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["浙江省中医院保安服务项目调研报名表"]
["项目名称"]
["单位名称"]
["  联系人",null,null,"联系电话"]
["资质情况：","有相关复印件打“√”：《营业执照》（或事业单位法人证书，或社会团体法人登记证书，或执业许可证）□，《税务登记证》□，《组织机构代码证》□；或者“三证合一”□。"]
[]
[]
[null,"具有公安机关核发的保安服务许可证□"]
[null,"其它资质文件（自填）："]
["是否为中小企业","是□       否□"]
["近三年内类似业绩",1]
[null,2]
[null,3]
[null,4]
[null,5,"（可自行添加）"]
[{"$nulls":3}," 日期：     年    月    日 "]

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