽ) ҷ(ⷽ)
˫____________ǩġͬ꣬ݺͬԼ'˫Э̣˫Эһ£ͷ۸ˣɲЭ£
һڼ
1ҷ꣬________________________ֹ
2________________________ֹÿ680000Ԫ(дʰԪ)30000Ԫѿ______________________________________ֹÿ800000Ԫ(дʰԪ)30000Ԫѿ
֧
ҷӦÿ굽ǰһ10ǰ(ÿ410ǰ)50%ʣӦÿ1010ǰ塣
ΥԼ
ҷ֧Ӧ֧֮ÿհӦǧ֮һ֧ΥԼҷǷһϣȨֹͬȨջطݲҷΥԼΡ
ġ
Э˫ǩ֮Ч
ЭЧ֮Ϊͬɷָɲ롶ͬͬȷЧЭȷĵ⣬ԭͬಿȫЧ
(ⷽ)
ҷ(ⷽ)
________________________
ⷿЭ 8
ҷ
ڼ˫ ǩķͬ(¼ͬ)Ϊһȷ˫Ȩ˫²Э飺
1յݿӦÿߺϷЧվƾ֤
2ͬУҷԭݻ丽豸ʩȻɼάޣյҷά֪ͨ3Բάģҷάޣ˲άãɼе
3ڣȷҷסڣݵ'Ӧǰ__¸֪ҷͬ£ҷȹȨת˵ģǩתúͬʱ֪˼бЭ顣
4֮һģҷȨͬȨҪеӦõ⳥Σ
1) ⷿݲ߱ȫȨ߳ķݲԼӰסģ
2) δӰסģ
3) ɷ涨Ӱ췿ݾסεġ
5йͬ˫Э̽Э̲ɵҷڵԺϡ
6
7ͬҼʽݣ˫ִݣ˫ǩָºЧ
()
ҷ()
________________________
ⷿЭ 9
ⷽ______(¼Ƽ)
֤_________________
ⷽ______(¼ҷ)
֤_________________
ݼס˫ԸƽȡĻϣЭһ£Ϊȷ˫֮ȨϵͼϷӵеķݳҷʹãҷˣͬ
һݵַ´山 ꡣ
1______________________________ֹ
2ÿ_____Ԫ¸ÿǰ츶Ѻ_____Ԫ______Ԫ.(д__________Ǫ__________ʰ_____Ԫ)ֹѺ˻ҷϢ
3ҷŵ÷ݽΪͨסʹá
4ȨջسⷿݣҷӦڽҷҪ⣬ǰһ֪ͨͬǩͬ
ʹ
1ڣӦ֤ⷿݵʹðȫҷӦʹķݼ丽ʩҷʹòɷݼʩģҷӦ辭⳥
2÷ݼʩάγ˫ڱͬԼ⣬ɼ(ҷʹò)άǰ֪ͨҷҷӦЭϡ
3ҷʹҪڲӰ췿ݽṹǰ£ԶԷݽװװΣƹģΧաϵȷӦüͬʩڷݵװСҷװװβּɵ`
ݵתת
1ڼ䣬δͬ⣬ҷת⡢תⷿݡ
2ͬҷתⷿݵģӦЭ飬ҷӦЭתⷿݡ
ġҷΥԼĴ涨
ڣҷΪ֮һģȨֹͬջظ÷ݣҷӦ֧ͬ____꣬ __________________ΪֹҷһԸʹá
Ϊ_________________ԪͬʱҷԤ_________ԪΪ֤𣬺ֹͬʱǷѡΥԼ֣ٲڼ䣬κ
塢ڷڼ䣬ˮѡѡúԼҷסķҷ֧ȡůɼ֧ʱҷ뽻ǷѣеڸΥԼΡɼ˫˶Ժҷд
_______________ˮ_______________ú______________
ڼ䣬κһҪֹͬ˫Χ֮IJɿ¼³⣩ǰһ֪ͨԷԷΥԼ_________Ԫ
ߡڼ䣬δͬ⣬ҷȨתת÷ݣøı䷿ݽṹ;Χ֮IJɿ¼ҷΥԼ£ҷľʧ貹
ˡҷΪԭɸ÷ݼʩģҷе⳥Σ֧⳥ʧάá
šͬһʽݣס˫ִһݣ˫ǩ֮Ч
(ⷽ)_____________
ҷ(ⷽ)_____________
ڣ________________________
ⷿЭ 10
ⷽ(A)____________________
ⷽ(B)____________________
ݡлͬϺзĹ涨AB˫ƽȡԸƽͳʵõĻϣЭһ£BAķزˣͬ
һⷿ
(һ)ݻ
1֤ţ____________________
2Ȩˣ____________________
3䣺____________________
4__________ƽ
() AΪ÷ݵġزȨˡˡɹ涨ȨˡBϵǩͬǰAѸB÷ݡѡδ趨Ѻ
