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   锛堜竴锛夊�旀墭鏀舵�捐瘉鏄庣瘒涓�
  鍏规湁__________鐜板�旀墭__________浣滀负鏈�鍙告敹娆句汉锛屾敹娆捐寖鍥翠负浠ｈ〃鎴戝叕鍙镐笌璐靛崟浣嶈繘琛岀粨绠椾唬鏀舵�炬椿鍔ㄦ湁鍏充簨瀹滐紝鏀舵�炬湁鏁堟湡闄恄_________;鍦ㄦ暣涓�浠ｆ敹娆捐繃绋嬩腑锛岃�ュ憳宸ョ殑涓�鍒囪�屼负锛屽潎浠ｈ〃鏈�鍗曚綅锛屼笌鏈�鍗曚綅鐨勮�屼负鍏锋湁鍚岀瓑娉曞緥鏁堝姏銆傛湰鍗曚綅灏嗘壙鎷呰�ヤ唬鐞嗕汉琛屼负鐨勫叏閮ㄦ硶寰嬪悗鏋滃拰娉曞緥璐ｄ换锛屼笌璐靛徃鏃犳秹!
  鐗规�ゅ�旀墭!
  浠ｇ悊鍗曚綅鍚嶇О锛歘_________
  娉曚汉锛歘_________
  宸ュ晢娉ㄥ唽璇佸彿鐮侊細__________
  濮旀墭鍗曚綅娉曚汉(绛剧珷):__________
  濮旀墭鍗曚綅锛歘_________
  鏃ユ湡锛歘____骞確____鏈坃____鏃�
  椤婚檮锛�1.浠ｇ悊鍗曚綅宸ュ晢钀ヤ笟鎵х収澶嶅嵃浠�(鍔犵洊鍏�绔犲師浠�)
  2.濮旀墭鍗曚綅绋庡姟鐧昏�拌瘉(鍔犵洊鍏�绔犲師浠�)
  3.浠ｇ悊浜鸿韩浠借瘉
   锛堜簩锛夊�旀墭鏀舵�捐瘉鏄庣瘒浜�
  鎴戝叕鍙哥幇鏈夐摱琛屾壙鍏戞眹绁╛____寮狅紝
  绁ㄥ彿锛歘__________________________
  鍑虹エ鏃ユ湡锛歘________________________
  鍒版湡鏃ユ湡锛歘________________________
  鍑虹エ浜哄叏绉帮細_________________________
  鏀舵�句汉鍏ㄧО锛歘________________________
  浠樻�捐�屽叏绉帮細_________________________
  姹囩エ鎬婚噾棰濓細浜烘皯甯�(澶у啓)_______________(锟ワ細__________)銆�
  鐜板�旀墭_______________涓烘垜鍏�鍙稿姙鐞嗚创鐜颁笟鍔★紝鎴戝叕鍙竉_________涓巁_________绯诲叧鑱斾紒涓氾紝璇峰皢璐寸幇娆炬眹鍏�_______________鍏�鍙革紝鑻ョ敱姝ゅ紩鍙戠殑涓�鍒囩粡娴庣籂绾蜂笌娉曞緥璐ｄ换锛屾垜鍏�鍙告壙鎷呬竴鍒囪矗浠汇��
  鐗规�よ瘉鏄�!
  璐㈠姟绔燺____
  娉曚汉绔燺_________
  鍏�绔燺_________
  _____骞確____鏈坃____鏃�
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