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浙江省司法鉴定合同(2011年)

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<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.1//EN" "http://www.w3.org/TR/xhtml11/DTD/xhtml11.dtd"><html xmlns="http://www.w3.org/1999/xhtml"><head><meta http-equiv="Content-Type" content="application/xhtml+xml; charset=utf-8" /><title></title><style type="text/css">body{ font-family:'Times New Roman'; font-size:1em; } ul, ol{ margin-top: 0; margin-bottom: 0; } ins{color:#2E97D3;} del{color:#FF0000;} .Normal{page-break-inside:auto;page-break-after:auto;page-break-before:auto;margin-top:0.0pt;margin-bottom:0.0pt;margin-left:0.0pt;text-indent:0.0pt;border-top-style: none;border-left-style: none;border-right-style: none;border-bottom-style: none;font-size:12.0pt;font-family:'Times New Roman';mso-fareast-font-family:Calibri;mso-bidi-font-family:'Times New Roman';} .Heading-1{text-align:center;page-break-inside:avoid;page-break-after:auto;page-break-before:auto;margin-top:14.0pt;margin-bottom:14.0pt;margin-left:0.0pt;text-indent:0.0pt;border-top-style: none;border-left-style: none;border-right-style: none;border-bottom-style: none;color:#000000;font-size:18.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;font-weight:bold;} .Default-Paragraph-Font{font-family:'Times New Roman';mso-fareast-font-family:Calibri;mso-bidi-font-family:'Times New Roman';} .Normal-Table{} .Normal--Web-{text-align:left;page-break-inside:auto;page-break-after:auto;page-break-before:auto;margin-left:0.0pt;text-indent:0.0pt;border-top-style: none;border-left-style: none;border-right-style: none;border-bottom-style: none;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;} .Table-Grid{} .Table-Normal{} </style></head><body style="pagewidth:595.35pt;pageheight:841.95pt;"><div class="Section0"><div style="min-height:20pt" /> <p class="Heading-1"><span style="color:#000000;font-size:16.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;font-weight:bold;">司法鉴定协议书(示范文本)</span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">编号:</span><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;text-decoration: underline;">        </span></p> <table cellspacing="0" style="border-collapse: collapse; width: 496.35pt; "><tr style="height: 16.0px"><td style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;width:220.1333px;"><p class="Normal--Web-" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">委托人</span></p> </td><td colspan="3" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;"><p class="Normal--Web-" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;"> </span></p> </td><td style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;width:126.2667px;"><p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">联系人</span></p> </td><td style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;width:158.7333px;"><p class="Normal--Web-" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;"> </span></p> </td></tr><tr style="height: 16.0px"><td style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;width:220.1333px;"><p class="Normal--Web-" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">联系地址</span></p> </td><td colspan="3" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;"><p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;"> </span></p> </td><td style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;width:126.2667px;"><p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">联系电话</span></p> </td><td style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;width:158.7333px;"><p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;"> </span></p> </td></tr><tr style="height: 16.0px"><td style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;width:220.1333px;"><p class="Normal--Web-" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">委托日期</span></p> </td><td colspan="3" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;"><p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;"> </span></p> </td><td style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;width:126.2667px;"><p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">送检人</span></p> </td><td style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;width:158.7333px;"><p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;"> </span></p> </td></tr><tr style="height: 16.0px"><td style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;width:220.1333px;"><p class="Normal--Web-" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">司法鉴定机构</span></p> </td><td colspan="6" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;"><p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">机构名称:</span><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;text-decoration: underline;">        </span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">许可证号:</span><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;text-decoration: underline;">        </span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">地址:</span><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;text-decoration: underline;">        </span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">邮编:</span><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;text-decoration: underline;">        </span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">联系人:</span><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;text-decoration: underline;">        </span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">联系电话:</span><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;text-decoration: underline;">        </span></p> </td></tr><tr style="height: 16.0px"><td style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;width:220.1333px;"><p class="Normal--Web-" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">委托鉴定事项及用途</span></p> </td><td colspan="6" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;"><p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;"> </span></p> </td></tr><tr style="height: 16.0px"><td