ҵȫݳͬ
ŷξزϷӺͬͬķЧվͬЭˣ֮ĹϵôһͬôݵأСļҵȫݳͬϣԴ
ҵȫݳͬ1
ⷽ________________
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ⷽҷ_________________
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ס˫ͷˣЭ飺
һλ____________________________________ķݳҷסʹã________________________________________________գ______¡
Ϊ___________Ԫ½ÿ³______ڣҷ֧ȫ
ҷڼ䣬ˮѡѡȡůѡȼѡ绰ѡҵԼҷסķҷʱҷ뽻Ƿѡ
ġҷʩװ죬üͬ⣬еװáʱҷ뽫ʩָԭ״
塢ҷҪޣǰ1յҷҪ7ڴͬޣǩͬͬ£ҷȨ
ڼ䣬κһֹͬǰ1֪ͨԷ˫Э̺ǩֹͬ顣һǿֹͬһ֧ΥԼ_________Ԫ
ߡ飬ס˫ѺЭ̽Э̲ʱɵԺٲá
ˡͬһʽݣס˫ִһݣ˫ǩ֮Ч
ǩ£___________________
ҷǩ£___________________
___________________________
___________________________
ҵȫݳͬ2
ⷽ_________¼Ƽ
ⷽ_________¼ҷ
ݡлͬйع涨ΪȷⷽⷽȨϵ˫Эһ£ǩͬ
һݼơ;
䡢ƽסṹ;
ڶ
ڹ꣬ⷽ___________________________ⷿⷽʹã___________________________ջء
Ľ
ⷿݼǪԪܶʰ½Ԫⷽת˻ֽʽֱںͬÿȵһµ5ǰȷǪԪһԸⷽ
ڼ䷿
ɷdzⷽⷽԷӦÿһʱ顢һΣԱϳ˰ȫʹá
ⷽάʱⷽӦЭʩ
ⷽͳⷽı
1ڼ䣬ⷽ罫ⷿȨתƸͬµķЧ
2ⷽݣ3ǰ֪ͨⷽͬ£ⷽȹȨ
3ⷽ÷תøʹãóⷽͬⲢǩͬ
4ͬ˫ʱᡣⷽ⣬ӦǰҼⷽЭˣԭⷽͬ£Ȩ
ֹͬ
֮ⷽһģֹⷽͬջط;
1ⷽԽת⡢תûת;
2ⷽóⷿݽзǷ;
3ⷽǷ𣨻ˮѣۼƴҼµ;
4ⷽԸıŴݽṹġ
ⷽڣиװޡӪȫ𡢻һˣھʵǰѣѵȹԷá
ֹͬⷽװޡӪʩ豸ܴߵԭⷽһŲ貹
ⷽڲǨⷽȨԺߺִУⷽʧɳⷽ⳥
ΥԼ
1ⷽδͬĹ涨ⷽϺҪķݵģӦһΥԼ;
2ⷽδʱⷿݹⷽʹõģһΥԼ;
3ⷽڽģӦ⣬Ӧ֧ΥԼԪ;
4ⷽԸı䷿ݽṹɳⷿݻٻģӦ⳥;
5ǰֹͬɴһľʧӦ⳥ԷӦʧ
ڰ
1йزżڼ䷿ɿԭ»ɳⷽʧģ˫е;
2ڼ䣬Ǩúͬн
ھĽʽ
ͬйз飬˫Э̺ͽ⣬Ҳ®ͬ⣬ͽⲻɵģ˫ͬѡ
1®Ժߡ
ʮԼ
1ⷽӦޱ֤ҼԪ˻;
2ͬڷˮѣɳⷽʵⷽҪ;
3ⷽΥͬнⷽȨȡϵڵشʩ;
4ϷлⷽԷɳⷽе;ⷽװĵ綯ŵȲȨⷽС
5ⷽṩ䷿乩ʻԱϢ
ʮһͬδˣ˫ͬЭ涨涨뱾ͬͬЧ
ͬһʽݣͬ˫ִҼݣͬҼݣͺϷзزֱ
£_________
ҷ£_________
ˣǩ֣_________
ˣǩ֣_________
_________________
_________________
ҵȫݳͬ3
ⷽ____________
֤룺________________________
ҷⷽ____________
֤룺________________________
ҷзΪ_________ʹã˫鶨£
䣺______________________________¥_____________Ԫ_________ŷʹ_________ƽ
һԼΪҷȡóⷿʹȨƾ֤ס˫عйסլɺͱзߡ
