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ӡˢƷӆ؛ͬ

r(sh)g2022-11-17 12:55:18 ӡˢͬ ҪͶ

ӡˢƷӆ؛ͬ(x14ƪ)

ڮ(dng)񲻔l(f)չ磬ͬĵλԽԽݺҕӆͬƽp(dng)˵ƽȵλ֪ͬҪ(ni)ʲô᣿СӡˢƷӆ؛ͬHϣ܉

ӡˢƷӆ؛ͬ(x14ƪ)

ӡˢƷӆ؛ͬ1

׷

ҷ

Ɲ׷a(chn)ҪҷӆӡӡˢƷ(jng)pf(xi)ͬӆͬ£

һӡˢƷQ(sh)؛ڣ

ƷҎ(gu)񩦆λ(sh)Ӌ(j)΃r(ji)~ϩ؛ک

ӹԭϣ

|(zh)ʽӣ|(zh)ʽӣ

؛(sh)IJ~ȣ

؛Y(ji){\(yn)ݔT\(yn)yk

ԭϹ(yng)

׷ϼӹ(yng)ҷ\(yn)؛̎؛ҷ؛Y(ji)r(sh){׷İl(f)ƱY(ji)

ӡ_p;׃(yng)ǰ__֪ͨpf(xi)ͬt(yng)ؓ(f)`s؟(z)(yng)r(du)ɵēpʧ

ˡÑҷk\(yn)ݔҷһ(jng)\(yn)齻؛һаbM(fi)\(yn)sM(fi)ɼ׷ؓ(f)(dn)

šͬһʽ__p(zh)һ(bo)̾һ݂䰸

ʮͬδM횽(jng)pf(xi)ӆ֮f(xi)̲ɰͬP(gun)Ҏ(gu)(zh)С

׷£_________

ҷ£_________

________________

________________

ӆc(din)_________

ӆc(din)_________

ӡˢƷӆ؛ͬ2

̖ͬ(ho)_____________

sc(din)_____________

ُºQ׷)

ˣ

II(y)(zh)̖(ho)a

ַ

Ԓ

؛ºQҷ

ˣ

II(y)(zh)̖(ho)a

ַ

Ԓ

Ɲ׷a(chn)kҪҷӆӡӡˢƷ(jng)pѺÅf(xi)ͬ⺞ӆͬ£

һӡˢƷ(x)|(zh)Ҫ

1ҷؓ(f)؟(z)׷(yng)±؛؛ņλԪ

̖(ho)

؛Q

Ʒƻ̖(ho)

|(zh)Ҫ

(sh)

΃r(ji)

r(ji)

~Ӌ(j)

2r(ji)_______Ԫ

׷ؓ(f)؟(z)ṩƷҷCṩӡˢƷcƷͬҎ(gu)Ҏ(gu)|(zh)һ£CӡˢĮa(chn)ƷɫEɫosɫoدBüҎ(gu)ϼ׷Ҫ

b(bio)(zhn)

1ҷCӡˢƷbmϰ\(yn)

2b(dng)ӡˢƷpĻGʧģҷ(yng)ؓ(f)؟(z)˓Qrָڃ(ni)׷ָ

؛r(sh)gʽc(din)

ҷںͬҎ(gu)֮ǰؓ(f)؟(z)؛͵׷ָc(din)

ġ(yn)

׷(dng)(yn)؛_؛cͬlҎ(gu)̖(ho)һЮh(dng)ҷ(yng)(yng)̎׷δ(du)؛hģҕҷ؛ȫϼs

ʽ

ҷ؛׷ָc(din)󣬽(jng)׷(yn)_J(rn)ϱͬ(bio)(zhn)׷_cͬ(bio)~~Ҏ(gu)l(f)ƱՓ(j)׷؛_____(g)Ճ(ni)Y(ji)(xing)

`s؟(z)

