<div>&#160;</div>
<div align="center"><font size="5"><strong>公共活动场所使用申请单</strong></font></div>
<div align="center">
<table tabindex="65535" class="xdLayout" bordercolor="#ffffff" border="1" style="word-wrap: break-word; border-top: medium none; border-right: medium none; border-collapse: collapse; table-layout: fixed; border-bottom: medium none; border-left: medium none; width: 630px">
    <colgroup><col style="width: 90px" /><col style="width: 120px" /><col style="width: 90px" /><col style="width: 120px" /><col style="width: 90px" /><col style="width: 120px" /></colgroup>
    <tbody valign="top">
        <tr style="min-height: 25px">
            <td colspan="6" style="border-top: #000000 1pt; border-right: #000000 1pt; vertical-align: middle; border-bottom: #000000 1.5pt solid; padding-bottom: 1px; padding-top: 1px; padding-left: 1px; border-left: #000000 1pt; padding-right: 1px">
            <div>&#160;</div>
            </td>
        </tr>
        <tr style="min-height: 40px">
            <td style="border-top: #000000 1.5pt solid; border-right: black 1pt solid; vertical-align: middle; border-bottom: black 1pt solid; padding-bottom: 1px; padding-top: 1px; padding-left: 1px; border-left: #000000 1.5pt solid; padding-right: 1px">
            <div align="center"><font face="宋体" style="font-size: 11pt">申请部门</font></div>
            </td>
            <td style="border-top: #000000 1.5pt solid; border-right: black 1pt solid; vertical-align: middle; border-bottom: black 1pt solid; padding-bottom: 1px; padding-top: 1px; padding-left: 1px; border-left: black 1pt solid; padding-right: 1px">
            <div align="center"><font face="宋体" style="font-size: 11pt"><input title="申请部门" class="AUTO" datafld="SYS_DEPTNAME_SHORT" size="14" hidden="0" style="height: 19px; width: 113px" name="DATA_1" value="{MACRO}" type="text" /></font></div>
            </td>
            <td style="border-top: #000000 1.5pt solid; border-right: black 1pt solid; vertical-align: middle; border-bottom: black 1pt solid; padding-bottom: 1px; padding-top: 1px; padding-left: 1px; border-left: black 1pt solid; padding-right: 1px">
            <div align="center"><font face="宋体" style="font-size: 11pt">申请人</font></div>
            </td>
            <td style="border-top: #000000 1.5pt solid; border-right: black 1pt solid; vertical-align: middle; border-bottom: black 1pt solid; padding-bottom: 1px; padding-top: 1px; padding-left: 1px; border-left: black 1pt solid; padding-right: 1px">
            <div align="center"><font face="宋体" style="font-size: 11pt"><input title="申请人" class="AUTO" datafld="SYS_USERNAME" size="14" hidden="0" style="height: 19px; width: 114px" name="DATA_2" value="{MACRO}" type="text" /></font></div>
            </td>
            <td style="border-top: #000000 1.5pt solid; border-right: black 1pt solid; vertical-align: middle; border-bottom: black 1pt solid; padding-bottom: 1px; padding-top: 1px; padding-left: 1px; border-left: black 1pt solid; padding-right: 1px">
            <div align="center"><font face="宋体" style="font-size: 11pt">使用场所</font></div>
            </td>
            <td style="border-top: #000000 1.5pt solid; border-right: #000000 1.5pt solid; vertical-align: middle; border-bottom: black 1pt solid; padding-bottom: 1px; padding-top: 1px; padding-left: 1px; border-left: black 1pt solid; padding-right: 1px">
            <div align="center"><font face="宋体" style="font-size: 11pt"><input title="使用场所" size="15" align="left" hidden="0" style="height: 19px; text-align: left; width: 116px" name="DATA_3" type="text" /></font></div>
            </td>
        </tr>
        <tr style="min-height: 40px">
            <td style="border-top: black 1pt solid; border-right: black 1pt solid; vertical-align: middle; border-bottom: black 1pt solid; padding-bottom: 1px; padding-top: 1px; padding-left: 1px; border-left: #000000 1.5pt solid; padding-right: 1px">
            <div align="center"><font face="宋体" style="font-size: 11pt">占用时间</font></div>
            </td>
