绠€鍗曚釜浜烘埧灞嬬璧佸悎鍚屾爣鍑嗙増

銆€銆€鏃犺鏄伐浣滆繕鏄敓娲伙紝鍑洪棬鍦ㄥ鏃剁鎴挎槸鎴戜滑甯歌鐨勯€夋嫨銆備竴璧锋潵浜嗚В涓€涓嬫埧灞嬬璧佺殑鍚堝悓鍚с€備笅闈㈡槸鐢卞嚭鍥界暀瀛︾綉灏忕紪涓哄ぇ瀹舵暣鐞嗙殑鈥滅畝鍗曚釜浜烘埧灞嬬璧佸悎鍚屾爣鍑嗙増鈥濓紝浠呬緵鍙傝€冿紝娆㈣繋澶у闃呰銆�

銆€銆€鐢叉柟锛歘______________

銆€銆€涔欐柟锛歘______________

銆€銆€涔欐柟鎵跨鐢叉柟绠＄悊鐨勪笂鍒楁埧灞嬩綔涓篲________浣跨敤锛屽弻鏂硅瀹氶伒瀹堜簨椤瑰涓嬶細

銆€銆€鎴垮眿搴ц惤锛歘________鍖篲___妤糭__鍗曞厓____鍙锋埧灞嬩娇鐢ㄩ潰绉細______________骞虫柟绫炽€�

銆€銆€涓€銆佹湰绉熺害涓轰箼鏂瑰彇寰楁壙绉熸埧灞嬩娇鐢ㄦ潈鐨勫嚟璇併€傜敳銆佷箼鍙屾柟鍧囨湁閬靛畧鍥藉鏈夊叧浣忓畢娉曞緥鍜屾湰甯傛埧灞嬫斂绛栥€佹硶浠ょ殑涔夊姟銆�

銆€銆€浜屻€佹埧灞嬬閲戞暟棰濆洜鎴垮眿鏉′欢鎴栫閲戞爣鍑嗗彉鍔ㄦ椂锛屽叾绉熼寰椾簣璋冩暣锛屾瘡鏈堢閲慱___锛屼箼鏂瑰簲浜巁___鏃ュ墠浜ゆ竻銆�

銆€銆€涓夈€佷箼鏂规湁涓嬪垪鎯呭喌涔嬩竴鏃讹紝鐢叉柟鍙互缁堟绉熺害锛屾敹鍥炴埧灞嬶細

銆€銆€锛�1锛夋妸鎵跨鐨勬埧灞嬭浆璁╋紝杞€熸垨绉佽嚜浜ゆ崲浣跨敤鐨勶紱

銆€銆€锛�2锛夋湭缁忕敳鏂瑰悓鎰忕鑷敼鍙樻壙绉熺敤閫旂殑锛�

銆€銆€锛�3锛夋棤鏁呮嫋娆犵閲慱_____涓湀浠ヤ笂鐨勩€�

銆€銆€鍥涖€佺敳鏂规牴鎹慨缂爣鍑嗘鏌ワ紝缁翠慨鎴垮眿鍜岃澶囷紝淇濋殰瀹夊叏銆佹甯镐娇鐢ㄣ€傜敳鏂圭淮淇埧灞嬫椂锛屼箼鏂瑰簲绉瀬鍗忓姪锛屼笉寰楅樆纰嶆柦宸ャ€傚湪姝ｅ父鎯呭喌涓嬶紝濡傚洜妫€鏌ヤ笉鍛紝缁翠慨涓嶅強鏃讹紝浠ヨ嚧鎴垮眿鍊掑锛屼娇涔欐柟閬彈缁忔祹鎹熷け鏃讹紝鐢辩敳鏂硅礋璐ｈ禂鍋裤€�

銆€銆€浜斻€佺敳鏂归壌瀹氭埧灞嬪嵄闄╋紝涓嶈兘缁х画浣跨敤锛屽繀椤昏吘鍑烘椂锛屼箼鏂瑰簲鎸夋湡杩佸嚭锛屽叾灞呬綇鎴跨敱鐢叉柟瑙ｅ喅銆傚涔欐柟绫嶆晠鎷栧欢涓嶈縼閫犳垚鐨勪竴鍒囨崯澶憋紝鐢变箼鏂硅礋璐ｃ€�

