鎴戝浗鍦熷湴浣跨敤鏉冨嚭绉熺殑鍚堝悓璇ユ�庝箞鍐欙紵

    鎴戝浗鍦熷湴浣跨敤鏉冨嚭绉熺殑鍚堝悓璇ユ�庝箞鍐欙紵
  
  灏嗗湡鍦颁娇鐢ㄦ潈瀵瑰�栧嚭绉熸槸鍦熷湴鎵�鏈夋潈鑰呯殑鑾峰埄鏂瑰紡涔嬩竴锛屾棦鑳戒娇闂茬疆鐨勫湡鍦拌祫婧愯兘寰楀埌鏈夋晥鐨勫埄鐢ㄥ張鑳借幏寰楃粡娴庢敹鐩婏紝涓斿湪绉熻祦鏈熸弧鍚庡湡鍦颁娇鐢ㄦ潈浠嶄細褰掕嚜宸辨墍鏈夈�傚湪灏嗗湡鍦颁娇鐢ㄦ潈杩涜�屽嚭绉熸椂鍑虹�熸柟瑕佷笌鎵跨�熸柟绛捐�㈢�熻祦鍚堝悓锛屼互纭�淇濆弻鏂圭殑鏉冪泭閮借兘寰楀埌淇濋殰銆傞偅涔堟垜鍥藉湡鍦颁娇鐢ㄦ潈鍑虹�熺殑鍚堝悓璇ユ�庝箞鍐欏憿锛熶笅闈㈠氨鐢辨垜浠�涓烘偍鎻愪緵涓�绡囪寖鏂囷紝鏈夐渶姹傝�呭彲澶氫綔鍙傝�冦��
  
  鍦熷湴浣跨敤鏉冨嚭绉熷悎鍚�
  
  鍦熷湴浣跨敤鏉冨嚭绉熷悎鍚屾槸鎸囧湡鍦颁娇鐢ㄨ�呭皢鍦熷湴浣跨敤鏉冨崟鐙�鎴栬�呴殢鍚屽湴涓婂缓绛戠墿銆佸叾浠栭檮鐫�鐗╃�熻祦缁欎粬浜轰娇鐢�锛岀敱浠栦汉鍚戝叾鏀�浠樼�熼噾鐨勮�屼负鎵�绛捐�㈢殑鍚堝悓銆傚師鎷ユ湁鍦熷湴浣跨敤鏉冪殑涓�鏂圭О涓哄嚭绉熶汉锛屾壙鎷呭湡鍦颁娇鐢ㄦ潈鐨勪竴鏂圭О涓烘壙绉熶汉銆�
  
  鏈�鍚堝悓鍙屾柟褰撲簨浜猴細
  
  鍑虹�熸柟锛歘__________________________(浠ヤ笅绠�绉扮敳鏂�)
  
  鎵跨�熸柟锛歘__________________________(浠ヤ笅绠�绉颁箼鏂�)
  
  鏍规嵁銆奯________鍐滄皯闆嗕綋鎵�鏈夊缓璁剧敤鍦颁娇鐢ㄦ潈娴佽浆绠＄悊璇曡�屽姙娉曘�嬪拰鍥藉�躲�佺渷銆佸競鏈夊叧娉曞緥銆佹硶瑙勩�佺敳涔欏弻鏂规湰鐫�骞崇瓑銆佽嚜鎰裤�佹湁鍋跨殑鍘熷垯锛岃�㈢珛鏈�鍚堝悓銆�
  
  绗�涓�鏉＄敳鏂瑰嚭绉熺粰涔欐柟鐨勯泦浣撳缓璁剧敤鍦颁娇鐢ㄦ潈鐨勫湴鍧椾綅浜巁_____________(璇﹁�併�婂湡鍦颁娇鐢ㄨ瘉銆嬮檮浠�)锛岄潰绉�涓篲________骞虫柟绫�(鍚坃________浜�)锛屽叾瀹楀湴浣嶇疆涓庡洓鍧�鑼冨洿濡傜敳锛屼箼鍙屾柟纭�璁ょ殑闄勫浘鎵�绀恒��
  
