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ΣƷͣ܇Uͬ

rg2024-08-16 13:20:58 ־ ͬ

Ʒͣ܇Uͬͨ13ƪ

˂ķRͬ҂ĎԽԽҲnjF(xin)I(y)ļ~֪ͬҪ(ni)ʲôСռƷͣ܇UͬHһɡ

Ʒͣ܇Uͬͨ13ƪ

ΣƷͣ܇Uͬ 1

ⷽ(ºQ׷)_________

ⷽ(ºQҷ)_________

p(jng)ѺÅf(xi)ҷU׷ͣ܇һ_ɱf(xi)h

һl

ͣ܇_________e_________ƽ

ڶlU

ڞ__________________________________________ֹ

l𽻼{ʽ

1______Ԫ(______Ԫ)

2ҷڳǰһԽo׷Ѻ_______Ԫ׷ںͬڝMrw߀ҷ

3ÿ½һȡUķʽҷڳǰȽ______µo׷M______µǰ______ҷٽ‚µơ

ėl׷.؟

1׷ͬҎ(gu)ĕrgҷṩU

2Ug׷_ջ؈ǰ֪ͨҷʣʣڃ(ni)H씵(sh)Ӌ㷵߀߀_______ԪѺ

3Ug׷Ҫ_ͬĈ(zh)

lҷ؟Ρ

1.ҷst𣬼׷Й(qun)ջس

2ҷ˽Ը׃ͬʹ;

3ҷo(qun)ԓD(zhun)o

4ҷںͬδMнͬ׷߀Ѻ

5ͬڝM׷Ĉ^m(x)ҷЃ(yu)m(x)(qun)

1ȻĺšpͬtȻKֹГ؟

2wͼ{ǽҎ(gu)ͬȻKֹHʹ씵(sh)ӋʣՃ(ni)߀ҷ

ͬδM횽(jng)pf(xi)aҎ(gu)aҎ(gu)cͬͬЧ

ͬ(zh)l(f)mͨ^pf(xi)̽Qf(xi)̲Ո?sh)طԺ{(dio)ÛQ

ͬһʽסp(zh)һЧ

׷()_________ҷ()_________

()_________()_________

____________________________________

Ʒͣ܇Uͬ 2

׷_______

ҷ_______

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

һl

_______________ٵͣ܇Ŀ׷бĿʹÙ(qun)׷Й(qun)ͣ܇Ľ(jng)Iίнoҷ

ڶlĿַ

_______________

l(jng)I|(zh)

عͣ܇cM

ėlͣ܇λ(sh)

ϲλ___

ͬޞ__________________________________________ֹ

lаM

1.аʽа

ǰͣ܇OOʩҷͶҷԼȹ̶ʽ15Ԫ(󌑣ҼfǪԪ)а׷Ӌ143܇λĽ(jng)I(qun)

2.֮ͬ3Ճ(ni)ҷ׷֧ļsCţ1.Ԫ(ҼfԪ)ͬڝM׷ļsCoϢ߀oҷ

ߗlMʩ

1.׷ṩYԴҷڽ(jng)Iͣ܇gP(gun)ͣ܇ͣ܇OOʩkOʩMϵy(tng)ƷˆT׷Гˮa(chn)κεMú؟Ρ

2.׷ҷˆTҪطɷҎ(gu)p_ĹҷMͣ܇OͶʩǰʩDԕʽo׷ڵõ׷Jɺ󷽿ʩpMгօf(xi)ͬЧ

3.ҷЙ(qun)r˜ʈ(zh)Mr{(dio)˜ԕʽo׷ҷЙ(qun)rTҪM˜M{(dio)ҷkP(gun)(jng)Im(x)¼{MrʹؔTy(tng)һӡƵMl(f)ƱM˜

