ⷿⷿͬ
ڲϽУԽԽijͳҪõͬ£ǩͬ뾭涨ķʽôͬĸʽСྫⷿⷿͬӭĶϣܹϲ
ⷿⷿͬ ƪ1
___________
ҷ___________
ΪȷȨϵ˫ƽԸЭһǩͬ
һ˽_____________________________________________˾סʹáѶԷݵIJ֡ʩͬա
Ϊһ꣬ʱΪ________________________
ʽ
Ϊÿ_______Ԫ{______Ԫ}ҼΪ________Ԫ___________Ԫкͬǩ֮ȸµΪ_______Ԫ___________֮ǰ֧_______Ԫ
ġ˫Ȩ
1ڼ䣬геˮ硢ůҵӵطá
2˿ԸṩճƷʱýˡ
3˲ڷơӰھϢ
塢δͬ⣬ýתˣ緢ΥгеΣǷӦе.طãȨͬ
δˣ˫Э̽
ͬһʽݣ˫ִһݣ˫ǩ֮Ч
ǩ£____________________
ҷǩ£____________________
____________________
ⷿⷿͬ ƪ2
ⷽ¼Ƽ_________________
ⷽ¼ҷ_________________
ס˫зݵЭ飺
һݻ
ݣ¼Ƹ÷ݣڣ
ڶޡ
____________________________ֹ
÷ΪҴд____
ڼ䣬йߵ߹涨֮⣬ⷽκ
ʽ
ҷ_____֧
Ѻ
ס˫Աͬǩ֮ҷ֧൱һ·ĽΪѺ
1ҷҪޣͬޣ
2δȷʾ'Ϊͬҷ⣻
ΥԼΡ
ڼ˫غͬκһΥͬĹ涨ԷΪΥԼ
ڰ
ɿԭ¸÷ݻʧģ˫еΡ
ͬδɼס˫鶨ǩЭ顣Э뱾ͬһµģԲЭΪ
ͬ丽ͲЭδ涨лйطɡִС
ͬԼס˫ǩ֮Чһʽݣס˫ִһݣͬЧ
ǩ£____________________
ҷǩ£____________________
____________________
ⷿⷿͬ ƪ3
ⷽ
ⷽҷ
ƽȡԸЭһµĻϣס˫зݵЭ飺
1 ݻ ݣ¼Ƹ÷ݣ ¥____Ԫ ҷס
2 ;÷;Ϊ_______ ˫Լ⣬ҷθı䷿;
3 ޣ ____________ _______ֹ
4 ÷Ϊ ң___ Ԫд
5 ʽ ¡꣩㣬ҷÿ ¡ ꣩ĵ ǰ ʽɸ
6 ԲȨijŵ ֤ڳ÷ûвȨףЭԼ⣬йذҡѺծ˰ȣڳ÷ǰסδɼеȫΣɴ˸ҷɾʧģɼ⳥
7 ڷڼ'йط ڷڼ䣬·ҷ֧
aˮѣ
búѣ
cźŷѣ
dҵѣ
ⰴ̯õˮʼ ʼ úʼ źŷ ҵ
8ҷֹͬԼ ҷ֮һģֹͬջطݣɼʧҷ⳥
aԽķתģ
bԽķתáת˻Եʹõģ
cԲijⷿݽṹıⷿ;ģ
dǷۼƴһܣ
eóⷿݽΥģ
fⷿݵģ
9ǰֹͬڼ䣬κһֹͬǰ1֪ͨԷΥԼΪΥԼΪһ·⡣
10 ɿ ɿԭ¸÷ݻʧģ˫еΡ
11 ͬ ͬͬ___ҳһʽ___ݣס˫ִһݣͬЧ
ǩ£____________________
ҷǩ£____________________
____________________
ⷿⷿͬ ƪ4
ⷽ
ҷⷽ
־˫˽⡢Э̣һ´ⷿͬ
һڡ
ޣ ա
ʱ䣺ÿ ԪҷӦÿ¸һΣȸסһҷӦڼݽͬʱ⸶ڶμԺҷӦǰһ¸塣
ġⷿѺҷӦǩԼͬʱѺ Ԫڽ㣬黹
塢ڼԼ
1ҷӦṩʵЧ֤ӡҼݡ
2ṩõ.ݡʩ豸ҷӦעⰮƻװޡṹʩ豸Ӧ⳥ʹзΪӦɼ
3 ˮ硢ú绰硢ߵӵȵʹ÷Ѽҵݡѵзöҷ֧סճˮȣȣúȡзҷӦʱ塣
4 ֻҷʹãҷ˽ת⡢ıʹʻǷ;±ҷӦǼǡס˿ڵǼǵǷ¼ҷԸڣȷǰջطʱӦ̵ҷͬ⣬ҷʧģӦ⳥
5 ͬһǩ˫ǰڣɿصбͬģͬȻֹ˫еΥԼΡ
6 ˺ͬδˣ˫Э̽뱾ͬͬЧ˫־ףѺЭ̣Э̲ɵģԺö
7 ͬǩ֣£Ч
8Լ
ΥԼΣ
˫һΥԼģΥԼӦԼ֧ΥԼΥԼΪԪʧΥԼʱ⳥
ߡͬһʽݣִһݣͬȷЧ
ǩ£____________________
ҷǩ£____________________
____________________
ⷿⷿͬ£
ⷿⷿͬͨ12ƪ07-29
ⷿߵⷿͬѡ13ƪ04-23
ⷿߵⷿͬͨ9ƪ06-08
ݵⷿͬ ⷿͬⷿͬ12-16
[ⷿ]ⷿͬЭ08-06
ⷿⷿͬ03-05
ⷿͬϸⷿͬ12-08
ⷿͬⷿͬ09-01
ⷿͬⷿͬ03-05
Գⷿͬͨ14ƪ07-28