1ҷṩo׷Įa(chn)ƷϱͬҎ(gu)Ҏ(gu)̖(ho)|(zh)ڇ(yn)؆}ҷ(yng)_____֮(ni)ؓ(f)؟(z)a(b)䡢QM(fi)ҷГ(dn)ҷҎ(gu)r(sh)g(ni)ԟoQԓa(chn)Ʒ|(zh)}׷Й(qun)؛

2ҷ(yng)ںͬҎ(gu)ރ(ni)ͬ؛サ׷ҷڽ؛Ӱ푼׷a(chn)ģÿ1ҷ(yng)؛____%׷ڽ؛`s𣻳^ͬҎ(gu)؛ֹ_____ҷԲܽ؛׷Й(qun)Kֹͬҷo׷`s

hĽQ

(zh)бͬcͬP(gun)һРhpѺÅf(xi)̽Qf(xi)̲ɕr(sh)ύͬطԺö

ͬr(sh)Ч

1ͬЧ_____________________________ֹ

2ͬһʽɷp(zh)һͬȷЧͬpwºЧ

׷£

ˣ֣

_____________________

ҷ֣

_____________________

ӡˢƷӆ؛ͬ3

̖ͬ(ho)75406

׷______

ҷ______

Ɲ׷a(chn)ҪҷӆӡӡˢƷ(jng)pf(xi)ͬӆͬ£

1.ӡˢƷQ(sh)؛ڣ

Ʒ

Ҏ(gu)

λ

(sh)

Ӌ(j)΃r(ji)

~

؛

2.ӹԭϣ

3.|(zh)ʽӣ|(zh)ʽӣ

4.؛(sh)IJ~ȣ

5.؛Y(ji)

6.ԭϹ(yng)

׷ϼӹ(yng)ҷ\(yn)؛̎؛ҷ؛Y(ji)r(sh){׷İl(f)ƱY(ji)

7.ӡ_p;׃(yng)ǰ____֪ͨpf(xi)ͬt(yng)ؓ(f)`s؟(z)Σ(yng)r(du)ɵēpʧ

8.Ñҷk\(yn)ݔҷһ(jng)\(yn)齻؛һаbM(fi)\(yn)sM(fi)ɼ׷ؓ(f)(dn)

9.ͬһʽ___p(zh)һ

10.ͬδMˣ횽(jng)pf(xi)ӆ֮

׷()_______ҷ()_______

ַ__________ַ__________

_У__________У_________

̖(ho)__________̖(ho)__________

Ԓ__________Ԓ__________

̘(bio)ӡˢSC_______̖(ho)

ӡˢƷӆ؛ͬ4

̖ͬ(ho)136722

׷(跽)____________________________________

ַ____________

]a____________

Ԓ____________

ˣ____________

š(w)____________

ҷ()____________________________________

ַ____________

]a____________

Ԓ____________

ˣ____________

š(w)____________

ӡˢSC____________________

һӡˢƷQ(sh)؛ڣ

ӹԭϣ

|(zh)ʽӣ

1.|(zh)________

2.ʽӣ

؛(sh)IJ~ȣ

塢؛Y(ji){\(yn)ݔT\(yn)yk

ԭϹ(yng)

(׷ϼӹ(yng)ҷ\(yn)؛̎؛ҷ؛Y(ji)r(sh){׷İl(f)ƱY(ji)㡣)

ӡ_p;׃(yng)ǰ֪ͨ(du)f(xi)ͬt(yng)ؓ(f)`s؟(z)Σ(yng)r(du)ɵēpʧ

Ñҷk\(yn)ݔҷһ(jng)\(yn)齻؛һаbM(fi)\(yn)sM(fi)ɼ׷ؓ(f)(dn)

ͬһʽ____p(zh)____

ʮͬδMɽ(jng)p̶

ʮһͬЧ________________________ֹ

׷________________________

ˣ________

_У________

̖(ho)____________

________

ҷ________________________

ˣ________

_У________

̖(ho)____________

________

ӡˢƷӆ؛ͬ5

ӡ (8 ) ̖(ho)

