绂诲�氬崗璁�鏍煎紡鏄�鎬庢牱鐨勶紵

    瀹炶返涓�锛屽�傛灉澶�濡昏兘澶熷氨绂诲�氱殑鐩稿叧浜嬪疁鍗忓晢杈炬垚涓�鑷寸殑璇濓紝閭ｅ湪绛捐�㈠ソ浜嗙�诲�氬崗璁�涔嬪悗锛屽氨鍙�浠ュ埌涓�鏂规埛鍙ｆ墍鍦ㄥ湴鐨勫�氬Щ鐧昏�版満鏋勫姙鐞嗙�诲�氭墜缁�銆備絾姝ゆ椂瀵逛簬寰堝�氫汉鑰岃█閮戒笉澶�娓呮�氱�诲�氬崗璁�鏍煎紡鏄�鎬庢牱鐨勶紝涓嬫枃涓�鎴戜滑灏辨潵涓轰綘浠嬬粛杩欐柟闈㈢殑鍐呭�瑰惂銆�
  
  绂诲�氬崗璁�鏍煎紡
  
  鐢锋柟锛歘________锛屾眽鏃忥紝 ______骞確___鏈坃___鏃ョ敓锛屼綇____________________________ 锛�
  
  韬�浠借瘉鍙风爜____________________________銆�
  
  濂虫柟锛歘________锛屾眽鏃忥紝 ______骞確___鏈坃___鏃ョ敓锛屼綇____________________________ 锛岃韩浠借瘉鍙风爜____________________________銆�
  
  鐢锋柟涓庡コ鏂逛簬______骞確___鏈堢浉璇嗭紝骞朵簬______骞確___鏈坃___鏃ュ湪_________姘戞斂灞�鐧昏�扮粨濠氾紝濠氬悗浜巁_____骞確___鏈坃___鏃ョ敓鑲蹭竴鍎垮瓙/濂冲効锛屽悕_________銆傚洜____________________________鑷翠娇澶�濡诲弻鏂规劅鎯呯牬瑁傦紝涓斿凡鏃犱换浣曞拰濂藉彲鑳斤紝鐜扮粡鍙屾柟鑷�鎰垮崗鍟嗚揪鎴愪竴鑷存剰瑙侊紝璁㈢珛绂诲�氬崗璁�濡備笅锛�
  
  1銆佺敺濂冲弻鏂瑰潎鑷�鎰跨�诲��
  
  2銆佸瓙濂虫姎鍏汇�佹姎鍏昏垂鍙婃帰鏈涙潈
  
  鍎垮瓙/濂冲効_________鐢盻________鏂规姎鍏伙紝闅廮________鏂圭敓娲伙紝鐢盻________鏂规寜浠ヤ笅鏂瑰紡鍚慱________鏂规敮浠樻姎鍏昏垂(鍖呮嫭鐢熸椿璐广�佹暀鑲茶垂鍜屽尰鐤楄垂)銆�
  
  鈻�_________鏂逛簬______骞確___鏈坃___鏃ュ墠涓�娆℃�ф敮浠樻姎鍏昏垂_________鍏冪粰_________鏂广��
  
  鈻�_________鏂瑰簲浜庢瘡鏈坃___鏃ュ悜_________鏂硅处鍙蜂负____________________________鐨刜________閾惰�屽崱鏀�浠樻姎鍏昏垂_________鍏冦��
  
  (浠庝互涓婁袱绉嶆姎鍏昏垂鏀�浠樻柟寮忛�夋嫨涓�绉�)
  
  鍦ㄤ笉褰卞搷瀛╁瓙瀛︿範銆佺敓娲荤殑鎯呭喌涓嬶紝_________鏂规瘡鏈堝彲浠ュ墠寰�_________鏂瑰�勬墍鎺㈡湜瀛╁瓙____娆°�傚叿浣撴帰鏈涙柟寮忎负锛氬墠寰�鎺㈡湜/鎺ュ嚭鎺㈡湜锛屾帰鏈涚殑鍏蜂綋鏃堕棿涓烘瘡鏈堢殑绗琠___涓�鏄熸湡____鏃╀笂______鐐瑰埌褰撳ぉ涓嬪崍______鐐广��
  
