- Ƽ
Ϻⷿͬͬ
ӷɵУͬķЧվǩͬҲDZ˵÷ʽ֮һⶨͬע࣬ȷдСྫϺⷿͬͬҲοϣҪѡ
Ϻⷿͬͬ1
ⷽ______(¼Ƽ)
֤_________________
ⷽ______(¼ҷ)
֤_________________
ݼס˫ԸƽȡĻϣЭһ£Ϊȷ˫֮ȨϵͼϷӵеķݳҷʹãҷˣͬ
һݵַ
´山120401ڵһ䵥䡣ͨס
Լ
1÷ڹһꡣ______________________________ֹ
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
3ҷʹҪڲӰ췿ݽṹ'ǰ£ԶԷݽװװΣƹģΧաϵȷӦüͬʩڷݵװСҷװװβּɵ
ġݵתת
1ڼ䣬δͬ⣬ҷת⡢תⷿݡ
2ͬҷתⷿݵģӦЭ飬ҷӦЭתⷿݡ
塢ҷΥԼĴ涨
ڣҷΪ֮һģȨֹͬջظ÷ݣҷӦ֧ͬ20%ΥԼ֧ΥԼֲʧģҷӦ⳥ֱﵽֲȫʧΪֹ
(1)δͬ⣬Խת⡢תʹõ;
(2)δͬ⣬Բı䶯ݽṹݣҾ֪ͨڹ涨δ;
(3)Ըı䱾ͬ涨;ø÷ݽΥ;
(4)Ƿۼһϵġ
ЭһʽݣסҸִһݣǩֺЧ
ߡ˵
ˮɼ˫ⷽƽ
(סʱˮ֣________ˮ________)
ǩ֣______ҷǩ֣______
ϵʽ______ϵʽ______
Ϻⷿͬͬ2
ⷽ(¼Ƽ)_____
ⷽ(¼ҷ)_____
ס˫зݵЭ飺
һݻ
(¼Ƹ÷)ڡ
ڶ;
1÷;Ϊס
2˫Լ⣬ҷı䷿;
3ڼҷѸ÷תáת⡢Ѻˡ
__________________ֹ
1÷Ϊ
2ڼ䣬ܱ߷ⷢʱӦ;
3ڵʱӦǰһ֪ͨҷ;
4ڷĵ˫ͨЭ̽ҷܽʱҷӦ__˷
ʽ
1ҷ֧ҷһȡ
2ҷδܰʱһ𣬼ҷֹͬȨջطݣ(ʮ;ΥԼ)д
ޡ
ӦڱͬЧ֮___ڣ÷ݽҷ
ԷݲȨ
֤ӵзݲȨṩӦ֤ڽʱ÷ûвȨ;ЭԼ⣬йذҡѺծ˰ȣڽǰסδɼеȫΣɴ˸ҷɾʧģɼ⳥
ڰάΡ
1ķݴɼе;ճ`άҳе
2ҷʹòɷݼ豸ʧάãҷе⳥ʧ
3ڼ䣬ȫǰۺȫȹҷӦִейزŹ涨еȫκͷӼල顣
4Գⷿݼʩҷʹãҷ밮ݵһ豸(ǽˮͷƾߡš
)豸ҷԭ⳥밮ݵĻʩöԷнṹиģҪĵı뾭ͬɽиġ
ھڷڼйطá
ڷڼ䣬·ҷ֧
ˮ;ȼ;ҵ;4ߵӷ;5ͨѶ;
ʮѺ
ס˫Աͬǩ֮𣬼ȡΪѺҷ˷Էݼϸ˷ʱѺ˻ҷ
ʮһ
1ҷҪޣȨȼ;
2ҷδȷʾģΪͬҷ;
3ҷʱӦ֤ݼʩƷãʧҷӦʱ䡣
4ڣҷȷʾģӦǰһ¸֪ʣ˻ҷ
5ڣȷʾģӦǰһ¸֪ҷ⳥ҷһΪҷIJ
ʮȫ
1ⷿڼҷ밲ȫõ硢ˮúֺⷢ¹ʡ緢κ¹(˺)ҷиء
2ⷿڼҷ밴ʱס֤й֤ΰƻعҵķɷ棬ǷΪҷأȨͬҷǷΪԼģҷӦ⳥
