λtB(\15ƪ)
ڳM_ŵĽ죬ܶطʹõBBǙCPFwľнBCõĕôBŲܱأСĆλtBgӭxϣ܉ϲg
λtB1
Ɲҹ˾(籣̖:_____)____(C̖a________)____(C̖a________)λTFȫkIȡtFĽokPشC
Ɲ***҆λ(**λ)籣ؓ؟k**F̎IȡtՈԽǢx!
ijλ
XXʮ¶ʮ
λtB2
xxxU֣
Ɲ˾λaxxxTxxxC̖a飺xxxxxxUօUFίxxxС㣨C̖a飺xxxxxxxǰFIȡUt
شC
xxx˾
20xxxxxx
λtB3
xxtģ
Ɲҹ˾籣̖xxxxxxxxxC̖axxxxxxxxxxxxC̖axxxxxxxxλTFȫkIȡtFĽokP
شC
xxx
xxxxxx
λtB4
xxxt:
Ɲҹ˾(籣̖:xxxxxxxxxxx)(C̖axxxxxxx)(C̖axxxxxxxxx)λTFȫkIȡtFĽokP
شC
xxx
ڣ20xxxx
λtB5
xxxU֣
Ɲ˾λaxxxTxxxC̖a飺23456789UօUFίxxxС㣨C̖a飺23456789ǰFIȡUt
شC
Y
Bˣxxx
20xxxxxx
λtB6
xxxt:
Ɲҹ˾(籣̖:xxxxx)xxxx(C̖axxxxxxxx)xxxx(C̖axxxxxxxx)λTFȫkIȡtFĽokPˡشC
xxx˾
20xxxxxx
λtB7
XXtUģ
҆λݺɭƷƲ߄˾λU̖6000013153n̖Y7014798Fί҆λT***C̖a*****************ǰFIȡt Fʣ
Y
BˣXXX
20xxxx
λtB8
xxtģ
Ɲҹ˾籣̖XXXXC̖aXXXXC̖aXXλTFȫkIȡtFĽokPˡشC
λQw£
20xxxxxx
λtB9
xxtģ
ҹ˾籣̖_________FDzTC̖____________________________________________________________________________________شC
λQӡ£
20xxxxx
λtB10
t:
Ɲҹ˾(籣̖:XX)XX(C̖aXXXX)XX(C̖aXXXX)λTFȫkIȡtFĽokP
شC
(λQw)
XXX
λtB11
yЖ|֧У
Ɲҹ˾(籣̖:__________)________(C̖a________________)________(C̖a________________)λTFȫkIȡtFĽokPˡ
شC
______
____________
λtB12
xxtUģ
҆λݺɭƷƲ߄˾λU̖60000 3 53n̖Y70 4798Fί҆λTxxxC̖axxxxxxxxxxxxxxxxxǰFIȡt F
Y
Bˣxxx
20xxxxxx
λtB13
t:
Ɲҹ˾(籣̖:_____)____(C̖a________)____(C̖a________)λTFȫkIȡtFĽokP
شC
xxx
20xxxxxx
λtB14
yЖ|֧У
҆λˆT*****C̖*********FkIȡλtՈǢ
ע yˆTUMµ25̖-30̖ȥyЖ|k莧φλ籣ӛC˾BkC
λtB15
tģ
Ɲҹ˾XXC̖a____________C̖a________λTFȫkIȡtFĽokP
شC
λQw£
XXXXXX
λtBšP£
tλB04-27
λtB11-25
λtB02-13
IȡtλB07-12
ktλB12-06
IȡtλB05-09
tIȡλB11-24
tλB02-06
tλBš]02-06
tλBš02-06