<div>&nbsp;</div>

<div style="text-align: center;"><span style="font-size: 28px;"><strong>用印申请表</strong></span>

<table align="center" border="1" bordercolor="#ffffff" class="xdLayout" style="border: currentColor; border-collapse: collapse; table-layout: fixed; -ms-word-wrap: break-word;" tabindex="65535" width="537">
	<colgroup>
		<col style="width: 107px;" />
		<col style="width: 161px;" />
		<col style="width: 101px;" />
		<col style="width: 168px;" />
	</colgroup>
	<tbody valign="top">
		<tr style="min-height: 30px;">
			<td colspan="2" style="border-width: 1pt 1pt 1.5pt; border-style: solid; border-color: rgb(255, 255, 255) rgb(255, 255, 255) black; padding: 1px; vertical-align: middle;">
			<div align="center"><span style="font-size: 28px;"><strong>&nbsp;</strong></span></div>
			</td>
			<td style="border-width: 1pt 1pt 1.5pt; border-style: solid; border-color: rgb(255, 255, 255) rgb(255, 255, 255) black; padding: 1px; vertical-align: middle;">
			<div align="right"><span style="font-size: 28px;"><strong><font face="宋体" style="font-size: 11pt;"><strong>编号</strong>：</font></strong></span></div>
			</td>
			<td style="border-width: 1pt 1pt 1.5pt; border-style: solid; border-color: rgb(255, 255, 255) rgb(255, 255, 255) black; padding: 1px; vertical-align: middle;"><span style="font-size: 28px;"><strong><input class="AUTO" datafld="SYS_AUTONUM" hidden="0" name="DATA_20" style="font-size: 13px;" title="编号" type="text" value="{MACRO}" /></strong></span></td>
		</tr>
		<tr style="min-height: 30px;">
			<td style="border-width: 1.5pt 1pt 1pt 1.5pt; border-style: solid; border-color: rgb(0, 0, 0) black black rgb(0, 0, 0); padding: 1px; vertical-align: middle;">
			<div align="center"><span style="font-size: 28px;"><strong><font face="宋体" style="font-size: 11pt;"><strong>申请部门</strong></font></strong></span></div>
			</td>
			<td style="border-width: 1.5pt 1pt 1pt; border-style: solid; border-color: rgb(0, 0, 0) black black; padding: 1px; vertical-align: middle;">
			<div align="center"><span style="font-size: 28px;"><strong><font face="宋体" style="font-size: 11pt;"><input class="AUTO" datafld="SYS_DEPTNAME_SHORT" hidden="0" name="DATA_5" style="font-size: 13px;" title="申请部门" type="text" value="{MACRO}" /></font></strong></span></div>
			</td>
			<td style="border-width: 1.5pt 1pt 1pt; border-style: solid; border-color: rgb(0, 0, 0) black black; padding: 1px; vertical-align: middle;">
			<div align="center"><span style="font-size: 28px;"><strong><font face="宋体" style="font-size: 11pt;"><strong>经办人</strong></font></strong></span></div>
			</td>
			<td style="border-width: 1.5pt 1.5pt 1pt 1pt; border-style: solid; border-color: rgb(0, 0, 0) rgb(0, 0, 0) black black; padding: 1px; vertical-align: middle;">
			<div align="center"><span style="font-size: 28px;"><strong><font face="宋体" style="font-size: 11pt;"><input class="AUTO" datafld="SYS_USERNAME" hidden="0" name="DATA_11" style="font-size: 13px;" title="经办人" type="text" value="{MACRO}" /></font></strong></span></div>
			</td>
		</tr>
		<tr style="min-height: 30px;">
			<td style="border-width: 1pt 1pt 1pt 1.5pt; border-style: solid; border-color: black black black rgb(0, 0, 0); padding: 1px; vertical-align: middle;">
			<div align="center"><span style="font-size: 28px;"><strong><font face="宋体" style="font-size: 11pt;"><strong>报送单位</strong></font></strong></span></div>
			</td>
			<td colspan="3" style="border-width: 1pt 1.5pt 1pt 1pt; border-style: solid; border-color: black rgb(0, 0, 0) black black; padding: 1px; vertical-align: middle;">
			<div style="text-align: left;"><span style="font-size: 28px;"><strong><font face="宋体" style="font-size: 11pt;"><input align="left" hidden="0" name="DATA_6" size="53" style="width: 412px; height: 34px; text-align: left; font-size: 13px;" title="报送单位" type="text" /></font></strong></span></div>
			</td>
		</tr>
		<tr style="min-height: 30px;">
			<td style="border-width: 1pt 1pt 1pt 1.5pt; border-style: solid; border-color: black black black rgb(0, 0, 0); padding: 1px; vertical-align: middle;">
			<div align="center"><span style="font-size: 28px;"><strong><font face="宋体" style="font-size: 11pt;"><strong>用印类别</strong></font></strong></span></div>
			</td>
			<td style="padding: 1px; border: 1pt solid black; vertical-align: middle;">
			<div align="center"><span style="font-size: 28px;"><strong><font face="宋体" style="font-size: 11pt;"><img alt="" class="RADIO" name="DATA_21" radio_field="公章`合同专用章`" src="/static/images/form/radio.png" title="用印类别" /></font></strong></span></div>
			</td>
			<td style="padding: 1px; border: 1pt solid black; vertical-align: middle;">
			<div align="center"><span style="font-size: 28px;"><strong><font face="宋体" style="font-size: 11pt;"><strong>用印数量</strong></font></strong></span></div>
			</td>
			<td style="border-width: 1pt 1.5pt 1pt 1pt; border-style: solid; border-color: black rgb(0, 0, 0) black black; padding: 1px; vertical-align: middle;">
			<div align="center"><span style="font-size: 28px;"><strong><font face="宋体" style="font-size: 11pt;"><input align="left" hidden="0" name="DATA_9" size="9" style="width: 73px; height: 20px; text-align: left; font-size: 14px;" title="式" type="text" />式<input align="left" hidden="0" name="DATA_10" size="3" style="width: 33px; height: 20px; text-align: left; font-size: 14px;" title="份" type="text" />份</font></strong></span></div>
			</td>
		</tr>
		<tr style="min-height: 80px;">
			<td style="border-width: 1pt 1pt 1pt 1.5pt; border-style: solid; border-color: black black black rgb(0, 0, 0); padding: 1px; vertical-align: middle;">
			<div align="center"><span style="font-size: 28px;"><strong><font face="宋体" style="font-size: 11pt;"><strong>申请事由</strong></font></strong></span></div>
			</td>
			<td colspan="3" style="border-width: 1pt 1.5pt 1pt 1pt; border-style: solid; border-color: black rgb(0, 0, 0) black black; padding: 1px; vertical-align: middle;">
			<div style="text-align: left;"><span style="font-size: 28px;"><strong><font face="宋体" style="font-size: 11pt;"><textarea cols="43" name="DATA_12" rich="0" rows="3" style="width: 420px; height: 73px; font-size: 13px;" title="申请事由"></textarea></font></strong></span></div>
			</td>
		</tr>
		<tr style="min-height: 100px;">
			<td style="border-width: 1pt 1pt 1pt 1.5pt; border-style: solid; border-color: black black black rgb(0, 0, 0); padding: 1px; vertical-align: middle;">
			<div align="center"><span style="font-size: 28px;"><strong><font face="宋体" style="font-size: 11pt;"><strong>部门领导审核</strong></font></strong></span></div>
			</td>
			<td colspan="3" style="border-width: 1pt 1.5pt 1pt 1pt; border-style: solid; border-color: black rgb(0, 0, 0) black black; padding: 1px; vertical-align: middle;">
			<div style="text-align: left;"><span style="font-size: 28px;"><strong><font face="宋体" style="font-size: 11pt;"><img alt="" class="RADIO" name="DATA_13" radio_field="同意`不同意`" src="/static/images/form/radio.png" title="部门领导审核意见" /></font></strong></span></div>