ͬλ ӡˢS(Q )

Ɲ׷a(chn)ҪҷӆӡӡˢƷ(jng)pf(xi)ͬӆͬ£

һӡˢƷQ(sh)؛ڣ

ӹԭϣ

|(zh)ʽӣ|(zh) ʽӣ

؛(sh)IJ~ȣ

塢؛Y(ji){\(yn)ݔT\(yn)ykա

ԭϹ(yng)

׷ϼӹ(yng)ҷ\(yn)؛̎؛ҷ؛Y(ji)r(sh){׷İl(f)ƱY(ji)

ߡӡ_p;׃(yng)ǰ__֪ͨpf(xi)ͬt(yng)ؓ(f)`s؟(z)(yng)r(du)ɵ'pʧ

Ñҷk\(yn)ݔҷһ(jng)\(yn)齻؛һаbM(fi)\(yn)sM(fi)ɼ׷ؓ(f)(dn)

šͬһʽ__p(zh)һݣ(bo)̾һ݂䰸

ʮͬδM횽(jng)pf(xi)ӆ֮f(xi)̲ɰͬP(gun)Ҏ(gu)(zh)

׷

ҷ

ӡˢS

ַ

̖(ho)

Ԓ

̘(bio)ӡˢSC ̖(ho)

ӡˢƷӆ؛ͬ6

׷跽___________________

ַ____________

]a____________

Ԓ____________

ˣ____________

š(w)____________

ҷ___________________

ַ____________

]a____________

Ԓ____________

ˣ____________

š(w)____________

ӡˢSC____________________

һӡˢƷQ(sh)؛ڣ

ƷҎ(gu)λ(sh)Ӌ(j)΃r(ji)~Ͻ؛

ӹԭϣ

|(zh)ʽӣ1|(zh)________2ʽӣ_____________

ġ؛(sh)IJ~ȣ

؛Y(ji)㣬{\(yn)ݔT\(yn)yk

ԭϹ(yng)

׷ϼӹ(yng)ҷ\(yn)؛̎؛ҷ؛Y(ji)r(sh){׷İl(f)ƱY(ji)㡣

ӡ_p;׃(yng)ǰ֪ͨ(du)f(xi)ͬ⣬t(yng)ؓ(f)`s؟(z)(yng)r(du)ɵēpʧ

ˡÑҷk\(yn)ݔҷһ(jng)\(yn)齻؛һаbM(fi)\(yn)sM(fi)ɼ׷ؓ(f)(dn)

šͬһʽp(zh)һݡ

ʮͬδMˣɽ(jng)p̶

ʮһͬЧ________________________ֹ

׷__________ҷ____________

ˣ________ˣ__________

_У_________У__________

̖(ho)__________̖(ho)____________

______________

ӡˢƷӆ؛ͬ7

׷ߣߣߣߣߣ

ҷߣߣߣߣߣ

Ɲ׷a(chn)ҪҷӆӡӡˢƷ(jng)pf(xi)ͬӆͬ£

ӡˢƷQ(sh)؛ڣ

ЩЩЩЩЩЩЩ

ƷҎ(gu)񩦆λ(sh)Ӌ(j) r(ji)~ ϩ؛

੤੤੤੤੤੤੤

੤੤੤੤੤੤੤

੤੤੤੤੤੤੤

ةةةةةةة

ӹԭϣ

|(zh)ʽӣ|(zh)ʽӣ

؛(sh)IJ~ȣ

؛Y(ji)㡣

ԭϹ(yng)

׷ϼӹߣ(yng)ҷ\(yn)؛̎؛ҷ؛Y(ji)r(sh){׷İl(f)ƱY(ji)㡣

ӡ_p;׃(yng)ǰߣߣߣ֪ͨpf(xi)ͬt(yng)ؓ(f)`s؟(z)(yng)r(du)ɵēpʧ

Ñҷk\(yn)ݔҷһ(jng)\(yn)齻؛һаbM(fi)\(yn)sM(fi)ɼ׷ؓ(f)(dn)

