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["附件1"]
["南嘴镇政府信息公开申请表"]
["申请人信息","公民","姓名",null,"工作单位"]
[null,null,"证件名称",null,"证件号码"]
[null,null,"申请时间",null,"通信地址"]
[null,null,"邮政编码",null,"联系电话"]
[null,null,"传真",null,"电子邮箱"]
[null,"法人或者其他组织","单位名称",null,"住所地"]
[null,null,"组织机构代码证",null,"营业执照"]
[null,null,"法人代表",null,"申请时间"]
[null,null,"联系人姓名",null,"联系人电话"]
[null,null,"传真",null,"电子邮箱"]
["所需政府信息情况","向何部门申请"]
[null,"所需信息内容描述"]
[null,"所需信息用途描述"]
[null,"所需信息的指定提供方式",null,"□纸质   □电子邮件   □光盘   □其他（请注明）"]
[null,"获取信息的方式",null,"□邮寄   □当场查阅   □电子邮件   □传真\n□自行领取/当场阅读、抄录"]
[null,"是否申请减免费用",null,"□申请（请提供相关证明）\n□不申请"]
["申请人签名盖章"]
["说明：1.申请表应填写完整，对没有联系方式或联系方式有误的信息恕不回复。"]
["2.申请表内容应真实有效，同时申请人对申请材料的真实性负责。"]