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Ʒͣ܇(chng)Uͬ

r(sh)g2024-08-16 13:20:58 ־ ͬ ҪͶ
  • P(gun)]

Ʒͣ܇(chng)Uͬͨ13ƪ

˂ķR(sh)(qing)(hu)ͬ(du)҂ĎԽԽҲnj(sh)F(xin)I(y)ļ~֪ͬҪ(ni)ʲôСռΣƷͣ܇(chng)UͬHһ

Ʒͣ܇(chng)Uͬͨ13ƪ

ΣƷͣ܇(chng)Uͬ 1

ⷽ(º(jin)Q׷)_________

ⷽ(º(jin)Qҷ)_________

p(jng)ѺÅf(xi)ҷU׷ͣ܇(chng)һ_(d)ɱf(xi)h

һl(chng)

ͣ܇(chng)_________e_________ƽ

ڶlU

ڞ__________________________________________ֹ

l𽻼{ʽ

1_(ti)_____Ԫ(______Ԫ)

2ҷڳǰһԽo׷Ѻ_______Ԫ׷ںͬڝMr(sh)w߀ҷ

3ÿ½һȡUķʽҷڳǰȽ______(g)µo׷M______(g)µǰ______ҷٽ‚(g)µ

ėl׷.؟(z)

1׷(yng)ͬҎ(gu)ĕr(sh)gҷṩU(chng)ء

2Ug׷_ջ؈(chng)ǰ֪ͨҷʣʣڃ(ni)(sh)H씵(sh)Ӌ(j)㷵߀߀_______ԪѺ

3Ug׷Ҫ_ͬĈ(zh)

lҷ؟(z)

1.ҷst𣬼׷Й(qun)ջس(chng)

2ҷ˽Ը׃ͬʹ;

3ҷo(qun)ԓ(chng)D(zhun)o

4ҷںͬδMнͬ׷߀Ѻ

5ͬڝM׷Ĉ(chng)^m(x)ҷЃ(yu)m(x)(qun)

1Ȼ(zi)(do)špͬtȻKֹГ(dn)؟(z)Ρ

2wͼ{ǽҎ(gu)ͬȻKֹ(sh)Hʹ씵(sh)Ӌ(j)ʣՃ(ni)߀ҷ

ͬδM횽(jng)pf(xi)a(b)Ҏ(gu)a(b)Ҏ(gu)cͬͬЧ

ͬ(zh)l(f)m(yng)ͨ^pf(xi)̽Qf(xi)̲Ո(qng)(dng)?sh)طԺ{(dio)ÛQ

ͬһʽݣסp(zh)һݣЧ

׷()_________ҷ()_________

()_________()_________

____________________________________

ΣƷͣ܇(chng)Uͬ 2

׷_______

ҷ_______

(jng)pօf(xi)׷F(xin)_______________ͣ܇(chng)аoҷ(jng)I(yng)(j)A񹲺͇(gu)񷨵䡷ȇ(gu)طP(gun)ɷҎ(gu)ͼ׷аoҷf(xi)hsͣ܇(chng)P(gun)(jng)pѺÅf(xi)_(d)…f(xi)h

һl(xing)

_______________ٵͣ܇(chng)(w)(xing)Ŀ׷б(xing)ĿʹÙ(qun)׷Й(qun)ͣ܇(chng)Ľ(jng)I(yng)ίнoҷ

ڶl(xing)Ŀַ

_______________

l(jng)I(yng)|(zh)

(chng)عͣ܇(w)cM(fi)

ėlͣ܇λ(sh)

ϲλ___(g)

ͬޞ__________________________________________ֹ

lаM(fi)

1.аʽа

ǰͣ܇O(sh)O(sh)ʩҷͶ룬ҷԼȹ̶ʽ15Ԫ(󌑣ҼfǪԪ)а׷Ӌ(j)143(g)܇λĽ(jng)I(yng)(qun)

2.֮ͬ3Ճ(ni)ҷ(yng)(dng)׷֧ļsCţ1.Ԫ(ҼfԪ)ͬڝM׷ļsCoϢ߀oҷ

ߗlM(sh)ʩ

1.׷ṩ(chng)YԴҷڽ(jng)I(yng)ͣ܇(chng)gP(gun)ͣ܇(chng)ͣ܇O(sh)O(sh)ʩkO(sh)ʩM(fi)ϵy(tng)ƷˆT׷Г(dn)ˮa(chn)κεM(fi)ú؟(z)Ρ

2.׷ҷˆTҪطɷҎ(gu)p_ĹҷM(jn)ͣ܇(chng)O(sh)Ͷʩǰ(yng)(dng)ʩDԕʽo׷ڵõ׷J(rn)ɺ󷽿ʩp(yng)M(jn)гօf(xi)ͬЧ

3.ҷЙ(qun)r(ji)(bio)(zhn)(zh)M(fi)r(ji){(dio)(bio)(zhn)ԕʽo׷ҷЙ(qun)r(ji)TҪ(du)M(fi)(bio)(zhn)M(jn){(dio)ҷkP(gun)(jng)I(yng)m(x)¼{M(fi)r(sh)ʹؔ(ci)Ty(tng)һӡƵM(fi)l(f)ƱM(fi)(bio)(zhn)

