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["零星工程供应商入库申请表"]
["填写说明：请使用黑色或蓝色钢笔、签字笔填写，或使用计算机打印；所有信息必须真实有效，如有虚假将取消入库资格。"]
["企业基本情况"]
["企业名称"]
["成立日期",null,"法定代表人"]
["注册地址"]
["注册资本",null,"企业类型"]
["联系人",null,"联系电话"]
["电子邮箱",null,"传真"]
["营业执照统一社会信用代码"]
[]
["申请入库专业类别"]
["资质类别","等级","证书编号","发证机关"]
["例：建筑工程施工总承包","一级"]
["例：装修装饰专业承包","二级"]
["（可自行增行）"]
[]
["企业主要人员概况"]
["类别","人数","类别","人数"]
["从业人员总数",null,"高级职称人员"]
["注册建造师",null,"中级职称人员"]
["其中：一级建造师",null,"现场管理人员"]
["技术工人",null,"安全生产管理人员"]
[]
["近三年类似工程业绩（可附页）"]
["工程名称","工程地点","合同金额","开工/竣工日期"]
[]
[]
[]
[]
["申请人声明"]
["我单位郑重承诺，本申请表及所附全部材料均真实、有效、准确、完整。我们理解，任何虚假陈述都可能导致申请被拒绝或取消入库资格。"]
["申请单位：                                                （加盖单位公章）"]
["法定代表人：                                               （签字或盖章）"]
["日期：                            年       月       日"]