			<div><span style="font-size: 28px;"><strong><font face="宋体" style="font-size: 11pt;"><textarea cols="43" name="DATA_14" rich="0" rows="1" style="width: 422px; height: 57px; font-size: 13px;" title="部门领导意见补充"></textarea></font></strong></span></div>

			<div style="text-align: right;"><span style="font-size: 28px;"><strong><font face="宋体" style="font-size: 11pt;"><input class="AUTO" datafld="SYS_USERNAME_DATE" hidden="0" name="DATA_15" style="font-size: 13px;" title="部门领导签字" type="text" value="{MACRO}" /></font></strong></span></div>
			</td>
		</tr>
		<tr style="min-height: 100px;">
			<td style="border-width: 1pt 1pt 1pt 1.5pt; border-style: solid; border-color: black black black rgb(0, 0, 0); padding: 1px; vertical-align: middle;">
			<div align="center"><span style="font-size: 28px;"><strong><font face="宋体" style="font-size: 11pt;"><strong>领导审核</strong></font></strong></span></div>
			</td>
			<td colspan="3" style="border-width: 1pt 1.5pt 1pt 1pt; border-style: solid; border-color: black rgb(0, 0, 0) black black; padding: 1px; vertical-align: middle;">
			<div style="text-align: left;"><span style="font-size: 28px;"><strong><font face="宋体" style="font-size: 11pt;"><img alt="" class="RADIO" name="DATA_16" radio_field="同意`不同意`" src="/static/images/form/radio.png" title="领导审核意见" /></font></strong></span></div>

			<div><span style="font-size: 28px;"><strong><font face="宋体" style="font-size: 11pt;"><textarea cols="44" name="DATA_17" rich="0" rows="1" style="width: 422px; height: 56px; font-size: 13px;" title="领导审核意见补充"></textarea></font></strong></span></div>

			<div style="text-align: right;"><span style="font-size: 28px;"><strong><input class="AUTO" datafld="SYS_USERNAME_DATE" hidden="0" name="DATA_18" style="font-size: 13px;" title="审核领导签字" type="text" value="{MACRO}" /></strong></span></div>
			</td>
		</tr>
		<tr style="min-height: 100px;">
			<td style="border-width: 1pt 1pt 1.5pt 1.5pt; border-style: solid; border-color: black black rgb(0, 0, 0) rgb(0, 0, 0); padding: 1px; vertical-align: middle;">
			<div align="center"><span style="font-size: 28px;"><strong><font face="宋体" style="font-size: 11pt;"><strong>备 注</strong></font></strong></span></div>
			</td>
			<td colspan="3" style="border-width: 1pt 1.5pt 1.5pt 1pt; border-style: solid; border-color: black rgb(0, 0, 0) rgb(0, 0, 0) black; padding: 1px; vertical-align: middle;">
			<div style="text-align: left;"><span style="font-size: 28px;"><strong><span style="font-size: 16px;"><font face="宋体">1.凡使用公司印章须填写此表；<br />
			2.申请事由一栏应将用印的文本名称及内容填写清楚，如文本是合同的应填写涉及金额及签订合同的对方单位名称。</font></span></strong></span></div>
			</td>
		</tr>
	</tbody>
</table>
<span style="font-size: 28px;"><strong> </strong></span></div>
