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ڮŮٶҪõfhӆӆfhЧķ֮һ댑fhs֪ԓՈlСıƮI͘Ifhͨ6ƪgӭxϣ܉ϲg
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ҷ WУ
ƄӽIlչMУĻwFIlչл؈Pעĸ߶؟θмWL_ʽĽƽ_ȫ挍ʩWУ|˾cWУLѺÅfĻAϣͽУPϵ_ fh
һ ԭt
ѺÅfYԴݻaͬlչԭtУpLڡoܵĺPϵ
ʽ
(һ)УĻ
1.pͨ^ekLՄʽ_չwĻ˴kW(I)WУ(I)ĻڻͨMx;
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()W`n̽̌W
1.ҷڼW`n̽̌Wء;ڲӰIҎ_չrW`̌Wӵ_չṩˆTȷ֧
2.ҷǰ_չW`n̽̌Wǰǰ2cϵüͬǰǰ_չ;
3.ҷ؟M̌W`،WİȫSoָWڲӰ푼ҎarM^ĦW;
4. xՅfҷìFȫoSo`ӵҪW_չvePݵĻӽ;
()OW
1. ҷٛOW;
2.ҷcfƶġWuxkWMuxl;
3. ЙYĹʹMбO;
4.ҷZYPҎYMЧ;
5.WlšԔҊW𡱹k
fhδMɼpѺÅf̽Q
fhpw֮Ч
ҷ
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ƮI͘Ifh2
ҷ
pͨ^ҊpxͨߵȌWУW͘IҎ_ fh
һ猍ҷBλrԼλrͨ^ҷ˽ͬҷҷ猍ˆλBԼrͨ^˽Ը͘IҎsރȈ
ҷpPɷҎҎ__ՃӆڄӺͬƸúͬkPйmڄӺͬƸúͬӆfhԄӽKֹ
pf_lpмsԲĿsl
1Ƹҷ____꣬ԇڣҊڣ_____ԇڣҊڣ________
2ҷṩĹl̈́ڄӱoχPҎ
3ҷúԇڣҊڣ_______Ԫ/ԇڣҊڣMpͬs________Ԫ/Þ鹫ՆTİҹՆTҎk
4ҷṩ`yIBϱUtUסeʧIUȇҎĸ_______________
χҺʡP͘IҎģfhһpwºЧWУbCӛ͘I`s`s֧`s_______Ԫ
fhp10֮ɼףң͌WУbCӛ
fhһʽסp͌WУһӡoЧ
w£__________________ ҷ_________________________
ˣ֣________________ C̖a____________________
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ƮI͘Ifh3
ҷ
һlס҃ɷrWԺҷW
ڶlIrָWڌWԺҎĮI_ʼ֮IY֮@ΕrԺӆfh֮IYֹ֮fhޞ飺20____111020____58
lIڌڃɌλcWӆPĄYȫfh헹ɌWcλؓ؟k
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ڰ˗lrgںW]аr،WУҲδkՈmաWWkPl̎
ھŗlУȌČWҲҪرfhlėl⣩У@lκΰȫ¹ɌWؓ؟
ʮlδMҕrpf̎fhһʽɷݣWԺ͌WһpֺЧ
w£__________________ ҷ_________________________
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pՇҺʡI͘IPҎ\õԭtƽԸfһµĻA_ fh
һͬ䛣Ƹҷ
ҷͬ⮅I
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ڄ߾͘INԄeڽͬҕڄӺͬԼsԇڡԇLó^
䛣Ƹҷޞ_______c_______λ_______
䛣ƸҷgҷHY벻_______Ԫԓ벻õڮҎY˜ʣ
ͨߵȌWУIIо͘IfhºQfhǮIcˆλӆ͘Iͬĕ͌WУψ͘Iđ{ɏV|ʡߵȌWУI͘IָĽyһӡơ
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fhpwºЧ`s`s֧`s𣨴
_ԪIWܰr͘IǷ`sp̶
䛣ƸҷgҺͱʡҎҎҷU{UBϡtʧIȱUṩPĸԼχҎĄڄӰȫll̈́ڄӷoƷ
ɸҪںӆfhǰMwztԌWУIrwz
ߡƸrṩĎгZݵ鱾fh'ҷڑƸrṩ]鱾fhĸ
BrʧҷɆηfh؟ҷṩ]σ݇ʧɆηfh؟
UҰlչUIUƶOUʹڄϡʧIr«@ÎaUˮƽclչˮƽmUձUʹ_YԴyIˆλ̈́ڄ߱UU{UMڄUؓIʧIڄzzٽNڄUėl͘˜ɷɡҎҎڄܵU횰r~֧
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1NƮaģ
2ҷͨߵԺУÞ鹫ՆTx΅x{xƸӋǷl_Ӌ֧һ^ӋȇҺ͵طӾ͘IĿ
3ҷrδȡîIY
4ҷ؟ε
5ҎҎ
ʮfhЧpȫСһ`sһ`s؟ΣҪrPpʧ
ʮһpfһ£׃fhpsėlfh׃fhÕʽ
ʮpбfhlhɼpf̽QՈPTf{QҲֱԺVA
ʮfhһʽɷҷһ
ʮġpfҷ______________ǰҷ1ȞҷkmӆڄӣƸãͬҷeOfhPڹλcнҪlڄӣƸãͬ
ʮfhԼp֮ЧpӆڄӺͬҷk䛣ƸmfhKֹ
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BλºQҷ
ӆ͘Ifhصėl
һl͘Ifhmڅӳξ͘IͨУоBλIоƮIЇȵӛעԵĸIIλҙCPԼЇɺ˜ʵӛ˾֧C
ڶlӆ͘IfhƽԸ\õԭt
lIcˆλЙ˽⌦ČHr˽ⷽ猍BԼrŪ̓١
ėl͘Ifhslslݲ`ҷɺҎµPҎÓpWУˆλͮI`uϷ
lIcˆλ͘Ifhijsھ͘Ifhע磺ˆλMҪܲT˜ʵڅfhмs˜ʺ͘Ifh
lfhIˆλֻwºЧWУbCӛ麞l
ߗlfhһʽķIˆλIڌWԺ͌WУһ
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IWУ_________
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pՇҮI͘IPҎ\õԭtƽԸfһµĻAϣ_ fh
һԸ䛣Ƹҷ
ҷͬ
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䛣ƸҷgҷҎҎҷU{UBtʧIȱUṩPĸԼχҎĄڄӰȫll̈́ڄӷoƷ
ҷwzҪoto
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BrʧҷɆηfh؟ҷṩ]σ݇ʧɆηfh؟
ˡr֮һ֪fh
1NƮa
2ҷڮIxУǰWÞҹՆTӇҼط־ԸĿ
3ҷrδȡîIY
4ҷ̎P߱ڄӽB
5ҎҎr
pȫЅfhһ`sһ`s؟ҪrPpʧ
ʮpfһ£׃fhpsėlfh
ʮһpбfhlhɼpf̽QՈ䰸ӛTf{QҲֱԺVA
ʮfhδMҎİҎУқ]Ҏɼp̶
ʮҷڼλtҷU`s________Žo
ʮfhԼp֮ЧһʽݣҷطI͘IܲTһݡ
ҷ_________
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£_________________
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