ʮΥԼ
ڼ˫غͬκһΥͬĹ涨ԷΪΥԼ
ʮ
ɿԭ¸÷ݻʧģ˫еΡ
ʮ
ͬδɼס˫鶨ǩЭ顣Э뱾ͬһµģԲЭΪ
ʮ
֮ͬΪͬɷָ֮һ֡ͬ丽ڣոдӡˢ־ͬЧ
ͬ丽ͲЭδ涨лйطɡִС
ʮԼ
(һ)ⷽΪṩƷ£
(1)ڹ¯һ̨̻Ȼһ
(2)ȫԶϴ»һ̨űһ̨
(3)Թһ̨;˫˴һ;Ьһ;
(4)ϴ̨һ
()ǰˮȱ״
(1)ˮΪ___;(2)Ϊ___;
(3)ȻΪ___;
ʮͬз飬ɼס˫Э̽Э̲ʱס˫ԺߡʮͬԼס˫ǩ֮Чһʽݣס˫ִһݣͬЧ
(ǩ)_____ҷ(ǩ)____
֤ţ֤ţ
绰绰
_________
_________
Ϻⷿͬͬ3
ҷ
1ڱͬͬҷת⣬ҷڣüͬ⣬ɽ÷ݲֻȫתˡͬһסݣ÷ָת⡣
2ҷת÷ݣӦ涨ⷽתͬ涨÷طزĻũϵͳǼDZ
3ڣҷ÷תø˳˳ķݽнüͬ⡣תû÷ݳȨ˻Ӧǩͬбͬ
4ڣ۸÷ݣӦǰ֪ͨҷҷͬȹȨ
5ͬ
ס˫ͬڣ֮һģֹͬ˫еΣ
һ÷ռ÷ΧڵʹȨǰջصġ
÷ṫ汻õģ
÷нҪ뷿ݲǨɷΧģ
ģ÷ݻʧ߱ΪΣշݵģ
壩Ѹ֪ҷ÷ݳǰ趨Ѻֱֵġ
6ס˫ͬ⣬֮һģһ֪ͨһͬΥͬ`һӦһ________֧ΥԼ𣻸˫ʧģ֧ΥԼָһʧģӦ⳥ɵʧΥԼIJ֣
һδʱ÷ݣҷ߸δģ
ĸ÷ݲϱͬԼʹʵĿĵģķݴȱݡΣҷȫġ
ҷδüͬı䷿;ʹģ
ģҷԭɷṹģ
壩ҷת÷ݡתø÷ݳȨ˽Գķݵģ
ҷڲ֧ۼƳxµģ
7ΥԼ
һ÷ݽʱȱݵģӦԽ֮____ڽڲģͬй
δڸúͬи֪ҷ÷ݳǰѵѺȨתܵƣҷʧģӦ⳥
ڼ䣬ʱбͬԼάޡΣʹҷƲʧ˺ģӦе⳥Ρ
ģڼ䣬DZͬ涨Խⷿͬǰջظ÷ݵģӦǰջ________ҷ֧ΥԼ֧ΥԼָҷʧģӦ⳥
壩ҷδüͬ߳ͬķΧҪװݻ踽ʩģҪҷ________ָԭ״/⳥ʧ
ڼ䣬DZͬ涨ҷ;ģҷӦǰ________֧ΥԼΥԼָʧģҷӦ⳥ɴޱ֤еֿֿ֤ۡ۵ģ㲿ҷ֧
8
һڼ䣬Ѻ÷ݣӦ֪ҷҷŵ÷ݵѺЭۼۡʽָ÷ǰ________ѯҷ÷ݵ
ͬ˫ǩ/ǩֺ________ЧЧ15ڣɼ𰴹涨ڵطزĻũϵͳǼDZȡǼDZ֤ͬǼDZֹͬģ________/ҷڱֹ֮ͬ15ڣԭǼǻֹǼDZδǼDZֹǼDZģķɾףɼеһΡ
ͬδˣס˫Эһ£ɶͬΪͬɷָһ֣ͬ䲹ڿոдǦӡ־ͬ
ģס˫ǩ𱾺ͬʱԸԵȨףԸͬ涨ϸִСһΥͬһȨⷿͬ涨⡣
壩ס˫бͬз飬ӦͨЭ̽Э̽ɵģ˫ͬѡе________ַʽ
ύ________ٲίԱٲã
ߣԺߡ
9ͬͬһʽ________ݡУס˫һݣϺ/________/أزһݣԼ________________һݣͬЧ
ڣ
ҷ
ڣ