ͬһʽߣߣ߷p(zh)һ

ͬδMˣ횽(jng)pf(xi)ӆ֮

׷£ߣߣߣߣߣߣҷ£ߣߣߣߣߣߣ

ַߣߣߣߣߣߣߣߣߣߵַߣߣߣߣߣߣߣߣߣ

_Уߣߣߣߣߣߣߣߣ_Уߣߣߣߣߣߣߣߣ

̖(ho)ߣߣߣߣߣߣߣߣߣߎ̖(ho)ߣߣߣߣߣߣߣߣߣ

ԒߣߣߣߣߣߣߣߣߣԒߣߣߣߣߣߣߣߣߣ

̘(bio)ӡˢSCߣߣߣߣߣߣ̖(ho)

ӡˢƷӆ؛ͬ8

׷______

ҷ______

Ɲ׷a(chn)ҪҷӆӡӡˢƷ(jng)pf(xi)ͬӆͬ£

ӡˢƷQ(sh)؛ڣ

ӹԭϣ

|(zh)ʽӣ

|(zh)

ʽӣ

؛(sh)IJ~ȣ

؛Y(ji)

ԭϹ(yng)

׷ϼӹ(yng)ҷ\(yn)؛̎؛ҷ؛Y(ji)r(sh){׷İl(f)ƱY(ji)

ӡ_p;׃(yng)ǰ____֪ͨpf(xi)ͬt(yng)ؓ(f)`s؟(z)Σ(yng)r(du)ɵēpʧ

Ñҷk\(yn)ݔҷһ(jng)\(yn)齻؛һаbM(fi)\(yn)sM(fi)ɼ׷ؓ(f)(dn)

ͬһʽ___p(zh)һݡ

ͬδM횽(jng)pf(xi)ӆ֮

׷£_______

____________

ҷ£_______

____________

ӡˢƷӆ؛ͬ9

׷______

ҷ______

Ɲ׷a(chn)ҪҷӆӡӡˢƷ(jng)pf(xi)ͬӆͬ£

1.ӡˢƷQ(sh)؛ڣ

Ʒ

Ҏ(gu)

λ

(sh)

Ӌ(j)΃r(ji)

~

؛

2.ӹԭϣ

3.|(zh)ʽӣ|(zh)ʽӣ

4.؛(sh)IJ~ȣ

5.؛Y(ji)㡣

6.ԭϹ(yng)

׷ϼӹ(yng)ҷ\(yn)؛̎؛ҷ؛Y(ji)r(sh){׷İl(f)ƱY(ji)

7.ӡ_p;׃(yng)ǰ____֪ͨpf(xi)ͬ⣬t(yng)ؓ(f)`s؟(z)(yng)r(du)ɵēpʧ

8.Ñҷk\(yn)ݔҷһ(jng)\(yn)齻؛һаbM(fi)\(yn)sM(fi)ɼ׷ؓ(f)(dn)

9.ͬһʽ___p(zh)һ

10.ͬδMˣ횽(jng)pf(xi)ӆ֮

׷()_______

ҷ()_______

ַ__________

ַ__________

_У_________

_У_________

̖(ho)__________

̖(ho)__________

Ԓ__________

Ԓ__________

̘(bio)ӡˢSC_______̖(ho)

ӡˢƷӆ؛ͬ10

̖ͬ(ho)_____________sc(din)_____________ُºQ׷)ˣII(y)(zh)̖(ho)aַԒ棺؛ºQҷˣII(y)(zh)̖(ho)aַԒ棺IuĘ(bio)

pһҪ_sIua(chn)ƷQƷơҎ(gu)̖(ho)ȼ(j)a(chn)S(sh)Ԕ(x)(ni)ݣMܰѮa(chn)Ʒĸ(xing)(bio)ʾ(bio)ă(ni)݌M(jn)ͬИƷp(yng)ƷM(jn)йֹa(chn)Ʒs壬ṩϸca(chn)m

