͵ⷿͬͨ12ƪ
ŷξزϷӺͬͬеĴԽԽ࣬ǩͬΪ˱˫棬ⲻҪˡôͬҪôⶨôҶܿհɣС͵ⷿͬοӭĶ
͵ⷿͬ 1
ⷿ
ⷽ
ס˫ͷˣЭ飺
һλ__________ķݳҷסʹã________________գ__¡
Ϊ__________Ԫ㣬һθ塣
ҷڼ䣬ˮѡѡȡůѡȼѡҵԼҷסķҷ
ġҷ________ԪΪѺ𣬺ֹͬʱ˻ҷ
塢ڷڣκһҪֹͬǰ֪ͨԷΥԼתø÷ݣҷȹȨ
ڳڼ䣬δͬ⣬ҷȨתת÷ݣøı䷿ݽṹ;ҷΪԭɸ÷ݼʩ.ҷе⳥סڼɷҷ
ߡͱͬף˫Э̽Э̲ɣκһȨԺϣ˾
ˡͬһʽݣס˫ִһݣ˫ǩ֮Ч
_______________
֤ţ_____________________
ϵ绰___________________
ҷ___________________
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ϵ绰________________________
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͵ⷿͬ 2
ҷ
˫ѺЭ̣ҷΪ________________________________üݣʹⷿ˴Э飺
һͬҷӪ÷____________ƽףڸù˾Ӫ֮ã÷________________________________________
÷˫̶Ϊÿ__________Ԫ÷Ϊ__________Ԫ
____________ÿӳһ찴__________Ʒ_________δɣȨջظ÷ݣʵʳٸƷҷȡ
ġҷͬԤ________________ԪΪ֤𣬺ֹͬʱ֡
塢Ϊ______________________________________________________________________________աڴڼ䣬κһҪֹͬǰ֪ͨԷԷ `ΥԼתø÷ݣҷȹȨ
ø÷ijطѡãҷе
ߡڳڼ䣬δͬ⣬ҷȨתת÷ݣøı䷿ݽṹ;ҷΪԭɸ÷ݼʩģҷе⳥Ρ
ˡ֤÷ȨףҷӪҪҪṩݲȨ֤й֤ϵģӦЭ
šͱͬף˫Э̽Э̲ɣκһȨ________________Ժϣ˾
ʮͬδˣ˫ЭǩЭ飬֤뱾ͬͬȷЧ
ʮһͬ˫ͬϿɲ֤Ч
ǩ֣_______________________
ϵ绰_______________________
_____________________________
ҷǩ֣_______________________
ϵ绰_______________________
_____________________________
͵ⷿͬ 3
ⷽ(¼Ƽ)________________
ⷽ(¼ҷ)________________
ݡлͬطɷĹ涨ס˫ƽȡԸĻϣͼݳҷʹãҷˣΪȷ˫ȨЭһ£ͬ
һ֤ķݷϹҶݵйع涨
ڶݵ䡢װޡʩ
1ҷķλ________________ƺΪ________________
2ⷿ________ƽ(________________/ʹ________________/________________)
3÷װʩ豸____________________
Ӧṩ֤(гȨЧ֤)֤(Ӫҵִ)ļҷӦṩ֤ļ˫֤ɸӡԷļ档иӡʹá
ޡ;
1÷ڹ________¡________________________________________________ֹ
2ҷŵ÷ݽΪʹá
3ȨջسⷿݣҷӦڽ
ҷҪ⣬______֮ǰ֪ͨͬǩͬ
֧ʽ
1÷ÿΪ________Ԫ(д________Ԫ)
ܶΪ________Ԫ(д_________Ԫ)
2֧ʽ£
տӦṩҷЧտƾ֤
ڼطü˰
1Ӧеķã
ڼ䣬ݺصIJȨ˰ɼɡйزձͬδгĿ÷йصķãӦɼ
2ҷ·ã
(1)ҷӦʱиķá
(2)ӱͬδȷҷɵķá
ʹ
1ڣӦ֤ⷿݵʹðȫ÷ݼʩάγ˫ڱͬԼ⣬ɼ(ҷʹò)
άǰ֪ͨҷҷӦЭϡ
ҷάӦʱṩά
ҷװװβּɵ
2ҷӦʹķݼ丽ʩʹòɷݼʩģҷӦ⳥
ҷı䷿ݵڲṹװöԷݽṹӰ豸ƹģΧաϵȷüͬʩҷεģ˫Լ⣬ȨѡȨеһ֣
(1)ڷݵװС
(2)Ҫҷָԭ״
(3)ҷȡָʵʷķá
ڰݵתת