䶯ʱÿҷӦ_________ǰ塣
ҷ֮һʱֹԼջطݣ
1ѳķתãת˽Խʹõ;
2δͬ˽Ըı;;
3Ƿ________ϵġ
ġɱ飬άݺ豸ϰȫʹáάʱҷӦЭ谭ʩ£鲻ܣάʱ·ݵʹҷܾʧʱɼ⳥
塢ΣգܼʹãڳʱҷӦǨסɼҷӲǨɵһʧҷ
ҷķݽзҷȳȨӦǩЭ顣
ߡҷԳķݼװ豸Ӧ𱣹ܣʹãע𡢷ҷӦ⳥¥ݼ䡢ŵȵȹ÷ݺʩҷӦʹãעչܣֹ
ˡҷ˽Բġݻ豸ʱӦȡüͬǩЭɶҷӦָԭ״
šҷⷿʱӦǰ֪ͨ
1Ӧɵ⳥ѡ
2Լ𱣹ܵķݼװ豸
3Լ
ʮҷܡйܵķڷԭʱֹԼ
ʮһҷķҽ裬ҪʱֹԼҷ跿ݰйع涨
ʮԼԼ________________________ֹЧһ_________ݣ˫ִ_________ݣδˣ˫Э
ǩ£_________________
ҷǩ£_____________________
ϵ绰________________________
ϵ绰________________________
________________________
________________________
ҵȫݳͬ4
ˣ__________
ˣҷ__________
һҡʡйطɡ漰йع涨˫ƽȡԸԭЭһ¶ͬͬء
ڶͬ⽫·֣__________ŷŵķززȨ֤룩ҷ;ʹãʹã__________ƽף̯ý__________ƽס
˫Эޡ£
__________֣____________________ԪСд__________д__________
____________________________________________________________
____________________________________________________________
____________________________________________________________
ҷɣңԪ֤𣨿ȡӦ֮ͬս֤˻ҷֳ𣩡
˫Ҫְ
1.˫ӦС䡷 л䡷 㶫ʡ з涨йطɷĹ涨
2.˫ӦЭйز÷ޡݰȫȫΰƻۼðαƷIJ鴦
__________
ҷ__________
ʱ䣺__________
ҵȫݳͬ5
ⷽ_____¼Ƽ
ⷽ_____¼ҷ
ݡлͬйع涨Ϊȷס˫Ȩϵ˫Эһ£ǩͬ
һ________________________ķݣҷʹá
ڶ
ڹ___£_________˷ݽҷʹã_________ֹ
ҷóⷿݽתǷġֹͬջطݡ
ͬԼⷿݣҷͬӵȳȨֹͬʱҷȷʵҵµķݣЭӳޡ
𡢽ͽɷʽ
˫鶨_____Ԫңд__________ɷʽΪ__Ĵθ
һ_____Ԫڣǩͬ
ڶ_____Ԫڣ____
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ڵļҾߵȷ
˫˴¹Ь¼ȼ¯߹
⣺һáסڼҷάޣ
˫ı
1.ȨתƸʱԼ£ͬµķЧ;
2.ҷҪ˻÷ʱӦüͬ⣬Ӧ֧ҷĺҪ
ҷصסڵĸƶȡʱˮӡ绰ȷáҷ¾и𡣡
ˮ硢ǣˮ____֣____ȣ____
ҷѺ____Ԫҷ˷ʱˮ硢ѣԿɼ˻ҷѺ____Ԫ
ڰΥԼ
˫һδбͬԼΥԼ⳥ԷΥԼ_____Ԫд__________
ھ
1.ɿܵԭٻҷʧģ˫еΡ
2.Ҫķݣʹ˫ʧеΡԭֹͬģʵʹʱ㣬ٲ
ʮķʽ
ͬ緢飬˫ӦЭ̽;Э̲ʱκһ⣬ЧʱúͬٲίԱٲãҲԺߡ
ʮһԼ
1.ƾƷҷסڼҷԼάޡ
2.ͰˮůԼάޡ
3.ҷӰھӵΪ