ڰ˗l׷ę(qun)x

1.׷Й(qun)ҷڷպM˜`бO(jin)ch

2.׷Й(qun)ҷṩ\Iͣ܇ճrʩO(jin)z

3.׷ԭͣ܇o^m(x)\I׷ǰ֪ͨҷKֹգ׷ͬrҷͬδڝMδջصͶYɱ

4.ҷܞͣ܇ṩջOOʩʹõr׷Й(qun)ҷҊҷܲ׷Й(qun)ҷ̎Pw̎PlpsĹt(zh)((j)ͣ܇MgHl(f)\IB(ti)pͬݕt׷tҪ(zh)ĿO(jin)šҷtҪṩչ)

ھŗlҷę(qun)x

1.ҷ׷ṩOOʩʹõę(qun)ͱܵxЁGʧpՃrr

2.ҷ՘˜ʻMͣ܇P(gun)Ҏ(gu)ͼ׷P(gun)Ҏ(gu)سZCͣ܇OʩƷRеK^հʹͣ܇ȫ

3.ҷԭ򣬌ͣ܇o(jng)Ir횽(jng)^c׷wf(xi)̲ü׷ͬҷɳ˺ͬKֹo׷ɵēpʧr

4.ҷҪCv׷ˆTwoش󼲲ҷˆTڹгF(xin)¹ʻͻl(f)ģҷؓȫF

5.ҷГͣ܇OOʩľSoB(yng)xCO\D(zhun)l(f)24Сr(ni)Sꮅ

6.M(ni)܇vҷؓFܲȡMl(f)܇vGʧpļΰˆTȮrҷc܇MЅf(xi){(dio)Q׷Гˮa(chn)κ؟Ρ

7.܇v(yu)ߣ

(1)ҷڽ(jng)Igṩo׷R䁘I(y)ÿ1_܇vă(yu)

(2)ҷṩo׷ߌI5_܇v`ͣ܇

(3)ҷ׷ˆT܇vЈr5%ȡͣ܇M̈I(y)܇vЈr75%ȡ

(4)ُ̈͑MM88Ԫͣ܇1СrMM158Ԫͣ܇2СrM

(5)׷I(y)ekչNռҷص׷ǰ3֪ͨҷ_չλüP(gun)rҷoṩ

(6)ȫM܇vҷo3ͣ܇ă(yu)

(7)(4)ἰُСƱ܇vСƱҷˆTջ~(ڼ׷̈漰͑˓Q؛P(gun)}СƱջػ(zh)зʽȼ(ji)Hмph)

ʮl؟

pͬؓй̘ͬI(y)Cܱxգδ(jng)һڙ(qun)S͸¶ЇF(xin)зɷҎ(gu)Ҏ(gu)һͬ

ʮһlͬĽKֹc

ͬsĺތÝMrͬȻKֹpڌÝMǰ…f(xi)^m(x)˲µĕͬU{P(gun)MͬȗlҷЃ(yu)m(x)s(qun)

ʮl؟

1.סp،ĺ(qun)κһÆηԽͬt`sr(jng)pʧɿ

2.κһ򲻿ɿȫ򲿷ֺͬЕrԲɿrgl(f)Ճ(ni)ԕʽ֪ͨһԕrgl(f)֮ʮՃ(ni)һṩȫ򲿷ֲлtкͬCK_鲻ɿtpГ`sFΡ

3.pں(jng)I^аl(f)hrf(xi)̽Qf(xi)̲ɕrp׷סصԺV

ʮl

1.f(xi)hһʽݣp(zh)ֲwºЧ

2.ͬδM˻δM_Ľ(jng)סpf(xi)һӆalal鱾ͬɷָһcͬͬЧ

3.pں𱾺ͬrȫОԵę(qun)xFףԸͬҎ(gu)(zh)һ`ͬһЙ(qun)ͬҎ(gu)r

׷()_______ҷ()_______

ˣ_______()_______

ίдˣ_______C̖a_______

“(lin)ϵԒ_______“(lin)ϵԒ_______

____________________________________

Ʒͣ܇Uͬ 3

ⷽ׷_______

ַ_______

“(lin)ϵԒ_______

ⷽҷ_______

ַ_______

“(lin)ϵԒ_______

(j)A񹲺͇ɷҎ(gu)____еP(gun)Ҏ(gu)pҷUλͣ܇܇λˣ(jng)f(xi)һ_ɱͬlYͬء

һl(jng)pһ´_J׷ͬ⣬ҷͬⱾͬ

ڶl܇λرͬl(ni)ݲ•ͣ܇vѽ(jng)k܇vUm(x)

l܇λ;