style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;width:220.1333px;"><p class="Normal--Web-" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">委托鉴定要求</span></p> </td><td colspan="6" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;"><p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;"> </span></p> </td></tr><tr style="height: 16.0px"><td style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;width:220.1333px;"><p class="Normal--Web-" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">所涉案件是否已进入诉讼程序</span></p> </td><td colspan="6" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;"><p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;"> </span></p> </td></tr><tr style="height: 16.0px"><td style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;width:220.1333px;"><p class="Normal--Web-" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">委托事项是否曾经进行司法鉴定</span></p> </td><td colspan="6" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;"><p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;"> </span></p> </td></tr><tr style="height: 16.0px"><td style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;width:220.1333px;"><p class="Normal--Web-" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">检案摘要</span></p> </td><td colspan="6" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;"><p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;"> </span></p> </td></tr><tr style="height: 16.0px"><td rowspan="2" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;width:220.1333px;"><p class="Normal--Web-" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">鉴定材料</span></p> <p class="Normal--Web-" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">目录、数量及是否原件</span></p> </td><td colspan="6" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;"><p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">检材:</span><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;text-decoration: underline;">        </span></p> </td></tr><tr style="height: 16.0px"><td colspan="6" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;"><p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">鉴定资料:</span><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;text-decoration: underline;">        </span></p> </td></tr><tr style="height: 16.0px"><td rowspan="2" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;width:220.1333px;"><p class="Normal--Web-" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">鉴定费用及</span></p> <p class="Normal--Web-" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">收取方式</span></p> </td><td colspan="6" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;"><p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">□按照委托鉴定事项分项目收费:</span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;text-decoration: underline;">        </span><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">&nbsp;鉴定</span><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;text-decoration: underline;">        </span><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">&nbsp;项目</span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">□标准            □协议</span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;"> </span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;text-decoration: underline;">        </span><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">项目   </span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">□标准                  □协议</span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">□特殊鉴定项目收费:</span><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;text-decoration: underline;">                </span></p> </td></tr><tr style="height: 16.0px"><td colspan="6" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;"><p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">预计收费总计人民币(大写)</span><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;text-decoration: underline;">        </span><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">(¥</span><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;text-decoration: underline;">    </span><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">元)。</span></p> </td></tr><tr style="height: 16.0px"><td style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;width:220.1333px;"><p class="Normal--Web-" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">鉴定文书</span></p> <p class="Normal--Web-" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">发送方式</span></p> </td><td colspan="6" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;"><p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">□ 自取              </span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">□ 邮寄      地址:</span><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;text-decoration: underline;">        </span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">□ 其他方式(注明)</span></p> </td></tr><tr style="height: 16.0px"><td colspan="8" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;"><p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">协议事项:</span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">1. 鉴定机构应当严格依照有关技术规范保管和使用鉴定材料。鉴定委托人同意或者认可:</span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">□ 应当对所提供的鉴定材料真实性负责;</span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">□ 因鉴定需要耗尽检材;        </span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">□ 因鉴定需要可能损坏检材;</span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">□ 鉴定完成后无法完整退还检材;</span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">□ 检材留样保存3个月。</span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">2. 鉴定时限:从协议签订之日起</span><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;text-decoration: underline;">    </span><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">个工作日完成。</span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">□ 遇复杂、疑难、特殊的技术问题,或者检验过程确需较长时间的,延长</span><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;text-decoration: underline;">    </span><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">个工作日。</span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">3. 