銆€銆€鍏€佺敳鏂瑰涔欐柟鎵跨鐨勬埧灞嬭繘琛岀炕寤哄ぇ淇悗锛屼箼鏂规湁浼樺厛鎵跨鏉冿紝浣嗕簨鍏堝簲绛捐鍗忚銆�

銆€銆€涓冦€佷箼鏂瑰鎵跨鐨勬埧灞嬪強瀹ゅ唴瑁呬慨璁惧锛屽簲璐熻矗淇濈锛岀埍鎶や娇鐢紝娉ㄦ剰闃茬伀銆侀槻鍐汇€傚鏈夋崯鍧忥紝涔欐柟搴旇礋璐ｄ慨澶嶆垨璧斿伩銆傛ゼ姊棿銆侀棬閬撱€佽蛋寤婄瓑鍏敤鎴垮眿鍜岃鏂斤紝涔欐柟搴旂埍鎶や娇鐢紝娉ㄦ剰鐓х锛岄槻姝㈡崯鍧忋€�

銆€銆€鍏€佷箼鏂逛笉寰楃鑷媶鏀广€佸娣绘埧灞嬫垨璁惧銆傚灞炲繀闇€鏃讹紝搴斾簨鍏堝彇寰楃敳鏂瑰悓鎰忔垨鍙﹁绛捐鍗忚鍚庢柟鍙姩宸ャ€傚惁鍒欙紝涔欐柟搴旇礋璐ｆ仮澶嶅師鐘躲€�

銆€銆€涔濄€佷箼鏂归€€绉熸埧灞嬫椂锛屽簲浜巁_____鏃ュ墠閫氱煡鐢叉柟锛屽苟鍔炴竻浠ヤ笅鎵嬬画锛�

銆€銆€锛�1锛変氦娓呯閲戝拰搴斾氦绾崇殑璧斿伩璐广€�

銆€銆€锛�2锛夋寜鐓х绾﹁礋璐ｄ繚绠＄殑鎴垮眿鍙婅淇澶囥€�

銆€銆€锛�3锛夋挙閿€绉熺害銆�

銆€銆€鍗併€佷箼鏂规壙绉熺敳鏂逛唬绠°€佹墭绠＄殑鎴垮眿鍦ㄥ彂杩樺師涓绘椂锛岀敳鏂瑰緱缁堟绉熺害銆�

銆€銆€鍗佷竴銆佷箼鏂规壙绉熺殑鎴垮眿鍥犲浗瀹跺缓璁撅紝鐗规畩闇€瑕佸繀椤昏吘璁╂椂锛岀敳鏂瑰緱缁堟绉熺害銆備箼鏂规墍闇€鎴垮眿鎸夋湁鍏宠瀹氬姙鐞嗐€�

銆€銆€鍗佷簩銆佹湰绉熺害鑷珛绾︽棩璧疯嚦___________骞確____鏈坃__鏃ユ鏈夋晥銆俖___鎴朹___浠斤紝鐢蹭箼鍙屾柟鍚勬墽____浠斤紝濡傛湁鏈敖浜嬪疁锛屽弻鏂瑰崗璁В鍐炽€�

