<div align="center"><font size="5" face="方正小标宋简体"><br />
用印申请表</font></div>
<div>&#160;</div>
<div align="center">
<table class="xdLayout" tabindex="65535" border="1" bordercolor="#ffffff" style="border-bottom: medium none; border-left: medium none; width: 680px; border-collapse: collapse; word-wrap: break-word; table-layout: fixed; border-top: medium none; border-right: medium none">
    <colgroup><col style="width: 140px" /><col style="width: 200px" /><col style="width: 140px" /><col style="width: 200px" /></colgroup>
    <tbody valign="top">
        <tr>
            <td style="border-bottom: black 1pt solid; border-left: #000000 2.25pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: #000000 2.25pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><font size="4" face="宋体">申请人</font></div>
            </td>
            <td style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: #000000 2.25pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><input class="AUTO" title="申请人" datafld="SYS_USERNAME" hidden="0" name="DATA_1" value="{MACRO}" type="text" />&#160;</div>
            </td>
            <td style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: #000000 2.25pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><font size="4" face="宋体">申请部门</font></div>
            </td>
            <td style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: #000000 2.25pt solid; border-right: #000000 2.25pt solid; padding-top: 1px">
            <div align="center"><input class="AUTO" title="申请部门" datafld="SYS_DEPTNAME_SHORT" hidden="0" name="DATA_2" value="{MACRO}" type="text" />&#160;</div>
            </td>
        </tr>
        <tr>
            <td rowspan="2" style="border-bottom: black 1pt solid; border-left: #000000 2.25pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><font size="4" face="宋体">申请时间</font></div>
            </td>
            <td rowspan="2" style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><input class="AUTO" title="申请时间" datafld="SYS_DATE_CN" hidden="0" name="DATA_3" value="{MACRO}" type="text" />&#160;</div>
            </td>
            <td rowspan="2" style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><font size="4" face="宋体">申请种类</font></div>
            </td>
            <td rowspan="2" style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: #000000 2.25pt solid; padding-top: 1px">
            <div align="center"><font size="4" face="宋体"><input title="公章" type="checkbox" name="DATA_6" value="on" />公章 <input title="合同章" type="checkbox" name="DATA_7" value="on" />合同章</font></div>
            </td>
        </tr>
        <tr>
        </tr>
        <tr>
            <td style="border-bottom: black 1pt solid; border-left: #000000 2.25pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><font size="4" face="宋体">用印次数</font></div>
            </td>
            <td style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><input title="用印次数" align="left" hidden="0" style="text-align: left" name="DATA_8" type="text" />&#160;</div>
            </td>
            <td style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><font size="4" face="宋体">份数</font></div>
            </td>
            <td style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: #000000 2.25pt solid; padding-top: 1px">
            <div align="center"><input title="份数" align="left" hidden="0" style="text-align: left" name="DATA_9" type="text" />&#160;</div>
            </td>
        </tr>
        <tr>
            <td style="border-bottom: black 1pt solid; border-left: #000000 2.25pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><font size="4" face="宋体">用印内容</font></div>
            </td>
            <td colspan="3" style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: #000000 2.25pt solid; padding-top: 1px">
            <div style="text-align: left"><textarea title="用印内容" cols="57" rows="3" rich="0" style="width: 530px; height: 80px" name="DATA_10"></textarea>&#160;</div>
            </td>
        </tr>
        <tr>
            <td rowspan="2" style="border-bottom: black 1pt solid; border-left: #000000 2.25pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><font size="4" face="宋体">综合管理部意见</font></div>
            </td>
            <td style="border-bottom: #000000 1pt; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div style="text-align: left"><img class="RADIO" title="综合管理部意见" name="DATA_11" alt="" width="16" height="16" radio_field="同意`不同意`" src="/module/html_editor/editor/images/radio.gif" />&#160;</div>
            </td>
            <td rowspan="2" style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><font size="4" face="宋体">CEO审批</font></div>
            </td>
            <td style="border-bottom: #000000 1pt; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: #000000 2.25pt solid; padding-top: 1px">
            <div style="text-align: left"><img class="RADIO" title="CEO审批" name="DATA_13" alt="" width="16" height="16" radio_field="同意`不同意`" radio_check="同意" src="/module/html_editor/editor/images/radio.gif" />&#160;</div>
            </td>
        </tr>
        <tr>
            <td style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: #000000 1pt; border-right: black 1pt solid; padding-top: 1px">
            <div style="text-align: right">&#160;<input class="AUTO" title="综合管理部签字" datafld="SYS_USERNAME_DATE" hidden="0" name="DATA_12" value="{MACRO}" type="text" /></div>
            </td>
            <td style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: #000000 1pt; border-right: #000000 2.25pt solid; padding-top: 1px">
            <div style="text-align: right"><input class="AUTO" title="CEO签字" datafld="SYS_USERNAME_DATE" hidden="0" name="DATA_14" value="{MACRO}" type="text" />&#160;</div>
            </td>
        </tr>
        <tr>
            <td colspan="4" style="border-bottom: #000000 1pt; border-left: #000000 1pt; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: #000000 2.25pt solid; border-right: #000000 1pt; padding-top: 1px">
            <div align="left"><font size="4" face="宋体">注：此表由印章管理人保管，以备查询。</font></div>
            </td>
        </tr>
    </tbody>
</table>
</div>