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["中川园区政府信息公开申请表"]
[]
[]
["申\n请\n人\n信\n息","公 民","姓 名",null,"工作单位"]
[null,null,"证件名称",null,"证件号码"]
[null,null,"联系电话",null,"传 真"]
[null,null,"通讯地址",null,null,"邮政编码"]
[null,null,"电子邮件"]
[null,"法人/\n其他组织","名 称",null,"组织机构代码"]
[null,null,"法人代表",null,"联系人姓名"]
[null,null,"联系电话",null,"传 真"]
[null,null,"通讯地址",null,null,"邮政编码"]
[null,null,"电子邮件"]
["所\n需信息情况","受理部门/提供信息部门"]
[null,"所需信息的内容概述"]
[null,"所需信息的用途"]
[null,"所需信息的指定提供方式(单选)：\n□纸质  □电子邮件  □光盘",null,null,"获取信息的方式(单选)：\n□邮寄  □传真  □电子邮件\n□自行领取/当场阅读、抄录"]
["是否申请\n减免费用",null,"□申请。请提供相关证明。\n□不申请。"]
["申请人：　　　　　　　　　　　　　　　　　　　申请时间：　　　年　　月　　日"]

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