ڰ˗l׷ę(qun)x(w)

1.׷Й(qun)(du)ҷڷ(w)M(fi)(bio)(zhn)`бO(jin)ch

2.׷Й(qun)ҷṩ\(yn)I(yng)(du)ͣ܇(chng)ճr(sh)ʩO(jin)z顣

3.׷ԭͣ܇(chng)o^m(x)\(yn)I(yng)׷ǰ֪ͨҷKֹ(w)׷ͬrҷͬδڝMδջصͶYɱ

4.ҷܞͣ܇(chng)ṩ(w)O(sh)O(sh)ʩʹõr׷Й(qun)(du)ҷҊҷܲ׷Й(qun)(du)ҷ̎Pw̎PlpsĹ(x)t(zh)((j)ͣ܇(chng)M(fi)g(sh)Hl(f)\(yn)I(yng)B(ti)pͬݕ(x)t׷(x)tҪ(zh)(xing)ĿO(jin)šҷ(x)tҪṩ(w))

ھŗlҷę(qun)x(w)

1.ҷ(du)׷ṩO(sh)O(sh)ʩʹõę(qun)ͱܵx(w)ЁGʧpՃr(ji)r

2.ҷ՘(bio)(zhn)M(jn)ͣ܇(chng)(w)P(gun)Ҏ(gu)ͼ׷P(gun)Ҏ(gu)سZCͣ܇(chng)O(sh)ʩáƷRеK^հʹͣ܇(chng)ȫ

3.ҷԭ(do)ͣ܇(chng)o(jng)I(yng)r횽(jng)^c׷wf(xi)̲ü׷ͬҷɳ˺ͬKֹ(du)o׷ɵēpʧr

4.ҷҪCv׷ˆTwoش󼲲ҷˆTڹгF(xin)¹ʻͻl(f)ҷؓ(f)ȫF

5.ҷГ(dn)ͣ܇(chng)O(sh)O(sh)ʩľSo(h)B(yng)x(w)CO(sh)\(yn)D(zhun)l(f)24Сr(sh)(ni)Sꮅ

6.M(jn)(chng)(ni)܇vҷؓ(f)FܲȡM(fi)l(f)܇vGʧpļΰˆTȮrҷc܇M(jn)Ѕf(xi){(dio)Q׷Г(dn)ˮa(chn)κ؟(z)Ρ

7.܇v(yu)ߣ

(1)ҷڽ(jng)I(yng)gṩo׷R䁘I(y)ÿ1_(ti)܇vă(yu)

(2)ҷṩo׷ߌI(lng)(do)5_(ti)܇v`ͣ܇(w)

(3)ҷ(du)׷ˆT܇vЈ(chng)r(ji)5%ȡͣ܇M(fi)̈(chng)I(y)܇vЈ(chng)r(ji)75%ȡ

(4)̈(chng)ُ͑M(fi)M88Ԫͣ܇1Сr(sh)M(fi)M158Ԫͣ܇2Сr(sh)M(fi)

(5)׷I(y)ekչ(hu)Nռҷ(chng)ص׷(yng)ǰ3֪ͨҷ_չ(hu)λüP(gun)rҷoṩ

(6)ȫM(jn)(chng)܇vҷo3ͣ܇ă(yu)ݡ

(7)(4)ἰُСƱ܇v(chng)СƱҷˆTջء~(ڼ׷̈(chng)漰͑˓Q؛P(gun)}СƱջػ(zh)зʽȼ(x)(ji)(sh)Hмph)

ʮl؟(z)

סp(du)ͬؓ(f)й̘ͬI(y)C(j)ܱx(w)δ(jng)һڙ(qun)S͸¶Ї(gu)F(xin)зɷҎ(gu)Ҏ(gu)һͬ⡣

ʮһlͬĽKֹc

ͬsĺތÝMr(sh)ͬȻKֹpڌÝMǰ(g)…f(xi)^m(x)˲µĕͬU{P(gun)M(fi)ͬȗlҷЃ(yu)m(x)s(qun)

ʮl؟(z)

1.סp(yng)(dng)،(du)ĺ(qun)κһÆηԽͬt`sr(du)(jng)(j)pʧɿ

2.κһ򲻿ɿ(do)ȫ򲿷ֺͬЕr(sh)(yng)Բɿr(sh)gl(f)Ճ(ni)ԕʽ֪ͨһԕr(sh)gl(f)֮ʮՃ(ni)һṩ(do)ȫ򲿷ֲлtкͬCK_鲻ɿtpГ(dn)`sF