4.ˮ磬ȻúʹùɶԼԼھӵ˺ҷȫ 5_______________________________________
ʮͬδˣ˫ɹͬЭ̡
ͬһʽ2ݣҷִ1ݡǩ֮ЧԶϡ
ǩָ£_________
ҷǩָ£_________
֤룺_________
֤룺_________
ϵ绰_________
ϵ绰_________
סַ_________
סַ_________
___________________________
___________________________
ҵȫݳͬ6
ⷽ¼Ƽ_______
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ⷽ¼ҷ_______
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ס˫ѺЭ̣ͷ˴Э£
һݻ龰
ݣ¼Ƹ÷ݣڡ÷;Ϊס˫Լ⣬ҷı䷿;
ڶ
_________________________________ֹӦ________________ǰ÷ݽҷҷҪޣӦǰ1֪ͨ
ط
1÷ΪҴдԪһԸ塣
2Աͬǩ֮ҷ֧ԪҴдΪѺ
3ڷڼ䣬ҷ֧ˮѡѡȼѡҵѵȷá
˫ְ
1ںͬδǰǰˣҷ龰£ͣˮͣ磬ҷϵIJ㡣ķɼе
2ҷӦطôΥΥͻеɴɵȫְ;ҷӦעסȫвȡ𡢷Ȱȫʩǿõ硢ȫеסڼȫȫְ;ҷڣøı䷿ݽṹʩ
ΥԼְ
ڼ˫κһΥͬ涨ԷҼǧԪΪΥԼڣҷ֮һļֹܹͬҷеȫְ⳥ʧ
1δͬ⣬ҷԽת⡢תûת;
2ҷóⷿݽзǷġ
Լ
1Ϊҷʩ
2ǰˮ硢״ˮ_____;_____;Ȼ_____ȡ
3ͬδ涨лйطɡִСз飬˫Э̽Э̲ʱ˫Ժߡ
4ͬԼס˫ǩ֮Чһʽݣס˫ִһݡ
ǩ֣_______________
绰______________________
ҷǩ֣______________
绰________________________
_________
ҵȫݳͬ7
ⷽ¼Ƽ_________
ⷽ¼ҷ_________
˾ƣ_________
˾ƣ_________
˾ַ_________
˾ַ_________
ˣ_________
ˣ_________
ݡл䡷йع涨ΪȷҷȨϵ˫Ըƽȡȼгԭ¾Э̣ضͬ
һ
һλ__________________ҷķݾкϷȨ
ҷķݽΪ______ƽףʹΪ______ƽסͬҷⷿΪӪã䷶ΧҷӪҵִΪ
ΪҷṩķУʩ豸豸мάã֮ڣҷиѡ
ġ________________________________________________
ڶ
塢______꣬____________________________________ֹ
ͬЧΪ______Ԫң
ߡÿһȰ¼㡣
ˡѰճʵʹշѣÿ10ǰµѣʾշѷƱã˫Э̲ڱڡ
˫Ȩ
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һӦ֤ķݼʩòܹʹã켰ճάά;Ҫйʩиʱзɼ
ҷķװʱķмල鲢ʱ
ЭйزŵĹϵΪҷӪҵִṩЧķ֤
ģ֤ԭеĵߡҷӪҵʹãԣҷ⣩Ӧʱҷͨڹ·ҷɾʧӦҷȫ⳥
壩ںͬڣٴͬࣨƷ̻ΥԼӦҷ⳥ԪҾʧѣ̻
Ӧ֤ⷿݵʩҵ涨ҷṩϽųߵĵ硢ϸ֤鸴ӡ
ߣ豸ʩӦʱܼʱʵʩҷȨΪãԷƱΪɷ۳
ʮҷ
һڹҷɡ桢ķΧڽоӪ칫
ͬЧڣķݼʩӵкϷʹȨ
ͬݽá
ʽʱ
ʮһҷǩͬʱ______ԪΪʽסڽһµ______ԪҸ
ʮҷӵڶθʼÿڱǰ5콻
ʮҷ֧ĸÿɲתʡ֧ƱƱֽȷʽ
