政府示范
开办专利代理业务的律师事务所设立分支机构申请表（北京市2009版）
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</style></head><body style="pagewidth:612.0pt;pageheight:792.0pt;"><div class="Section0"><div style="min-height:72pt" />
<p class="Heading-1" style="text-align:center;"><span style="color:#000000;font-size:18.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-weight:bold;">开办专利代理业务的律师事务所设立</span></p>
<p class="Heading-2" style="text-align:center;"><span style="color:#000000;font-size:14.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-weight:bold;">分支机构申请</span><span style="color:#000000;font-size:14.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-weight:bold;"> </span><span style="color:#000000;font-size:14.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-weight:bold;"> </span></p>
<table cellspacing="0" style="border-collapse: collapse; width: 469.5pt; "><tr style="height: 20.800001px"><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:303.3333px;"><table cellspacing="0" style="border-collapse: collapse; width: 225.5pt; "><tr style="height: 20.800001px"><td rowspan="3" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:19.4px;"><p class="Normal" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">①律师事务所</span></p>
</td><td colspan="2" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">事务所名称</span></p>
</td><td colspan="8" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="4" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">事务所机构代码</span></p>
</td><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:19.4px;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="2" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">设立时间</span></p>
</td><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:19.4px;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="6" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">专利代理人数量</span></p>
</td><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:12.06667px;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="4" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">上一年度年检情况</span></p>
</td><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:19.4px;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="2" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">负责人</span></p>
</td><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:19.4px;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="6" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">电话</span></p>
</td><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:12.06667px;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="4" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">传真</span></p>
</td><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:19.4px;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td rowspan="9" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:19.4px;"><p class="Normal" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">②分支机构情况</span></p>
</td><td colspan="2" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">名称</span></p>
</td><td colspan="13" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="2" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">地址</span></p>
</td><td colspan="9" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="2" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">邮编</span></p>
</td><td colspan="2" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="2" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">负责人</span></p>
</td><td colspan="3" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="2" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">电话</span></p>
</td><td colspan="4" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="2" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">传真</span></p>
</td><td colspan="2" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="15" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">人员基本情况</span></p>
</td></tr><tr style="height: 20.800001px"><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:48.53334px;"><p class="Normal" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">姓名</span></p>
</td><td colspan="3" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">性别</span></p>
</td><td colspan="4" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">出生年月</span></p>
</td><td colspan="4" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">代理人资格证号</span></p>
</td><td colspan="3" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">代理人执业证号</span></p>
</td></tr><tr style="height: 20.800001px"><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:48.53334px;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="3" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="4" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="4" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="3" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:48.53334px;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="3" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="4" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="4" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="3" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:48.53334px;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="3" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="4" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="4" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="3" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:48.53334px;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="3" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="4" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="4" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="3" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:left;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">③附件清单:</span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:left;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">1.资金证明</span><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;text-decoration: underline;"> </span><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">页</span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:left;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">2.房屋租赁合同复印件</span><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;text-decoration: underline;"> </span><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">页</span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:left;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">3.房主产权证复印件</span><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;text-decoration: underline;"> </span><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">页</span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:left;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">4.其他材料</span><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;text-decoration: underline;"> </span><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">页</span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:left;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">④设立分支机构申请书</span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:center;font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:left;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:left;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">（律师事务所盖章）</span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="16" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:left;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;"> 年 月 日</span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="7" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:left;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">⑤律师事务所所在地省（自治区、直辖市）知识产权局意见</span></p>
</td><td colspan="9" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:left;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">⑥拟设分支机构所在地省（自治区、直辖市）知识产权局审批意见</span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="7" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="9" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="7" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="9" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="7" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="9" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="7" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="9" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="7" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="9" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="7" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="9" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="7" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="9" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="7" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="9" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="7" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="9" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="7" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:left;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">（盖章）</span></p>
</td><td colspan="9" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:left;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">（盖章）</span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="7" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td colspan="9" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td colspan="7" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:left;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;"> 年 月 日</span></p>
</td><td colspan="9" style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;"><p class="Normal" style="text-align:left;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;"> 年 月 日</span></p>
</td></tr></table><p class="Normal" style="text-align:left;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">⑤律师事务所所在地省（自治区、直辖市）知识产权局意见</span></p>
</td><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:322.6667px;"><p class="Normal" style="text-align:left;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">⑥拟设分支机构所在地省（自治区、</span><a id="_GoBack" /><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">市）知识产权局审批意见</span></p>
</td></tr><tr style="height: 20.800001px"><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:303.3333px;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:322.6667px;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:303.3333px;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:322.6667px;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:303.3333px;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:322.6667px;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:303.3333px;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:322.6667px;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:303.3333px;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:322.6667px;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:303.3333px;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:322.6667px;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:303.3333px;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:322.6667px;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:303.3333px;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:322.6667px;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:303.3333px;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:322.6667px;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:303.3333px;"><p class="Normal" style="text-align:left;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">（盖章）</span></p>
</td><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:322.6667px;"><p class="Normal" style="text-align:left;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;">（盖章）</span></p>
</td></tr><tr style="height: 20.800001px"><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:303.3333px;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:322.6667px;"><p class="Normal" style="font-size: 12pt;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-style:normal;"> </span></p>
</td></tr><tr style="height: 20.800001px"><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:303.3333px;"><p class="Normal" style="text-align:left;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;"> 年 月 日</span></p>
</td><td style="vertical-align:middle;border-top-style:solid;border-top-color:#000000;border-top-width:0.67px;border-left-style:solid;border-left-color:#000000;border-left-width:0.67px;border-right-style:solid;border-right-color:#000000;border-right-width:0.67px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:0.67px;padding-left:0.75pt;padding-right:0.75pt;padding-top:0.75pt;padding-bottom:0pt;width:322.6667px;"><p class="Normal" style="text-align:left;"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:ZH-CN;mso-ansi-language:X-NONE;font-style:normal;"> 年 月 日</span></p>
</td></tr></table><p class="Normal"><span style="color:#000000;font-size:12.0pt;font-family:宋体;mso-fareast-font-family:宋体;mso-bidi-font-family:宋体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">注：本表应使用国家公布的中文简化汉字填写，并使用宋体、仿宋或楷体的四号字，填写后打印。</span></p>
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