鏈�鏂扮�熸埧杩濈害鍗忚��涔﹁寖鏈�

    瀵逛簬鍒氬垰姣曚笟鐨勫ぇ瀛︾敓鏉ヨ�达紝鍦ㄥ煄甯傞噷鐢熸椿浼氬彈鍒板緢澶х粡娴庡帇鍔涳紝鍥犳�ょ�熸埧鏄�涓�绉嶅緢濂界殑閫夋嫨銆傞�氬父鏈変簺浜烘妸鎴垮眿绉熻祦鍗忚��涔︾О涔嬩负绉熸埧杩濈害鍗忚��涔︼紝鍏跺疄杩欎袱鑰呮病鏈変粈涔堝尯鍒�銆傛帴涓嬫潵锛屾垜浠�鍦ㄤ笅鏂囦腑涓烘偍鏁寸悊浜嗕竴浠界�熸埧杩濈害鍗忚��涔﹁寖鏈�銆�
  
  绉熸埧杩濈害鍗忚��涔﹁寖鏈�(鎴垮眿绉熻祦鍗忚��涔﹁寖鏈�)
  
  (_____)鎴跨�熻祦鍚堝瓧鍙�
  
  鐢叉柟(鍑虹�熸柟)锛歘_________
  
  涔欐柟(鎵跨�熸柟)锛歘_________
  
  鏍规嵁銆婁腑鍗庝汉姘戝叡鍜屽浗鍚堝悓娉曘�嬪拰銆婁腑鍗庝汉姘戝叡鍜屽浗鍩庡競鎴垮湴浜х�＄悊娉曘�嬬瓑瑙勫畾锛屼负淇濋殰鐢层�佷箼鍙屾柟鐨勫悎娉曟潈鐩婏紝缁忓弻鏂瑰崗鍟嗕竴鑷达紝绛捐�㈡湰鍚堝悓銆�
  
  绗�涓�鏉°��鐢叉柟鑷�鎰垮皢鍧愯惤鍦╛_________甯俖_________鍖篲_________鎴垮眿寤虹瓚闈㈢Н__________骞虫柟绫�(浠ヤ笅绠�绉拌�ユ埧灞�)绉熺粰涔欐柟浣跨敤锛屽叾浠栧熀鏈�鎯呭喌杞戒簬鏈�鍚堝悓闄勪欢銆�
  
  绗�浜屾潯銆�璇ユ埧灞嬬幇鏈夎�炬柦鍙婅�呴グ銆佽�呬慨鎯呭喌
  
  璁炬柦鎯呭喌锛�
  
  1銆乢_________________________________________________
  
  2銆乢_________________________________________________
  
  3銆乢_________________________________________________
  
  瑁呴グ銆佽�呬慨鎯呭喌锛�
  
  1銆佸ぉ妫氾細__________________________________________________
  
  2銆佸湴闈�锛歘_________________________________________________
  
  3銆佸�欓潰锛歘_________________________________________________
  
  4銆乢_______________________________________________________
  
  绗�涓夋潯銆�涔欐柟瀵硅�ユ埧灞�(__________)鈶犱笉杩涜�岃�呬慨鈶¤繘琛岃�呬慨锛岃垂鐢ㄨ嚜鐞嗭紝鍚屾椂澧炴坊璁炬柦锛�
  
  1銆乢___________________________________________________________
  
  2銆乢___________________________________________________________
  
  3銆乢___________________________________________________________
  
  绗�鍥涙潯銆�绉熻祦鏈熼檺涓篲_________骞淬�傝嚜_____骞確___鏈坃___鏃ヨ捣鑷砡____骞確___鏈坃___鏃ユ��銆�
  
  绗�浜旀潯銆�鐢叉柟椤诲湪鏈�鍚堝悓鐢熸晥涔嬫棩璧穇_________鏃ュ唴灏嗚�ユ埧浜や粯涔欐柟浣跨敤銆�
  
  绗�鍏�鏉°��璇ユ埧灞嬫湀绉熼噾姣忓钩鏂圭背寤虹瓚闈㈢Н涓猴骏__________鍏冿紝浜烘皯甯�(澶у啓)__________鍏冦�傚勾绉熼噾鎬婚�濓骏__________鍏冿紝浜烘皯甯�(澶у啓)__________鍏冦��
  
  绗�涓冩潯銆�绉熼噾缁撶畻鏃堕棿鍜屾柟寮忥細______________________________
  
  绗�鍏�鏉°��涓婅堪绉熼噾涓嶅寘鎷�锛歘_______________________________________
  
  璇ラ儴鍒嗚垂鐢ㄧ敱涔欐柟鎸夊疄闄呭彂鐢熼�濇敮浠樸��
  
  绗�涔濇潯銆�绉熻祦鏈熷唴锛岃�ユ埧灞嬭嚜鐒舵崯鍧忕殑缁翠慨鍏绘姢鐢盻_________鏂硅礋璐�;鐢变簬浣跨敤涓嶅綋鎴栬�呬慨閫犳垚鎹熷潖鐨勭淮淇�鐢盻_________鏂硅礋璐�;缁翠慨璐ｄ换鏂瑰欢璇�缁翠慨鎴栫淮淇�涓嶅綋锛岀粰瀵规柟鎴栦粬浜洪�犳垚鎹熷け鐨勶紝鐢辫矗浠绘柟鎸夊疄闄呮崯澶辫禂鍋裤��
  
