ࡱ> =@6789:;<g Xbjbjpp 4 j jCxX X 874w#/SSSSbZadLe?uAuAuAuAuAuAuyf|NAuUf3_bUfUfAuSSp v!k!k!kUfFSS?u!kUf?u!k!krrTsSW]Sfr+uv0w s|g|s|sUfUf!kUfUfUfUfUfAuAu%iUfUfUfwUfUfUfUf|UfUfUfUfUfUfUfUfUfX Y : Neurosurgery Certification Application Please type this form  hand-written forms will not be reviewed Applicant Name:  FORMTEXT       Date: FORMTEXT       Are you (select one):  FORMCHECKBOX Diplomate ACVIM (Neurology) Year Board-certified:  FORMTEXT       FORMCHECKBOX  Diplomate ECVN1 Current address:  FORMTEXT        FORMTEXT       Email address:  FORMTEXT       To obtain the Neurosurgery Certificate, complete the following listed items: Must be Board-certified to apply for Neurosurgery Certificate of Training. Complete 4 weeks on clinical rotation with a board-certified veterinary surgeon. Include the signed clinical rotation verification form with this application. Complete Advanced Techniques in Neurosurgery course or completion of the ECVN Veterinary Neurosurgery Advanced Course surgical wet lab which is equivalent to completion of the TV Advanced Techniques in Neurosurgery Course for the purposes of this certificate.Date of completion:  FORMTEXT       Provide a surgery log listing completion of at least 50 thoracic or lumbar hemilaminectomies, 20 ventral slots, and 1 of each of the following. All procedures included in the logs must have been completed within the last 5 years.(This may include during participation in the cadaver course): Transfrontal craniotomy (Date:  FORMTEXT       ) Lateral craniotomy/craniectomy (Date:  FORMTEXT       ) Foramen magnum decompression (Date:  FORMTEXT       ) Shunt placement for hydrocephalus (Date:  FORMTEXT       ) Atlantoaxial stabilization (Date:  FORMTEXT       ) Dorsal cervical decompression (Date:  FORMTEXT       ) Cervical distraction/stabilization (Date:  FORMTEXT       ) Vertebral fracture/luxation repair (Date:  FORMTEXT       ) Dorsal laminectomy TL region (Date:  FORMTEXT       ) Approach for spinal tumor (Date:  FORMTEXT       ) Muscle/nerve biopsy (Date:  FORMTEXT       ) Lumbosacral decompression (Date:  FORMTEXT       ) 1 ECVN diplomats may apply for the certificate if training ACVIM (Neurology) residents Neurosurgery Certificate Application Clinical Rotation Verification Form Name of Applicant:  FORMTEXT       Date:  FORMTEXT       This letter affirms that  FORMTEXT       spent 