ͬr(sh)Ҫ؛(du)a(chn)ƷЙ(qun)̎֙(qun)CZֹa(chn)Ʒϴڙ(qun)a(chn)ƷѺַ˵֪R(sh)a(chn)(qun)Ӱ푵(bio)ĽƝ׷a(chn)kҪҷӆӡӡˢƷ(jng)pѺÅf(xi)ͬ⺞ӆͬ£

һӡˢƷ(x)|(zh)Ҫ

1ҷؓ(f)؟(z)׷(yng)±؛؛ņλԪ̖(ho)؛QƷƻ̖(ho)|(zh)Ҫ(sh)΃r(ji)r(ji)~Ӌ(j)

2r(ji)_______Ԫ׷ؓ(f)؟(z)ṩƷҷCṩӡˢƷcƷͬҎ(gu)Ҏ(gu)|(zh)һ£CӡˢĮa(chn)ƷɫEɫosɫoدBüҎ(gu)ϼ׷Ҫ|(zh)(bio)(zhn)

(sh)HƷȱهҏ(qing)Ԙ(bio)(zhn)rdzձُͬһҪϾw|(zh)(bio)(zhn)ֱӌՇҏ(qing)Ԙ(bio)(zhn)l(f)|(zh)mr(sh)]Ҏ(gu)

ڹ̵r(yng)ԓ_s|(zh)(bio)(zhn)?yn)҇ҵď?qing)Ԙ(bio)(zhn)УHs(ni)I(y)(du)̲oֱӼs@NrmÇҏ(qing)Ԙ(bio)(zhn)o_Ă(g)ҵĘ(bio)(zhn)Ķ(do)´˼sڛ]мs

b(bio)(zhn)

1ҷCӡˢƷbꡢmϰ\(yn)

2b(dng)ӡˢƷpĻGʧģҷ(yng)ؓ(f)؟(z)˓Qrָڃ(ni)׷ָ

؛r(sh)gʽc(din)ҷںͬҎ(gu)֮ǰؓ(f)؟(z)؛͵׷ָc(din)(yn)՘(bio)(zhn)

(yn)՘(bio)(zhn)sr(sh)Oװl(f)a(chn)Ʒ|(zh)m

(yng)(yn)՗lԔ(x)؛(yn)՘(bio)(zhn)(yn)m(x)^̣߀xs(yn)սY(ji)K_J(rn)(qun)ͬr(sh)߀(yng)Ԕ(x)؛ﲻϼslr(sh)̎ʽ̎^̵Ĝͨc㕽

ġ(yn)ռ׷(dng)(yn)؛_؛cͬlҎ(gu)̖(ho)һ£Юh(dng)ҷ(yng)(yng)̎׷δ(du)؛hҕҷ؛ȫϼsr(ji)֧ʽ

ُͬҪx(w)һoһoXˣr(ji)DzُͬҪă(ni)֮һُһ؛r(ji)̶r(ji)^һ㲻(hu)a(chn)hُN؛M(jn)Lr(sh)g؛Iur(ji)^(f)sһstO׮a(chn)hˣͬБ(yng)_a(chn)Ʒ΃r(ji)Ӌ(j)(bio)(zhn)(sh)a(chn)Ʒ(du)ͬ߀(yng)(dng)_؛ŷNRY(ji)(bio)(zhn)ֹF(xin)

