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行政许可申请书（示范文本）

2007年11月16日 03:39:43 作者：清山居士

申请人姓名：性别年龄

住址联系方式（法人或者其他组织名称住所法定代表人或者主要负责人联系方式）

委托代理人：姓名住址联系方式

被申请司法行政机关名称：

申请行政许可的事项、依据和理由：

此致

（被申请司法行政机关名称）

申请人：（署名）

（法定代表人署名、法人印章）

年月日

（注：司法部对具体行政许可事项的申请书格式文本另有规定的，依照其规定）

　

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