ͬ_U܇λHͣ܇vʹ;

ėl܇λλ

1ҷ׷Uλڹ̶ͣ܇λ______ºQ܇λ

2Uޣ________________________________Ӌ________

l܇λ֧ʽ

1ҷ܇λÿ____Ԫ

2֧ʽ

lͣ܇܇λ

1Ug(ni)ҷʹc܇λę(qun)؟

2Ug(ni)ҷԭͣ܇܇λOOʩpҷГr؟

ߗlD(zhun)

δ(jng)׷ͬ⣬ҷo(qun)܇λD(zhun)o

ڰ˗lںͬЧڃ(ni)ҷʹ܇λrrҷpʧ׷Гκ؟Σ

1Ȼĺɿܵ¼

2°ɵēpʧ

3Ǽ׷^ʧĞĺ

4ͣ܇bϓ޶܇λʹõД

5܇λʹ߽oҷɓpʧ

ھŗlҷr֮һ׷Й(qun)ηKֹͬr

1δͬҎ(gu){

2δͬҎ(gu)ʹ܇λ

3`ͬҎ(gu)δ(jng)׷ͬD(zhun)

4߻I(y)KΣ

5˞ɹOʩēp

6܇λMκ`

7`sО顣

ʮlUڌÝM

1ҷǰ____Ո(jng)׷պkm(x)

2ҷδl1ktĺͬKֹ____潻m(x)kמֹҷ횰ͬsr׷֧֧(gu)Um(x)

3ҷδl1k____գ(ji)գ׷Й(qun)̎ҷ܇λκ܇vҷГ׷̎M

ʮһl`s؟

ʮlҎ(gu)pÆηKֹͬκһ`ͬО`sОoɵ.(jng)pʧVAMãMrp^ʧ(j)rpքeГ`s؟

2ҷδͬs֧____ϵ׷Ԅջԓ܇λ

ʮlmüݠ

(zh)бͬĠhpͨ^ƽȅf(xi)̽Qf(xi)δȡһύ܇λڵأ(j)A񹲺͇P(gun)ɷҎ(gu)ЛQ

ʮėlͬЧ

ͬ(jng)pwºЧͬһʽɷסp(zh)Ҽ

ʮlδM

ͬδM(jng)ҷf(xi)кӆaf(xi)hԓaf(xi)hcͬͬȷЧaf(xi)hҎ(gu)֮(ni)|af(xi)hҎ(gu)֮(ni)ݞ

׷£_________ҷ£_________

ˣ֣_________ˣ֣_________

____________________________________

ΣƷͣ܇Uͬ 4

׷___________________________

ҷ___________________________

(j)A񹲺͇P(gun)ɷҎ(gu)Ҏ(gu)pƽȻf(xi)һµĻAҷU׷ͣ܇ͣ܇vһӆºͬpͬأ

һλ

׷__________λs_____ƽ(ҊD)ͣ܇ؼOʩṩoҷʹЃṩkǃ(ni)ָgoҷkʹá׷ÿȡҷʹMϹţ__________Ԫͬӆͬrҷ׷U{_________ԪͬC(Ѻ)׷pf(xi)hϷKֹ__________Ճ(ni)oϢ߀oҷ