3.סpں(jng)I(yng)^аl(f)(zhng)hr(sh)(yng)f(xi)̽Qf(xi)̲ɕr(sh)p׷סصԺV

ʮl

1.f(xi)hһʽp(zh)ݣֲwºЧ

2.ͬδM˻δM(jn)_Ľ(jng)סpf(xi)һӆa(b)la(b)l鱾ͬɷָһcͬͬЧ

3.pں𱾺ͬr(sh)ȫО(du)Եę(qun)x(w)FףԸͬҎ(gu)(yn)(zh)һ`ͬһЙ(qun)ͬҎ(gu)r

׷()_______ҷ()_______

ˣ_______()_______

ίдˣ_______C̖(ho)a_______

“(lin)ϵԒ_______“(lin)ϵԒ_______

____________________________________

Ʒͣ܇(chng)Uͬ 3

ⷽ׷_______

ַ_______

“(lin)ϵԒ_______

ⷽҷ_______

ַ_______

“(lin)ϵԒ_______

(j)A񹲺͇(gu)ɷҎ(gu)____еP(gun)Ҏ(gu)pҷUλͣ܇(chng)܇λ(jng)f(xi)һ_(d)ɱͬl£Yͬ

һl(jng)pһ´_J(rn)׷ͬҷͬⱾͬ

ڶl܇λرͬl(ni)ݲ•ͣ܇vѽ(jng)k܇vU(xin)m(x)

l܇λ;

ͬ_U܇λHͣ܇vʹ;

ėl܇λλ

1ҷ׷Uλڹ̶ͣ܇λ______(g)º(jin)Q܇λ

2Uޣ________________________________գӋ(j)________

l܇λ֧ʽ

1ҷ܇λÿ_(ti)___Ԫ

2֧ʽ

lͣ܇(chng)܇λ

1Ug(ni)ҷʹc܇λę(qun)؟(z)

2Ug(ni)ҷԭͣ܇(chng)܇λO(sh)O(sh)ʩpҷ(yng)Г(dn)(yng)r؟(z)

ߗlD(zhun)

δ(jng)׷ͬ⣬ҷo(qun)܇λD(zhun)o

ڰ˗lںͬЧڃ(ni)ҷʹ܇λr(sh)rҷpʧ׷Г(dn)κ؟(z)Σ

1Ȼ(zi)ɿܵ¼

2°ɵēpʧ

3Ǽ׷^ʧĞ(zi)

4ͣ܇(chng)bޡϓ޶܇λʹõД

5܇λʹ߽oҷɓpʧ

ھŗlҷr֮һ׷Й(qun)ηKֹͬr

1δͬҎ(gu){

2δͬҎ(gu)ʹ܇λ

3`ͬҎ(gu)δ(jng)׷ͬD(zhun)

4(du)߻I(y)KΣ

5˞ɹO(sh)ʩēp

6܇λM(jn)κ`(dng)

7`sО

ʮlUڌÝM(xing)

1ҷǰ____Ո(qng)(jng)׷(yn)պkm(x)

2ҷδl1ktĺͬKֹ____?x)潻m(x)kמֹҷ횰ͬsr(ji)׷֧(xing)֧(gu)Um(x)

3ҷδl1k____գ(ji)գ׷Й(qun)̎ҷ܇λκ܇vҷ(yng)Г(dn)׷̎M(fi)

ʮһl`s؟(z)

ʮlҎ(gu)pÆηKֹͬκһ`ͬО(yng)`sОo(du)ɵ.(jng)(j)pʧVAM(fi)ãM(jn)rp^ʧ(yng)(j)rpքeГ(dn)(yng)`s؟(z)Ρ

2ҷδͬs֧____ϵ׷Ԅ(dng)ջԓ܇λ

ʮlmüݠ

(zh)бͬĠ(zhng)hp(yng)ͨ^ƽȅf(xi)̽Qf(xi)δȡһ£(yng)ύ܇λڵ(j)A񹲺͇(gu)P(gun)ɷҎ(gu)ЛQ

ʮėlͬЧ

ͬ(jng)pwºЧͬһʽɷp(zh)Ҽݡ

ʮlδM

ͬδM(jng)ҷf(xi)кӆa(b)f(xi)hԓa(b)f(xi)hcͬͬȷЧa(b)f(xi)hҎ(gu)֮(ni)|a(b)f(xi)hҎ(gu)֮(ni)ݞ(zhn)

׷£_________ҷ£_________

ˣ֣_________ˣ֣_________

____________________________________

Ʒͣ܇(chng)Uͬ 4

׷___________________________

ҷ___________________________

(j)A񹲺͇(gu)P(gun)ɷҎ(gu)Ҏ(gu)pƽȻf(xi)һµĻA(ch)ҷU׷ͣ܇(chng)ͣ܇vһ£ӆºͬpͬأ

һ(chng)λ

׷__________λs_____ƽ(ҊD)ͣ܇(chng)ؼO(sh)ʩṩoҷʹЃṩkǃ(ni)ָgoҷkʹ׷ÿȡҷ(chng)ʹM(fi)Ϲţ__________Ԫͬӆͬr(sh)ҷ׷U{_(ti)________ԪͬC((chng)Ѻ)׷pf(xi)hϷKֹ__________Ճ(ni)oϢ߀oҷ

(chng)ʹ

_____________________________ֹ(chng)ʹM(fi)U{ÿ_____̖(ho)ǰU{(dng)µĈ(chng)ʹM(fi)P(gun)M(fi)

pę(qun)x(w)

1׷Ҏ(gu)(du)ͣ܇(chng)ص܇vM(jn)й((yn)ҷ܇vM(jn)ͣ)ҷϡҷԭͣ܇(chng)؃(ni)O(sh)ʩpĵ׷Й(qun)Ҫҷޏ(f)rҷβļ׷`Ҏ(gu)ɇ(yn)غ׷Й(qun)Kֹͬ