  绗�鍗佹潯銆�鍦ㄧ�熻祦鏈熼檺鍐呯敳鏂规壙鎷呬笅鍒楄矗浠伙細
  
  1銆佷繚璇佽�ユ埧灞嬩骇鏉冩竻妤氾紝娌℃湁绾犵悍锛岃嫢鍙戠敓涓庣敳鏂规湁鍏崇殑浜ф潈绾犵悍鎴栧叾浠栧�哄姟锛屾�傜敱鐢叉柟璐熻矗娓呯悊;缁欎箼鏂归�犳垚鎹熷け鐨勶紝鐢叉柟璐熻矗璧斿伩;
  
  2銆佸�傞渶杞�璁╂垨鎶垫娂鎴垮眿锛岀敳鏂瑰簲鎻愬墠涓変釜鏈堥�氱煡涔欐柟骞朵繚璇佹湰鍚堝悓缁х画灞ヨ��;鐢叉柟濡傚嚭鍗栬�ユ埧灞嬶紝鍦ㄥ悓绛夋潯浠朵笅锛屼箼鏂逛韩鏈変紭鍏堣喘涔版潈銆�
  
  3銆乢___________________________________________________________
  
  绗�鍗佷竴鏉°��鍦ㄧ�熻祦鏈熼檺鍐呬箼鏂规壙鎷呬笅鍒楄矗浠伙細
  
  1銆佸繀椤绘寜鍚堝悓绾﹀畾鐨勪娇鐢ㄧ敤閫斾娇鐢ㄨ�ユ埧灞嬶紝濡傞渶鏀瑰彉鐢ㄩ�旓紝搴斿緛寰楃敳鏂瑰悓鎰忔垨绛捐�㈣ˉ鍏呭崗璁�锛屽惁鍒欏簲褰撴壙鎷呰繚绾﹁矗浠伙紝骞跺彲瑙ｉ櫎鍚堝悓;
  
  2銆佹�插�规埧灞嬭繘琛屾敼寤恒�佽�呬慨鎴栧�炴坊璁炬柦锛屽簲寰佸緱鐢叉柟涔﹂潰鍚屾剰锛屽苟鍔炵悊鏈夊叧鎵嬬画;瀵规秹鍙婂埌澧欎綋銆佹ゼ鏉裤�佹敮鎾戠珛鏌辩瓑鎵块噸鏋勪欢鐨勬敼鍔�锛屽�炲姞鎴垮眿鑽疯浇锛屼互鍙婁粠浜嬪嵄鍙婃瘲閭绘埧灞嬪拰鏁存爧鎴垮眿瀹夊叏鐨勬椿鍔�锛屽繀椤荤粡鎴垮眿瀹夊叏閴村畾鍗曚綅閴村畾銆佹壒鍑嗭紝瑁呬慨璐圭敤鐢变箼鏂规壙鎷咃紝涔欐柟璁捐�＄殑瑁呬慨鏂规�堝簲缁忕敳鏂逛功闈㈣�ゅ彲锛屾湭缁忕敳鏂瑰悓鎰忥紝涔欐柟鎿呰嚜瑁呬慨鐨勶紝鐢叉柟鏈夋潈瑕佹眰鎭㈠�嶅師鐘讹紝骞跺彲瑙ｉ櫎鍚堝悓;
  
  3銆佸�傚皢璇ユ埧灞嬭浆绉燂紝蹇呴』寰佸緱鐢叉柟鍚屾剰锛屽苟绛捐�㈣浆绉熷悎鍚�;濡傛湭缁忕敳鏂瑰悓鎰忓苟绛捐�㈣浆绉熷悎鍚岋紝鎿呰嚜杞�绉燂紝鐢叉柟鍙�浠ヨ拷绌朵箼鏂圭殑杩濈害璐ｄ换锛屽苟瑙ｉ櫎鍚堝悓;
  
  4銆佸洜浣跨敤涓嶅綋鎴栦箼鏂圭殑鍏朵粬鍘熷洜閫犳垚鎴垮眿鎴栬�炬柦鎹熷潖鐨勶紝涔欐柟璐熻矗璧斿伩鎴栦慨澶�;
  
  5銆佷箼鏂瑰簲鍦ㄧ�熻祦灞婃弧鏃讹紝灏嗚�ユ埧灞嬩氦杩樼敳鏂�;濡傞渶缁х画鎵跨�燂紝搴斿湪绉熻祦鏈熸弧鍓嶄笁涓�鏈堟彁鍑猴紝缁忕敳鏂瑰悓鎰忥紝鍙屾柟閲嶆柊绛捐�㈢�熻祦鍚堝悓;
  