  濡俖________鏂逛笉鎸夌収涓婅堪鏃堕棿灏嗗�╁瓙閫佸洖锛宊________鏂规湁鏉冩嫆缁濆叾浠婂悗缁х画鎺㈡湜瀛╁瓙銆�
  
  鑺傚亣鏃ュ強鐗规畩鎯呭喌涓嬪瓙濂崇殑鎺㈡湜______________________________________________銆�
  
  3銆佸か濡诲叡鍚岃储浜х殑澶勭悊
  
  (1)瀛樻�撅細_________鏂瑰悕涓嬪瓨娆綺________鍏冿紝_________鏂瑰悕涓嬪瓨娆綺________鍏冿紝鍏辫��_________鍏冿紝鍙屾柟鍚勫垎涓�鍗婏紝涓篲________鍏冦�傚垎閰嶆柟寮忥細鍚勮嚜鍚嶄笅鐨勫瓨娆句繚鎸佷笉鍙橈紝浣哶________鏂瑰簲浜巁_____骞確___鏈坃___鏃ュ墠涓�娆℃�ф敮浠榑________鍏冪粰_________鏂广��
  
  (2)鎴垮眿锛氱櫥璁颁簬澶�濡诲弻鏂瑰悕涓嬬殑鎴夸骇鍏盻___澶勶紝鍏朵腑锛岀敱澶�濡诲叡鍚屾墍鏈夌殑浣嶄簬____________________________鐨勬埧浜ф墍鏈夋潈褰抇________鏂规墍鏈夛紝 鎴垮湴浜ф潈璇佺殑涓氫富濮撳悕鍙樻洿鐨勬墜缁�鑷�绂诲�氬悗涓�涓�鏈堝唴鍔炵悊锛宊________鏂瑰繀椤诲崗鍔�_________鏂瑰姙鐞嗗彉鏇寸殑涓�鍒囨墜缁�锛岃繃鎴疯垂鐢ㄧ敱_________鏂硅礋璐ｃ�俖________鏂瑰簲褰撲簬_________鏂规埛鍙ｈ縼鍑篲___鏃ュ唴鍚戝叾涓�娆℃�ф敮浠樻埧灞嬪樊浠穇________鍏冦��
  
  (3)鍏朵粬璐�浜э細濠氬墠鍙屾柟鍚勮嚜鐨勫叾浠栬储浜у綊鍚勮嚜鎵�鏈夛紝鐢峰コ鍙屾柟鍚勮嚜鐨勭�佷汉鐢熸椿鐢ㄥ搧鍙婇�栭グ褰掑悇鑷�鎵�鏈�(闄勬竻鍗�)銆�
  
  4銆佸�哄姟鐨勫�勭悊
  
  鈻″弻鏂圭‘璁ゅ湪濠氬Щ鍏崇郴瀛樼画鏈熼棿娌℃湁鍙戠敓浠讳綍鍏卞悓鍊哄姟锛屼换浣曚竴鏂瑰�傚�瑰�栬礋鏈夊�哄姟鐨勶紝鐢辫礋鍊烘柟鑷�琛屾壙鎷呫��
  
  鈻″弻鏂圭‘瀹氬湪濠氬Щ鍏崇郴瀛樼画鏈熼棿鍙戠敓鐨勫�哄姟鐢卞弻鏂瑰叡鍚屽伩杩橈細
  
  ______骞確___鏈坃___鏃ュ悜_________鏂规墍鍊熷�哄姟_________鍏冿紝鐢盻________鏂瑰伩杩�;
  
  ______骞確___鏈坃___鏃ュ悜_________鏂规墍鍊熷�哄姟_________鍏冿紝鐢盻________鏂瑰伩杩�;
  
  ______骞確___鏈坃___鏃ュ悜_________鏂规墍鍊熷�哄姟_________鍏冿紝鐢盻________鏂瑰伩杩�;
  
  _________鏂硅繕搴斾簬______骞確___鏈坃___鏃ュ墠鍚慱________鏂逛竴娆℃�ф敮浠樺樊浠穇________鍏冦��
  
  (浠庝互涓婁袱绉嶆姎鍏昏垂鏀�浠樻柟寮忛�夋嫨涓�绉�)
  
  5銆佷竴鏂归殣鐬掓垨杞�绉诲か濡诲叡鍚岃储浜х殑璐ｄ换
  
  鍙屾柟纭�璁ゅか濡诲叡鍚岃储浜у湪涓婅堪绗�涓夋潯宸蹭綔鍑烘槑纭�鍒楁槑銆傞櫎涓婅堪______________________澶栵紝骞舵棤鍏朵粬璐�浜э紝浠讳綍涓�鏂瑰簲淇濊瘉浠ヤ笂鎵�鍒楀�氬唴鍏ㄩ儴鍏卞悓璐�浜х殑鐪熷疄鎬с��
  