            <td colspan="3" style="border-top: black 1pt solid; border-right: black 1pt solid; vertical-align: middle; border-bottom: black 1pt solid; padding-bottom: 1px; padding-top: 1px; padding-left: 1px; border-left: black 1pt solid; padding-right: 1px">
            <div style="text-align: left"><font face="宋体" style="font-size: 11pt"><input title="占用开始时间" align="left" hidden="0" style="text-align: left; width: 120px" name="DATA_4" type="text" /><img title="日期控件:占用开始时间" class="DATE" border="0" name="OTHER_1" alt="" align="absMiddle" date_format="yyyy-MM-dd HH:mm:ss" value="占用开始时间" style="cursor: hand" src="/module/html_editor/editor/images/calendar.gif" />至<input title="占用结束时间" align="left" hidden="0" style="text-align: left; width: 120px" name="DATA_5" type="text" /><img title="日期控件:占用结束时间" class="DATE" border="0" name="OTHER_2" alt="" align="absMiddle" date_format="yyyy-MM-dd HH:mm:ss" value="占用结束时间" style="cursor: hand" src="/module/html_editor/editor/images/calendar.gif" /></font></div>
            </td>
            <td style="border-top: black 1pt solid; border-right: black 1pt solid; vertical-align: middle; border-bottom: black 1pt solid; padding-bottom: 1px; padding-top: 1px; padding-left: 1px; border-left: black 1pt solid; padding-right: 1px">
            <div align="center"><font face="宋体" style="font-size: 11pt">参加人数</font></div>
            </td>
            <td style="border-top: black 1pt solid; border-right: #000000 1.5pt solid; vertical-align: middle; border-bottom: black 1pt solid; padding-bottom: 1px; padding-top: 1px; padding-left: 1px; border-left: black 1pt solid; padding-right: 1px">
            <div align="center"><font face="宋体" style="font-size: 11pt"><input title="参加人数" size="13" align="left" hidden="0" style="height: 19px; text-align: left; width: 113px" name="DATA_6" type="text" /></font></div>
            </td>
        </tr>
        <tr style="min-height: 78px">
            <td style="border-top: black 1pt solid; border-right: black 1pt solid; vertical-align: middle; border-bottom: black 1pt solid; padding-bottom: 1px; padding-top: 1px; padding-left: 1px; border-left: #000000 1.5pt solid; padding-right: 1px">
            <div align="center"><font face="宋体" style="font-size: 11pt">事由</font></div>
            </td>
            <td colspan="5" style="border-top: black 1pt solid; border-right: #000000 1.5pt solid; vertical-align: top; border-bottom: black 1pt solid; padding-bottom: 1px; padding-top: 1px; padding-left: 1px; border-left: black 1pt solid; padding-right: 1px">
            <div style="line-height: 1.5"><font face="宋体" style="font-size: 11pt"><textarea title="事由" rows="3" cols="57" rich="0" style="height: 74px; width: 535px" name="DATA_7"></textarea></font></div>
            </td>
        </tr>
        <tr style="min-height: 60px">
            <td rowspan="2" style="border-top: black 1pt solid; border-right: black 1pt solid; vertical-align: middle; border-bottom: black 1pt solid; padding-bottom: 1px; padding-top: 1px; padding-left: 1px; border-left: #000000 1.5pt solid; padding-right: 1px">
            <div align="center"><font face="宋体" style="font-size: 11pt">部门经理</font></div>
            </td>
            <td colspan="5" style="border-top: black 1pt solid; border-right: #000000 1.5pt solid; vertical-align: top; border-bottom: #000000 1pt; padding-bottom: 1px; padding-top: 1px; padding-left: 1px; border-left: black 1pt solid; padding-right: 1px">
            <div style="line-height: 1.5"><font face="宋体" style="font-size: 11pt"><textarea title="部门经理意见" rows="3" cols="57" rich="0" style="height: 62px; width: 536px" name="DATA_8"></textarea></font></div>
            </td>
        </tr>
        <tr style="min-height: 25px">
            <td colspan="5" style="border-top: #000000 1pt; border-right: #000000 1.5pt solid; vertical-align: middle; border-bottom: black 1pt solid; padding-bottom: 1px; padding-top: 1px; padding-left: 1px; border-left: black 1pt solid; padding-right: 1px">