()÷ݵĹûòλʹ÷ΧҪװޡʩ豸״AͬBװ踽ʩݡԼйˣAB˫ֱڱͬмAB˫ͬøΪAB÷ݺͱֹͬʱBA÷ݵݡ
;
(һ)BAŵ÷Ϊ____________ʹãعҺͱйطʹúҵĹ涨
()B֤δAͬԼ涨뾭йزδǰԸıԼʹ;
ں
(һ)AB˫ԼA________________________ǰB÷ݡ________________________________________________ֹ
()AȨջظ÷ݣBӦڷBҪ÷ݵģӦڽǰ________£AҪAͬǩͬ
ġ֧ʽ
(һ)AB˫Լ÷ÿÿƽΪ()_________Ԫ,ܼΪ() _________Ԫ(д___________________________________________Ԫ÷________(¡)ڲ䡣Ե________(¡)˫Э̶ейصAB˫ڲԼ
()BӦڡÿ____ǰ_____________A֧֧ģһգB谴________%֧ΥԼ
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(һ)AB˫ԼA÷ʱBӦA֧ޱ֤𣬱֤Ϊ_______µ𣬼()___________Ԫ(дԪ)Aȡ֤ӦB
տƾ֤
ϵֹʱAȡķޱ֤ԵֳͬԼBеķ⣬ʣಿϢ黹B
()ڼ䣬ʹø÷ˮ硢úͨѶߵӡҵ________ȷɡABейطãɡABе
ʹҪά
(һ)ڼ䣬BӦʹò÷ݼ丽ʩָ÷ݼ丽ʩʱӦʱ֪ͨAAӦڽӵB֪ͨ_____ڽάޡڲάģBɴΪάޣAе
()ڼ䣬Bʹòʹãʹ÷ݼ丽ʩϵģBӦάޡBܲάޣAɴΪάޣBе
()ڼ䣬A֤÷ݼ丽ʩĿʹúͰȫ״̬AԸ÷ݽм顢Ӧǰ________֪ͨBʱBӦϡAӦٶBʹø÷ݵӰ졣
ߡݷʱ״̬
(һ)AͬB⣬BӦڱͬڡ֮ա_____ڡ÷زδAͬڷݵģÿһգBӦ()________Ԫ/ƽ()A֧÷ռڼʹ÷ѡ
()B÷Ӧʹú״̬ʱӦAϿɣӦеķá
ˡת⡢תúͽ
(һ)AڱͬͬBת⣬BڣAͬ⣬ɽ÷ݲֻȫתˡͬһסݣ÷ָת⡣
()Bת÷ݣӦ涨ⷽתͬ
()ڣB÷תø˳˳ķݽнAͬ⡣תû÷ݳȨ˻ӦAǩͬбͬ
šͬ
(һ)AB˫ͬڣ֮һģֹͬ˫еΣ
1÷ռ÷ΧڵʹȨǰջصģ
2÷ṫ汻õģ
3÷нҪ뷿ݲǨɷΧģ
4÷ݻʧ߱ΪΣշݵģ
()AB˫ͬ⣬֮һģһ֪ͨһͬΥͬһӦһ________֧ΥԼ𣻸һʧģ֧ΥԼָʧģӦ⳥ɵʧΥԼIJ֣
1Aδʱ÷ݣB߸δģ
2Aĸ÷ݲϱͬ`ԼʹʵĿĵģAķݴȱݡΣBȫġ
3BδAͬı䷿;ʹģ
4Bԭɷṹģ
5Bת÷ݡתø÷ݳȨ˽Գķݵģ
6Bڲ֧ۼƳµģ
ʮΥԼ
(һ)÷ݽʱȱݵģӰBʹõģAӦԽ֮____ڽڲģAͬй
()Aδڸúͬи֪B÷ݳǰѵѺȨתܵƣBʧģAӦ⳥
()ڼ䣬AʱбͬԼάޡΣʹBƲʧ˺ģAӦе⳥Ρ
()ڼ䣬DZͬ涨AԽͬǰջظ÷ݵģAӦǰջ________B֧ΥԼ֧ΥԼָBʧģAӦ⳥
()BδAͬ߳AͬķΧҪװݻ踽ʩģAҪBָԭ״⳥ʧ
()ڼ䣬DZͬ涨B;ģBӦǰ________A֧ΥԼΥԼָAʧģBӦ⳥Aɴޱ֤еֿֿ֤ۡ۵ģ㲿B֧
ʮһʽ
AB˫бͬз飬ӦͨЭ̽Э̽ɵģ˫ͬѡе________ַʽ
(һ)ύ________ٲίԱٲã
()Ժߡ
ʮ
(һ)ڼ䣬AѺ÷ݣӦ֪BBŵ÷ݵѺЭۼۡʽָ÷ǰ________ѯB÷ݵ
()ͬδˣAB˫Эһ£ɶͬΪͬɷָһ֣ͬ䲹ڿոдǦӡ־ͬЧ
()AB˫ǩ𱾺ͬʱԸԵȨףԸͬ涨ϸִСһΥͬһȨͬ涨⡣
A____________________
B____________________