2׷ҷṩͣ܇(chng)صʹù(w)ҷʹ^ؼ׷܇(chng)Ĺƶ ָ]

3׷ؓ(f)؟(z)܇(chng)(chng)ؼO(sh)ʩİbSo(h)B(yng)C(chng)صʹùԼ܇(chng)坍l(wi)(ṫط)Ϻͅf(xi)ҷ(du)f(xi){(dio)P(gun)TĹkP(gun)C

4ҷЙ(qun)f(xi)hҎ(gu)eʹͣ܇(chng)ͣ܇v׷Й(qun)O(jin)ҷ(du)ҷ܇vM(jn)й׷ҪM(du)܇vͺ݆̥ı؟(z)Σ׷؟(z)ɓpʧ'(yng)r

5ҷ܇v̶ֹRr(sh)̶ͣͣŵ܇v(yng)ṩC׷䰸ҷ׃ͣ܇vҷ(yng)܇vC׷̎r(sh)kP(gun)׃m(x)Rr(sh)ͣ܇vҷ_J(rn)׷Tl(wi)(bo)

6ҷ(yng)È(chng)؃(ni)ͣ܇ͣ܇r(sh)܇^ȫͨͣ܇Ì܇vͣͣ܇(chng)M(jn)̎tҷ(yng)Г(dn)ɴһ؟(z)

7ҷ܇vk(yng)U(xin)m(x)(jng)z܇vԱI©͵tҷГ(dn)ɴl(f)(yng)؟(z)Ρ

s

׷ԓʹÈ(chng)صĺϷʹÙ(qun)ɿ׷Cҷںͬڃ(ni)ʹã(chng)؃(ni)ҷһн(jng)(j)mcҷoP(gun)ͬr(sh)򲻿ɿ׷܆ηKֹͬĈ(zh)׷ԭҷ^m(x)ʹúͬsĈ(chng)ص׷rҷ˶ɵēpʧ

ͬڝMҷ԰ͬsʹͣ܇(chng)زU{sĈ(chng)ʹM(fi)ҷЃ(yu)ʹÙ(qun)

ͬ(zh)^F(xin)(zhng)hp(yng)f(xi)̽Qf(xi)̲ɿύ(dng)?sh)ԺVAQ

ߡf(xi)hpw𼴕r(sh)Чp(zh)_____ݣͬȷЧ

ˡע((chng)ƽD)

׷____________________ҷ_____________________

׷________________ҷ________________

“(lin)ϵʽ________________“(lin)ϵʽ________________

ڣ__________________ڣ__________________

Ʒͣ܇(chng)Uͬ 5

׷(ⷽ)_____________________(º(jin)Q׷)

ҷ(ⷽ)_____________________(º(jin)Qҷ)

(j)A񹲺͇(gu)P(gun)ɷҎ(gu)Ҏ(gu)pƽȻf(xi)һµĻA(ch)ҷU׷ͣ܇(chng)һ£ӆºͬpͬأ

һͣ܇(chng)ַ

׷λ_________L(fng)^(q)_________(du)_________ͣ܇(chng)ָIJֈ(chng)ṩoҷʹ(Ӌ(j)es_________ƽ)Ԕ(x)^(q)Ҋ׷ÿȡҷ(chng)ʹM(fi)Ϲţ_________Ԫ

(chng)U

_________ͬ__________Ur(sh)g______________________________׷oҷǰ_____(g)M(jn)vҎ(gu)(chng)糬Ҏ(gu)M(jn)(chng)r(sh)gt씵(sh)U{UM(fi)á(chng)ʹM(fi)U{(sh)ȸʹãÿµU{(chng)ʹM(fi)P(gun)M(fi)ͬȻںҷͬȗlЃ(yu)m(x)ę(qun)

p`(qun)x(w)

1׷Й(qun)(du)(chng)M(jn)йҷҷԸĈ(chng);ҷԭͣ܇(chng)؃(ni)O(sh)ʩGľpĵģ׷Й(qun)Ҫҷޏ(f)rҷβļ׷`Ҏ(gu)ɇ(yn)غ׷Й(qun)Kֹͬ

2ҷȡʩ(xing)ĿĺϷm(x)Ƿʩɵһкc׷oP(gun)(du)׷ɽ(jng)(j)pʧģȫ~rU(chng)gһRr(sh)ҷkP(gun)m(x)

3ҷؓ(f)؟(z)ضε坍l(wi)жѷ׷ṩҷˮ늹(yng)½Y(ji)(M(fi)_____Ԫ/ˮM(fi)_____Ԫ/){(dio)Ј(chng)r(ji)ȡҷʩI(y)r(sh)횰P(gun)ɷҎ(gu)ȫ`Ҏ(gu)ɵһкҷгГ(dn)

4ҷЙ(qun)ͬҎ(gu)eʹU(chng)ҷUgU(ku)U(chng)طǰc׷f(xi)ռ׷Й(qun)O(jin)