銆€銆€鍗佷笁銆佸叾浠朹____________________________銆�

銆€銆€鐢叉柟锛堢洊绔狅級_____________涔欐柟锛堢洊绔狅級_____________

銆€銆€韬唤璇佸彿锛歘______________韬唤璇佸彿锛歘_______________

銆€銆€鑱旂郴鐢佃瘽锛歘______________鑱旂郴鐢佃瘽锛歘_______________

銆€銆€_________骞確_____鏈坃____鏃________骞確_____鏈坃____鏃�

銆€銆€鍑虹浜猴紙涓嬬О鐢叉柟锛塤_______________

銆€銆€鎵跨浜猴紙涓嬬О涔欐柟锛塤_______________

銆€銆€韬唤璇佸彿锛歘________________________

銆€銆€鑱旂郴鐢佃瘽锛歘________________________

銆€銆€涔欐柟涓哄悎娉曚綇瀹夸箣闇€瑕侊紝灏辩鐢ㄧ敳鏂规埧灞嬩簨瀹滐紝鍙屾柟缁忓厖鍒嗗崗鍟嗭紝杈炬垚濡備笅涓€鑷村悎鍚屾潯娆俱€�

銆€銆€涓€銆佺璧佺墿鍙婄敤閫�

銆€銆€鐢叉柟鎰挎剰灏嗘嫢鏈夊畬鏁存墍鏈夋潈鍙婂鍒嗘潈鐨勫潗钀戒簬____________________闈㈢Н绾︿负______骞虫柟绫崇殑鎴垮眿绉熻祦缁欎箼鏂逛娇鐢ㄣ€備箼鏂规効鎰忔壙绉熶笂杩版埧灞嬶紝淇濊瘉鍦ㄧ害瀹氳寖鍥村唴浣跨敤鎴垮眿锛屽苟涓嶅緱杩涜杩濇硶娲诲姩鍙婅秴缁忚惀鑼冨洿浠庝簨娲诲姩銆�

銆€銆€浜屻€佺璧佹湡闂�

銆€銆€涔欐柟绉熻祦鐢叉柟鎴垮眿鐨勬湡闄愪负_________锛岃嚜_____骞確____鏈坃____鏃ヨ捣鑷砡____骞確____鏈坃____鏃ユ銆�

銆€銆€涓夈€佺璧佽垂鐢ㄥ強缁欎粯

銆€銆€涔欐柟绉熺敤鐢叉柟鎴垮眿鐨勬湀绉熼噾涓篲_____鍏�/鏈堬紝閲囧彇鍏堜粯绉熼噾鍚庝娇鐢ㄧ殑鍘熷垯锛屾寜______鏈堢即绾炽€備笅涓€娆＄閲戦渶鎻愬墠______澶╁唴浜ょ撼銆�

銆€銆€涔欐柟鎵€鐢ㄦ按銆佺數銆佺叅姘斻€佺墿绠°€佹竻娲佺瓑鐩稿叧鐢熸椿璐圭敤鐢变箼鏂硅嚜琛屾壙鎷咃紝骞舵寜鏃剁即绾筹紝閫炬湡閫犳垚鍋滄按鍋滅數鐨勶紝鐢变箼鏂规壙鎷呭叏閮ㄨ矗浠汇€傞噰鏆栬垂鐢盻_____鏂规壙鎷呫€�

銆€銆€鍥涖€佷箼鏂瑰鎴垮眿杩涜浠讳綍瑁呬慨鎴栧璁句粬鐗╁彲鑳藉奖鍝嶇敳鏂规埧灞嬬粨鏋勬垨瀹夊叏鐨勶紝搴斾簨鍏堝緛寰楃敳鏂圭殑涔﹂潰鍚屾剰锛屽苟涓嶅緱鐮村潖鎴垮眿缁撴瀯銆�

銆€銆€浜斻€佷箼鏂逛笉寰楀埄鐢ㄦ壙绉熸埧灞嬭繘琛岃繚瑙勭粡钀ユ垨杩濇硶娲诲姩锛屾崯瀹冲叕鍏卞埄鐩娿€�

銆€銆€鍏€佹湭灏戒簨瀹滐紝鐢层€佷箼鍙屾柟鍗忓晢瑙ｅ喅銆�

銆€銆€涓冦€佹湰鍚堝悓涔︾粡鍙屾柟绛惧瓧鎴栫洊绔犲悗鐢熸晥銆�

銆€銆€鍏€佹湰鍚堝悓涔︿竴寮忎簩浠斤紝鍙屾柟鍚勬墽涓€浠姐€�

銆€銆€鐢叉柟锛堢瀛楋級锛歘________鑱旂郴鐢佃瘽锛歘________

銆€銆€韬唤璇佸彿鐮侊細_______________________________

銆€銆€涔欐柟锛堢瀛楋級锛歘________鑱旂郴鐢佃瘽锛歘________

銆€銆€_________骞確________鏈坃________鏃�

銆€銆€鍑虹鏂癸紙浠ヤ笅绠€绉扮敳鏂癸級锛歘_____________________

銆€銆€韬唤璇佸湴鍧€鍙婂彿鐮侊細_____________________________

銆€銆€鎵跨鏂癸紙浠ヤ笅绠€绉颁箼鏂癸級锛歘_____________________

銆€銆€韬唤璇佸湴鍧€鍙婂彿鐮侊細_____________________________

銆€銆€鐢层€佷箼鍙屾柟閫氳繃鍙嬪ソ鍗忓晢锛屽氨鎴垮眿绉熻祦浜嬪疁杈炬垚鍗忚濡備笅锛�

銆€銆€涓€銆佺璧佸湴鐐瑰強璁炬柦

銆€銆€1.绉熻祦鍦板潃锛歘_____________璺痏________寮刜______鍙穇_____瀹わ紱鎴垮瀷瑙勬牸____________锛涘眳浣忛潰绉钩鏂筥______________骞虫柟绫筹紱

銆€銆€2.瀹ゅ唴闄勫睘璁炬柦

銆€銆€a锛氱數鍣細__________________________________________

銆€銆€b锛氬淇憋細__________________________________________

銆€銆€浜屻€佺鐢ㄦ湡闄愬強鍏剁害瀹�

銆€銆€1.绉熺敤鏈熼檺锛氱敳鏂瑰悓鎰忎箼鏂圭鐢╛________骞达紱鑷猒_____骞確_____鏈坃_____鏃ヨ捣鑷砡_____骞確_____鏈坃_____鏃ワ紱

銆€銆€2.鎴垮眿绉熼噾锛氭瘡鏈坃__________鍏冧汉姘戝竵锛�

銆€銆€3.浠樻鏂瑰紡锛氭寜________鏀粯锛屽彟浠樻娂閲慱____________鍏冿紝绉熸埧缁堟锛岀敳鏂归獙鏀舵棤璇悗锛屽皢鎶奸噾閫€杩樹箼鏂癸紝涓嶈鍒╂伅銆傜涓€娆′粯娆綺___________鍏冧汉姘戝竵锛�

銆€銆€4.绉熻祦鏈熷唴鐨勬按銆佺數銆佺叅姘斻€佺數璇濄€佹湁绾跨數瑙嗐€佸崼鐢熸不瀹夎垂鐢变箼鏂规敮浠橈紝鐗╀笟绠＄悊锛屾埧灞嬩慨缂瓑璐圭敤鐢辩敳鏂规敮浠橈紱

銆€銆€5.绉熺敤鏈熷唴锛屼箼鏂规湁涓嬪垪鎯呭舰涔嬩竴鐨勭敳鏂瑰彲浠ョ粓姝㈠悎鍚岋紝鏀跺洖鎴垮眿浣跨敤鏉冦€佷箼鏂归渶鎷呭叏閮ㄨ矗浠伙紝骞惰禂鍋跨敳鏂规崯澶便€�

銆€銆€锛�1锛変箼鏂规搮鑷皢鎴垮眿杞銆佽浆璁╂垨杞€熺殑锛�

銆€銆€锛�2锛変箼鏂瑰埄鐢ㄦ壙绉熸埧灞嬭繘琛岄潪娉曟椿鍔ㄦ崯瀹冲叕鍏卞埄鐩婄殑锛�

銆€銆€锛�3锛変箼鏂规棤鏁呮嫋娆犳埧灞嬬閲戣揪________澶╋紱

銆€銆€锛�4锛夎繛缁笁涓湀涓嶄粯鎵€鏈夎垂鐢ㄧ殑銆�

銆€銆€涓夈€佸弻鏂硅矗浠诲強涔夊姟

銆€銆€1.涔欐柟椤绘寜鏃朵氦绾虫按銆佺數銆佺叅銆佺數璇濈瓑璐圭敤锛屽苟鍔″繀灏嗕互涓婅垂鐢ㄥ笎鍗曚氦缁欑敳鏂癸紝鐢叉柟椤荤洃鐫ｆ鏌ヤ互涓婅垂鐢紱

銆€銆€2.鏃犺鍦ㄤ换浣曟儏鍐典笅锛屼箼鏂归兘涓嶈兘灏嗘娂閲戣浆鎹负鎴垮眿绉熼噾锛�

銆€銆€3.鍦ㄧ鐢ㄦ湡鍐咃紝鐢叉柟蹇呴』纭繚涔欐柟鐨勬甯稿眳浣忥紝涓嶅緱灏嗕箼鏂圭鐢ㄧ殑鎴垮眿杞锛堝崠锛夌粰浠讳綍绗笁鑰咃紱鎴栧湪绉熻祦鏈熷唴鎴跨鍔犱环锛�

銆€銆€4.绉熺敤鏈熸弧鍚庯紝涔欐柟濡傞渶缁х画浣跨敤锛屽簲鎻愬墠_______涓湀鎻愬嚭锛岀敳鏂瑰彲鏍规嵁瀹為檯鎯呭喌锛屽湪鍚岀瓑鏉′欢涓嬬粰浜堜紭鍏堬紱

銆€銆€5.鍦ㄧ璧佹湡鍐咃紝鐢层€佷箼鍙屾柟濡傛湁涓€鏂规湁鐗规畩鎯呭喌闇€瑙ｉ櫎鍗忚鐨勶紝蹇呴』鎻愬墠________涓湀閫氱煡瀵规柟锛屽崗鍟嗗悗瑙ｉ櫎鏈崗璁紱

銆€銆€6.涔欐柟鍏ヤ綇璇ョ墿涓氬簲淇濇寔鍛ㄥ洿鐜鏁存磥鍋氬ソ闃茬伀闃茬洍闃蹭腑姣掔瓑瀹夊叏宸ヤ綔锛屽鍙戠敓浜嬫晠涔欐柟搴旇礋鍏ㄩ儴璐ｄ换锛�

銆€銆€7.涔欐柟涓嶅緱鎿呰嚜鏀瑰彉瀹ゅ唴缁撴瀯锛屽苟鐖辨儨浣跨敤瀹ゅ唴璁炬柦锛岃嫢浜轰负鎹熷潖鐨勫皢缁欎簣鐢叉柟鐩稿簲璧斿伩锛涘鍙戠敓鑷劧鎹熷潖锛屽簲鍙婃椂閫氱煡鐢叉柟锛屽苟閰嶅悎鐢叉柟鍙婃椂缁欎簣淇銆�

銆€銆€鍥涖€佸叾瀹冩湭灏戒簨瀹�

銆€銆€鐢辩敳涔欏弻鏂瑰崗鍟嗚В鍐筹紝鍗忓晢涓嶆垚鎸塤________浠茶鏈哄叧杩涜浠茶銆�

銆€銆€鏈崗璁竴寮忓弫浠斤紝鐢层€佷箼鍙屾柟鍚勬墽澹逛唤锛岀瀛楀悗鍗宠鐢熸晥銆�

銆€銆€浜斻€佸叾瀹冭鏄�

銆€銆€姘达細____________鍚紱鐢碉細____________搴︺€�

銆€銆€鍏€佸悎鍚屼唤鏁�

銆€銆€鏈悎鍚屼竴寮忎袱浠斤紝鐢层€佷箼鍙屾柟鍚勬墽澹逛唤锛屾瘡浠藉潎鍏锋湁鍚岀瓑娉曞緥鏁堝姏銆�

銆€銆€鍑虹鏂癸細_______________鎵跨鏂癸細_______________

銆€銆€______骞確_____鏈坃_____鏃_____骞確_____鏈坃_____鏃�

銆€銆€鍑虹鏂癸細______________锛堜互涓嬬畝绉扮敳鏂癸級

銆€銆€鎵跨鏂癸細______________锛堜互涓嬬畝绉颁箼鏂癸級

銆€銆€鐢层€佷箼鍙屾柟灏辨埧灞嬬璧佷簨瀹滐紝杈炬垚濡備笅鍗忚锛�

銆€銆€涓€銆佺敳鏂瑰皢浣嶄簬______甯俖_____琛楅亾______灏忓尯___鍙锋ゼ____________鍙风殑鎴垮眿鍑虹缁欎箼鏂瑰眳浣忎娇鐢紝绉熻祦鏈熼檺鑷猒_____骞確_____鏈坃_____鏃ヨ嚦______骞確_____鏈坃_____鏃ワ紝璁__涓湀銆�

銆€銆€浜屻€佹湰鎴垮眿鏈堢閲戜负浜烘皯甯乢_____鍏冿紝鎸夋湀/瀛ｅ害/骞寸粨绠椼€傛瘡鏈堟湀鍒�/姣忓瀛ｅ垵/姣忓勾骞村垵___鏃ュ唴锛屼箼鏂瑰悜鐢叉柟鏀粯鍏ㄦ湀/瀛�/骞寸閲戙€�

銆€銆€涓夈€佷箼鏂圭璧佹湡闂达紝姘磋垂銆佺數璐广€佸彇鏆栬垂銆佺噧姘旇垂銆佺數璇濊垂銆佺墿涓氳垂浠ュ強鍏跺畠鐢变箼鏂瑰眳浣忚€屼骇鐢熺殑璐圭敤鐢变箼鏂硅礋鎷呫€傜璧佺粨鏉熸椂锛屼箼鏂归』浜ゆ竻娆犺垂銆�

銆€銆€鍥涖€佷箼鏂瑰悓鎰忛浜________鍏冧綔涓轰繚璇侀噾锛屽悎鍚岀粓姝㈡椂锛屽綋浣滄埧绉熷啿鎶点€�

銆€銆€浜斻€佹埧灞嬬璧佹湡涓篲________锛屼粠_________骞確___鏈坃___鏃ヨ嚦_________骞確___鏈坃___鏃ャ€傚湪姝ゆ湡闂达紝浠讳綍涓€鏂硅姹傜粓姝㈠悎鍚岋紝椤绘彁鍓嶄笁涓湀閫氱煡瀵规柟锛屽苟鍋夸粯瀵规柟鎬荤閲慱_鐨勮繚绾﹂噾锛涘鏋滅敳鏂硅浆璁╄鎴垮眿锛屼箼鏂规湁浼樺厛璐拱鏉冦€�

銆€銆€鍏€佸洜绉熺敤璇ユ埧灞嬫墍鍙戠敓鐨勯櫎鍦熷湴璐广€佸ぇ淇垂浠ュ鐨勫叾瀹冭垂鐢紝鐢变箼鏂规壙鎷呫€�

銆€銆€涓冦€佸湪鎵跨鏈熼棿锛屾湭缁忕敳鏂瑰悓鎰忥紝涔欐柟鏃犳潈杞鎴栬浆鍊熻鎴垮眿锛涗笉寰楁敼鍙樻埧灞嬬粨鏋勫強鍏剁敤閫旓紝鐢变簬涔欐柟浜轰负鍘熷洜閫犳垚璇ユ埧灞嬪強鍏堕厤濂楄鏂芥崯鍧忕殑锛岀敱涔欐柟鎵挎媴璧斿伩璐ｄ换銆�

銆€銆€鍏€佺敳鏂逛繚璇佽鎴垮眿鏃犱骇鏉冪籂绾凤紱涔欐柟鍥犵粡钀ラ渶瑕侊紝瑕佹眰鐢叉柟鎻愪緵鎴垮眿浜ф潈璇佹槑鎴栧叾瀹冩湁鍏宠瘉鏄庢潗鏂欑殑锛岀敳鏂瑰簲浜堜互鍗忓姪銆�

銆€銆€涔濄€佸氨鏈悎鍚屽彂鐢熺籂绾凤紝鍙屾柟鍗忓晢瑙ｅ喅锛屽崗鍟嗕笉鎴愶紝浠讳綍涓€鏂瑰潎鏈夋潈鍚戝ぉ娲ュ紑鍙戝尯浜烘皯娉曢櫌鎻愯捣璇夎锛岃姹傚徃娉曡В鍐炽€�

銆€銆€鍗併€佹湰鍚堝悓杩炰竴寮廮__浠斤紝鐢层€佷箼鍙屾柟鍚勬墽___浠斤紝鑷弻鏂圭瀛椾箣鏃ヨ捣鐢熸晥銆�

銆€銆€鐢叉柟锛歘_________________

銆€銆€涔欐柟锛歘_________________

銆€銆€_________骞確___鏈坃____鏃�

銆€銆€鐢叉柟濮撳悕锛堝嚭绉熸柟锛塤________________韬唤璇佸彿鐮侊細________________

銆€銆€涔欐柟濮撳悕锛堟壙绉熸柟锛塤________________韬唤璇佸彿鐮侊細________________

銆€銆€缁忓弻鏂瑰崗鍟嗙敳鏂瑰皢浣嶄簬______________________________鎴垮眿鍑虹缁欎箼鏂瑰眳浣忎娇鐢ㄣ€�

銆€銆€涓€銆佺鎴夸粠_____骞確__鏈坃__鏃ヨ捣鑷砡_____骞確__鏈坃__鏃ユ銆�

銆€銆€浜屻€佹湀绉熼噾涓篲___鍏冿紝缂寸涓篲___鏀粯涓€娆★紝浜烘皯甯侊紙澶у啓锛塤________鍏冿紙锟___鍏冿級锛屼互鍚庡簲鎻愬墠___澶╂敮浠樸€�

銆€銆€涓夈€佺害瀹氫簨椤�

銆€銆€1銆佷箼鏂瑰叆浣忔椂锛屽簲鍙婃椂鏇存崲闂ㄩ攣鑻ュ彂鐢熸剰澶栦笌鐢叉柟鏃犲叧銆傚洜涓嶆厧鎴栦娇鐢ㄤ笉褰撳紩璧风伀鐏俱€佺數銆佹皵鐏惧绛夐潪鑷劧鐏惧鎵€閫犳垚鎹熷け鐢变箼鏂硅礋璐ｃ€�

銆€銆€2銆佷箼鏂规棤鏉冭浆绉熴€佽浆鍊熴€佽浆鍗栬鎴垮眿锛屽強灞嬪唴瀹跺叿瀹剁數锛屼笉寰楁搮鑷敼鍔ㄦ埧灞嬬粨鏋勶紝鐖辨姢灞嬪唴璁炬柦锛屽鏈変汉涓哄師鍥犻€犳垚鐮存崯涓㈠け搴旂淮淇畬濂斤紝鍚﹀垯鐓т环璧斿伩銆傚苟鍋氬ソ闃茬伀锛岄槻鐩楋紝闃叉紡姘达紝鍜岄槼鍙版憜鏀俱€佽姳鐩嗙殑瀹夊叏宸ヤ綔锛岃嫢閫犳垚鎹熷け璐ｄ换鑷礋銆�

銆€銆€3銆佷箼鏂瑰繀椤绘寜鏃剁即绾虫埧绉燂紝鍚﹀垯瑙嗕负涔欐柟杩濈害銆傚崗璁粓姝€€�

銆€銆€4銆佷箼鏂瑰簲閬靛畧灞呬綇鍖哄唴鍚勯」瑙勭珷鍒跺害锛屾寜鏃剁即绾虫按銆佺數銆佹皵銆佸厜绾ゃ€佺數璇濄€佺墿涓氱鐞嗙瓑璐圭敤銆�

銆€銆€5銆佺敳鏂逛繚璇佽鎴垮眿鏃犱骇鏉冪籂绾枫€傚閬囨媶杩侊紝涔欐柟鏃犳潯浠舵惉鍑猴紝宸蹭氦绉熼噾鐢叉柟鎸夋湭婊″ぉ鏁伴€€杩樸€�

銆€銆€6銆佸娉紱_______________________________________________________________

銆€銆€_______________________________________________________________________

銆€銆€鍥涖€佹湰鍚堝悓涓€寮忎袱浠斤紝鑷弻鏂圭瀛椾箣鏃ヨ捣鐢熸晥銆傚彟姘达紱_____鍚ㄦ皵锛沖___绔嬫柟鐢碉紱___搴�

銆€銆€鐢叉柟绛剧珷锛堝嚭绉熸柟锛塤________

銆€銆€涔欐柟绛剧珷锛堟壙绉熸柟锛塤________

銆€銆€鐢佃瘽锛歘_________________

銆€銆€鏃ユ湡锛歘____骞確___鏈坃__鏃�

銆€銆€鎺ㄨ崘闃呰锛�

銆€銆€绠€鍗曚釜浜烘埧灞嬬璧佸悎鍚�(绮鹃€�5绡�)

銆€銆€鎴垮眿绉熻祦鍚堝悓灏忓尯鑼冩湰鏍囧噯鐗�

銆€銆€涓汉鎴垮眿绉熻祦鍚堝悓2021绠€鍗曠増

銆€銆€涓汉鎴垮眿绉熻祦鍚堝悓鐢靛瓙鐗堢畝鍗