ʹ

_____________________________ֹʹMU{ÿ_____̖ǰU{µĈʹMP(gun)M

pę(qun)x

1׷Ҏ(gu)ͣ܇ص܇vMй(ҷ܇vMͣ)ҷҷԭͣ܇؃(ni)Oʩpĵ׷Й(qun)Ҫҷޏͻrҷβļ׷`Ҏ(gu)ɇغ׷Й(qun)Kֹͬ

2׷ҷṩͣ܇صʹùҷʹ^ؼ׷܇Ĺƶ ָ]

3׷ؓ؟܇ؼOʩİbSoB(yng)CصʹùܣԼ܇坍l(wi)(ṫط)Ϻͅf(xi)ҷf(xi){(dio)P(gun)TĹkP(gun)C

4ҷЙ(qun)f(xi)hҎ(gu)eʹͣ܇ͣ܇v׷Й(qun)O(jin)ҷҷ܇vMй׷ҪM܇vͺ݆̥ı؟Σ׷؟ɓpʧ'r

5ҷ܇v̶ֹRrͣţ̶ͣŵ܇vṩC׷䰸ҷ׃ͣ܇vҷ܇vC׷̎rkP(gun)׃m(x)Rrͣ܇vҷ_J׷Tl(wi)

6ҷÈ؃(ni)ͣ܇ͣ܇r܇^ȫͨͣ܇Ì܇vͣͣ܇M̎tҷГɴһ؟Ρ

7ҷ܇vkUm(x)(jng)z܇vԱI𡢷©͵tҷГɴl(f)؟

ġs

׷ԓʹÈصĺϷʹÙ(qun)ɿ⣬׷Cҷںͬڃ(ni)ʹ؃(ni)ҷһн(jng)mcҷoP(gun)ͬr򲻿ɿ׷܆ηKֹͬĈ(zh)׷ԭҷ^m(x)ʹúͬsĈصģ׷rҷ˶ɵēpʧ

ͬڝMҷ԰ͬsʹͣ܇زU{sĈʹMҷЃ(yu)ʹÙ(qun)

ͬ(zh)^F(xin)hpf(xi)̽Qf(xi)̲ɿύ?sh)ԺVAQ

f(xi)hpw𼴕rЧp(zh)_____ݣͬȷЧ

ע(ƽD)

׷____________________ҷ_____________________

׷________________ҷ________________

“(lin)ϵʽ________________“(lin)ϵʽ________________

ڣ__________________ڣ__________________

Ʒͣ܇Uͬ 5

׷(ⷽ)_____________________(ºQ׷)

ҷ(ⷽ)_____________________(ºQҷ)

(j)A񹲺͇P(gun)ɷҎ(gu)Ҏ(gu)pƽȻf(xi)һµĻAҷU׷ͣ܇һӆºͬpͬأ

һͣ܇ַ

׷λ_________L^(q)__________________ͣ܇ָIJֈṩoҷʹ(Ӌes_________ƽ)Ԕ^(q)Ҋ׷ÿȡҷʹMϹţ_________Ԫ

U

_________ͬ__________Urg______________________________׷oҷǰ_____MvҎ(gu)糬Ҏ(gu)Mrgt씵(sh)U{UMʹMU{ȸʹÿµU{ʹMP(gun)MáͬȻںҷͬȗlЃ(yu)m(x)ę(qun)

p`(qun)x

1׷Й(qun)MйҷҷԸĈ;ҷԭͣ܇؃(ni)OʩGľpĵ׷Й(qun)Ҫҷޏͻrҷβļ׷`Ҏ(gu)ɇغ׷Й(qun)Kֹͬ

2ҷȡʩĿĺϷm(x)Ƿʩɵһкc׷oP(gun)׷ɽ(jng)pʧȫ~rUgһRrҷkP(gun)m(x)

3ҷؓ؟ضε坍l(wi)жѷš׷ṩҷˮ늹½Y(ji)(M_____Ԫ/ˮM_____Ԫ/){(dio)ЈrȡҷʩI(y)r횰P(gun)ɷҎ(gu)ȫ`Ҏ(gu)ɵһкҷгГ

4ҷЙ(qun)ͬҎ(gu)eʹUҷUgUUطǰc׷f(xi)ռ׷Й(qun)O(jin)

