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    绉佷汉鍊熸�惧崗璁�涔︾殑鑼冩湰鏄�浠�涔堟牱鐨�
  鐜板�備粖锛岀�佷汉涔嬮棿鍊熸�炬槸寰堝父瑙佺殑涓�浠朵簨锛屽ソ澶氫汉閮戒細鎶婅嚜宸辨墜閲岄棽缃�璧勯噾鍊熷嚭鍘伙紝璧氬彇涓�浜涘埄鎭�銆傜�佷汉鍊熸�惧繀椤荤�捐�㈠�熸�惧崗璁�锛岀‘淇濊嚜宸辩殑璧勯噾鏈変繚闅滐紝浣嗘槸濂藉�氫汉涓嶄細鍐欏�熸�惧崗璁�锛屽�逛簬鍒濇�″�熸�剧殑浜烘潵璇存洿鏄�闄岀敓銆備笉杩囨病鍏崇郴锛屾偍鍙�浠ュ弬鑰冪�佷汉鍊熸�惧崗璁�涔︾殑鑼冩湰锛岀粨鍚堟垜浠�鐨勮�茶В锛屽緢蹇�灏辫兘鎷熷畾绗﹀悎鑷�宸辫�佹眰鐨勫崗璁�浜嗐��
  
  涓�銆佺�佷汉鍊熸�惧崗璁�涔︾殑鑼冩湰鏄�浠�涔堟牱鐨�
  
  绉佷汉鍊熸�惧崗璁�涔�
  
  鐢叉柟锛歘_______________________
  
  韬�浠借瘉鍙风爜锛歘_________________
  
  涔欐柟锛歘_______________________
  
  韬�浠借瘉鍙风爜锛歘_________________
  
  鐢层�佷箼鍙屾柟缁忓厖鍒嗗崗鍟嗭紝璁㈠畾浠ヤ笅鍊熸�惧悎鍚岋細
  
  涓�銆佺敳鏂瑰洜缁忚惀娲诲姩闇�瑕侊紝鍚戜箼鏂瑰�熸�句汉姘戝竵__________涓囧厓(锟�____________)锛屼箼鏂逛簬______骞確_____鏈坃_____鏃ヤ箣鍓嶅皢璇ョ瑪娆鹃」姹囧叆鐢叉柟鎴栬�呭叾鎸囧畾甯愭埛锛岀敱鐢叉柟鍚戜箼鏂瑰嚭鍏锋敹鍒板�熸�剧殑纭�璁や功銆�
  
  浜屻�佸�熸�炬湡闄愪负______ 骞达紝浠庣敳鏂瑰嚭鍏蜂笂杩扮‘璁や功涔嬫棩璧疯��;鍒╃巼浠ヤ簲骞存湡閾惰�岃捶娆惧埄鐜囪�★紝鍗充负姣忓勾______%;濡傞亣鍥藉�惰皟鏁村悓鏈熼摱琛岃捶娆惧埄鐜囩殑锛屽垯鍙屾柟涔嬮棿鐨勫�熸�惧埄鐜囦害浣滅浉搴旂殑璋冩暣;
  
  鍊熸�炬湡婊′箣娆℃棩锛屾湰閲戦殢鍚屾墍鏈夌殑鍒╂伅涓�娆℃�у綊杩樼粰涔欐柟;
  