Ϻⷿͬͬ4
()__________ ֤ͼţ__________
(ҷ)__________ ֤ͼţ__________
ݡлͬйطɡĹ涨˫ƽȡԸĻϣЭһ£Ϊȷ˫֮ȨϵͼϷӵеķݳҷʹãҷмˣͬ
һݵ䡢װޡʩ״
1ӵ__ __________() __________ķݳҷʹá
2ⷿݽ__________ ƽס
3÷װʩ״˫ڡҵյм˵˫Լ⣬áҵյΪձͬԼҷʹúҷڱͬ÷ݵվݡ
ס˫֤
1֤ ֤ ڱ
2ҷ֤ ס֤ ֤
1÷ڹ ¡ ֹ
2ҷŵ÷ݽΪ __________ʹá
3ȨջسⷿݣҷӦڽҷҪ⣬ǰһ֪ͨͬǩͬ
ġ֧ʽ
1÷ÿ__________ Ԫ
(д Ǫ ʰ Ԫ)
2÷֧ʽΪ__________
塢
ڣ÷йظõijеʽΪ
(һ)ҷе(ˮ//绰/ӷ/ů/ȼ/ҵ//ȷá
()е(ˮ//绰/ӷ/ů/ȼ/ҵ//ȷá
ʹ
1ڣӦ֤ⷿݵʹðȫҷӦʹķݼ丽ʩҷʹòɷݼʩģҷӦ뾭ò
2÷ݼʩάְ˫ڱͬԼ⣬ɼ(ҷʹò)άǰ֪ͨҷҷӦЭϡ
3ҷʹҪڲӰ췿ݽṹǰ£ܹԷݽװװΣƹģΧաϵȷӦüͬʩڷݵװС
4ҷװװβּɵ
ߡ ݵתת
1ڼ䣬Ȩշתøóķݣתúͬµķ˺ҷЧ
2δͬ⣬ҷת⡢תⷿݡ
3ͬҷתⷿݵģӦЭ飬ҷӦЭתⷿݡ
ˡҷΥԼĴ涨
1ڣҷΪ֮һģȨֹͬջظ÷ݣҷӦ֧ͬ20%ΥԼ֧ΥԼֲʧģҷӦ⳥ֱֲȫʧΪֹ
(1)δͬ⣬Խת⡢תʹõ;
(2)δͬ⣬Բı䶯ݽṹݣҾ֪ͨڹ涨δ.;
(3)Ըı䱾ͬ涨;ø÷ݽΥ;
(4)ǷۼѸϵġ
2ڣҷڽˮ硢ú(Ȼ)ʹ÷ãÿһ죬Ӧõ40%֧ɽڴϵģȨջطݣɵһкҷге
3ڣҷδͬ⣬;ģҷӦͬ20%Ķ֧ΥԼףΥԼʧģҷӦ⳥
4ҷӦڽ÷ݡҷڹ黹ÿһӦ֧ԭΥԼ
šΥԼ涨
1δͬ涨ʱ⣬ݹҷʹõģÿһ죬Ӧҷ⸶ΥԼ죬ӼбͬҷȨֹиúͬӦ涨֧ΥԼ⣬ӦΥԼʵʾʧ⳥
2ڣDZͬڰ1涨״Խͬǰջظ÷ݵģӦ˻ʣδʹ÷ãͬʱͬ20%ҷ֧ΥԼ֧ΥԼֲҷʧģӦ⳥
3Ȩ覴üǷⷿݶ±ͬЧʱӦҷʵʾʧ⳥
ʮȨ
1շȨתƸʱԼ״£ͬµķȨ˼Ч
2۷ݣǰ֪ͨҷͬ£ҷȹȨ
ʮһ
1ҷӦڷڽһڣⷿݼ豸
2ҷӦݼʩ豸״̬ƷӰ췿ݵʹáδͬƷΪҷȨãҷ顣
3ڼ䣬ҷΪģȨͬջسⷿݣ
(1)δͬ⣬ת⡢תⷿ;
(2)δͬ⣬Բı䶯ݽṹ;
(3)ⷿݣڼĺδ;
(4)Ըı䱾ͬ涨ķ;;
(5)óⷿݴΣƷΥ;
(6)ڽˮ硢ú(ȼ)绰ҵãѾ;
(7)ǷҼϡ
ʮ
֮һģ˫ܹ߽ͬ
1˫Эһµ;
2ɿʹܼͬе;
3ɹ涨رֹͬ;
4ݲǨ涨ʱҪݵġ
5ԭֹͬģʵʹʱ㣬ٲ
ʮԼ
