tλBš]
S(zh)(hu )M(jn)҂Խ(li)ԽҪBBڽB(lin)ϵǢонBCpŌ(xi)Bһ(g)S˶^ʹĆ(wn)}СʹtλB҅bϣԎҪ
tλB1
XX(hu )U֣
Ɲ˾(λaxxx)TXXX(C̖a飺xxxx)(hu )Uօ(hu )UFίXXXС(C̖a飺1234567xx)ǰFI(lng)ȡ(hu )Ut
شC
XXX˾
20xx¶ʮһ
tλB2
XX(hu )U֣
Ɲ˾(λaxxx)TXXX(C̖a飺123456789)(hu )Uօ(hu )UFίXXXС(C̖a飺1234567xx)ǰFI(lng)ȡ(hu )Ut
شC
XXX˾
0xx¶ʮһ
tλB3
t:
Ɲҹ˾(籣̖:_____)____(C̖a________)____(C̖a________)λTFȫkI(lng)ȡtFĽokP(gun) شC
xxx˾
xxx
tλB4
_____籣֣
Ɲίҹ˾T_____C̖aǰFI(lng)ȡ__________tϿǢ
ίޞ_(ki)____˳ʾͬr(sh)ίЕ(sh)CӡЧ
ίˣwλ£
tλB5
xxxt:
Ɲҹ˾(籣̖:xxxxxxxxxxx)(C̖axxxxxxx)(C̖axxxxxxxxx)λTFȫkI(lng)ȡtFĽokP(gun)
شC
xxxxx(w)
20xxxxxx
tλB6
__________籣֣
Ɲίҹ˾T__________(C̖a)ǰFI(lng)ȡ____________________tϿǢ!ίޞ_(ki)______________-_______________˳ʾͬr(sh)ίЕ(sh)CӡЧ
_______________(wλ)
ڣ__________________
tλB7
t:
Ɲҹ˾(籣̖:xxxxx)xxxx(C̖axxxxxxxx)xxxx(C̖axxxxxxxx)λTFȫkI(lng)ȡtFĽokP(gun) شC
xxx˾
xxxxxx
tλB8
XXtUģ
҆λݺɭƷƲ߄˾λU̖6000013153n̖Y7014798Fί҆λT***C̖a*****************ǰFI(lng)ȡt F
Y
BˣXXX
20xxxx
tλB9
(hu )U֣
Ɲ˾(λa)T(C̖a飺123456789)(hu )Uօ(hu )UFίС(C̖a飺123456789)ǰFI(lng)ȡ(hu )Ut
xxx
20xxxxxx
tλB10
XXX(hu )U֣
Ɲ˾(λaxxx)TXXX(C̖a飺123456789)(hu )Uօ(hu )UFίXXXС(C̖a飺123456789)ǰFI(lng)ȡ(hu )Ut
شC
XXX˾
20xx¶ʮһ
tλB11
xxtUģ
҆λݺɭƷƲ߄˾λU̖60000 3 53n̖Y70 4798Fί҆λTxxxC̖axxxxxxxxxxxxxxxxxǰFI(lng)ȡt F
Y
Bˣxxx
20xxxxxx
tλB12
xx(hu )U֣
Ɲ˾(λaxxx)Txxx(C̖a飺xxxxxxxxxxxxx)(hu )Uօ(hu )UFίxxxС(C̖a飺xxxxxxxxxxxxx)ǰFI(lng)ȡ(hu )Ut
شC
xxx˾
20xxxxxx
tλB13
xx籣֣
Ɲίҹ˾TxxC̖aǰFI(lng)ȡxxxxtϿǢ
ίޞxx˳ʾͬr(sh)ίЕ(sh)CӡЧ
ίˣxxxwλ£
xxxxxx
tλB14
XXX(hu )U֣
Ɲ˾λaxxxTXXXC̖a飺1234xx789(hu )Uօ(hu )UFίXXXС㣨C̖a飺1234xx789ǰFI(lng)ȡ(hu )Ut
شC
XXX˾
0xx¶ʮһ
tλB15
_____(hu )U֣
Ɲ˾λa_____TC̖a飺_____(hu )Uօ(hu )UFί_____С㣨C̖a飺_____ǰFI(lng)ȡ(hu )Ut
شC
xx˾
xxxx
tλBšP(gun)£
λtB02-13
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