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      1. ƮI͘Ifh

        rg2022-11-02 16:55:20 fh ҪͶ
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        ƮI͘Ifh

        ڬFУfhʹõlԽԽӆfhʹpܵɵıoôʲôӵąfhЧСʹıƮI͘Ifh҅bϣԎҪ

        ƮI͘Ifh

        ƮI͘Ifh1

        I__________________

        Bλ________________

        ӆ͘Ifhصėl

        һl͘Ifhmڅӳξ͘IͨУIоƮI;ЇȵӛעԵĸI˜Iλ;ҙCPԼЇɺ˜ʵӛ˾֧C

        ڶlӆ͘IfhƽȡԸ\õԭt

        lIcˆλЙ˽⌦ČHr˽ⷽ猍BԼrŪ̓١

        ėl͘Ifhslslݲ`ҷɺҎµPҎÓpWУˆλͮI`•uϷ

        lIcˆλ͘Ifhijsھ͘Ifhע磺ˆλMҪܲT˜ʵڅfhмs˜ʺ͘Ifh

        lfhIˆλֻwºЧWУbCӛ麞l󵽵

        ߗlfhһʽķIˆλIڌWԺ͌WУһݡ

        pfhҪl

        ˆλˆλQ:_________ܲT:______________

        ͨӍַ:_____________]a:______________

        “ϵ˼Ԓ:_________λ|:______________

        n:_________________

        ՆλQ:_________________]a_____________

        Ԕַ:_____________

        I:_________________Ԅe:__________________

        :_________________:______________

        WԺ:_________________I:__________________

        ò:_____________Wλe:______________

        Wv:_________________Bʽ:______________

        Դ:_______________r:______________

        “ϵʽ:_____________

        pf_…fh

        һlIĵc____________________

        ڶlIĹλǣ__________________

        lIwصַ________________

        ˆλÿ֧Ąڄӈǣ________________

        Iˆληյǣ____________

        Iˆλ󵽺Ƿӆ__________ͬ

        fhǷҪˆλϼܲT˜ʺ

        p̶вEQh

        һfham͠hf̽Q

        f̲_һҊκһ򮔵ܮI͘ITՈ{⡣

        {ⲻ_һҊԺVA

        һ`sһГ`s؟εķʽ_____________s֧`sģ`s~߲^ Ԫ`sһͬһwº󷽿ɽfh

        s_________________________________________________

        IҊ___________ˆλҊ_______________

        ֣_________________֣_______________________

        ________________________________________

        ˆλܲTҊ_______

        w£_________________

        _______________________

        ƮI͘Ifh2

        I

        ˆλ

        IWУ

        ____________ߵȌWУI͘Ik

        yһӡ

        ____________ߵȌWУI͘Iָ

        ͨߵȌWУI͘IҎҪf̣p_…fh

        һ׷cҷͨ^px_һҊӆͨߵȌWУƮIIо͘Ifhfhһʽסp͌WУһӡoЧ

        ׷猍ҷBλrԼMҷλrҷ猍׷B˵.rҎsރȈ

        ׷ͬҷõķʽ(Ƹá˾ȵ)_

        ҷ׷󵽺pPɷҎҎӆڄӺͬ(Ƹúͬ)kPmڄӺͬ(Ƹúͬ)ӆfhԄӽKֹ

        pfh15Ճ___(׻)fh(һʽ)͌WУbCӛWУbCӛ͘I

        fhpwºЧ`s`s֧`s()_Ԫ(IWܰr͘IǷ`sp̶)

        pslڱfhעfҕ鱾fhpͬ

        -----------------------------------------------------------------------------------------------------------------------

        ׷(ˆλ)

        ²T ˆλϼܲT

        (ĆλoϼܲT)

        k˺ k˺

        -----------------------------------------------------------------------------------------------------------------------

        ҷ(I)

        -----------------------------------------------------------------------------------------------------------------------

        bCӛ(WУ)Q--------------------------------------------------

        WУI͘ITQ(w)--------------------------------------------------

        bCӛҊ-----------------------------------------------------------------------------------------------------------------------

        “ϵַ “ϵԒ

        ƮI͘Ifh3

        ׷_________

        ҷ_________

        pf̣ͨ^׷Wcҷpxҷԇ˺ϸü׷WҷM픍ɿϸҷðž͘I˴_׷W͘Iҷ헹MУSopęغӆ…fhY

        һ(͘I)WI˔

        _________

        rgc

        rg______________________________________________________

        c_________

        Ҫݣ

        _________

        pš؟

        (һ)׷š؟

        1.׷ؓ؟ҷrBoWWcLhԸWУc͘IՈ׷ҷ]