1ͬδˣס˫Эһ£ɶΪͬɷָһ֣뱾ͬͬȷЧ
2ס˫бͬ飬ӦЭ̽Э̲ʱ˫ͬطԺϡ
3ͬͬһʽݣɼס˫ִһݣͬȷЧ
ʮġ涨
__________ ҷ__________
֤ţ____________________ ֤ţ____________________
绰__________ 绰__________
ַ ____________________ַ____________________
E-mail__________ E-mail__________
֤ţ__________
ˣ __________ˣ__________
Ϻⷿͬͬ5
ⷽ()________________
ⷽ(ҷ)________________
ݡ䡷ϺзĹ涨ס˫ƽȡԸƽͳʵõĻϣЭһ£ҷķزˣͬ
1ڱͬͬҷת⣬ҷڣüͬ⣬ɽ÷ݲֻȫתˡͬһסݣ÷ָת⡣
2ҷת÷ݣӦ涨ⷽתͬ涨÷طزĻũϵͳǼDZ
3ڣҷ÷תø˳˳ķݽнüͬ⡣תû÷ݳȨ˻Ӧǩͬбͬ
4ڣ۸÷ݣӦǰ֪ͨҷҷͬȹȨ
5ͬ
ס˫ͬڣ֮һģֹͬ˫еΣ
(һ)÷ռ÷ΧڵʹȨǰջصġ
()÷ṫ汻õ;
()÷нҪ뷿ݲǨɷΧ;
()÷ݻʧ߱ΪΣշݵ;
()Ѹ֪ҷ÷ݳǰ趨Ѻֱֵ'
6ס˫ͬ⣬֮һģһ֪ͨһͬΥͬһӦһ________֧ΥԼ;˫ʧģ֧ΥԼָһʧģӦ⳥ɵʧΥԼIJ֣
(һ)δʱ÷ݣҷ߸δ;
()ĸ÷ݲϱͬԼʹʵĿĵ;ķݴȱݡΣҷȫġ
()ҷδüͬı䷿;ʹ;
()ҷԭɷṹ;
()ҷת÷ݡתø÷ݳȨ˽Գķݵ;
()ҷڲ֧ۼƳ________µ;
()________________________________________________
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ڵطزĻũϵͳǼDZȡǼDZ֤;ͬǼDZֹͬģ________(/ҷ)ڱֹ֮ͬ15ڣԭǼǻֹǼDZδǼDZֹǼDZģķɾףɼеһΡ
()ͬδˣס˫Эһ£ɶͬΪͬɷָһ֣ͬ䲹ڿոдǦӡ־ͬá
()ס˫ǩ𱾺ͬʱԸԵȨףԸͬ涨ϸִСһΥͬһȨⷿͬ涨⡣
()ס˫бͬз飬ӦͨЭ̽;Э̽ɵģ˫ͬѡе________ַʽ
()ύ________ٲίԱٲ;
()Ժߡ
9ͬͬһʽ________ݡУס˫һݣ(Ϻ/________/)زһݣԼ________________һݣͬЧ
________________֤ţ________________
ҷ________________֤ţ________________