5ҷY輯жѷŲɌп׷Г؟Ρҷ횼ӏvˆTİȫa(chn)ʩRF(xin)a(chn)¹c׷oP(gun)

6O׷_l(f)Ҏ(gu)rǰ_____֪ͨҷKֹͬҷolˈpa

7׷ԓʹÈصĺϷʹÙ(qun)ɿ⣬׷Cҷںͬڃ(ni)ʹ؃(ni)ҷһн(jng)mcҷoP(gun)

8ͬӆЧ󣬼סp`sһ`srһĽ(jng)pʧ

ͬ(zh)^F(xin)hpѺÅf(xi)̽Qf(xi)̲ɿύ?sh)ԺVAQ

塢ͬpw𼴕rЧp(zh)_____ͬȷЧ

׷()_______________ҷ()_________________

()_________()_________

ڣ_______________ڣ_______________

Ʒͣ܇Uͬ 6

׷:

ҷ:

סp(jng)f(xi)ͼ׷_l(f)O'¼ͣ܇λU_…f(xi)h:

һҷُIһסլ(jng)ҷҪ󣬼׷ͬ⌢ס^(q)˷¼(̖)܇λoҷ(ԔҊD)

܇λUrӋ(:)ҷںӆf(xi)hrһ֧܇λUM

ҷH܇λʹÙ(qun)ʹÙ(qun)܇λUԱf(xi)hӆ֮______ֹڝM׷ͬҷ^m(x)Mʹ܇λֱҷُIסլõʹތÝMкӆUf(xi)h

܇λٵĵ¼܇I(y)˾Ѓw(ji)ҷcI(y)˾(j)܇λՅf(xi)hкӆ

ҷͬڇorrM˷Oʩ

f(xi)hһʽɷ(jng)pwºЧp(zh)һ

׷(w):________ҷ(w):________

________________________

Ʒͣ܇Uͬ 7

׷_______

ҷ_______

Ŀڵַ_______

ͬrg_____________________

(j)A񹲺͇񷨵䡷P(gun)Ҏ(gu)_׷cҷę(qun)xP(gun)ϵ(jng)pf(xi)һ£ӆͬ

һlUؼQ(sh)|(zh)c;

λ·̖e;

ڶlU

Uڹ______________£׷_____________________ؽҷʹ_____________________ջ

lĽ{

_______Ԫ~_______Ԫⷽʽڸoⷽ

ėlⷽͳⷽ׃

1Ugⷽ猢Й(qun)D(zhun)ƽoͬ·a(chn)^m(x)Ч

2˳u3ǰ֪ͨͬȗl£Ѓ(yu)ُI(qun)

3ⷽÈD(zhun)׌oʹóⷽͬⲢºӆUͬ

4ͬÝMUprkY(ji)ⷽ^m(x)ǰ_______cⷽf(xi)m(x)ˣԭⷽͬȗlm(x)⃞(yu)ș(qun)

lͬKֹ

֮һģ˿ԽKֹͬջ؈;

1ԌD(zhun)D(zhun)׌D(zhun);

2óMзǷp`;

3ǷӋ_ġ

4UͬڝMKֹ˵ڕroҵˑLU

5ⷽڲwⷽЙ(qun)ԺVՈ(zh)ⷽܓpʧɳⷽؓ؟r

l`s؟

1.ⷽδͬlҎ(gu)˽ϺҪĈص`s_______Ԫ;

2.ⷽδrعⷽʹõؓ؟`s_______Ԫ;

3ɳⷽˆTܵؔܚģؓ؟rpʧ;

4.ⷽڽԑr电(sh)a֧`s_______Ԫ;

5.ⷽԸ׃ؽY(ji)(gu)ɳؚĵؓ؟r;