5ҷY輯жѷŲɌп׷Г(dn)؟(z)Ρҷ횼ӏ(qing)vˆTİȫa(chn)ʩR(sh)F(xin)a(chn)¹ʣc׷oP(gun)

6O(sh)׷_l(f)Ҏ(gu)r(sh)ǰ_____(g)֪ͨҷKֹͬҷolˈ(chng)pa(b)

7׷ԓʹÈ(chng)صĺϷʹÙ(qun)ɿ⣬׷Cҷںͬڃ(ni)ʹ(chng)؃(ni)ҷһн(jng)(j)mcҷoP(gun)

8ͬӆЧp`sһ`s(yng)rһĽ(jng)(j)pʧ

ͬ(zh)^F(xin)(zhng)hp(yng)ѺÅf(xi)̽Qf(xi)̲ɿύ(dng)?sh)ԺVAQ

塢ͬpw𼴕r(sh)Чp(zh)_____ͬȷЧ

׷()_______________ҷ()_________________

()_________()_________

ڣ_______________ڣ_______________

Ʒͣ܇(chng)Uͬ 6

׷:

ҷ:

סp(jng)f(xi)ͼ׷_l(f)O(sh)'¼ͣ܇λU_(d)…f(xi)h:

һҷُIһסլ(jng)ҷҪ׷ͬ⌢ס^(q)˷¼(̖(ho))܇λoҷ(ԔҊD)

܇λUr(ji)Ӌ(j)(:)ҷ(yng)ںӆf(xi)hr(sh)һ֧܇λUM(fi)

ҷH܇λʹÙ(qun)ʹÙ(qun)܇λUԱf(xi)hӆ֮______ֹڝM󣬼׷ͬҷ^m(x)M(fi)ʹ܇λֱҷُIסլõʹތÝMкӆUf(xi)h

ġ܇λٵĵ¼܇I(y)˾Ѓw(x)(ji)ҷcI(y)˾(j)܇λ(w)f(xi)hкӆ

塢ҷͬڇ(gu)orr(sh)M(fi)˷O(sh)ʩ

f(xi)hһʽɷݣ(jng)pwºЧp(zh)һݡ

׷(w):________ҷ(w):________

________________________

Ʒͣ܇(chng)Uͬ 7

׷_______

ҷ_______

(xing)Ŀڵַ_______

ͬr(sh)g_____________________

(j)A񹲺͇(gu)񷨵䡷P(gun)Ҏ(gu)_׷cҷę(qun)x(w)P(gun)ϵ(jng)pf(xi)һӆͬ

һlU(chng)ؼQ(sh)|(zh)c;

(chng)λ·̖(ho)e;

ڶlU

Uڹ______________׷_____________________(chng)ؽҷʹã_____________________ջ

lĽ{

(chng)_______Ԫ~_______Ԫⷽʽڸoⷽ

ėlⷽͳⷽ׃

1Ugⷽ猢(chng)Й(qun)D(zhun)ƽoͬ(du)·a(chn)^m(x)Ч

2˳u(chng)أ3(g)ǰ֪ͨͬȗlЃ(yu)ُI(qun)

3ⷽÈ(chng)D(zhun)׌oʹóⷽͬⲢºӆ(chng)Uͬ

4ͬÝMUpr(sh)kY(ji)ⷽ^m(x)⣬(yng)ǰ_______cⷽf(xi)m(x)ԭⷽͬȗl£m(x)⃞(yu)ș(qun)

lͬKֹ

֮һģ˿ԽKֹͬջ؈(chng);

1Ԍ(chng)D(zhun)D(zhun)׌D(zhun);

2ó(chng)M(jn)зǷ(dng)p`;

3ǷӋ(j)_(d)

4UͬڝMKֹ˵ڕr(sh)oҵ(chng)ˑ(yng)(dng)L(zhng)U

5ⷽڲwⷽЙ(qun)ԺVՈ(qng)(zh)Уⷽܓpʧɳⷽؓ(f)؟(z)r

l`s؟(z)

1.ⷽδͬlҎ(gu)˽ϺҪĈ(chng)ص(yng)`s_______Ԫ;

2.ⷽδr(sh)(chng)عⷽʹõģؓ(f)؟(z)`s_______Ԫ;

3ɳⷽˆTܵؔ(ci)ܚؓ(f)؟(z)rpʧ;

4.ⷽڽģԑ(yng)r(sh)电(sh)a(b)(yng)֧`s_______Ԫ;

5.ⷽԸ׃(chng)ؽY(ji)(gu)ɳ(chng)ؚĵģ(yng)ؓ(f)؟(z)r;

6.ⷽʽKֹͬɴɳⷽĽ(jng)(j)pʧ(yng)֧r_______Ԫ

ߗl؟(z)l

1.(jng)P(gun)TbUg(chng)򲻿ɿԭ?q)špɳⷽpʧpГ(dn)؟(z)

2.UgO(sh)wԓͬн

ڰ˗l(zhng)hĽQʽ

(dng)ںͬмsЃɷNʽxһN;

(һ)бͬl(f)Ġ(zhng)hɮ(dng)˅f(xi)̽Qf(xi)̲ɵύ____________ٲίT(hu)ٲ;

