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["深圳市特种设备行业电动自行车备案申请表"]
["申请日期：      年    月    日"]
["申请事项","□备案     口变更     □转移     □注销     □车辆检验"]
[null,"变更原因","□车架  □换车  □住所  □行驶区域  □驾驶人",{"$nulls":4},"注销原因","□灭失 □丢失 □被盗 □损毁 □报废 □退车 □退出 □迁出"]
["车辆使用\n单位","单位名称",{"$nulls":6},"组织机构代码证号"]
[null,"住所地址",{"$nulls":6},"联系人",null,null,"联系电话"]
["车  辆  信  息"]
["品牌型号",null,null,"车身颜色","电机号",null,"脚踏装置","驾驶人姓名","性别","身份证号码",null,"联系电话",null,"行驶区域"]
[{"$nulls":6},"□有□无"]
[{"$nulls":6},"□有□无"]
[{"$nulls":6},"□有□无"]
[{"$nulls":6},"□有□无"]
[{"$nulls":6},"□有□无"]
[{"$nulls":6},"□有□无"]
[{"$nulls":6},"□有□无"]
[{"$nulls":6},"□有□无"]
[{"$nulls":6},"□有□无"]
[{"$nulls":6},"□有□无"]
[{"$nulls":6},"□有□无"]
[{"$nulls":6},"□有□无"]
[{"$nulls":6},"□有□无"]
[{"$nulls":6},"□有□无"]
[{"$nulls":6},"□有□无"]
[{"$nulls":6},"□有□无"]
["    我单位对上述     辆车辆的申请资料的真实有效性负责。",{"$nulls":6},"行业协会初审意见："]
[]
[]
[]
[]
[null,"（公章）",{"$nulls":6},"（公章）"]
[{"$nulls":4},"单位负责人：",{"$nulls":6},"协会负责人："]
[]
[{"$nulls":5},"年    月    日",{"$nulls":6},"年    月    日"]

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