6.ⷽʽKֹͬɴɳⷽĽ(jng)pʧ֧r_______Ԫ

ߗl؟l

1.(jng)P(gun)TbUg򲻿ɿԭ?q)špɳⷽpʧpГ؟Ρ

2.UgOwԓͬн

ڰ˗lhĽQʽ

ںͬмsЃɷNʽxһN;

(һ)бͬl(f)Ġhɮ˅f(xi)̽Qf(xi)̲ɵģύ____________ٲίTٲ;

()бͬl(f)Ġhɮ˅f(xi)̽Qf(xi)̲ɵ____________ԺV

ھŗls

1UgⷽṩΪˮ늱ˮMס֮sڝMwֹ֮ɳⷽؓ

2Ugⷽṩһgⷽʹ

ʮlͬδM(jng)pͬf(xi)aҎ(gu)aҎ(gu)cͬͬЧ

ͬһʽͬp(zh)______;ͬ______ݣ______λ䰸

׷(w):________ҷ(w):________

________________________

Ʒͣ܇Uͬ 8

׷ⷽ__________________

ҷⷽ__________________

ҷ˾\ݔI(y)L܇v࣬\ݔ׷ͣ܇õ(j)A񹲺͇񷨵䡷A񹲺͇ݳlP(gun)ɷҎ(gu)֮Ҏ(gu)ⷽͳⷽƽȡԸf(xi)һµĻAϾͳͣ܇õ_…f(xi)h

һlҷ׷ͣ܇õ؞__________ƽc__________________.

ڶlⷽʽykD(zhun)~飺______________________________.

l~Ӌÿ____ն齻ڣÿ_____fԪ޲ó^ÿµ____

ėlҷ܇vгГ؟Ρ

lҷͣ܇꠵܇v߀Й(qun)⽛(jng)I܇vܘI(y)ա

lҷk̡յһP(gun)ķm(x)

ߗlҷtɂδͬԄӽ׷ջ؈ء

ڰ˗lˮMҷ

ھŗlںͬ`Чރ(ni)ҷHЙ(qun)ԓͣ܇õʹo(qun)ʹgԸ׃;׷gԸ׃ʹìF(xin)`s׷CҷصЧʹ

ʮl׷δͬxգtГP____ԪoҷҷЙ(qun)ܸP~^ͬsr______%׷`ڱͬCxʹҷܓpʧtҷЙ(qun)Ҫ׷r

ҷ`ͬδxt씵(sh)ÿf֮_____֧`so׷׷Й(qun)ջ`s𲻳^ͬs~______%ҷ`ڱͬCxʹ׷ܓpʧt׷Й(qun)Ҫҷr

ʮһlһͣ܇úͬ@֪һ̘I(y)CؓбxգP(gun)й¶ЇF(xin)зɡҎ(gu)Ҏ(gu)Ļ(jng)һͬij

ʮlpбͬ^аl(f)hrf(xi)̽Qf(xi)̲ܽQɏBTٲίTٲ

ʮlͬɸ(j)ҊMЕ޸Ļaɴγɵaf(xi)hcͬͬЧ

ʮėlͬһʽp(zh)һݣp֮𼴕rЧͬȷЧ

׷w£_______________ҷw£___________________

׷_______________ҷ___________________

ַ_______________________ַ___________________________

Ԓ_______________________Ԓ___________________________

棺_______________________棺___________________________

ڣ_________________ڣ_____________________

Ʒͣ܇Uͬ 9

ⷽ_________(ºQ׷)

ⷽ_________(ºQҷ)