4 weeks, or the equivalent of 160 hours on clinical rotation with me. Dates of clinical surgical rotation:  FORMTEXT       Signature: Name, printed:  FORMTEXT       I am board certified in (select one):  FORMCHECKBOX  ACVS  FORMCHECKBOX  EVCS  FORMCHECKBOX  TV (Neurology) 1  FORMCHECKBOX  ECVN Please provide at least one source of contact should the committee have any questions regarding this applicants time on clinical rotation. Address:  FORMTEXT        FORMTEXT       Email:  FORMTEXT       Telephone:  FORMTEXT       1 An ACVIM Diplomate in Neurology may provide surgical oversight if they have obtained their neurosurgery certificate prior to the applicant s surgical rotation. Neurosurgery Certificate Application Case Log Signature Form If you were a resident when some or all of the cases were completed on the case log, please submit this form with the case log. Name of Applicant:  FORMTEXT       Date:  FORMTEXT       This letter affirms that the above applicant completed some or all of the cases listed on the log during their residency at  FORMTEXT       (facility) and that they were completed under my guidance or the guidance of the attending DVM at that time. Signature: Name, printed:  FORMTEXT       I am board certified in (circle one):  FORMCHECKBOX  ACVIM (Neurology)  FORMCHECKBOX  ECVN  FORMCHECKBOX  Other:  FORMTEXT       Please provide at least one source of contact should the committee have any questions regarding this applicant s case log. Address:  FORMTEXT        FORMTEXT       Email:  FORMTEXT       Telephone:  FORMTEXT       Name of Applicant:  FORMTEXT       Neurosurgery Certificate Case Log All procedures included in the logs must have been completed within the last 5 years. PROCEDURE NAMEDATE COMPLETEDID Number 1PRIMARY OR ASSISTANTEx: hemilaminectomy02-10-2010235301 Primary FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       1 ID number can be medical record number, patient numbers, or other unique identification which can be used to confirm details if needed.  