ⷿͬ
ڵϷչ磬ͬеĴԽԽ࣬ͬЭˣ֮ĹϵôͬĸʽСĴⷿͬӭĶϣܹϲ
_________(ⷽ)
ҷ_________(ⷽ)
˫ҷһ£Э̴Э飺
һⷿݵλáԼ
1ͬⷿ____________
2ݵĽ___ƽסʹ___ƽס
3ⷿݵķݲȨţ_________
ڶڲװҪ豸
(÷ͬЭҪдڵװҪ豸豸磺Ϊװޣ豸Ϊxxx)
Ϊ___(/)__________________ա
ǰ___죬ҷҪ⣬ҪṩɼǷǩͬ
ڣݣӦǰ___֪ͨҷҷڽӵ֪ͨ___ھǷʹȹȨҷڲôΪȨ
佻ɷʽ
ÿ___Ԫд_________
½ͬǩҷӦ֧һȵ
Ժÿ__ǰҷ֧¸ȵ
Ѻ
Ѻ___Ԫд_________ѺڱϷڵ豸ã豸Ȩг۸۳Ӧ⳥
ͬҷûڵ豸Ӧںͬ˻
ɺװ
Ӧ֤ݷϺͬԼʹ;֤ˮ繩Ӧ©ˮǽȻ䡢ˮӦȶҷʹ÷ݾӰΣӦڽӵҷ֪ͨ__֮ԽҷȨǰͬȨҪ֧ΥԼ
ҷʹùУԸı䷿ݵĽṹװΪΥԼӦ֧ΥԼ
ݳ
ڼݣҷֲԸӦ֤ҷԼޣֱڼ
ڰΥԼ
1ڼڣҷΪȨͬջطݣȨݱЭҪҷеΥԼΡ
1)Խת⡢תáתģ
2)óⷿݽзǷģ
3)Ƿ__¡
2ҷڽ𣬳Ӧ⣬ӦǷ֧ΥԼÿΥԼıΪǷ__%
3ҷת⡢תáתģӦ֧___µΪΥԼ
4һкͬԼΥԼΪΥԼӦԼ⳥ΥԼɵʧ⣬Ӧ֧___ԪΥԼ
ھȳȨ
ڼⷿݣҷͬȳȨڼҷȷʵҵݣӦһµĿڣڵķԼķһ
ʮ
ɿΪºͬʱ˫еΡʵס㣬ٲ
(÷ͬЭ涨Э)
ʮһķʽ
ͬй緢飬Ӧ˫ѺЭ̣Э̲ʱڵطԺϡ
ʮͬ˫ǩ֮Ч һʽݣ˫ִһݣűһݡ
ʮݲȨ֤ӡҷ˫֤ĸӡΪ֮ͬͬ
ⷽ_________ ⷽ____________
绰___________ 绰___________
ַ___________ ַ___________
__________________ __________________
ⷿͬ£
ⷿͬ02-22
ⷿͬ06-13
ⷿͬ02-22
ⷿЭ02-21
ⷿͬ03-19
ⷿͬ08-30
(ͨ)ⷿͬ03-12
ⷿͬ04-01
[]ⷿͬ3ƪ12-27