(jng)pf(xi)һͬҷһKUo׷ͣ܇ʹ

һԓλ________________һ|____ףϱL____Ӌ________ƽۺϮ(sh)____

UMÿÿpǧӋrСُrrgÿ________µɼ׷һԸoҷ

ԓ؉K渽Иľÿð_______Ԫuÿa____Ԫˮ____Ԫҷľuһ̎ꮅɼ׷ҷa

ʹÕrg____________________________

ڼ׷ʹ^ҷßoȡ[͸׷ʹtһГpʧҷؓ؟

׷ʹ^вrҷҕ׷^m(x)ʹͬȡ

ͬРhpf(xi)̽QδMpsͬcͬͬЧ

ͬһʽɷpֺЧ

׷()_________ҷ()_________

________________

Ʒͣ܇Uͬ 10

׷_____________________

ҷ_____________________

һ܇śr

܇Q__________________

ҷʹõ܇λُͣIá

ҷُI()܇λλã_________

܇λʹÕrg

܇λʹÕrg________________________________

׷Ճ(ni)ݼ˜

1׷ҷ܇vij(ni)ͣMָӛ(ni)y(tng)һҎ(gu)ͣš

2܇(ni)ͨOʩO˾־Oʩ(wn)

3׷ؓ؟܇(ni)܇(ni)OʩO·o@s

4׷ؓ؟܇(ni)ѲҕrcҎ(gu)·Ѳҕӛ䛡

5׷ҷ܇vMn

ġ׷ę(qun)x

1׷܇ʹ(qun)

2շՃ(ni)ݼ˜ʞҷṩ

3ҷkUrC

塢ҷę(qun)x

1܇v?c)ͣŵę?qun)

2ҷ܇չıO(jin)(qun)ͽh(qun)

3ҷص܇P(gun)Ҏ(gu)_܇췽ȫ.ʹ

4ҷ횰Յf(xi)hs{ͣ܇M

5׷ṩ挍ЧP(gun)Y

M(܇vĸNU܇λUM)

1M֧ˆTYȣkƷMpOʩOľSo

2Mؘʣ܇vͣM_____Ԫ/܇λ_____

3ͣ܇M˜ʰ߈(zh)Sߵ{(dio){(dio)

4܇λʹԭtȽMʹԭtÿ_____ǰ{‚ȵ܇vM

5ҷ܇λͣ܇Mҷij˽{ҷؓB؟

6ҷD(zhun)׌܇λr횽Y(ji)ǰͣ܇M

`s؟

1׷`f(xi)hδ_sķ|(zh)ҷЙ(qun)Ҫ׷δĽoҷɓpʧģ׷Г؟

2ҷ`f(xi)hʹ׷δ_sķ|(zh)׷Й(qun)ҪҷģδĽo׷ɓpʧҷГķ؟

3ҷՅf(xi)hļs{P(gun)MʹڝM(jng)׷߽Բ{ҕҷԄӽf(xi)h׷ٳГ؟

4ҷռ׷Ҫkͣ܇m(x)ҷܽ^ṩP(gun)Yϵ׷Й(qun)ܽ^ҷͣ܇Ҫ

5ҷͣ܇˻Gʧδ֪׷Makҷؔa(chn)pʧҷГ׷Гκ؟

6ҷδյ܇vҎ(gu)(zh)еa(chn)P(gun)؟ҷгГ

׷ͣŵ܇vkNU˴_܇vpGʧҷ횞Լ܇vkU

šȻĺȲɿɵēp׷ؓκ؟Ρ

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܇Uͬ 11

׷ⷽⷽλȫQ

ҷⷽⷽλȫQ

bڼ׷Ϸλ_____________wַƷͣ܇ͬ⌢oҷںϷҎ(gu)ͣΣUWƷ\ݔ܇vp(j)P(gun)ɷҎ(gu)(jng)f(xi)һ_…f(xi)h

һUؼ;