װʮġҷҪݽװʱüͬ⣬ķҷԸںֹͬϵʱҷװ뷿йصʩȫУƶʩ⣩
ǩ£_________
ҷǩ£_________
ǩص㣺_________
ǩص㣺_________
_________________
_________________
ҵȫݳͬ8
ⷽ______
֤_________________
ⷽ______ҷ
֤_________________
ס˫зݵЭ飺
һݻ
ݣ¼Ƹ÷ݣ____________;________㡣
ڶ;
÷;Ϊס
__________________ֹ
÷Ϊ__________Ԫ
ڼ䣬йߵ߹涨;֮⣬ⷽκ
ʽ
ҷ________֧
ӦڱͬЧ֮______ڣ÷ݽҷ
ڷڼйط
ڷڼ䣬ˮҷ֧
ڰ
1ҷҪޣͬ;
2δȷʾģΪͬҷ;
ھΥԼ
ڼ˫غͬκһΥͬĹ涨ԷΪΥԼ
ʮɿԭ¸÷ݻʧģ˫еΡ
ʮһͬδɼס˫鶨ǩЭ顣Э뱾ͬһµģԲЭΪ
ʮ֮ͬΪͬɷָ֮һ֡ͬ丽ڣոдӡˢ־ͬЧ
ͬ丽ͲЭδ涨лйطɡִС
ʮԼ
ⷽΪṩƷ£
1________________________
2________________________
ʮͬз飬ɼס˫Э̽Э̲ʱס˫Ժߡ
ʮͬԼס˫ǩ֮Чһʽݣס˫ִһݣͬЧ
ǩ£__________
ҷǩ£_________
___________________
___________________
ҵȫݳͬ9
ⷽ_______________¼Ƽ
ⷽ_______________¼ҷ
ҷҪͬ⽫_________________________ҷסʹãΪ֤˫ϷȨ棬˫ѺЭ̣ͷ˴Э顣
һЭЧڣⷿڣ
Э_________________________ֹ
Ѻˮѽ㡢ʽ
1ÿΪ____________________ԪСд_______________ȸȽס
2ⷿΥԼΪ____________________ԪСд_______________,Эǩ֮һԸ塣
3Ϊ_____Ԫ/ȣˮΪ_____Ԫ/֣ˮȡÿ½һΡ
ȨΥԼ
1ҷߵ`֤ӦʵϷЧһҷйҷΥԼҪҷ˷ҪʱɱأҲ˻ҷκΥԼ;˷ΥԼ
2ҷⷿݽסʹãҡ紦д;ʹãҷڼijڵһΪӦϹейطɡĹ涨ҷIJбܺ;
3ҷʹסʱŴ桢ǽ桢ľذ弰õ豸ȫҾߵȣһռ⳥סڼκװӦͬ⣬ѭ"ȥ"ԭ;
4ҷӦӲʶˮܵ𣬼Ȩල;
5Э˷ʱҷպɰ˷ΥԼڿ۳;
6סϰȫ¼㷿⣬ЭҷҪ˷Ӧǰһ¸֮ΥԼˡһδסδ֪ԶΥԼȨд;
7ҷδΥЭ£Ҫҷ˷Ӧǰһ¸֪ҷ˻ҷΥԼ;
8ȡҷΥԼˮʱӦɼǩֵվݣҷڳںƾվ˻ΥԼ;
9ЭҳΪⷿ䱸ʩ嵥
10Э鵽ںԶʧЧҷȳȨ;
Э鹲ҳһʽݣס˫һݣס˫ͬʱǩֺЧЭδˣס˫ӦѺЭ½
_______________
ҷ_______________
ֻţ_______________
ֻţ_______________
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ҵȫݳͬ10
________________
ҷ________________
ݡл䡷йطɡĹ涨˫ƽȡԸĻϣͷй¼ҴЭ£
һݻ
λڳҷʹãƽףӦ֤÷ʵϷЧȨ÷ݡ
ڶ
1________________________________Ϊҷ;ģ뾭ͬ⡣
2Ȩջظ÷ݡҷģӦǰҼҪͬ˫ǩͬ
1ÿҷӦǰһԽ°
2ҷʹʱҷ֧ޱ֤𣬼________ȡӦҷտƾ֤
ڣ÷йظõijеʽΪ
1ҷӦеˮѡѡ绰ѡӷѡյѡѡҵѵȷáҷӦ沢ʾؽɷƾݡ