  绗�浜屾潯鏈�鍚堝悓椤逛笅鍑虹�熷湴鍧楃敤閫斾负_________銆備箼鏂规壙绉熷悗蹇呴』鎸夎�勫畾鐢ㄩ�斾娇鐢ㄥ湡鍦帮紝濡傞渶鍙樻洿鐢ㄩ�旓紝椤荤粡鐢叉柟鍙婂綋鍦板缓璁捐�勫垝涓荤�￠儴闂ㄥ悓鎰忥紝鐢蹭箼鍙屾柟鍗忓晢璋冩暣骞寸�熼噾鍚庯紝鍚慱________鍥藉湡璧勬簮灞�鐢宠�峰姙鐞嗙敤閫斿彉鏇存墜缁�銆�
  
  绗�涓夋潯鏈�鍚堝悓椤逛笅鐨勫湡鍦颁娇鐢ㄦ潈绉熻祦鏈熻嚜_______骞確_____鏈坃_____鏃ヨ捣鑷砡______骞確_____鏈坃_____鏃ユ��銆�
  
  绗�鍥涙潯鏈�鍚堝悓椤逛笅鐨勫湡鍦颁娇鐢ㄦ潈鐨勫勾绉熼噾涓烘瘡骞虫柟绫砡_______鍏冧汉姘戝竵锛屽勾绉熼噾鎬婚�濅负________鍏冧汉姘戝竵銆備箼鏂瑰簲浜庢瘡骞確_____鏈坃_____鏃ュ墠鍚戠敳鏂规寜鏃剁即绾冲勾绉熼噾銆傞�栨�″勾绉熼噾浠庣�捐�㈡湰鍚堝悓涔嬫棩璧风殑______澶╁唴缂存竻锛屽勾绉熼噾涓嶈冻鍗婂勾鐨勬寜鍗婂勾璁℃敹锛岃秴杩囧崐骞寸殑鎸夊叏骞磋�℃敹銆�
  
  涔欐柟涓嶆寜鏃舵敮浠樺勾绉熼噾鐨勶紝浠庢粸绾充箣鏃ヨ捣锛屾瘡鏃ユ寜搴斾粯娆鹃�濈殑______鈥板悜鐢叉柟浜ょ撼婊炵撼閲戙�傝秴杩囧叚涓�鏈堜笉鏀�浠樺勾绉熼噾鐨勶紝鐢叉柟鏈夋潈鏀跺洖鍑虹�熺殑鍦熷湴浣跨敤鏉冦��
  
  绗�浜旀潯鍦ㄦ湰鍚堝悓鐢熸晥涔嬫棩璧�15澶╁唴锛岀敳涔欏弻鏂瑰簲鍚慱________鍥藉湡璧勬簮灞�鐢宠�峰姙鐞嗙�熻祦鐧昏�版墜缁�锛岀敳鏂归�嗗彇鍦熷湴浣跨敤鏉冨嚭绉熻�稿彲璇侊紝涔欐柟棰嗗彇鍦熷湴浣跨敤鏉冩壙绉熻瘉鏄庝功銆�
  
  绗�鍏�鏉″湡鍦颁娇鐢ㄦ潈绉熼噾鐨勮皟鏁达紝姣忛殧_________骞磋皟鏁翠竴娆★紝姣忔�¤皟鏁村箙搴︿负鐧惧垎涔媉_____銆傜�熼噾鏍囧噯璋冩暣鏃讹紝鐢蹭箼鍙屾柟搴旂�捐�㈠彉鏇村崗璁�锛屼箼鏂瑰簲鎸夋柊鐨勬爣鍑嗙即绾冲勾绉熼噾銆�
  
  绗�涓冩潯涔欐柟渚濇嵁鏈�鍚堝悓绉熻祦鏂瑰紡鍙栧緱鐨勫湡鍦颁娇鐢ㄦ潈涓嶅緱杞�璁╋紝杞�绉燂紝鎶垫娂銆傚�傞渶杞�绉熺殑锛岄』缁忕敳鏂逛功闈㈠悓鎰忥紝鍙屾柟绛捐�㈣浆绉熷悎鍚屽悗鍒癬________鍥藉湡璧勬簮灞�鍔炵悊鏈夊叧鍙樻洿鎵嬬画銆�
  