׷Ʒͣ܇(ni)_____________w^(q)܇λoҷ_____________wƷN\ݔ܇vͣ

Uޣ

U________________________ֹ

֧ʽ

ÿ/ÿ____Ԫ󌑣________֧ʽ飨硰¸//긶עw֧ڣ

ҷr~֧׷ָ~

ȫc

ҷ횇؇P(gun)ΣUWƷ\ݔͣŵĸҎ(gu)ȡЧʩ_ͣ܇(ni)ȫܼ׷P(gun)TıO(jin)ܡ

Uc؟Σ

ҷͣͣ܇ΣƷ\ݔ܇vͶҪ`UГ܇vͣl(f)һаȫ؟μpʧ

ͬ׃c

ͬڃ(ni)κһ׃ͬǰ____Օ֪ͨ(jng)pf(xi)һ

hQ

򱾺ͬĠhpͨ^ѺÅf(xi)̽Qf(xi)̲ɕrύ׷ڵԺVAQ



ͬδMpЅf(xi)̲ӆaf(xi)haf(xi)hcͬͬȷЧ

ͬһʽɷݣp(zh)һpw֮Ч

׷/w£_____________ ڣ____________

ҷ/w£_____________ ڣ____________

Ʒͣ܇Uͬ 12

׷ⷽ______________

ҷⷽ______________

bڼ׷кϷ(jng)IƷͣ܇ºQͣ܇ҷI(y)ҪMUԓͣ܇ڴΣUWƷp(j)P(gun)ɷҎ(gu)(jng)ѺÅf(xi)_Uf(xi)h

һU˵ģ׷λ__________Ʒͣ܇weλԸDʣoҷʹ

UޣU________________________ֹӋ____

֧ʽ~_________Ԫ󌑣__________________ҷÿ/ÿ/ÿ꣨xһ헣____ǰ֧׷ָ~

p(qun)cxգ

׷Cͣ܇ϴΣUWƷİȫ˜ʺͷɷҎ(gu)ҪṩҪİȫOʩ͑ʩ

ҷ؇P(gun)ΣUWƷ惦\ݔʹõP(gun)Ҏ(gu)_ͣ܇(ni)ΣUWƷİȫ

ҷГͣ܇ʹgҷԭɵһГpʧͷ؟Ρ

ȫ؟Σҷؓ؟ͣ܇(ni)ΣUWƷİȫƶ(zh)Ї.ȫƶȺͲҎ(gu)Mаȫzֹ¹ʰl(f)

`s؟Σκһ`ͬs?q)Г`s؟rܵēpʧ

ߡhQ򱾺ͬĻcͬP(gun)Ġhpf(xi)̽Qf(xi)̲ɕrύ׷ڵԺVAQ

ͬһʽɷp(zh)һݣpw֮ЧͬδMpɺӆaf(xi)haf(xi)hcͬͬȷЧ

׷/w£__________ ڣ____________

ҷ/w£__________ ڣ____________

Ʒͣ܇Uͬ 13

׷ⷽͣ܇λȫQ

ҷⷽI(y)ȫQ

bڼ׷Ϸλ_____________ͣ܇ԔַΣƷͣ܇ͬ⌢䲿ֻȫ^(q)oҷͣΣUWƷ\ݔ܇vp(j)P(gun)ɷҎ(gu)ȫҎ(gu)(jng)f(xi)һ_…f(xi)h

һU

׷ͣ܇(ni)ָİȫ^(q)oҷͣ_____________wΣƷN\ݔ܇v

U

U________________ֹ

֧ʽ

~_____Ԫ󌑣______֧ʽ___________磺¸//긶w֧rg______

Ѻ_____Ԫ󌑣_________ںͬӆr֧UڝMҟo`sprȫ~߀

ȫ؟

ҷ횇؇P(gun)ΣƷ\ݔ惦ķɷҎ(gu)_܇vͣŰȫ

ҷ䌣I(y)İȫˆTͣ܇(ni)'ΣƷ܇vMճֹȫ¹ʰl(f)

`s؟

κһ`ͬsГķ؟?q)֧`s_____Ԫ

ͬ׃c

pf(xi)һ¿׃ͬ򲻿ɿºͬoЕrpɅf(xi)̽ͬ

ߡhQ

򱾺ͬĠhpͨ^ѺÅf(xi)̽Qf(xi)̲ɕrύ׷ڵԺVAQ

ˡ

ͬһʽɷp(zh)һݣpw֮Ч

׷/w£_________ ڣ________

ҷ/w£_________ ڣ________

Ʒͣ܇UͬP(gun)£

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