1ڼ䣬Ȩշתøóķݣתúͬµķ˺ҷЧ
2δͬ⣬ҷת⡢תⷿݡ
3۷ݣڸǰ֪ͨҷͬ£ҷȹȨ
ھͬıֹ
1˫Эֹ̱ͬ
2Ϊ֮һģҷȨͬ
(1)ṩݻṩݲԼӰס
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3ڼ䣬ҷΪ֮һģȨͬջسⷿݣ
(1)δͬ⣬ת⡢תⷿݡ
(2)δͬ⣬ı䶯ݽṹ
(3)ⷿݣڼĺδġ
(4)δͬ⣬ı䱾ͬԼķ;
(5)óⷿݴΣƷΥ
(6)δɰԼӦҷɵĸãѾġ
(7)Ƿۼ__________ϡ
4ǰҷҪģӦ__________ǰ֪ͨڽҪ.ͬ£ҷȳȨ
5ͬȻֹ
6ɿصºͬеģֹͬ
ʮݽջص
1Ӧ֤ݱʩ豸ܹʹ״̬
2ʱ˫ͬ룬װޡӲʩ豸ӦԼжϵģӦԷš
3ҷӦڷⷿݼʩ豸
4ҷӦַݼʩ豸״̬ƷӰ췿ݵʹáδͬƷȨá
ʮһΥԼδ涨
1ṩͬԼķݶͬģӦ֧ҷͬܶ%ΥԼ𡣼ӦԼ֧ΥԼ⣬ӦԳΥԼʧ⳥
2ҷҪкͬģÿڽһգÿӦҷ֧𱶵ɽ𡣼Ӧеڽҷɵʧ
3ڼάҷ֯άģӦ֧ҷû۵𣬵ҷӦṩЧƾ֤
4ΥͬԼǰջطݵģӦպͬ%ҷ֧ΥԼ֧ΥԼֲҷʧģӦóе⳥Ρ
5Ȩ覴ûǷⷿݶ±ͬЧʱӦ⳥ҷʧ
ʮҷΥԼ
1ڼ䣬ҷΪ֮һģȨֹͬջظ÷ݣҷӦպͬ__________%֧ΥԼ֧ΥԼֲʧģҷӦ⳥ֱﵽֲȫʧΪֹ
(1)δͬ⣬ת⡢תʹõģ
(2)δͬ⣬ı䶯ݽṹݣ
(3)ı䱾ͬ涨;ø÷ݽΥģ
(4)Ƿۼ__________ϵġ
2ڣҷδͬ⣬;ģҷӦðͬ__________%Ķ֧ΥԼ֧ΥԼֲʧģҷӦе⳥Ρ
3ҷ֧ÿһգҷ밴ı֧ɽ
4ҷӦڽ÷ݡҷڹ黹ÿһӦ֧ԭ𱶵ɽҷӦеڹ黹ɵʧ
ʮ
1ɿԭʹܼͬлɵʧס˫еΡ
2Ҫķݣʹס˫ʧģеΡ
3ɿϵָԤܱⲢܿ˷Ŀ
ʮͬδˣס˫Эһ£ɶ
ʮ
ͬ·飬˫Э̻⣻Э̻ɵģе__________ַʽ(ַʽֻѡһ)
1_____ίԱ_____
2йϽȨԺϡ
ʮԼ____________________
ʮͬ˫ǩ()Ч
________________
ҷ________________
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绰________________
绰________________
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룺________________
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زͻ֤룺________________
ǩԼ________________
ǩԼڣ________________________
ǩԼڣ________________________
ǩԼص㣺________________
ǩԼص㣺________________
͵ⷿͬ 4
ˣ_________________________
ˣ_________________________
ݡлͬйطɡĹ涨ҷڱľӼ£ƽȡԸĻϣͷй˴Э£
һݻ
(һ)ڱ________()______________ֵ´()_________________________________ƽס
()Ȩ״(Ȩ֤/סͬ/ͬ/Դ֤ļ)Ȩ֤ţ_______________Դ֤ƣ____________Ȩ(סˡ)ƣ_____________(/)趨˵Ѻ
ڶǼDZ
(һ);__________;ΪסģסΪ____________ˡ
();ΪסģӦҷ֮ͬ7ڣڵصԱͳⷿݷվݳǼԶ˾סijⷿݣҷӦסԱ֪ӦסԱǼDz涨ͷվֹͬģӦԺֹ֮ͬ5ڣڵصԱͳⷿݷվǼDZעڱͬЧڣסԱģҷӦԱ֮2ڸ֪վǼ
סԱԱģӦṩ֤ٺЭҷعɳס֤סԱоԱģ(/ҷ)ӦԶ֮ͬʱ24СʱڵعɳסǼ
;ΪǾסģӦԶ֮ͬ30ڣڵصķŰͬ
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()ͬȨջطݣҷӦԭ״ݼ丽Ʒ豸ʩ˫ӦԷݺƷ豸ʩˮʹգӦеķá
ҷģӦǰʮ(/ͷ)ҪЭһº˫ǩͬ
Ѻ
(һ)֧ʽ
