鐩戞姢浜虹‘瀹氬崗璁�鎬庝箞鍐欙紵

    鐩戞姢浜烘槸瀵规病鏈夋皯浜嬭�屼负鑳藉姏鐨勪汉鍜岄檺鍒舵皯浜嬭兘鍔涜礋鏈変繚鎶ゅ拰鐩戠潱浣滅敤鐨勪汉銆傜洃鎶や汉鏄�鏈夋槑纭�鐨勯『浣嶅叧绯伙紝涓�鑸�閮芥槸鐖舵瘝锛屼絾鏄�鐖舵瘝绂诲�氭垨鍏朵粬鎯呭喌锛岀洃鎶や汉闇�瑕佺�捐��涓�浠藉崗璁�銆傛垜浠�灏变负鎮ㄦ帹鑽愪竴绡囩‘瀹氱洃鎶や汉鍗忚��涔︼紝甯屾湜瀵规偍鏈夋墍甯�鍔┿��
  
  鐩戞姢浜虹‘瀹氬崗璁�鎬庝箞鍐�?
  
  鐢叉柟锛歘_____________________
  
  濮撳悕锛歘_____________________
  
  鎬у埆锛歘_____________________
  
  鍑虹敓鏃堕棿锛歘_________________
  
  姘戞棌锛歘_____________________
  
  鑱屼笟锛歘_____________________
  
  鎴峰彛鎵�鍦�锛歘_________________
  
  缁忓父灞呬綇鍦帮細________________
  
  韬�浠借瘉鍙风爜锛歘_______________
  
  鑱旂郴鐢佃瘽锛歘_________________
  
  涔欐柟锛歘_____________________
  
  濮撳悕锛歘_____________________
  
  鎬у埆锛歘_____________________
  
  鍑虹敓鏃堕棿锛歘_________________
  
  姘戞棌锛歘_____________________
  
  鑱屼笟锛歘_____________________
  
  鎴峰彛鎵�鍦�锛歘_________________
  
  缁忓父灞呬綇鍦帮細________________
  
  韬�浠借瘉鍙风爜锛歘_______________
  
  鑱旂郴鐢佃瘽锛歘_________________
  
  鐢层�佷箼鍙屾柟鍘熸槸澶�濡汇�俖_________骞確_________鏈坃_________鏃ョ敓鑲瞋_________瀛�/濂筹紝鍚峗_________锛岀幇骞確_________宀侊紝璇籣_________銆俖_________骞確_________鏈坃_________鏃ワ紝缁廮_________娉曢櫌瀹＄悊鏌ユ槑锛岀敳銆佷箼鍙屾柟鍥犳劅鎯呯牬瑁傝�岃��鍒ゅ喅绂诲�氾紝瀛�/濂抽殢涔欐柟鐢熸椿锛岀敳鏂规瘡鏈堢粰鎶氬吇璐筥_________鍏冭嚦瀛�/濂崇嫭绔嬬敓娲讳负姝�銆傜敱浜庝箼鏂规儏鍐靛彂鐢熷彉鍖� (璇疯�存槑鍘熷洜)锛屽弻鏂瑰悓鎰忓彉鏇寸洃鎶ゆ柟寮忋��
  
  涓轰簡杩涗竴姝ユ槑纭�瀛愬コ鐨勭洃鎶ゆ潈锛屾槑纭�鍚勬柟鐨勬潈鍒╀箟鍔★紝鍑忓皯涓嶅繀瑕佺殑绾犵悍鍜岃瘔璁硷紝鍙屾柟鍚屾剰绛捐�㈡湰鍗忚��锛屼互璧勫叡鍚岄伒瀹堬細
  
