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    ݡл񹲺͹Ͷ(¼ơͶ)л񹲺͹Ͷͬ(¼ơͶͬ)йطɷ˫ѭϷƽƽԸЭһʵõԭǩͬͬرͬ

    һͬ

    (һ)˫ͬⰴµ ַʽȷͬ

    1й̶ޣ________________________ֹ

    2޹̶ޣ____________

    3һΪޣ________ ________ʱֹɹı־____________

    ()Ϊ (ڰںͬ________д“”)

    ĵݺ͹ص

    ҷĹ(λ) ________________________

    ҷĹص___ʡ_____________

    ʱϢݼ

    (һ)˫ͬⰴµ ַʽȷҷĹʱ

    1׼ʱÿչ____Сʱ(8Сʱ)ÿܹ____Сʱ(40Сʱ)ÿϢһ

    2ʱͶҷڸλʵвʱ

    3ۺϼ㹤ʱͶҷڸλʵۺϼ㹤ʱ

    ()׷ӪҪӳʱͶʮһִ

    ()ҷзڼɥٵȼ

    ()ҷϢݼٰ____________

    Ͷ

    (һ)׷ƶʷƶ֪ҷ׷֧ҷĹʲõĵ͹

    ()ҷÿ¹ Ԫ(ÿ¹ Ԫ)________________ִ

    ()׷ÿ շŹ׷ÿԻʽҷ֧һι

    ()ҷӰ๤ڹʼµĹ֧йطĹ涨ִ

    ()˫ԹʵԼ____________

    ᱣպ͸

    (һ)˫չҺʡйع涨μᱣᱣշ

    ()ҷ򹤸׷ӦҺʡ˼ейع涨ҷҽںҽڴ

    ()ҷְҵ򹤸˵׷ְҵη˱йطɷĹ涨ִ

    ()׷Ϊҷṩ¸____________________

    ͶͶְҵΣ

    (һ)׷ҺʡйͶ涨ṩϹ________________ȫ׼ͶҵͱҪͶƷʵҷеİȫͽ

    ()׷Һʡйع涨ŮԱδ깤Ͷ

    ()ҷ ҵܲ ְҵΣ׷Ӧȡ ʩÿ֯ҷ____

    ()ҷȨܾ׷Υָǿðҵ;Լ׷Σȫ彡ΪҷȨҪйزžٱ

    ƶ

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    ֹͬ

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    ()ҷǰʮʽ֪ͨ׷ԽͶͬ;ҷǰ֪ͨ׷ԽͶͬ

    ()׷֮һҷ֪ͨ׷Ͷͬ

    1δͶͬԼṩͶͶ;

    2δʱ֧Ͷ;

    3δΪҷᱣշѵ;

    4׷ĹƶΥĹ涨ҷȨ;

    5׷թвȵֶλ֮߳ΣʹҷΥʵ˼¶߱ͬʹͶͬЧ;

    6׷ԼķųҷȨʹͶͬЧ;

    7׷ΥǿԹ涨ʹͶͬЧ;

    8涨ҷԽͶͬ

    ()׷Աв߷ǷɵֶǿҷͶ߼׷ΥָǿðҵΣҷȫҷͶͬȸ֪׷

    ()ҷ֮һ׷ԽͶͬ

    1ڼ䱻֤¼;

    2Υ׷Ĺƶȵ;

    3ʧְӪ˽׷ش𺦵;

    4ҷͬʱ˵λͶϵܽɱλĹӰ߾׷ܲ;

    5ҷթвȵֶλ֮߳Σʹ׷Υʵ˼¶߱ͬʹͶͬЧ;

    6׷ε

    ()֮һ׷ǰʮʽ֪ͨҷ߶֧ҷһ¹ʺԽͶͬ

    1ҷ߷򹤸ڹ涨ҽܴԭҲܴɼ׷аŵĹ;

    2ҷʤιѵߵλԲʤι;

    3ͶͬʱݵĿ͹ش仯ʹͶͬ޷˫ЭδܾͱͶͬݴЭ

    ()֮һ׷ҪüԱʮϻ߲üʮ˵ռ׷ְٷ֮ʮϵ׷Ӧǰʮ򹤻ȫְ˵ȡְüԱͶűԲüԱ

    1ҵƲ涨;

    2ݵͼӪѵ;

    3ҵתش»߾ӪʽͶͬüԱ;

    4ͶͬʱݵĿ͹۾ش仯ʹͶͬ޷е

    ()֮һͶֹͬ

    1Ͷͬ;

    2ҷʼܻϱմ;

    3ҷ߱Ժʧٵ;

    4׷Ʋ;

    5׷Ӫҵִر߼׷ǰɢ;

    6涨

    ʮò

    (һ)֮һ׷Ӧҷ֧ò

    1׷ݱͬھ(һ)涨ҷͶͬҷЭһ½Ͷͬ;

    2ҷݱͬھ()()涨Ͷͬ;

    3׷ݱͬھ()涨Ͷͬ;

    4˼㱨׷ձͬھ()涨Ͷͬ;

    5׷άֻͶͬԼͶͬҷͬݱͬھ()1Ŀ涨̶ֹͶͬ;

    6ݱͬھ()4Ŀ5Ŀ涨ֹͶͬ;

    7涨

    ()˫ֹͬòķű׼ӦͶͬ͹Һʡйع涨ִ׷Ӧҷ֧òӦҷṤʱ֧

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    (һ)ͬδ˻ͬзɷ涨еִзɷִ

    ()ͬԼ˫ǩָ֮ЧͿĻδȨǩЧ

    ()ͬһʽ˫ִһ

    ׷()_______

    ˣ________

    ǩԼڣ____________

    ҷ(ǩ)________

    ǩԼڣ____________

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