  绗�鍏�鏉′箼鏂瑰湪鎺ュ彈绉熻祦鍦哄湴绉讳氦鎵嬬画鍚庯紝搴斿Ε鍠勪繚鎶ょ晫妗╋紝涓嶅緱绉佽嚜绉诲姩銆傜晫妗╅伃鍙楁崯鍧忔垨绉诲姩搴斿強鏃舵姤鍛婄敳鏂归噸鏂板煁璁撅紝娴嬬粯璐瑰拰鐣屾々璐圭敱涔欐柟鏀�浠樸��
  
  绗�涔濇潯涔欐柟鍦ㄧ�熻祦鍦哄湴涓婇渶瑕佹柊寤猴紝鎵╁缓鎴栫炕寤哄缓绛戠墿锛岄』缁忕敳鏂逛功闈㈠悓鎰忥紝骞舵寜瑙勫畾鍔炵悊鏈夊叧鎶ユ壒鎵嬬画锛屽弻鏂瑰簲绛捐�㈠湡鍦扮�熻祦鏈熸弧鍚庢壙绉熸柟鏂板缓寤虹瓚鐗╃殑澶勭疆鍗忚��銆�
  
  绗�鍗佹潯鍦熷湴绉熻祦鏈熸弧锛屾湰鍚堝悓鍚屾椂缁堟�㈠饱琛岋紝涔欐柟搴斿悜_________鍥藉湡璧勬簮灞�浜よ繕鍦熷湴浣跨敤鏉冩壙绉熻瘉鏄庝功锛屽姙鐞嗗湡鍦颁娇鐢ㄦ潈绉熻祦娉ㄩ攢鐧昏�版墜缁�銆傚�硅�ュ湴鍧楀唴涔欐柟鎶曡祫寤鸿�剧殑寤虹瓚鐗╋紝闄勭潃鐗╋紝搴旀寜鍙屾柟绛捐�㈢殑澶勭疆鍗忚��锛屽湪鏈�鍚堝悓缁堟��涔嬫棩璧风殑60澶╁唴澶勭疆瀹屾瘯锛岄�炬湡鏈�澶勭疆瀹屾瘯鐨勶紝鐢盻________鍥藉湡璧勬簮灞�鍚戜箼鏂瑰彂鍑轰功闈㈠�勭疆閫氱煡銆�
  
  绉熻祦鏈熸弧涔欐柟濡傞渶缁х画浣跨敤璇ュ湴鍧楃殑锛岄』鍦ㄦ湡婊″墠鍏�涓�鏈堝唴鍚戠敳鏂规彁浜ょ画绉熺敵璇凤紝鐢辩敳涔欏弻鏂归噸鏂扮�捐�㈠湡鍦颁娇鐢ㄦ潈绉熻祦鍚堝悓锛屽悜_________鍥藉湡璧勬簮灞�鐢宠�峰姙鐞嗙画绉熺櫥璁版墜缁�銆�
  
  绗�鍗佷竴鏉′箼鏂瑰洜鎻愬墠缁堟�㈢粡钀ョ瓑鍘熷洜锛岄渶鎻愬墠缁堟�㈢�熻祦鍚堝悓鐨勶紝搴斿悜鐢叉柟鏀�浠樼浉褰撲簬涓変釜鏈堢�熼噾鎬婚�濈殑杩濈害璧斿伩閲戙��
  
  绗�鍗佷簩鏉′緷鎹�鏈�鍚堝悓渚濇硶浣跨敤鐨勯泦浣撻潪鍐滀笟寤鸿�剧敤鍦颁娇鐢ㄦ潈鍙楁硶寰嬩繚鎶ゃ�傚湪鐗规畩鎯呭喌涓嬶紝鍥犲浗瀹跺拰鍐滄潙闆嗕綋绀句細鍏�鍏卞埄鐩婇渶瑕侊紝闆嗕綋鍦熷湴鎵�鏈夋潈鑰呮姤缁廮________鍥藉湡璧勬簮灞�瀹℃牳鍜宊________浜烘皯鏀垮簻鎵瑰噯鍚庯紝鍙�浠ユ彁鍓嶆敹鍥炲嚭绉熺殑鍦熷湴浣跨敤鏉冿紝闆嗕綋鍦熷湴鎵�鏈夋潈鑰呮牴鎹�鍦熷湴鍒╃敤鐜扮姸锛岀粰浜堟壙绉熸柟鐩稿簲鐨勮ˉ鍋裤��
  