  鏈�鍗忚��涔﹁储浜у垎鍓插熀浜庝笂鍒楄储浜т负鍩虹��銆備换浣曚竴鏂逛笉寰楅殣鐬掋�佽櫄鎶ャ�佽浆绉诲�氬唴鍏卞悓璐�浜ф垨濠氬墠璐�浜с�傚�備换浣曚竴鏂规湁闅愮瀿銆佽櫄鎶ラ櫎涓婅堪鎵�鍒楄储浜у�栫殑璐�浜э紝鎴栧湪绛捐�㈡湰鍗忚��涔嬪墠涓ゅ勾鍐呮湁杞�绉汇�佹娊閫冭储浜х殑锛屽彟涓�鏂瑰彂鐜板悗鏈夋潈鍙栧緱瀵规柟鎵�闅愮瀿銆佽櫄鎶ャ�佽浆绉荤殑璐�浜х殑鍏ㄩ儴浠介�濓紝骞惰拷绌跺叾闅愮瀿銆佽櫄鎶ャ�佽浆绉昏储浜х殑娉曞緥璐ｄ换锛岃櫄鎶ャ�佽浆绉汇�侀殣鐬掓柟鏃犳潈鍒嗗壊璇ヨ储浜с��
  
  6銆佺粡娴庡府鍔╁強绮剧�炶禂鍋�
  
  鍥燺________鏂圭敓娲诲洶闅撅紝_________鏂瑰悓鎰忎竴娆℃�ф敮浠樿ˉ鍋跨粡娴庡府鍔╅噾_________鍏冪粰_________鏂广�備笂杩癬________鏂瑰簲鏀�浠樻�鹃」锛屽簲浜巁_____骞確___鏈坃___鏃ュ墠鏀�浠樺畬姣曘��
  
  7銆佽繚绾﹁矗浠荤殑绾﹀畾
  
  浠讳綍涓�鏂逛笉鎸夋湰鍗忚��绾﹀畾鏈熼檺灞ヨ�屾敮浠樻�鹃」涔夊姟鐨勶紝搴斿悜_________鏂逛粯杩濈害閲慱________鍏�/鎸塤_________________鏀�浠樿繚绾﹂噾銆�
  
  8銆佸崗璁�鐢熸晥鏃堕棿鐨勭害瀹�
  
  鏈�鍗忚��涓�寮忎笁浠斤紝鑷�濠氬Щ鐧昏�版満棰佸彂銆婄�诲�氳瘉銆嬩箣鏃ヨ捣鐢熸晥锛岀敺銆佸コ鍙屾柟鍚勬墽涓�浠斤紝濠氬Щ鐧昏�版満鍏冲瓨妗ｄ竴浠姐��
  
  9銆佸�傛湰鍗忚��鐢熸晥鍚庡湪鎵ц�屼腑鍙戠敓浜夎��鐨勶紝鍙屾柟搴斿崗鍟嗚В鍐筹紝鍗忓晢涓嶆垚锛屼换浣曚竴鏂瑰潎鍙�鍚慱________浜烘皯娉曢櫌璧疯瘔銆�
  
  鐢锋柟锛�
  
  绛惧悕锛�
  
  骞� 鏈� 鏃�
  
  濂虫柟锛�
  
  绛惧悕锛�
  
  骞� 鏈� 鏃�
  
  涓�鑸�澶�濡诲崗璁�绂诲�氾紝闄や簡鍙屾柟閮藉悓鎰忕�诲�氬�栵紝鍚屾椂闇�瑕佸�瑰か濡诲叡鍚岃储浜с�佸�哄姟浠ュ強鏈�鎴愬勾瀛愬コ鎶氬吇闂�棰樹綔鍑哄�勭悊鎵嶈�岋紝鑰岃�佹槸鍦ㄨ繖绉嶆柟闈㈡棤娉曞崗鍟嗕竴鑷存垨鑰呬骇鐢熶簡浜夎��鐨勮瘽锛岄偅涔堝氨鍙�鑳介�氳繃璇夎�兼柟寮忚В闄ゅ�氬Щ鍏崇郴浜嗐�備笂鏂囦腑鎴戜滑甯︽潵浜嗙�诲�氬崗璁�涔︾殑鑼冩枃銆