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h}'hEjhEUmHnHujhEUj}hEU8*B,BTB|B+dh$Ifgd~eUkdi$$Ifl\H$  t(0644 lap(yt~eU|BBBBBCFCnCMkd*$$Ifl\H$ t0644 layt~eUdh$Ifgd~eUBBBBBBBBBBBBBBBBBBBBBBB CCCCCCCCCC C4C6C8C:CC@CBCDCFCHC\C^C`CbCdCfChCjClCnCpCrCCӭӢӗjhEUjhEUj(hEUh}'hE5OJPJQJ\jhEUhE h}'hEjhEUmHnHujhEUjhEU9nCpCCC+dh$Ifgd~eUkd$$Ifl\H$  t(0644 lap(yt~eUCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCDDDDD D DDDDD(D*D,D.D0D2D4D6D8D:DF@FBFDFFFHFJF^F`FbFdFfFhFjFlFnFpFrFFFFFFFFFFFFFFӭӢӗjhEUjhEUj+hEUh}'hE5OJPJQJ\jhEUhE h}'hEjhEUmHnHujhEUjVhEU:EE FHF+dh$Ifgd~eUkd̑$$Ifl\H$  t(0644 lap(yt~eUHFpFFFFFG:GMkd$$Ifl\H$ t0644 layt~eUdh$Ifgd~eUFFFFFFFFFFFFFFFFFFFFFFGGGGG G GGGGG(G*G,G.G0G2G4G6G8G:GGRGTGVGXGZG\G^G`GbGdGfGzGʿʭʢ츸ʗj֗hEUjwhEUjhEU h}'hEjhEUhEh}'hE5OJPJQJ\jhEUmHnHujhEUjhEU8:GI@IBIDIFIHI\I^I`IbIdIfIhIjIlInIpIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIֹ֣֮֘j hUjhUjhUj"hU h}'hjhUhh}'h5OJPJQJ\jhUjhUmHnHu<IFInIIIIIJ8JMkd$$Ifl\H$ t0644 layt6dh$Ifgd6IIIIIIJJJJJ J JJJJ&J(J*J,J.J0J2J4J6J8J:JL@LBLDLFLHLJL^Lʿʭʢ츸ʗjئhUjڥhUjdhU h}'hjhUhh}'h5OJPJQJ\jhUmHnHujhUjxhU9KKL 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layt6dh$Ifgd62iFiHiJiLiNiPiRiTiViXiZinipiritivixizi|i~iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiij鹹j&hUj%hUj<%hU h}'hj$hUh}'h5OJPJQJ\jhUmHnHujhUjP$hUh9iiiii"jJjrjMkd(&$$Ifl\H$ t0644 layt6dh$Ifgd6jjjjjjjj j"j$j8j:jj@jBjDjFjHjJjLj`jbjdjfjhjjjljnjpjrjtjvjjjjjjjjjjjjjjjjjjjjjjjjӽӲӗj)hUh}'h5OJPJQJ\jq)hUj(hUj'hUh h}'hjhUmHnHujhUj&'hU8rjtjjj+dh$Ifgd6kd($$Ifl\H$  t(0644 lap(yt6jjjjjjjjjjjkkkk k kkkkkkk,k.k0k2k4k6k8k:kk@kTkVkXkZk\k^k`kbkdkfkhk|k~kkkkkkkkkkkӽӢӗj,hUjG,hUh}'h5OJPJQJ\j+hUj*hUh h}'hjhUmHnHujhUj]*hU8jjkk>kfkkkMkdI+$$Ifl\H$ t0644 layt6dh$Ifgd6kkkkkkkkkkkkkkkkkkkkkkkkkkkklllll ll l"l$l&l(l*l,l.l0l2lFlHlJlLlNlPlRlTlVlXlZl\lplӭӢӗj/hUj~/hUj/hUh}'h5OJPJQJ\j.hUh h}'hjhUmHnHujhUj3-hU9kkkl+dh$Ifgd6kd-$$Ifl\H$  t(0644 lap(yt6l0lXlZlllllMkdj0$$Ifl\H$ t0644 layt6dh$Ifgd6plrltlvlxlzl|l~llllllllllllllllllllllllllllllllllllllmmmmmmm m"m$m&m:mʿʭʢ츸ʗj3hUjT2hUj1hU h}'hjh1hUhh}'h5OJPJQJ\jhUmHnHujhUj0hU8ll$mLm+dh$Ifgd6kd2$$Ifl\H$  t(0644 lap(yt6:mm@mBmDmFmHmJmLmNmbmdmfmhmjmlmnmpmrmtmvmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmnӽӲӗj6hUh}'h5OJPJQJ\j6hUj5hUj4hUh h}'hjhUmHnHujhUj)4hU8Lmtmmmmmn>nMkd5$$Ifl\H$ t0644 layt6dh$Ifgd6nnn n nnnnnnn,n.n0n2n4n6n8n:nn@nBnVnXnZn\n^n`nbndnfnhnjn~nnnnnnnnnnnnnnnnnnnnnnnӽӢӗj9hUjJ9hUh}'h5OJPJQJ\j8hUju7hUh h}'hjhUmHnHujhUj6hU8>n@nhnn+dh$Ifgd6kd7$$Ifl\H$  t(0644 lap(yt6nnnn o2oZooMkd:$$Ifl\H$ t0644 layt6dh$Ifgd6nnnnnnnnnnnnnnnnooooo o o o"o$o&o(o*o,o.o0o2o4oHoJoLoNoPoRoToVoXoZo\oporotovoxozo|o~ooooooӭӢӗj<hUj <hUj;hUh}'h5OJPJQJ\j4;hUh h}'hjhUmHnHujhUj6:hU9oooo+dh$Ifgd6kd =$$Ifl\H$  t(0644 lap(yt6ooooooooooooooooooooooooooooooooopppppppp p"p$p&p(pp@pBpDpFpHpJpLpNpPpdpʿʭʢ츸ʗjU@hUjW?hUj>hU h}'hjk>hUhh}'h5OJPJQJ\jhUmHnHujhUj=hU9oo$p&pNpvpppMkd?