            <div style="text-align: right"><font face="宋体" style="font-size: 11pt">签字：<input title="部门经理签字" class="AUTO" datafld="SYS_USERNAME_DATE" hidden="0" name="DATA_9" value="{MACRO}" type="text" /></font></div>
            </td>
        </tr>
        <tr style="min-height: 60px">
            <td rowspan="2" style="border-top: black 1pt solid; border-right: black 1pt solid; vertical-align: middle; border-bottom: black 1pt solid; padding-bottom: 1px; padding-top: 1px; padding-left: 1px; border-left: #000000 1.5pt solid; padding-right: 1px">
            <div align="center"><font face="宋体" style="font-size: 11pt">行政经理</font></div>
            </td>
            <td colspan="5" style="border-top: black 1pt solid; border-right: #000000 1.5pt solid; vertical-align: top; border-bottom: #000000 1pt; padding-bottom: 1px; padding-top: 1px; padding-left: 1px; border-left: black 1pt solid; padding-right: 1px">
            <div style="line-height: 1.5"><font face="宋体" style="font-size: 11pt"><textarea title="行政经理意见" rows="3" cols="57" rich="0" style="height: 58px; width: 536px" name="DATA_10"></textarea></font></div>
            </td>
        </tr>
        <tr style="min-height: 25px">
            <td colspan="5" style="border-top: #000000 1pt; border-right: #000000 1.5pt solid; vertical-align: middle; border-bottom: black 1pt solid; padding-bottom: 1px; padding-top: 1px; padding-left: 1px; border-left: black 1pt solid; padding-right: 1px">
            <div style="text-align: right"><font face="宋体" style="font-size: 11pt">签字：<input title="行政经理签字" class="AUTO" datafld="SYS_USERNAME_DATE" hidden="0" name="DATA_11" value="{MACRO}" type="text" /></font></div>
            </td>
        </tr>
        <tr style="min-height: 60px">
            <td rowspan="2" style="border-top: black 1pt solid; border-right: black 1pt solid; vertical-align: middle; border-bottom: black 1pt solid; padding-bottom: 1px; padding-top: 1px; padding-left: 1px; border-left: #000000 1.5pt solid; padding-right: 1px">
            <div align="center"><font face="宋体" style="font-size: 11pt">用后检查</font></div>
            </td>
            <td colspan="5" style="border-top: black 1pt solid; border-right: #000000 1.5pt solid; vertical-align: top; border-bottom: #000000 1pt; padding-bottom: 1px; padding-top: 1px; padding-left: 1px; border-left: black 1pt solid; padding-right: 1px">
            <div style="line-height: 1.5"><font face="宋体" style="font-size: 11pt"><textarea title="用后检查" rows="3" cols="58" rich="0" style="height: 58px; width: 536px" name="DATA_12"></textarea></font></div>
            </td>
        </tr>
        <tr style="min-height: 25px">
            <td colspan="5" style="border-top: #000000 1pt; border-right: #000000 1.5pt solid; vertical-align: middle; border-bottom: black 1pt solid; padding-bottom: 1px; padding-top: 1px; padding-left: 1px; border-left: black 1pt solid; padding-right: 1px">
            <div style="text-align: right"><font face="宋体" style="font-size: 11pt">检查人签字：<input title="检查人签字" class="AUTO" datafld="SYS_USERNAME_DATE" hidden="0" name="DATA_13" value="{MACRO}" type="text" /></font></div>
            </td>
        </tr>
        <tr style="min-height: 56px">
            <td style="border-top: black 1pt solid; border-right: black 1pt solid; vertical-align: middle; border-bottom: #000000 1.5pt solid; padding-bottom: 1px; padding-top: 1px; padding-left: 1px; border-left: #000000 1.5pt solid; padding-right: 1px">
            <div align="center"><font face="宋体" style="font-size: 11pt">备注</font></div>
            </td>
            <td colspan="5" style="border-top: black 1pt solid; border-right: #000000 1.5pt solid; vertical-align: top; border-bottom: #000000 1.5pt solid; padding-bottom: 1px; padding-top: 1px; padding-left: 1px; border-left: black 1pt solid; padding-right: 1px">
            <div style="line-height: 1.5"><font face="宋体" style="font-size: 11pt"><textarea title="备注" cols="58" rich="0" style="height: 50px; width: 534px" name="DATA_14"></textarea></font></div>
            </td>
        </tr>
    </tbody>
</table>
</div>