Ϻⷿͬͬ6
ⷽ(¼ҷ)
ݹйطɷ棬ͱйع涨ף˫ԸƽȣĻϣͼϷӵеķݳҷʹãҷʹü˶ͬ
һݵ
(1)ϷӵеϺ · Ū ҵķݳҷʹá
(2)ķݷΪ
(3)ҷʹõĸ÷ݽ ƽס
;
(1)ҷŵ÷ݽΪ ʹá
(2)ڣδǰüͬ⣬ҷԸı÷ݵʹ;
(1)÷Ϊ £ ֹ
(2)ȨջȫⷿݣҷӦڽҷҪ⣬ǰ ˫ڶЭ̺ǩµͬ
ġ֧ʽ
(1)÷ݵΪң Ǫ ʰ Ԫ( ҵ Ʊ˰) ʽ֧ 겻䣬
(2)˫鶨ڸ Ѻ ѺԺÿ ½һΣǰ ֧´η⣬Ѻ䣬յҷ(Ѻ)뿪 ҷ
塢
(1)ҷʵʹõˮѣѣúѣ绰ѣߵӷѼѵȷӦҷгеڽɡ
(2)ҷӦѽɹĵݸӡ
(1)谴ʱݼʩҷʹá
(2)ݼʩҷĹʧʹʹöܵʱɵβеصķá 6-3ӦڶԷݺʩάޱ(ǰ10֪ͨҷ)
(3)Ӧ֤ⷿȨͬʹ֮ס
(4)ڼݽҷʹ֮ǰӦ䱸ڵװޣƾߣ豸ȣȨС
ߡҷ
(1)ҷڱ֤ڸڵлܺϺйķɼõص涨κΥ֮Ϊ
(2)ҷӦͬĹ涨ʱ֧á
(3)δͬ⣬ҷܸıݵĽṹװޣҷý`ת⣬ʹķݣҷĹʧ߹ǷʩܵҷӦ⳥
(4)ҷӦͬԼϷʹݣԸıʹʣôΣƷĹ涨IJϷ֮Ʒ˷ҷӦеȫΡΥҷ֮£ȨֹͬջطݣѺˡ
(5)ҷǷⳬ ϵģⲻ绰ģȨͨн鷽Эڣջطݡ
(6)ҷڣӦȷʹüҵʩȫʹõ磬úעƲȫ
ˡṩ豸(嵥˵)
Ҿߣҵ
ˮ磬úֵǰ֣ˮ ú
šѺΥԼ
(1)Ϊȷݼʩ֮ȫüط֮ڽ㣬˫ͬⱾͬѺΪ(Ҵд) Ǫ ʰ Ԫҷڹ黹ݸ糬һ죬 ԪⷽҷǨգ㣬ݼʩӦĽ
Ϻⷿͬͬ7
ⷽ¼Ƽ
ⷽ¼ҷ
ݹйطɷ棬ͱйع涨ף˫ԸƽȣĻϣͼϷӵеķݳҷʹãҷʹü˶ͬ
һݵ
1ϷӵеϺ · Ū ҵķݳҷʹá
2ķݷΪ
3ҷʹõĸ÷ݽ ƽס
;
1ҷŵ÷ݽΪ ʹá
2ڣδǰüͬ⣬ҷԸı÷ݵʹ;
1÷Ϊ £ ֹ
2ȨջȫⷿݣҷӦڽҷҪ⣬ǰ ˫ڶЭ̺ǩµ.ͬ
ġ֧ʽ
1÷ݵΪң Ǫ ʰ Ԫ ҵ Ʊ˰𣩣 ʽ֧ 겻䣬
2˫鶨ڸ Ѻ ѺԺÿ ½һΣǰ ֧´η⣬Ѻ䣬յҷ𣨰Ѻ𣩺뿪 ҷ
塢
1ҷʵʹõˮѣѣúѣ绰ѣߵӷѼѵȷӦҷгеڽɡ
2ҷӦѽɹĵݸӡ
1谴ʱݼʩҷʹá
2ݼʩҷĹʧʹʹöܵʱɵβеصķá 6D3ӦڶԷݺʩάޱǰ10֪ͨҷ
3Ӧ֤ⷿȨͬʹ֮ס
4ڼݽҷʹ֮ǰӦ䱸ڵװޣƾߣ豸ȣȨС
ߡҷ
1ҷڱ֤ڸڵлܺϺйķɼõص涨κΥ֮Ϊ
2ҷӦͬĹ涨ʱ֧á
3δͬ⣬ҷܸıݵĽṹװޣҷýķת⣬ʹķݣҷĹʧ߹ǷʩܵҷӦ⳥
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