__________Ԫ/(///)ܼƣ__________Ԫ(_________)
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(ֽ/ת֧Ʊ/л)Ѻ_________֧ڣ_______________գ_______________գ_______________գ_______________ա
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ȹطõ`еʽ
ڵзУ_____________ɼе____________ҷе____________
ͬδ뷿йصþɼеҷ渶Ӧɼ֧ķãҷʾؽɷƾҷӦá
Ӽ
(һ)Ӧ渺Ϊ˫ͬṩýʵйضͬЭ˫ҵ顣
()ͬǩ(ʱ/____)Ӧ֧______%_____Ԫ(_________)ΪӶ֧ʽֽ/ת֧Ʊ/лҷӦ֧______%_____Ԫ(_________)ΪӶ֧ʽֽ/ת֧Ʊ/л˫֧ӶܺӦ
()ͬǩ˫ֹϵģ˫Ӧ֧ԼӶ
άά
(һ)Ӧ֤ⷿݵĽṹ豸ʩϽΰȷİȫΣȫҷ֤عҡеķɷ涨ԼСҵԼ
()ڣ˫Ӧͬϸ÷ݼ丽Ʒ豸ʩúͰȫ״̬
1ڸ÷ݼ丽Ʒ豸ʩȻԻʹöµģҷӦʱ֪ͨӦڽӵҷ֪ͨڽάޡڲάģҷɴΪάޣɼеάӰҷʹõģӦӦӳޡ
2ҷܲʹãʹ÷ݼ丽Ʒ豸ʩϵģҷӦάе⳥Ρ
ڰת
˫Լ⣬ҷüͬ⣬ڽݲֻȫתˣת˵Ϊе
ھͬ
(һ)˫Эһ£Խͬ
()ɿ±ͬеģͬн
()֮һģҷȨͬ
1ӳٽݴյġ
2ķزϺͬԼӰҷȫġ
3еԼάֻҷʹ÷ݵġ
4___________________________________________
()ҷ֮һģȨͬջطݣ
1Լ֧_____յġ
2Ƿɸô_____Ԫġ
3Ըı䷿;ġ
4Բı䶯ṹġ
5߲ܲʹõ¸Ʒ豸ʩܲ⳥ġ
6÷ݴΥ߷ġ
7Խת˵ġ
8_______________________________________________
()͵ĺͬΡ
ʮΥԼ
(һ)еھԼ֮һģӦ200%ҷ֧ΥԼҷеھĿԼ֮һģӦ200%֧ΥԼ𣬼Ҫҷݻָԭ״⳥Ӧʧ
()ڣǰջظ÷ݵģҷǰģӦǰ30֪ͨԷ200%֧ΥԼ𣬼ӦһӦ
()δԼάҷƲʧģӦе⳥Ρ
()δԼʱ佻÷ݻҷԼ֧δﵽͬģԼҷδԼʱ䷵ݵģӦÿһգ200%֧ΥԼ
()ṩϢҪʵжͨΪģ˻ȡӶ⣬Ӧ⳥ɴ˸ҷɵʧ
()____________________
ʮһͬ취
ͬ·飬Э̽Э̲ɵģйϽȨԺߣдɵٲٲЭٲá
ʮԼ
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ͬǩָºЧͬ()һʽݣмִҼݣҷִҼݣִҼݡ
()ǩ£
(ҷ)ǩ£
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ϵʽ
ίдˣ
ϵʽ
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__________________
͵ⷿͬ 5
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ⷽ(ҷ)
عҷɡͱй涨ס˫ԸƽȡĻϾЭһ£ͼϷӵеķݳҷҷеʹüˣͬ
һݵ䡢װޡʩ
1-1Ϸӵе______ҷʹá
1-2ҷʹõĸ÷ݽ______ƽס
1-3÷ݵװʩ״˫ںͬһм˫Լ⣬øΪͬԼҷʹúҷڱͬ÷ʱݡ
;
2-1ͬǩǰҷʾ˸÷ݵIJȨ֤
2-2ҷŵ÷ݽΪ______ʹãס______ˡ
2-3ڣδǰüͬ⣬ҷԸıʹ;סҷҲԸķڲʩ֣кȺ֣ȨֹͬջطݣսѺΪ⳥
3-1÷ڹ______£___________________________________ֹ
3-2ȨջȫⷿݣҷӦڽҷҪ⣬ǰһͬǩͬ
ġ֧ʽ
4-1÷ÿܼΪ______Ԫ(˰)д______Ԫ
4-2÷֧ʽ£____________
ҷ֧ÿһ죬ҷ밴0.3%֧ɽʮ죬Ȩֹͬջطݣҷʵʾס
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5-1ҷڣʹõˮ硢ߵӷѡҵҷйع涨и
5-2ǩԼʱȡҷѺ______ԪѺΪװ긽ʩҵĵҷʹûɷݻʩȫ˻Ѻ