  绗�鍗佷笁鏉℃湰鍚堝悓璁㈢珛锛屾晥鍔涳紝瑙ｉ噴锛屽饱琛屽強浜夎��鐨勮В鍐筹紝閫傜敤涓�鍗庝汉姘戝叡鍜屽浗娉曞緥锛屾硶瑙勩�傚洜鎵ц�屾湰鍚堝悓鍙戠敓浜夎��锛岀敱浜夎��鍙屾柟鍗忓晢瑙ｅ喅锛屽崗鍟嗕笉鎴愮殑锛屽彲鍚戠�熻祦鍦板潡鎵�灞炶緰鍖轰汉姘戞硶闄㈣捣璇夈��
  
  绗�鍗佸洓鏉℃湰鍚堝悓鏈�灏戒簨瀹滐紝渚濇嵁鏈夊叧娉曞緥锛屾硶瑙勶紝鏀跨瓥绛夛紝鍙屾柟鍙�绛捐�㈣ˉ鍏呭崗璁�锛屼綔涓哄悎鍚岄檮浠讹紝闄勪欢涓庢湰鍚堝悓鍏锋湁鍚岀瓑娉曞緥鏁堝姏銆�
  
  绗�鍗佷簲鏉℃湰鍚堝悓缁忓弻鏂规硶瀹氫唬琛ㄤ汉绛惧瓧鐩栫珷锛屾姤_________浜烘皯鏀垮簻鎵瑰噯鍚庣敓鏁堛��
  
  绗�鍗佸叚鏉℃湰鍚堝悓涓�寮忎簲浠斤紝鐢蹭箼鍙屾柟鍚勬墽涓や唤锛屼竴浠戒氦_________鍥藉湡璧勬簮灞�瀛樻。銆�
  
  绗�鍗佷竷鏉℃湰鍚堝悓浜巁_____骞確____鏈坃____鏃ュ湪__________________绛捐��銆�
  
  鐢叉柟(鐩栫珷)锛歘____________ 涔欐柟(鐩栫珷)锛歘___________
  
  浠ｈ〃(绛惧瓧)锛歘____________ 浠ｈ〃(绛惧瓧)锛歘___________
  
  鑱旂郴鍦板潃锛歘________________鑱旂郴鍦板潃锛歘_______________
  
  閭�鏀跨紪鐮侊細_________________閭�鏀跨紪鐮侊細________________
  
  鑱旂郴鐢佃瘽锛歘________________鑱旂郴鐢佃瘽锛歘_______________
  
  鐢典紶锛歘____________________鐢典紶锛歘___________________
  
  寮�鎴烽摱琛岋細_________________ 寮�鎴烽摱琛岋細________________
  
  甯愭埛鍚嶇О锛� ________________甯愭埛鍚嶇О锛歘_______________
  
  甯愬彿锛歘____________________甯愬彿锛歘___________________
  
  鍦熷湴浣跨敤鏉冪殑鍑虹�熷彲浠ユ槸鎵�鏈夋潈鍐呴儴鍒嗗湡鍦版墍鏈夋潈鍑虹�熶篃鍙�浠ユ槸鍏ㄩ儴鐨勫嚭绉燂紝杩欏湪鎴戝浗鍦熷湴浣跨敤鏉冨嚭绉熷悎鍚屼腑瑕佹湁鏄庣‘鐨勮�勫畾锛岄櫎浜嗗嚭绉熺殑鑼冨洿瑕佹槑纭�澶栧嚭绉熺殑璧峰�嬬粓姝㈡椂闂翠篃瑕佹湁鍏蜂綋鐨勫垝鍒嗭紝鍑虹�熺殑鏃堕棿鏈�濂借兘绮剧‘鍒版棩銆傚湪鍚堝悓鏈熸弧鍚庡�傛灉鍙堢画绉熼渶姹傜殑锛屾壙绉熸柟鍙�涓庡嚭绉熸柟鍟嗗畾閲嶆柊绛捐�㈢�熻祦鍚堝悓銆