֧ʽҲ(yng)(dng)s_r(ji)֧ǬF(xin)֧߀֧Ʊ֧ÅRRM(fi)lؓ(f)(dn)ȼ(x)(ji)(yng)(dng)_

ʽҷ؛׷ָc(din)(jng)׷(yn)գ_J(rn)ϱͬ(bio)(zhn)׷_cͬ(bio)~~Ҏ(gu)l(f)ƱՓ(j)׷؛_____(g)Ճ(ni)Y(ji)(xing)`s؟(z)

ُͬ`s؟(z)poкͬr(sh)rҪľ`s؟(z)αɲԏ(qing)

`s؟(z)µľnjһ;]ںͬҎ(gu)ĕr(sh)g؛؟(z)Ɍ(du)Г(dn);@mȻҎ(gu)`s؟(z)Ǜ]һ(g)wеķfһԺͬ߀ҺܶC(j)CԼēpʧ̫

`s؟(z)

1ҷṩo׷Įa(chn)ƷϱͬҎ(gu)Ҏ(gu)̖(ho)|(zh)ڇ(yn)؆}ģҷ(yng)_____֮(ni)ؓ(f)؟(z)a(b)QM(fi)ҷГ(dn)ҷҎ(gu)r(sh)g(ni)ԟoQԓa(chn)Ʒ|(zh)}׷Й(qun)؛

2ҷ(yng)ںͬҎ(gu)ރ(ni)ͬ؛サ׷ҷڽ؛Ӱ푼׷a(chn)ÿ1ҷ(yng)؛____%׷ڽ؛`s𣻳^ͬҎ(gu)؛ֹ_____ҷԲܽ؛׷Й(qun)Kֹͬҷo׷`s

ߡhĽQ(zh)бͬcͬP(gun)һРhpѺÅf(xi)̽Qf(xi)̲ɕr(sh)ύͬطԺö

ͬr(sh)Ч

1ͬЧ________________________________ֹ

2ͬһʽɷp(zh)һݣͬȷЧͬpwºЧ׷£ˣ֣________________ҷ֣________________

ӡˢƷӆ؛ͬ11

׷(跽)____________________________________

ַ____________]a____________Ԓ____________

ˣ____________š(w)____________

ҷ()____________________________________

ַ____________]a____________Ԓ____________

ˣ____________š(w)____________

ӡˢSC____________________

һӡˢƷQ(sh)؛ڣ

ƷҎ(gu)λ(sh)Ӌ(j)΃r(ji)~Ͻ؛

ӹԭϣ

|(zh)ʽӣ1.|(zh)________2.ʽӣ

؛(sh)IJ~ȣ

塢؛Y(ji){\(yn)ݔT\(yn)ykա

ԭϹ(yng)

(׷ϼӹߣ(yng)ҷ\(yn)؛̎؛ҷ؛Y(ji)r(sh){׷İl(f)ƱY(ji))

ӡ_p;׃(yng)ǰ֪ͨ(du)f(xi)ͬt(yng)ؓ(f)`s؟(z)(yng)r(du)ɵēpʧ

Ñҷk\(yn)ݔҷһ(jng)\(yn)齻؛һаbM(fi)\(yn)sM(fi)ɼ׷ؓ(f)(dn)

šͬһʽp(zh)һ

ʮͬδMˣɽ(jng)p̶

ʮһͬЧ________________________ֹ

׷________________________

ˣ________

_У________

̖(ho)____________________

ҷ________________________

ˣ________

_У________

̖(ho)____________________

ӡˢƷӆ؛ͬ12

׷__________________

ҷ__________________

Ɲ׷a(chn)ҪҷӆӡӡˢƷ(jng)pf(xi)ͬӆͬ£

1ӡˢƷQ(sh)؛ڣ

Ʒ

Ҏ(gu)λ(sh)Ӌ(j)΃r(ji)~Ͻ؛

2ӹԭϣ____________________________________

3|(zh)ʽӣ____________________________________

4؛(sh)IJ~ȣ____________________________________

5؛Y(ji)㣺______________________________________________________

6ԭϹ(yng)׷ϼӹ(yng)ҷ\(yn)؛̎؛ҷ؛Y(ji)r(sh){׷İl(f)ƱY(ji)㡣

7ӡ_p;׃(yng)ǰ_________֪ͨpf(xi)ͬ⣬t(yng)ؓ(f)`s؟(z)(yng)r(du)ɵēpʧ

8Ñҷk\(yn)ݔҷһ(jng)\(yn)齻؛һаbM(fi)\(yn)sM(fi)ɼ׷ؓ(f)(dn)