特殊情形鉴定:</span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">□ 损伤程度鉴定应当提供办案机关同意鉴定的文书;</span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">□ 需要对女性作妇科检查;</span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">□ 需要对未成年人的身体进行检查;</span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">□ 需要对被鉴定人进行法医精神病鉴定;</span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">□ 需要到现场提取检材;  </span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">□ 需要进行尸体解剖。</span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">4. □ 需要补充或者重新提取鉴定材料的,延长</span><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;text-decoration: underline;">    </span><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">个工作日。</span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">□ 委托人要求鉴定人回避。被要求回避的鉴定人姓名</span><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;text-decoration: underline;">        </span><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">。</span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">5. 鉴定过程中如需变更协议书内容,由协议双方协议确定。</span></p> </td></tr><tr style="height: 16.0px"><td colspan="2" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;"><p class="Normal--Web-" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;"> </span></p> <p class="Normal--Web-" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">通知对方当事人到场情况及其他约定事项</span></p> </td><td colspan="5" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;"><p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;"> </span></p> </td></tr><tr style="height: 16.0px"><td colspan="2" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;"><p class="Normal--Web-" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">鉴定机构履行《浙江省司法鉴定机构受理鉴定委托规则》规定的告知</span></p> <p class="Normal--Web-" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">义务情况</span></p> </td><td colspan="5" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;"><p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;"> </span></p> </td></tr><tr style="height: 16.0px"><td colspan="2" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;"><p class="Normal--Web-" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">协议变更事项</span></p> </td><td colspan="5" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;"><p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;"> </span></p> </td></tr><tr style="height: 16.0px"><td colspan="2" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;"><p class="Normal--Web-" style="text-align:center;"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">鉴定风险提示</span></p> </td><td colspan="5" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;"><p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">1.鉴定意见属于专家专业性意见,其是否被采信取决于办案机关的审查和判断,鉴定人和鉴定机构无权干涉;</span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">2.由于鉴定材料或者客观条件限制,并非所有鉴定都能得出明确的鉴定意见;</span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">3.鉴定活动遵循独立、客观、公正的原则,因此,鉴定意见可能对委托人有利,也可能不利;</span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">4.委托人作虚假确认、承诺或提供虚假鉴定材料的,司法鉴定机构可以撤销已出具的司法鉴定意见。</span></p> </td></tr><tr style="height: 16.0px"><td colspan="3" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;"><p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;font-weight:bold;">委托人 (机构)</span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">(签名或者盖章)</span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">      </span></p> <p class="Normal--Web-" style="text-align:right;"><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">          </span></p> <p class="Normal"><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;text-decoration: underline;">    </span><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">年</span><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;text-decoration: underline;">    </span><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">月</span><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;text-decoration: underline;">    </span><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">日</span></p> </td><td colspan="4" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;"><p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;font-weight:bold;">接受委托的鉴定机构</span></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">(签名、盖章)</span><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">&nbsp;&nbsp;</span><a id="_GoBack" /></p> <p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;"> </span></p> <p class="Normal--Web-" style="text-align:right;"><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;"> </span></p> <p class="Normal"><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;text-decoration: underline;">    </span><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">年</span><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;text-decoration: underline;">    </span><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">月</span><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;text-decoration: underline;">    </span><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">日</span></p> </td></tr><tr style="height: 16.0px"><td colspan="8" style="vertical-align:top;border-top-style:solid;border-top-color:#000000;border-top-width:1.0px;border-left-style:solid;border-left-color:#000000;border-left-width:1.0px;border-right-style:solid;border-right-color:#000000;border-right-width:1.0px;border-bottom-style:solid;border-bottom-color:#000000;border-bottom-width:1.0px;padding-left:0.5pt;padding-right:0.5pt;padding-top:0pt;padding-bottom:0pt;"><p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">备注</span></p> </td></tr></table><p class="Normal--Web-"><span style="color:#000000;font-size:12.0pt;font-family:Calibri;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">说明:1.  文内为5号宋体。2.  涉及选择项目的,确定后需将□涂黑。</span><span style="color:#000000;font-size:12.0pt;font-family:Simsun;mso-fareast-font-family:Calibri;mso-bidi-font-family:Simsun;">&nbsp;</span></p> </div></body></html>

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