()бͬl(f)Ġ(zhng)hɮ(dng)˅f(xi)̽Qf(xi)̲ɵ____________ԺV

ھŗls(xing)

1(chng)UgⷽṩΪ(d)ˮ늱ˮM(fi)ס֮sڝMwֹ֮ɳⷽؓ(f)(dn)

2(chng)Ugⷽṩһg(d)ⷽʹ

ʮlͬδMˣ(jng)pͬf(xi)a(b)Ҏ(gu)a(b)Ҏ(gu)cͬͬЧ

ͬһʽͬp(zh)______;ͬ____________λ䰸

׷(w):________ҷ(w):________

________________________

Ʒͣ܇(chng)Uͬ 8

׷ⷽ__________________

ҷⷽ__________________

ҷ˾\(yn)ݔI(y)(w)L(zhng)܇v\(yn)ݔ׷ͣ܇õ(j)A񹲺͇(gu)񷨵䡷A񹲺͇(gu)ݳlP(gun)ɷҎ(gu)֮Ҏ(gu)ⷽͳⷽƽȡԸf(xi)һµĻA(ch)Ͼͳͣ܇õ_(d)…f(xi)h

һlҷ׷ͣ܇õ؞__________ƽףc(din)__________________.

ڶlⷽʽykD(zhun)~飺______________________________.

l~(yng)Ӌ(j)ÿ____ն齻ڣÿ_____fԪ޲ó^ÿµ____ա

ėlҷ(du)܇vгГ(dn)؟(z)

lҷͣ܇(du)܇v߀Й(qun)(du)⽛(jng)I(yng)܇vܘI(y)(w)

lҷk̡(w)һP(gun)ķm(x)

ߗlҷtɂ(g)δͬԄ(dng)׷ջ؈(chng)ء

ڰ˗lˮM(fi)ҷ

ھŗlںͬ`Чރ(ni)ҷHЙ(qun)ԓͣ܇õʹo(qun)ۣʹgԸ׃;׷gԸ׃ʹìF(xin)`s׷(yng)Cҷ(du)(chng)صЧʹ

ʮl׷δͬx(w)t(yng)Г(dn)P____ԪoҷҷЙ(qun)ܸP~^ͬsr(ji)______%׷`ڱͬCx(w)ʹҷܓpʧtҷЙ(qun)Ҫ׷r

ҷ`ͬδx(w)t(yng)씵(sh)ÿf֮_____֧`so׷׷Й(qun)ջ(chng)`s𲻳^ͬs~______%ҷ`ڱͬCx(w)ʹ׷ܓpʧt׷Й(qun)Ҫҷr

ʮһlһ(du)ͣ܇(chng)úͬ@֪һ̘I(y)C(j)ؓ(f)бx(w)P(gun)й¶Ї(gu)F(xin)зҎ(gu)Ҏ(gu)Ļ(jng)һͬij

ʮlp(dng)бͬ^аl(f)(zhng)hr(sh)(yng)(dng)f(xi)̽Qf(xi)̲ܽQɏBTٲίT(hu)ٲ

ʮlͬɸ(j)ҊM(jn)Е޸Ļa(b)ɴγɵa(b)f(xi)hcͬͬЧ

ʮėlͬһʽݣp(zh)һp֮𼴕r(sh)ЧͬȷЧ

׷w£_______________ҷw£___________________

׷_______________ҷ___________________

ַ_______________________ַ___________________________

Ԓ_______________________Ԓ___________________________

棺_______________________棺___________________________

ڣ_________________ڣ_____________________

Ʒͣ܇(chng)Uͬ 9

ⷽ_________(º(jin)Q׷)

ⷽ_________(º(jin)Qҷ)

(jng)pf(xi)һͬ⣬ҷһKUo׷ͣ܇(chng)ʹ

һԓλ________________һΣ|____ϱL(zhng)____Ӌ(j)________ƽۺϮ(sh)____

UM(fi)ÿÿpǧӋ(j)r(ji)(dng)Сُr(ji)(zhn)r(sh)gÿ________µɼ׷һԸoҷ

ԓ؉K渽Иľÿð_______Ԫuÿa(b)____Ԫˮ____Ԫҷľuһ̎ꮅɼ׷ҷa(b)

ʹÕr(sh)g____꣬________________________

塢ڼ׷ʹ^ҷßoȡ[͸׷ʹãtһГpʧҷؓ(f)؟(z)

׷ʹ^вr(sh)ҷҕ׷^m(x)ʹͬȡ

ͬР(zhng)hpf(xi)̽QδMpsͬcͬͬЧ

ͬһʽɷpֺЧ

׷()_________ҷ()_________

________________

ΣƷͣ܇(chng)Uͬ 10

׷_____________________

ҷ_____________________

һ܇śr

܇(chng)Q__________________

ҷʹõ܇λُͣIá

ҷُI()܇λλã_________

܇λʹÕr(sh)g

܇λʹÕr(sh)g________________________________

׷(w)(ni)ݼ(bio)(zhn)

