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˹ѧ͵ͺѺҹõǨͺѺͧѭ

                 

                                ˹ѧͩѺ §Ƿҧ㹡èѴ˹ѧ͵ͺѺҹõǨͺѺͧѭҹ еͧ¡ҧ´ѧ仹

 

ѹ.............................................

ͧ  õǨͺѺͧѭѺͺҺѭشѹ........................................

¹  ǹѴ  ҧǹ............................................................

                            

                               ҹդʧҾ繼ǨͺѺͧѭ ͵Ǩͺŧͪ§ҹõǨͺѺͧѭբͧҧǹ.....................................................ѺͺҺѭشѹ .........................................................

                                Ҿ֡õԹѺ繼ǨͺѺͧѭ 駹 ҾҨлԺѵԧҹǨͺѺͧѭյ͸Ժաþҡá˹ ¢ҾҨФԴҸԡ㹡õǨͺѺͧѭ 繨ӹǹԹ.....................................ҷ

                                ҡҹ繪ͺ㹢ʹʹѧǢҧ  ôŧ˹ѧ觤詺ѺṺҹ׹ҾҴ

                                                                                                      ʴѺ

 

                                                                                ŧ...........................................ǨͺѺͧѭ

                                                                                      (...........................................)

                                                                                       Ţ¹..........................

                                                                                 ǨͺѺͧѭ

                                                                                 ǨͺѺͧѭբͧӹѡҹͺѭ (кت)

 

繪ͺʹ͢ҧ

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 (駻зѺӤѭͧҧǹ)



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