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  浜屻�佷粈涔堟槸杈╂姢璇�
  
  
  杈╂姢璇嶏紝鏄�琚�鍛婁汉鍙婂叾杈╂姢浜哄湪璇夎�艰繃绋嬩腑鏍规嵁浜嬪疄鍜屾硶寰嬫墍鎻愬嚭鏈夊埄浜庤��鍛婁汉鐨勬潗鏂欏拰鎰忚�侊紝閮ㄥ垎鍦版垨鍏ㄩ儴鍦板�规帶璇夌殑鍐呭�硅繘琛岀敵杩般�佽京瑙ｃ�佸弽椹虫帶璇夛紝浠ヨ瘉鏄庤��鍛婁汉鏃犵姜銆佺姜杞伙紝鎴栬�呮彁鍑哄簲褰撳噺杞汇�佺敋鑷冲厤闄ゅ垜浜嬭矗浠荤殑鏂囦功銆�
  
  
  涓夈�佺紦鍒戣京鎶よ瘝鐨勬牸寮忔槸浠�涔�
  
  
  鍏充簬__________(濮撳悕)___________________(妗堢敱)涓�妗堢殑杈╂姢璇�
  
  
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  鏍规嵁涓�鍗庝汉姘戝叡鍜屽浗鍒戜簨璇夎�兼硶绗�32鏉＄��1娆剧殑瑙勫畾锛屾垜鎺ュ彈__________(涓昏�佺姱
  
  
  缃�瀚岀枒浜烘垨琚�鍛婁汉濮撳悕) ______________________________(妗堢敱)涓�妗堢殑鐘�缃�瀚岀枒浜�
  
  
  __________鐨勫�旀墭锛屾媴浠讳粬鐨勮京鎶や汉锛屼负浠栬繘琛岃京鎶ゃ��
  
  
  鍦ㄦ�や箣鍓嶏紝鎴戠爺绌朵簡_______浜烘皯妫�瀵熼櫌瀵规湰妗堢殑璧疯瘔涔︼紝鏌ラ槄浜嗗嵎瀹楁潗鏂欙紝浼氳�佷簡
  
  
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  鎴戣�や负璧疯瘔涔﹀湪璁ゅ畾浜嬪疄涓婃湁閲嶅ぇ鍑哄叆(鎴栬�呬簨瀹炰笉娓呫�佸畾鎬т笉褰撶瓑)銆傜悊鐢卞�備笅锛�
  
  
  ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________
  
  
  缁间笂鎵�杩�
  
  
  鎴戣�や负锛歘_____________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________
  
  
  鏍规嵁涓�鍗庝汉姘戝叡鍜屽浗鍒戞硶绗琠___鏉＄�琠___娆句箣瑙勫畾锛岃�锋眰妫�瀵熸満鍏冲�规湰妗堢姱缃�瀚岀枒浜�
  
  
  __________涓嶄簣璧疯瘔(鎴栬�锋眰娉曞涵瀵硅��鍛婁汉瀹ｅ憡鏃犵姜鎴栧厤闄ゅ�勭綒鎴栦粠杞汇�佸噺杞诲�勭綒)銆�
  
  
  杈╂姢浜猴細_________
  
  
  濡傛灉寰嬪笀鐨勫綋浜嬩汉琚�鍒ゅ�勬�诲垜锛屾兂瑕佷负褰撲簨浜轰簤鍙栫紦鍒戝�勭悊鐨勬満浼氾紝闇�瑕佸緥甯堜负鍏堕檲鍐欒京鎶よ瘝銆傝京鎶よ瘝闇�瑕侀槓杩版竻妤氫负鍏惰京鎶ょ殑鍘熷洜鍜岀悊鐢便�傝京鎶よ瘝鑳藉�熺洿鎺ュ奖鍝嶅埌鏄�鍚﹁兘甯�鍔╁綋浜嬩汉浜夊彇鍒扮浉鍏崇殑鏉冨姏锛屽�傛灉瀹跺睘鑳藉�熷敖鍔涢厤鍚堬紝鑳借揪鍒版洿濂界殑鏁堟灉銆