1׷(du)ҷ܇vij(ni)ͣM(jn)ָ(do)(w)ӛ(ni)y(tng)һҎ(gu)ͣ

2܇(ni)ͨO(sh)ʩO(sh)(bio)(bio)־O(sh)ʩ(wn)̡

3׷ؓ(f)؟(z)܇(ni)܇(ni)O(sh)ʩO(sh)·o@s

4׷ؓ(f)؟(z)܇(ni)Ѳҕr(sh)c(din)Ҏ(gu)·Ѳҕӛ

5׷ҷ܇vM(fi)n

׷ę(qun)x(w)

1׷(du)(g)܇ʹ(qun)

2շ(w)(ni)ݼ(bio)(zhn)ҷṩ(w)

3ҷkU(xin)rC

ҷę(qun)x(w)

1܇v?c)롢ͣŵę?qun)

2ҷ܇(w)ıO(jin)(qun)ͽh(qun)

3ҷص܇P(gun)Ҏ(gu)_܇췽㡢ȫ.ʹ

4ҷ횰Յf(xi)hs{ͣ܇M(fi)

5׷ṩ挍(sh)ЧP(gun)Y

(w)M(fi)(܇vĸNU(xin)܇λUM(fi))

1M(fi)֧ˆTYkƷM(fi)pģO(sh)ʩO(sh)ľSo(h)(rn)

2M(fi)Ø(bio)(zhn)܇vͣM(fi)_____Ԫ/܇λ_____

3ͣ܇(w)M(fi)(bio)(zhn)߈(zh)Sߵ{(dio){(dio)

4܇λʹԭtȽM(fi)ʹԭtÿ_____ǰ{‚(g)ȵ܇v(w)M(fi)

5ҷ܇λͣ܇M(fi)ҷij˽{ҷؓ(f)B؟(z)Ρ

6ҷD(zhun)׌܇λr(sh)횽Y(ji)ǰͣ܇(w)M(fi)

`s؟(z)

1׷`f(xi)hδ_(d)sķ(w)|(zh)ҷЙ(qun)Ҫ׷ģδĽoҷɓpʧ׷Г(dn)(yng)؟(z)

2ҷ`f(xi)hʹ׷δ_(d)sķ(w)|(zh)׷Й(qun)ҪҷδĽo׷ɓpʧҷГ(dn)(yng)ķ؟(z)

3ҷՅf(xi)hļs{P(gun)M(fi)ãʹڝM(jng)׷߽Բ{ҕҷԄ(dng)f(xi)h׷ٳГ(dn)(yng)؟(z)Ρ

4ҷ(yng)(dng)ռ׷Ҫkͣ܇m(x)ҷܽ^ṩP(gun)Yϵģ׷Й(qun)ܽ^ҷͣ܇Ҫ

5ҷͣ܇˻Gʧδ֪׷M(jn)a(b)k(do)ҷؔ(ci)a(chn)pʧҷГ(dn)׷Г(dn)κ؟(z)Ρ

6ҷδյ܇vҎ(gu)(zh)еa(chn)P(gun)؟(z)ҷгГ(dn)

ˡ׷ͣŵ܇vkNU(xin)˴_܇vpGʧҷ횞Լ܇vkU(xin)

šȻ(zi)Ȳɿɵēp׷ؓ(f)κ؟(z)

ʮf(xi)hl(f)mpf(xi)̽Qf(xi)̲ɿͨ^VAQ

ʮһf(xi)hδMɅf(xi)̎

ʮf(xi)hԼpw֮Ч

ʮf(xi)hһʽ_____p(zh)_____ͬȷЧ

׷£_______________ҷ£_______________

ڣ_____________ڣ_____________

Ʒͣ܇(chng)Uͬ 11

׷ⷽⷽλȫQ

ҷⷽⷽλȫQ

bڼ׷Ϸλ_____________wַΣƷͣ܇(chng)ͬ⌢oҷںϷҎ(gu)ͣΣU(xin)W(xu)Ʒ\(yn)ݔ܇vp(j)P(gun)ɷҎ(gu)(jng)f(xi)һ_(d)…f(xi)h

һU(chng)ؼ;

׷Ʒͣ܇(chng)(ni)_____________w^(q)܇λoҷ_____________wΣƷN\(yn)ݔ܇vͣ

U________________________ֹ

֧ʽ

ÿ/ÿ_(ti)___Ԫ󌑣________֧ʽ飨硰¸//긶עw֧ڣ

ҷ(yng)r(sh)~֧׷ָ~

ġȫc

ҷ횇(yn)؇(gu)P(gun)ΣU(xin)W(xu)Ʒ\(yn)ݔͣŵĸ(xing)Ҏ(gu)ȡЧʩ_ͣ܇(chng)(ni)ȫܼ׷P(gun)TıO(jin)