֤룺____________________
ϵʽ____________________
֤룺____________________
ϵʽ____________________
________________________
ⷿЭ 11
ⷽ ¼ơ
ⷽ ¼ơҷ
ռ˫ǩ˳ͬΪǿİȫ˫ͬЭ̣ƶȫЭ飨¼Э飩ΪͬIJЭ顣
һ
1. ӦִСлȫϺаȫϺлŵйع涨
2. ҵפǰҷ幤ˮ硢ҪλȰȫע
3. ҷ`йذȫ⣬Э
ҷ1. ҷӦִСлȫϺаȫϺлŵйع涨
2. ҷפǰҪԹʩмȷ⼰ʱϵ
3. ҷڼΥȫйҪɵλԱ¹ʣҷдͽһк;ʧҷ
4. ҷԱ˽Զáжԭеʩδִд涨ҷԱԱ˺һк;ʧҷ
5. ҷԱλдҵԱаȫѵй顣
˫ҪԷڵõԷȷϲͬɽԷ
ġڼҷδϸִСЭ顷ԼݣɶԷλԱ¹ʣذȫɷйع涨ΣЭ̴
塢ϼרҵȨʱ鹤ֳЭ顷ʵԲȫȨָҪηʱģɴɵĺ;ʧҷ
Эһʽݣ˫ִһݣͬЧ
ߡЭǩִָ֮УЧ
ǩ֣£ ҷǩ֣£
________________________
ⷿЭ 12
ͬţ
_________________ ҷ_________________
Эе˵䶨˫____________ǩͬΪ____ġ______ͬ¼ơԭͬеĶͬ
ڣ
ԭ˫Żݵ`ԭѺЭ̣ʵԭͬϱͬݣض²Э顣
һЭݱΪ
1
2_________________
3_________________
ЭЧΪԭͬɷָɲ֣ԭͬͬȵķЧ
Эȷĵ֮⣬ԭͬಿӦȫЧ
ЭԭͬͻʱԱЭΪ
ЭһʽݣִҼݣҷִҼݣͬȷЧ˫ǩָ֮Ч
_________________
ҷ_________________
˻ίд _________________
˻ίд_________________
ǩ֣_________________
ǩ֣_________________
________________________
ⷿЭ 13
ⷽ(¼Ƽ)_________________________
()(Ȩ)_________________________
____________________________
(֤)()(Ӫҵִպ)___________________
ַ______________________
룺________ϵ绰______棺______e-mail:________________________
ⷽ(¼ҷ)_________________________ ()
(Ȩ)_____________________________
_________________________________
(֤)()(Ӫҵִպ)___________________
ַ_______________________
룺________ϵ绰______________e-mail:_________________________
ݡлͬлзزйطɡ涨ƽȡԸЭһµĻϣס˫зݵЭ飺
һݻ
(¼Ƹ÷)________λڵ____㣬______ ס䡳ݽṹΪ________________ƽ(ʵʽ_______ƽףλ빫÷ݷ̯_______ƽ)÷ݵʹȨԡáʽȡã÷ƽͼͬһ÷ݸʩȨ֤šʹȨ֤šزȨ֤šΪ__________
ڶ;
÷;Ϊ____________________˫Լ⣬ҷθı䷿;
___________________ֹ
÷Ϊ()______ǧ_____ʰ__Ԫڼ䣬г仯˫Э̵֮⣬ⷽκ
ʽ
