19    年    月    日

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｜  申请人｜                ｜单  位｜                          ｜

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｜被申请人｜                ｜单  位｜                          ｜

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｜  申标  ｜                                                     ｜

｜  请的  ｜                                                    ｜

｜  理及  ｜                                                    ｜

｜  由采  ｜                                                    ｜

｜  、取  ｜                                                    ｜

｜  保的  ｜                                                    ｜

｜  全措  ｜                                                    ｜

｜  的施  ｜                                                    ｜

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｜  承办人｜                                                    ｜

｜  意  见｜                                                    ｜

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｜  仲  裁｜                                                    ｜

｜  委员会｜                                                    ｜

｜  批  示｜                                                    ｜

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｜  备  注｜                                                    ｜

－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－ 国家工商管理局