ݼʩά
1ڣҷָ÷ݼ丽ʩзΪɵʱӦʱ֪ͨӦڽӵҷ֪ͨҼڽάޡڲάģҷɴΪάޣɼе
2ҷӦʹò÷ݼ丽ʩҷܲʹãʹ÷ݼ丽ʩϵģҷӦάе⳥Ρҷܲάܲе⳥εģɴΪάҷеɶԼشʧģҷ⳥⣬ͬ˻ޱ֤
3ڸ÷ݼ丽ʩȻԻʹöµģҷеΡ
ͬĽ
˫Эһ£Խͬ
֮һʱҷȨͬ
1δԼʱ佻÷ݵġ
2ķݲϺͬԼӰҷʹõġ
3ķΣҷȫġ
ҷ֮һģȨͬջظ÷ݣҷге
1֧߲Լʱ֧ġ
2Բı䶯ṹġ
3Խת˵ġ
4ø÷ݴΥġ
ΥԼ
1ڣǰջظ÷ݵģӦǰ֪ͨҷȡѺ˻ҷ
2ҷԶԸ÷ݽװޡװλģҪҷָԭ״⳥ʧ
3ڣҷǰģӦǰ֪ͨ۳50%֤
ڰԼ
1ʱ˫Ӧݼ丽ʩĵʱ״Ʋйȷϡ
2ֹͬҷӦںͬڵǨ룬ز֤زʩãͬʱӦҷеĸòйƽ
3ݼʩ豸ʹùУҷʹòʳɵκΰȫ¹ʣҷеȫΡ
4ͬҷ밴ʱҷȫǨ3ڷΪҷȨɼҷڲǨҷӦ⳥ܵʧҪʱԺߺִС
ͬ˫ǩָЧͬһʽݣ˫ִһݡ
ͬЧ˫ԺͬݵıӦȡʽΪͬͬȵķЧ
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ˣ_________
_________________
ҷ_________
ˣ_________
_________________
ҵȫݳͬ11
ⷽ¼Ƽ_________
ⷽ¼ҷ_________
Ϊü÷ݣҷľסҪݡл䡷йع涨ΪȷҷȨϵ˫Ըƽȡȼгԭ¾Э̣ضͬ
һ
1λСֻṹ0.00ƽס֤ţһҷסʹáķݾкϷȨԴϷ
2ΪҷṩķУʩ硢ˮ绰豸豸мάã֮ڣҷиѡ
ڶ
Ϊ0.00꣬______________________________________________________ֹ
ݼ㣬ÿ0.00д0.00Ԫ0.00깲0.00д0.00Ԫ
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1Ӧ֤ķݼʩòܹʹãճάάޣҪйʩиʱзɼ
2ҷķװʱķмල鲢ʱ
3֤ԭеĵߡҷʹãԣҷ⣩Ӧʱҷͨڹ·ҷɾʧӦҷȫ⳥
4豸ʩӦʱܼʱʵʩҷȨΪãԷƱΪɷ۳
ҷȨ
1ڹҷɡ桢ķΧںϷʹá
2ͬЧڣķݼʩӵкϷʹȨ
3ͬݽá
ʽʱ
1ͬǩڣҷһ֧0.000.00д0.00Ԫ
2ҷ֧ĸÿɲתʡ֧ƱƱֽȷʽ
װ
ҷݺڲӰ콨ṹȫǰ£ɶݽװ죬װķҷԸںֹͬϵʱҷװ뷿йصʩȫУƶʩ⣩ƶʩҷɴá
⼰ȹȨʹ
1ڱͬҷȨҷ⣬ӦձͬԼҷ⣬ǩµͬó20ꡣ
2ںͬڣ۸÷ݣҷЭ̹ҷͬģ˫ǩЭ顷ȷ˫Ȩϵҷͬģ桶ȹȨƾˡȹȨ̶ˣݳ۸˵ΪЧ
ڰͬı
1ͬijҪʱ뾭˫Эһº淽ʽȷ˫жЭ顣
2ͬЧڣδ˫Эһ£κһȨκɵͬκһԶԷû߲ʱܾԵĺͬΪ֤ܹͬʵУڣܺͬЧЧǷʵеӰ졣
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ھΥԼ
ס˫ΥͬκһԼΪΥԼΥԼ谴ΥԼеӦΥԼΡΥԼûԼģձͬԼеΥԼΣͬ䱾ûԼģطɡĹ涨е⳥Ρ
1ͬǩʱҷݣҷܼʱʹ÷ݵģɼÿհ֮ܶҷ֧ʽռ÷ΪΥԼ𣬱ͬС
2ͬǩҷպͬԼʱ估ʱģҷձͬԼ˫֧ΥԼ𣬱ͬС
3ס˫ںͬЧڣͨǩͬЭ飬ʵѾ߽˱ͬġΥԼΪȷΥԼγеʽЭߺͬԼ
ʮͬЧ
1ͬס˫Ȩǩ֣λӸӡºЧзЧ
2ڱִͬйУף˫ѺЭ̣30ЭδܴһʱٲίԱٲý
ʮһ
1ס˫Ȼ֤ӡΪͬĸ
2κһûʹȨûоΥԼΥԼΪȡκжӦΪǶȨķΥԼεķκһΥԼijȨΥԼijΣӦΪȨεķзӦʽ
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