  6銆佷箼鏂瑰湪浜よ繕鎴垮眿鏃讹紝蹇呴』淇濊瘉璇ユ埧灞嬪師鏈夎�炬柦瀹屽ソ锛屼箼鏂瑰�炴坊鐨勪笅鍒楄�炬柦涓嶅緱鎷嗗嵏锛�
  
  (1) ____________________________________________________________
  
  (2) ____________________________________________________________
  
  (3) ____________________________________________________________
  
  绗�鍗佷簩鏉°��鐢叉柟鏈�鎸夋湰鍚堝悓绗�浜旀潯绾﹀畾鐨勬椂闂翠氦浠樻埧灞嬶紝涔欐柟鎸変笅鍒楃�琠_________娆剧害瀹氳拷绌剁敳鏂圭殑杩濈害璐ｄ换锛�
  
  1銆佺粓姝㈠悎鍚岋紝鍚屾椂鐢叉柟鎸夊勾绉熼噾鎬婚�濈殑__________%鏀�浠樿繚绾﹂噾锛屼箼鏂圭殑瀹為檯鎹熷け瓒呰繃杩濈害閲戞椂锛岀敱鐢叉柟鎸夊疄闄呮崯澶辫禂鍋�;
  
  2銆佺敳鏂瑰悜涔欐柟鏀�浠樺勾绉熼噾鎬婚�濈殑__________%鐨勮繚绾﹂噾锛屽悎鍚岀户缁�灞ヨ�屻��
  
  3銆乢__________________________________________________________________
  
  绗�鍗佷笁鏉°��涔欐柟鏈�鎸夋湰鍚堝悓绗�涓冩潯绾﹀畾鐨勬椂闂翠氦浠樼�熼噾锛岀敳鏂规寜涓嬪垪绗琠_________娆剧害瀹氳拷绌朵箼鏂圭殑璐ｄ换锛�
  
  1銆佺粓姝㈠悎鍚岋紝鍚屾椂涔欐柟鎸夊勾绉熼噾鎬婚�濈殑__________%鍚戠敳鏂规敮浠樿繚绾﹂噾锛岀敳鏂瑰疄闄呮崯澶辫秴杩囪繚绾﹂噾鐨勶紝鎸夊疄闄呮崯澶辫禂鍋�;
  
  2銆佷箼鏂规寜骞寸�熼噾鎬婚�濈殑__________%鏀�浠樿繚绾﹂噾锛屽悎鍚岀户缁�灞ヨ�屻��
  
  3銆乢___________________________________________________________
  
  绗�鍗佸洓鏉°��鏈変笅鍒楁儏褰�涔嬩竴鐨勶紝鍙�浠ユ彁鍓嶈В闄ゆ湰鍚堝悓锛�
  
  1銆佸洜涓嶅彲鎶楀姏鐨勫師鍥犻』鎻愬墠瑙ｉ櫎鐨�;
  
  2銆佺粡鎴垮眿瀹夊叏閴村畾鍗曚綅閴村畾涓哄嵄闄╂埧灞嬩笉鑳界户缁�浣跨敤鐨勩��
  
  绗�鍗佷簲鏉°��鍦ㄧ�熻祦鏈熷唴璇ユ埧灞嬪洜鏀垮簻瑙勫垝鍐冲畾鎷嗚縼鐨勶紝鎸夋斂搴滄湁鍏宠�勫畾鎵ц�屻��
  
  绗�鍗佸叚鏉� 鏈�鍚堝悓杩炰竴寮� 浠斤紝鐢层�佷箼鍙屾柟鍚勬墽 浠斤紝鑷�鍙屾柟绛惧瓧涔嬫棩璧风敓鏁堛��
  
  鐢叉柟(绛剧珷)锛歘_____銆� 銆�銆�銆�涔欐柟(绛剧珷)锛歘_____
  
  鑱旂郴鐢佃瘽锛歘_________銆�銆�銆�銆�銆�鑱旂郴鐢佃瘽锛歘_________
  
  浠ヤ笂灏辨槸鎴戜滑涓烘偍鏁寸悊鐨勭�熸埧杩濈害鍗忚��涔﹁寖鏈�銆傚彟澶栵紝鍛婅��鍒氭瘯涓氱殑澶у�︾敓浠�锛岀�熸埧鍓嶈�佷粩缁嗘煡鐪嬪崗璁�涔︿笂鐨勬潯娆惧拰鎵�绉熸埧灞嬪瓨鍦ㄧ殑闂�棰橈紝閬垮厤鏃ュ悗鍑虹幇涓嶅繀瑕佺殑楹荤儲鍜岀籂绾枫�傚�傛灉鎮ㄥ�瑰崗璁�涔︿笂鐨勬湁浜涙潯娆剧悊瑙ｇ殑涓嶆槸寰堟竻鏅帮紝鍙�浠ュ湪绾垮挩璇㈢殑涓撲笟寰嬪笀鍥㈤槦銆