  涓婅堪鏈�鎭�鑻ラ�炬湡鏀�浠橈紝鍒欎互姣忔棩鍗冨垎涔嬩竴鐨勬瘮渚嬭�＄畻杩濈害閲戙��
  
  涓夈�佷负涓婅堪鏉℃�剧殑灞ヨ�岋紝鐢叉柟浠ュ叾鍦╛___________鑲′唤鏈夐檺鍏�鍙�(涓嬬О__________鍏�鍙�)鐨勬墍鏈夎偂浠�(鍗燺___________鍏�鍙告敞鍐岃祫鏈�鐨� _____%)鍚戜箼鏂规彁渚涜川鎶兼媴淇濓紝骞剁敱鐢叉柟浜庡�熸�炬敹娆剧‘璁や功鏃ョ�剧讲涔嬫棩璐熻矗钀藉疄鍔炵悊灏嗕笂杩拌偂浠藉嚭璐ㄤ簨椤硅�拌浇浜巁__________鍏�鍙哥殑鑲′笢鍚嶅唽锛岀敱__________鍏�鍙稿悜涔欐柟鍑哄叿涓婅堪鐧昏�板畬鎴愮殑纭�璁や功銆�
  
  鍥涖�佸弻鏂圭‘璁わ紝濡傛灉鐢叉柟涓巁_________________鍏�鍙镐箣闂寸殑鍔冲姩鍏崇郴缁撴潫锛屽垯鏈�鍚堝悓浜庤�ョ粨鏉熶箣鏃ュ悓鏃惰В闄わ紝姝ょ瓑鎯呭喌涓嬬敳鏂瑰簲浜庤�ヨВ闄や箣鏃ヨ捣鐨刜_____________鏃ュ唴褰掕繕鎵�鏈夊�熸�炬湰鎭�銆�
  
  浜斻�佸�傚洜鏈�鍚堝悓鍙戠敓浜夎��鐨勶紝鍙屾柟鍗忓晢瑙ｅ喅锛屽崗鍟嗕笉鎴愮殑锛屾彁浜や箼鏂规埛绫嶆墍鍦ㄥ湴鐨処浠茶�佹満鏋勮В鍐炽��
  
  鍏�銆佹湰鍚堝悓涓�寮忎簩浠斤紝鍙屾柟鍚勬墽涓�浠斤紝;瀵规湰鍚堝悓鏈�灏戒簨瀹滐紝鍙屾柟鍙�鍙﹁�岀�捐�㈣ˉ鍏呭崗璁�锛屼笌鏈�鍚堝悓鍏锋湁鐩稿悓鏁堝姏銆�
  
  鐢叉柟锛歘__________________
  
  鏃ユ湡锛歘__________________
  
  涔欐柟锛歘__________________
  
  鏃ユ湡锛歘__________________
  
  姝ｈ�勪釜浜哄�熸�惧悎鍚岃寖鏈�
  
  鐢叉柟(鍊熸�句汉)_____________________
  
  韬�浠借瘉鍙风爜锛歘________________________
  
  浣忓潃锛歘________________________
  
  涔欐柟(璐锋�句汉)_____________________
  
  韬�浠借瘉鍙风爜锛歘________________________
  
  浣忓潃锛歘________________________
  
  鐢蹭箼鍙屾柟灏变笅鍒椾簨瀹滆揪鎴愪竴鑷存剰瑙侊紝绛捐�㈡湰鍚堝悓銆�
  
  涓�銆佷箼鏂硅捶缁欑敳鏂逛汉姘戝竵(澶у啓)_____________________锛屼簬_____________________鍓嶄氦浠樼敳鏂广��
  
  浜屻�佽捶娆惧埄鎭�锛歘____________________________________________
  
  涓夈�佸�熸�炬湡闄愶細_____________________________________________
  
  鍥涖�佽繕娆炬棩鏈熷拰鏂瑰紡锛歘______________________________________
  
  浜斻�佽繚绾﹁矗浠伙細_____________________________________________
  
  鍏�銆佹湰鍚堝悓鑷猒____________________鐢熸晥銆傛湰鍚堝悓涓�寮忎袱浠斤紝鍙屾柟鍚勬墽涓�浠姐��
  
  鐢叉柟(绛惧瓧銆佺洊绔�)_____________________
  
  涔欐柟(绛惧瓧銆佺洊绔�)_____________________
  
  鍚堝悓绛捐�㈡棩鏈焈_____________鍚堝悓绛捐�㈡棩鏈焈_____________
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