9ͬһʽ_________p(zh)һݡ

10ͬδM횽(jng)pf(xi)ӆ֮

׷w£________

ҷw£________

ˣ֣______

ˣ֣______

ַ________________

ַ________________

_У______________

_У______________

̖(ho)________________

̖(ho)________________

Ԓ________________

Ԓ________________

________________

________________

ӡˢƷӆ؛ͬ13

׷_____________

ҷ_____________

Ɲ׷a(chn)ҪҷӆӡӡˢƷ(jng)pf(xi)ͬӆͬ£

ӡˢƷQ(sh)؛ڣ

Ʒ_____________

Ҏ(gu)_____________

λ_____________

(sh)_____________

Ӌ(j)΃r(ji)_____________

~_____________

ϣ_____________

؛ڣ_____________

ӹԭϣ_____________

|(zh)ʽӣ_____________

|(zh)_____________

ʽӣ_____________

؛(sh)IJ~ȣ_____________

؛Y(ji)㡣

ԭϹ(yng)׷ϼӹ(yng)ҷ\(yn)؛̎؛ҷ؛Y(ji)r(sh){׷İl(f)ƱY(ji)

ӡ_p;׃(yng)ǰ_____________֪ͨpf(xi)ͬt(yng)ؓ(f)`s؟(z)(yng)r(du)ɵēpʧ

Ñҷk\(yn)ݔҷһ(jng)\(yn)齻؛һаbM(fi)\(yn)sM(fi)ɼ׷ؓ(f)(dn)

ͬһʽ_____________p(zh)һ

ͬδM횽(jng)pf(xi)ӆ֮

׷£_____________

ַ____________

_У_____________

̖(ho)_____________

Ԓ_____________

ҷ£_____________

ַ_____________

_У_____________

̖(ho)_____________

̖(ho)_____________

Ԓ_____________

Ԓ_____________

̘(bio)ӡˢSC_____________̖(ho)

ӡˢƷӆ؛ͬ14

׷__________________

ҷ__________________

Ɲ׷a(chn)ҪҷӆӡӡˢƷ(jng)pf(xi)ͬӆͬ£

1ӡˢƷQ(sh)؛ڣ

Ʒ

Ҏ(gu)λ(sh)Ӌ(j)΃r(ji) ~ Ͻ؛

2ӹԭϣ____________________________________

3|(zh)ʽӣ____________________________________

4؛(sh)IJ~ȣ____________________________________

5؛Y(ji)㣺______________________________________________________

6ԭϹ(yng)׷ϼӹߣ(yng)ҷ\(yn)؛̎؛ҷ؛Y(ji)r(sh){׷İl(f)ƱY(ji)

7ӡ_p;׃(yng)ǰ_________֪ͨpf(xi)ͬt(yng)ؓ(f)`s؟(z)Σ(yng)r(du)ɵēpʧ

8Ñҷk\(yn)ݔҷһ(jng)\(yn)齻؛һаbM(fi)\(yn)sM(fi)ɼ׷ؓ(f)(dn)

9ͬһʽ_________ݣp(zh)һ

10ͬδM횽(jng)pf(xi)ӆ֮

׷w£________ ҷw£________

ˣ֣______ ˣ֣______

ַ________________ ַ________________

_У______________ _У______________

̖(ho)________________ ̖(ho)________________

Ԓ________________ Ԓ________________

________________ ________________

ӡˢƷӆ؛ͬP(gun)£

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