U(xin)c؟(z)Σ

ҷ(yng)ͣͣ܇(chng)Ʒ\(yn)ݔ܇vͶҪ`U(xin)Г(dn)܇vͣl(f)һаȫ؟(z)μpʧ

ͬ׃c

ͬڃ(ni)κһ׃ͬ(yng)ǰ____Օ֪ͨ(du)(jng)pf(xi)һ

(zhng)hQ

򱾺ͬĠ(zhng)hp(yng)ͨ^ѺÅf(xi)̽Qf(xi)̲ɕr(sh)ύ׷ڵԺVAQ

ˡ

ͬδMpЅf(xi)̲ӆa(b)f(xi)ha(b)f(xi)hcͬͬȷЧ

ͬһʽɷp(zh)һpw֮Ч

׷/w£_____________ ڣ____________

ҷ/w£_____________ ڣ____________

Ʒͣ܇(chng)Uͬ 12

׷ⷽ______________

ҷⷽ______________

bڼ׷кϷ(jng)I(yng)ΣƷͣ܇(chng)º(jin)Qͣ܇(chng)ҷI(y)(w)ҪMUԓͣ܇(chng)ڴΣU(xin)W(xu)Ʒp(j)P(gun)ɷҎ(gu)(jng)ѺÅf(xi)_(d)Uf(xi)h

һU(bio)ģ׷λ__________Ʒͣ܇(chng)weλԸD(zhn)oҷʹá

UޣU________________________ֹӋ(j)____(g)¡

֧ʽ~_(ti)________Ԫ󌑣__________________ҷ(yng)ÿ/ÿ/ÿ꣨xһ(xing)____ǰ֧(dng)׷ָ~

p(qun)cx(w)

׷Cͣ܇(chng)ϴΣU(xin)W(xu)Ʒİȫ(bio)(zhn)ͷɷҎ(gu)ҪṩҪİȫO(sh)ʩ͑(yng)ʩ

ҷ(yng)(yn)؇(gu)P(gun)ΣU(xin)W(xu)Ʒ惦(ch)\(yn)ݔʹõP(gun)Ҏ(gu)_ͣ܇(chng)(ni)ΣU(xin)W(xu)Ʒİȫ

ҷГ(dn)ͣ܇(chng)ʹgҷԭɵһГpʧͷ؟(z)Ρ

ȫ؟(z)Σҷ(yng)ؓ(f)؟(z)ͣ܇(chng)(ni)ΣU(xin)W(xu)Ʒİȫƶ(zh)Ї(yn).ȫƶȺͲҎ(gu)M(jn)аȫzֹ¹ʰl(f)

`s؟(z)Σκһ`ͬs(yng)?q)Г?dn)`s؟(z)r(du)ܵēpʧ

(zhng)hQ򱾺ͬĻcͬP(gun)Ġ(zhng)hp(yng)f(xi)̽Qf(xi)̲ɕr(sh)ύ׷ڵԺVAQ

ͬһʽɷp(zh)һpw֮ЧͬδMˣpɺӆa(b)f(xi)ha(b)f(xi)hcͬͬȷЧ

׷/w£__________ ڣ____________

ҷ/w£__________ ڣ____________

Ʒͣ܇(chng)Uͬ 13

׷ⷽͣ܇(chng)λȫQ

ҷⷽI(y)(g)ȫQ

bڼ׷Ϸλ_____________ͣ܇(chng)Ԕ(x)ַƷͣ܇(chng)ͬ⌢䲿ֻȫ^(q)oҷͣΣU(xin)W(xu)Ʒ\(yn)ݔ܇vp(j)P(gun)ɷҎ(gu)ȫҎ(gu)(jng)f(xi)һ£_(d)…f(xi)h

һU(chng)

׷ͣ܇(chng)(ni)ָİȫ^(q)oҷͣ_(ti)____________wƷN\(yn)ݔ܇v

U

U________________ֹ

֧ʽ

~_(ti)____Ԫ󌑣______֧ʽ___________磺¸//긶w֧r(sh)g______

Ѻ_(ti)____Ԫ󌑣_________ںͬӆr(sh)֧UڝMҟo`sprȫ~߀

ȫ؟(z)

ҷ횇(yn)؇(gu)P(gun)Ʒ\(yn)ݔ惦(ch)ķɷҎ(gu)_܇vͣŰȫ

ҷ(yng)䌣I(y)İȫˆT(du)ͣ܇(chng)(ni)'Ʒ܇vM(jn)ճֹȫ¹ʰl(f)

`s؟(z)

κһ`ͬs(yng)Г(dn)(yng)ķ؟(z)?q)֧`s_(ti)____Ԫ

ͬ׃c

pf(xi)һ¿׃ͬ򲻿ɿ(do)ºͬoЕr(sh)pɅf(xi)̽ͬ

(zhng)hQ

򱾺ͬĠ(zhng)hp(yng)ͨ^ѺÅf(xi)̽Qf(xi)̲ɕr(sh)ύ׷ڵԺVAQ



ͬһʽɷp(zh)һpw֮Ч

׷/w£_________ ڣ________

ҷ/w£_________ ڣ________

ΣƷͣ܇(chng)UͬP(gun)£

Ʒ\(yn)ݔͬ08-29

ΣƷ\(yn)ݔͬ(7ƪ)09-10

ΣƷ\(yn)ݔͬx16ƪ11-08

ΣƷ\(yn)ݔͬ(x7ƪ)04-11

Ʒ\(yn)ݔͬ18ƪ04-07

Ʒ\(yn)ݔͬ10ƪ04-02

Ʒ\(yn)ݔͬ9ƪ11-03

Ʒ\(yn)ݔͬ11ƪ03-17