  涓�銆佺洃鎶ゆ潈
  
  瀛�/濂充粠鏈�鍗忚��鐢熸晥鏃跺紑濮嬶紝闅忕敳鏂圭敓娲伙紝鐢辩敳鏂硅�屼娇瀛愬コ鐩戞姢鏉冦��
  
  浜屻�佹姎鍏昏垂
  
  涔欐柟姣忔湀缁欏瓙濂崇敓娲昏垂__________(寤鸿�甠_________鍏�)锛屾瘡瀛ｇ粰______娆°�傜��涓�娆′粯娆炬棩涓烘湰鏈堢殑_________鏃ワ紝浠ュ悗姣忛殧______涓�鏈堢殑_________鏃ヤ负浠樻�炬棩銆備箼鏂圭粰浠樼殑鐢熸椿璐瑰簲闅忔湰鍦颁骇澶х背甯傚満闆跺敭浠风殑鍙樺寲鑰屽�炲噺銆傜幇鍙屾柟鐩�鍓嶇殑鏈�鍦颁骇闆跺敭浠蜂负 _________鍏�/鍏�鏂ゃ��
  
  瀛愬コ鐨勬暀鑲茶垂銆佸尰鐤楄垂绛夊ぇ瀹楄垂鐢ㄥ紑鏀�锛岀敳鏂规壙鎷卂________%锛屼箼鏂规壙鎷卂________%銆傛�よ垂鐢�锛屼箼鏂瑰簲鍦ㄧ敳鏂瑰嚭绀虹エ鎹�鍚庣殑绗琠_____涓�鐢熸椿璐逛粯娆炬棩涓�骞舵敮浠樸��
  
  涓夈�佹帰瑙嗘潈
  
  涔欐柟鏈夋潈鎺㈣�嗗瓙鍎裤�傛瘡鏈堝師鍒欎笂鎺㈣�哶________娆★紝灏借兘瀹夋帓鍦╛________鏃ワ紝骞跺簲浠ヤ笉鎹熷�冲瓙濂宠韩蹇冨仴搴蜂负闄愩�傜敳鏂瑰簲灏介噺鎻愪緵鏂逛究銆�
  
  鍥涖�佽繚绾﹁矗浠�
  
  涔欐柟閫炬湡浠樻�剧殑杩濈害閲戞爣鍑嗕负鏃�_________鍒嗕箣_________銆傝繛缁璤________骞存湭鏀�浠樻姎鍏昏垂锛岀敳鏂规湁鏉冨湪寰佸緱瀛愬効鏈�浜烘剰瑙佸悗锛岀洿鎺ュ喅瀹氭洿鏀瑰瓙濂冲�撳悕鑰屾棤椤诲緛姹備箼鏂圭殑鎰忚�併��
  
  浜斻�侀檮鍒�
  
  鏈�鍗忚��鐢卞弻鏂圭�惧瓧鍚庣敓鏁堬紝骞跺叡鍚屽埌__________________鍖烘硶闄�锛岃�锋硶瀹樻寜鏈�鍗忚��鍒朵綔璋冭В涔︺��(涓�鑸�鎯呭喌鍙�鍙屾柟绛惧瓧鍚庣敓鏁堬紝鏃犻』鍒版硶闄㈠埗浣滆皟瑙ｄ功锛屼絾濡傛灉鏈夊彲鑳芥秹鍙婂埌绾犵悍鎴栧瓙濂冲垎鎴垮垎鍦般�佸氨瀛﹀氨涓氱瓑绛夊簲鍒版硶闄㈠埗浣滆皟瑙ｆ敹鎴栧姙鐞嗗叕姝�)
  
  鏈�鍗忚��涓�寮忓弫浠斤紝鍙屾柟鍙婃硶闄㈠悇涓�浠姐��
  
  鐢叉柟锛歘________________ 涔欐柟___________________
  
  _______骞確____鏈坃____鏃� _______骞確____鏈坃____鏃�
  
  鐩戞姢浜虹‘瀹氬崗璁�锛屾槸涓轰簡鐩戞姢浜烘洿濂界殑灞ヨ�岀洃鎶や箟鍔★紝鍦ㄥ崗璁�閲岀害瀹氫簡鍙屾柟鐨勬潈鍒╀笌涔夊姟锛屼互鍙婅繚绾﹁矗浠伙紝杩欐槸寰堟湁蹇呰�佺殑锛屽彲浠ラ槻姝㈢洃鎶や汉涔嬮棿鍙戠敓绾犵悍銆傚�傝繕鏈変粈涔堥棶棰橈紝鎴戜滑寤鸿��鐧诲綍缃戠珯鍜ㄨ��涓撲笟寰嬪笀锛岃兘灏藉揩甯�鍔╁埌鎮ㄣ��