        2.׷]Wr猍BoҷM׷WcҷMpxfҷ_ÌW

        3.׷ؓ؟MWk帰ǰPmkWnƽڽDIDzȹ

        4.׷WҷSҎ̈́ڄӼoҷceOaڄ`ߣҷЙuͽom̎鹝߿֪ͨ׷ֹ䌍˻،WУɿ̎

        5.׷WڌgסԺlPMpPҎ̎

        6.׷Wڌgl¹ҷeOMIԭɂҷoҪaРhrPҎ;ڱԭɂ؟ԼГҷГκMú؟Ρ

        ()ҷš؟

        1.ҷؓ؟׷Wxһ˼ˮƽ͘I|Ď˼agϤλԼȷPĽWɌ΄

        2.ҷؓ؟׷WṩõĹcWl׷Wcҷšһҕͬҕ

        3.ҷؓ؟׷WṩҪĄڄӱoƷؓ؟WİȫcOoCŌ`ΣU

        4.gҷҪ׷WMЇ˼oɺ͘IտˣYɿ֪ͨ׷ܲT

        5.ɿϸļ׷WҷҪʽãc׷WӆP͘IڄӺͬr֪ͨ׷͘IܲT;ɿϸҷ׷Wf֪ͨWҎrgУЌI

        6.׷aԌČWҷ׷W֧һĄڄՌMaf̞錍_________Ԫ/¡ˡ؄eČWҷǰöҎ˜֧Y

        헣

        _________

        `s؟Σ

        1.׷`sҪГҷڄՌMaȽpʧU{`s_________Ԫ/ؓȫ`s؟Ρ

        2.ҷ`sҪԅfhްҎ˜֧YڄՌMa_________Ԫ/Ծ͘Iaؓȫ`s؟

        fhһʽݣ׷͘IܲTһҷһ

        ˡfhԺ֮ЧЧڵ___________________________ֹ

        ׷(w)_________ҷ(w)_________

        ؓ؟()_________ؓ؟()_________

        ͨӍַ_________ͨӍַ_________

        “ϵԒ_________“ϵԒ_________

        棺_________棺_________

        ]_________]_________

        _________________ա_________________

        ӆc_________ӆc_________

        ƮI͘Ifh4

        ׷

        ҷ

        PɷҎ͌WУҎƶȣʹWУgɌWIIϹλpѺÅf_Ʌfh£

        һ׷x

        1ؓ؟WĽ̌WͽṩČWl

        2ؓ؟ڌWУҎn鿼ԇɿbϸČWloIC

        3ؓ؟MWȫ͵طܲTIYCԇMҷ

        4ؓ؟ȡÌIYԇϸĮI]ԌWI֮________֮ț]]ύҎ߀ҷȫWM

        ҷx

        1ŬW؇ҵķɷҎº͌WУĸҎƶ;

        2̿@У쾚մͨP_Һ͌WУҎĘ˜;

        3r{WMMסMȸNMá

        

        WУg鹝֮һ

        һl4s

        1δȡÌWУIC;

        2Уgԇ;

        3`o֮̎Irδ;

        4ܽ^]چλ͘I

        WУgČWM____нܲTrҎ

        1_WǰҪˌWDWČW߀ȡWWM.____%;

        2_WһƒҪˌWDWČW߀ȡWWM____%;

        3_WһһWڃҪˌWČW߀ȡWWM____%;

        4^һWҪˌWČWM;