ҷӦڱͬЧ֧֮______ǧ_____ʰ__Ԫ𰴡¡ꡳ㣬ҷÿ¡ꡳĵ__µ___ս
ڱͬЧ֮____ڣ÷ݽҷ
ԲȨijŵ
֤ڳ÷ûвȨףЭԼ⣬йذҡѺծ˰ȣڳ÷ǰסδɼеȫΣɴ˸ҷɾʧģɼ⳥
ڰά
ڼ䣬Էݼ丽ʩÿ____¡ꡳ顢һΣҷӦЭʩ'ݴɼеճķά____еҷʹòɷݼ豸ʧάãҷеβ⳥ʧڼ䣬ȫǰۺȫȹҷӦִейزŹ涨еȫκͷӼල顣
ھװı䷿ݽṹԼ
ҷʩı䷿ݵڲṹװöԷݽṹӰ豸üͬ⣬ͶҷʱԼ⣬ȨҪҷԭ״ָɻָá
ʮڷڼйط
ڷڼ䣬·ҷ֧ҷеڸΥԼΣ1.ˮѣ 2.úѣ 3.绰ѣ 4.ҵѣ 5.________________ 6.________________ڣйزձͬδгĿʹø÷йصķãҷ֧
ʮһ
ֹͬʱҷ뽫˻ҷҪޣǰ____ںͬǰ____ҷʽͬޣǩͬ
ʮҷֹͬԼ
ҷ֮һģֹͬջطݣɼʧҷ⳥
1.Խķתģ
2.Խķתáת˻Եʹõģ
3.Բijⷿݽṹıⷿ;ģ
4.Ƿۼƴ____£
5.óⷿݽΥģ
6.ⷿݵģ
7._____________________________
ʮǰֹͬ
ڼ䣬κһֹͬǰ_____֪ͨԷ˫Э̺ǩֹͬ飬ֹͬǩǰͬЧҽ衢ɿػֱͬʮ涨ΣֹͬʱһӦǰ_____֪ͨҷҷľʧ貹
ʮǼDZԼ
ԱͬЧ֮_____ڣס˫ֱͬй֤ļ______ǼDZ
ʮΥԼ
ڼ˫غͬκһΥͬĹ涨Է_____%ΪΥԼҷδģÿһգȨ____%ҷɽ
____________________
ҷ____________________
________________________
ⷿЭ 14
绰
绰
˫Э־ԭⷿͬδ²䣬ЭԭⷿͬͬȷЧ
1ԸҷÿķΪ ͬΪҼ꣬涨˷ҷֻʹȨҷڼҷת⣬뾭üͬ⣬δͬⲻתˣתЭЧ
2ںͬڵǰһ£ҷ֪ͨһķ⡣˳гҷԶͬջطӡ
3ҷı䷿'ṹı䣬뾭ͬ⡣粻ͬı䷿Ľṹ˶һкҷе
4ҷκηþҷ
5ͬһʽݣҷһݣΪ____________________________________ա
עҷһ֤ӡ
ǩ֣
ҷǩ֣
________________________
ⷿЭ 15
ⷽ__________
ҷⷽ__________
˫____________________________ǩġͬ__________꣬ݺͬԼ˫Э̣˫Эһ£ͷ۸ˣɲЭ£
һڼ
1ҷ__________꣬________________________________________________________ֹ
2________________________________________________________ֹÿ__________Ԫд__________ʰԪ__________Ԫѿ________________________________________________________ֹÿ__________Ԫд__________ʰԪ__________Ԫѿ
֧
ҷӦÿ굽ǰһ.__________ǰÿ____________________ǰ__________%ʣӦÿ____________________ǰ塣
ΥԼ
ҷ֧Ӧ֧֮ÿհӦ__________֧ΥԼҷǷ__________ϣȨֹͬȨջطݲҷΥԼΡ
ġ
Э˫ǩ֮Ч
ЭЧ֮Ϊͬɷָɲ롶ͬͬȷЧЭȷĵ⣬ԭͬಿȫЧ
ⷽ__________
ҷⷽ__________
________________________
ⷿЭ顿£
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