6-1ڣӦ֤ⷿݵʹðȫҷӦʹķݼ丽ʩҷʹòɷݻʩģҷӦԾ⳥
6-2װʩ⣬ҷҪװԭʩģӦüͬ⡣Ը跿ݵװް˫ԼûԼطɹ涨
6-3÷ݵάγ˫ڱͬͱͬԼ⣬ɼ
ʱҷԴɣɷƱݵ
6-4άݼ丽ʩӦǰ֪ͨҷҷӦЭϡҷӼάĺҷ
6-5ɿԭ·ҷʧģ˫еΡ
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7-1ڡ罫˷ȨתƸˣӦǰ֪ͨҷȨתƸ˺õ˼ΪͬĵȻԭȨеԭ
7-2ס˫ڱͬԼ⣬ҷڣüͬ⣬ɽеĸ÷ݲֻȫתˡ
7-3ҷתݣתͬӦ¹涨
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(2)תڼ䣬ҷвеתͬ涨Ȩ⣬Ӧüбͬ涨
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ˡͽͬ
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(1)ҷԭ˫Эһ£ͬǰջػҷǰ˽ֻȫ÷ݵģ
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(3)ɿʹ÷ݼ丽ʩܼͬеģ
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8-2ͬģҪͬһӦһԱͬ(8-1)(2)(3)(4)ͬģ˫еΡ
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9-4ҷӦڽ÷ݡҷڹ黹ÿһӦ֧ԭ'ΥԼʮģȨԼջطݡ
9-5ֹͬҷڽȫδȡü½£ΪҷȨɼ
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10-2ڣDZͬһھ1涨Խͬǰջظ÷ݵģӦҷ֧ΥԼ֧ΥԼָҷʧģӦ⳥
10-3ҷκԭ⣬ҷʵʾס𣬲ʣ()ҷΥԼȨʣ()ȵΥԼɽΥԼɽ𰴱ִͬС
10-4δʱṩڱͬһŵʩʩڼ˫ʱʹãÿһ죬ѡ0.3%ҷ֧ΥԼ
ʮһ
11-1ͬδˣס˫Эһ£ɶΪͬɷָһ֣뱾ͬͬЧ
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ڼ䣬ҷ谲ȫʹˮʩˮ硢δأ©ˮ¹ʲķüά⳥ҷе
ڷΪȫʵľذװҷдȣά⳥ҷе
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͵ⷿͬ 6
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.ҷҪģӦǰһύӦյҷҪԴͬޣǩͬͬ£ҷȨ
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ھԼ
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͵ⷿͬ 9
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2÷ݼʩάγ˫ڱͬԼ⣬ɼ(ҷʹò)άǰ֪ͨҷҷӦЭϡ
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2ͬҷתⷿݵģӦЭ飬ҷӦЭתⷿݡ
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2.Էݼ丽Ķڼ鲢ееķάޡάʹҷʧģ
3.ҪѺҵҷ˷ʱӦǰ֪ͨҷ֪֮ͨһǰֹͬIJ
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2.Ҫתʹû˻ʹʱȡüͬ⡣
3.ʹòΪԭʹݻ豸ģҷ⳥
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2.;ҷδбЭ飬ѺΥԼ˻
3.ҷڶʮδδˮѺҵѣΪΥԼԶ⡣
ˡɿԭʹⷿݼ豸.˫еΡ
šҷܷҵйȨͬʱҵ
ʮҷðȫΥΪɵһкӦ߸
ʮһЭһʽݣ˫ִһݣЭǩ֮Ч
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