        5`oˌW򱻌WУ_ČWWMסMM

        ˅fhpͬز`ߺͲɿԭг

        ˅fhp֮Ч

        ׷w£_______________ ҷw£___________________

        ׷_______________ ҷ___________________

        ַ_______________________ ַ___________________________

        Ԓ_______________________ Ԓ___________________________

        棺_______________________ 棺___________________________

        ڣ_________________ ڣ_____________________

        ƮI͘Ifh5

        ׷

        ҷ

        ߵȌWУI͘Iָ(ºQ׷)ǸУI͘IܲT(ºQҷ)®I(ԺУ)Iʡпh(^)Դ׷cҷͱ(IIWУ͘IT)ʡ()PڸУIՈ͘IPҎҷՈҷ͘If̣_…fh

        һҷ͘Irg

        ͘Iރҷęnίм׷ܣҷ회Ч“ϵַԒ֪ͨ׷;ҷđ(WrδwWУİPҎk)hFPϵϰҎڱؓ؟ṩˆλҷУgڕ͘IgОFb

        ͘IރҷÿһԺϵRPrhTҪ˼RӽMҷԅӱekĸN͵Ƹ@ȡˆλϢcˆλMpxԼ@ȡṩP͘Iա

        ͘IރȣҷҪW(W)󿼹ՆTr׷ؓ؟ҷcWPĺ͈󿼹ՆTPCҷ횳ֱfhIC׷k;ҷkʧICYCӋCՈWm횽KֹfhnڼPϵDԴخI͘IܲTԴذPҎkPm

        塢͘IރҷԴؾ͘Iģ{fh׷kDzm;ҷڷԴ䌍͘Iλ{fhخI͘IܲTC׷kDzm

        ͘IރҷڷԴ䌍λԴؾ͘IkDzm.{Cfh׷knDfm׷傀ՌҷnəCҪTDf(r)ҷδDfY϶ənDf`ҷГһ؟

        ͘IތÝMrҷδ䌍͘IλڕތÝMʮ׷kDzԴغ͙nDfԴخI͘IܲTmkwhFMPϵDmfhڕrҷk׷ЙnDҷԴصؼЮI͘IܲTCɱɱBͬhFPϵһĻԴһкҷГ

        ˡ͘Iރҷ횇طҎoҷ``oԼ¼mڄռmռmȣķ؟μҷгГcoPҷڄӽBﱻ׷؟εģ׷Йȡ䕺͘IYҷnDԴؼЮI͘IܲTPϵhMPϵϰfhߗlPδ䌍λIҎk͘IgtMMҷ˳Г

        fhһʽݣ׷ίбһfhԱfhҷnҎrgƽo׷֮Ч(nδ׷˅fhoЧ)

        ׷£_________£_________

        “ϵַ_________“ϵַ_________

        ]a_________]a_________

        ____________________________

        ҷ£_________

        “ϵԒ_________

        ַͥ_________

        ]a_________

        ______________

        ƮI͘Ifh6

        ׷____________

        ҷ____________

        ȫ؞ؽPBĿԾ͘I錧kWBӖ͘IĽ̌WģʽʹI܉Wpf̺ӆfh

        һ׷еš؟

        1.ҷṩWϣʡdkʽȡmؓ؟WIC͘ICk;

        2.ҽҎ.̌WӋͽ̌WVˆλČHMн̌W|ɸWƵĽ̌W΄;

        3.WIؓ؟]͘IÿλWṩһ͘Iλ;

        4.ؓ؟IǰӖ;

        5.ؓ؟]͘IČIԺ______ĸšI

        ҷеš؟

        1.WޝMҎČWr;

        2.Уg횇،WԺҎƶȣ̿Wɿ_ϸ;

        3.WWԺṩ挍ЧWȡ;

        4.WУgόWԺMύӖ]͘I

        ҷFr֮һ׷ؓ؟ù

        1.УgJWWn̳ɿвϸܰrȡîIC;

        2.r{WM򽛌WԺSڮIǰδRȫWM;

        3.Уgܵؾ漰̎;

        4.Iо͘I;

        5.oڂ˺Ð]͘Iߡ

        Ҏ

        1.lfhl֮飬pf̽Q;

        2.ʮܚqµČWɱOo˺;

        3.fhһʽɷWԺ͌Wһ

        ׷w£_______________ ҷw£___________________

        ׷_______________ ҷ___________________

        ַ_______________________ ַ___________________________

        Ԓ_______________________ Ԓ___________________________

        棺_______________________ 棺___________________________

        ڣ_________________ ڣ_____________________

        ƮI͘Ifh7

        ׷_____________________(Ƹ÷)

        ҷ____________(ƸC̖_____________________)

        ҄ڄӹҎԼ˾TƸk׷Ƹҷ錍TpƽԸĻAfһºӆͬͬرfhЗl

        һͬ

        ͬo̶޺ͬ________________ͬsĽKֹͬėlFֹ֮(ҷϼ׷Ҫ܄ιλ)

        ׷ĹƸҷ______________λ

        ׷ƸҷČн________________ԪڝM˺ϸ񣬿ɸƽȅf̵ԭtӆʽڄӺͬ

        ġ׷Ļcx

        1׷ę

        a.ЙҪҷع˾Ҏƶ;

        b.ڌgҷ`ڄӼoɻIҎƶ׷ЙKֹͬҷОo׷ɓpʧģҷr鹝ص׷؟;

        c.gҷڂԭlļԼ¹ʣҷؓ؟;

        d.gҷܹ˾籣c

        e.gҷ܄ιŪ̓ٲ×l׷Йǰͬ;

        f.ҷͻF׷ǰYcҷӆʽڄӺͬ;

        2׷x

        a.ҷṩҪĹl;

        b.ؓ؟ҷMšIIռܼ˾ҎƶȵĽӖ;

        ҷĻx

        1ҷę

        a.ڝMЙQǷӆʽڄӺͬ;

        b.Ѕc˾hę;

        c.ͶVҷݲƽ'ҕ

        2ҷx

        a.ع˾ĸҎƶTփԡОҎx;

        b.g׃λǰһ֪ͨ׷pf̽Kֹͬ;

        c.So˾•uxա

        ͬδMpѺÅfԭt̎

        ͬһʽɷݣpһݣͬЧpЧ

        ׷w£_______________ ҷw£___________________

        ׷_______________ ҷ___________________

        ַ_______________________ ַ___________________________

        Ԓ_______________________ Ԓ___________________________

        棺_______________________ 棺___________________________

        ڣ_________________ ڣ_____________________

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