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["供应商报名申请表"]
["项目名称："]
["项目编号：ZSJX2022101101-1",{"$nulls":3},"包组号：/",null,null,"开标日期：2022年11月25日09时30分"]
["供应商名称"]
["营\n\n业\n\n执\n\n照",null,"统一社会信用代码：",null,null,"经\n\n办\n\n人","姓名："]
[{"$nulls":6},"手机："]
[null,null,"营业地址：",{"$nulls":3},"办公电话："]
[{"$nulls":6},"公司传真："]
[null,null,"营业期限：",{"$nulls":3},"E-mail："]
["报名所须提供资料表（以下资料须加盖公章）",{"$nulls":6},"已提交","备注"]
[1,"有效的营业执照复印件"]
[2,"有效的市政公用工程施工总承包叁级或以上资质"]
[3,"经办人身份证复印件"]
["响\n应\n承\n诺","      我公司自愿参加此次采购活动，并保证所提供的资料真实有效，绝无弄虚作假行为，否则，我公司将承担由此产生的一切后果，并承担由此给采购人及采购代理机构造成的一切损失。\n \n\n                          \n                                                法定代表人或授权代表签名："]
[]
["采购代理机构经办人",{"$nulls":3},"经办日期",null,"2023年     月     日      时     分"]
[]
["填表说明："]
["（1）上表中字体带有斜杠和下划线的部分由采购代理机构填写；其余内容由供应商如实填写。"]
["（2）“报名所须提供资料表”一栏应按照本项目采购公告中列明的报名资料顺序填报。"]