$$Ifl\H$ t0644 layt6dh$Ifgd6dpfphpjplpnppprptpvpxpppppppppppppppppppppppppppppppppppqq q qqqqqqqq.qӽӲӗjChUh}'h5OJPJQJ\jChUjAhUjAAhUh h}'hjhUmHnHujhUj@hU8pppq+dh$Ifgd6kd-B$$Ifl\H$  t(0644 lap(yt6.q0q2q4q6q8q:qq@qBqVqXqZq\q^q`qbqdqfqhqjqlqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqӽӢӗjbFhUjEhUh}'h5OJPJQJ\jvEhUjxDhUh h}'hjhUmHnHujhUjDhU8q@qhqjqqqq rMkdD$$Ifl\H$ t0644 layt6dh$Ifgd6qqqqrrrrr r rr"r$r&r(r*r,r.r0r2r4r6rJrLrNrPrRrTrVrXrZr\r^rrrtrvrxrzr|r~rrrrrrrrrrrrrrrrrrӭӢӗjIhUj#IhUjHhUh}'h5OJPJQJ\j7HhUh h}'hjhUmHnHujhUjFhU9 r r4r\r+dh$Ifgd6kdNG$$Ifl\H$  t(0644 lap(yt6\rrrrrr&sNsMkdJ$$Ifl\H$ t0644 layt6dh$Ifgd6rrrrrrrrrrrrrrrrrrrrrsssssss s"s$s&s(ss@sBsDsFsHsJsLsNsPsRsfshsjslsnspsrstsvsxszssʿʭʢ츸ʗjXMhUjKhUjKhU h}'hj KhUhh}'h5OJPJQJ\jhUmHnHujhUjJhU8NsPsxss+dh$Ifgd6kdoL$$Ifl\H$  t(0644 lap(yt6sssssssssssssssssssssssssssssssssstt t ttttttttt0t2t4t6t8t:tt@tBtDtXtӽӲӗj.PhUh}'h5OJPJQJ\jOhUjNhUjDNhUh h}'hjhUmHnHujhUjMhU9sssstBtjttMkd0O$$Ifl\H$ t0644 layt6dh$Ifgd6XtZt\t^t`tbtdtfthtjtlttttttttttttttttttttttttttttttttttttttuuuuu u uu"uӽӢӗjeShUjRhUh}'h5OJPJQJ\jyRhUjQhUh h}'hjhUmHnHujhUjPhU8tttt+dh$Ifgd6kdQ$$Ifl\H$  t(0644 lap(yt6t u4u6u^uuuuMkdQT$$Ifl\H$ t0644 layt6dh$Ifgd6"u$u&u(u*u,u.u0u2u4u6u8uLuNuPuRuTuVuXuZu\u^u`utuvuxuzu|u~uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuӭӢӗj;VhUjUhUjOUhUh}'h5OJPJQJ\jThUh h}'hjhUmHnHujhUjShU9uuv(v+dh$Ifgd6kdV$$Ifl\H$  t(0644 lap(yt6uuuuuuuuuvvvvvvv v"v$v&v(v*v>v@vBvDvFvHvJvLvNvPvRvfvhvjvlvnvpvrvtvvvxvzv|vvvvvvvvvvvvvʿʭʢ츸ʗjYhUjXhUjXhU h}'hjXhUhh}'h5OJPJQJ\jhUmHnHujhUjWhU8(vPvxvzvvvvwMkdrY$$Ifl\H$ t0644 layt6dh$Ifgd6vvvvvvvvvvvvvvvvvvvvvvw w wwwwwwwwww2w4w6w8w:ww@wBwDwFwZw\w^w`wbwdwfwhwjwlwnwwӽӲӗj1]hUh}'h5OJPJQJ\j\hUj\[hUjZhUh h}'hjhUmHnHujhUjpZhU8wwDwlw+dh$Ifgd6kd[$$Ifl\H$  t(0644 lap(yt6wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwxxxxx x xxx$x&x(x*x,x.x0x2x4x6x8xLxӽӢӗj`hUj_hUh}'h5OJPJQJ\j_hUj^hUh h}'hjhUmHnHujhUj]hU8lwwwwwx6x^xMkd^$$Ifl\H$ t0644 layt6dh$Ifgd6LxNxPxRxTxVxXxZx\x^x`xbxvxxxzx|x~xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxyyyyӭӢӗj>chUjbhUjRbhUh}'h5OJPJQJ\jahUh h}'hjhUmHnHujhUj}`hU9^x`xxx+dh$Ifgd6kd`$$Ifl\H$  t(0644 lap(yt6xxyy*yRyzyyMkdc$$Ifl\H$ t0644 layt6dh$Ifgd6yyyy y"y$y&y(y*y,y@yByDyFyHyJyLyNyPyRyTyhyjylynypyrytyvyxyzy|yyyyyyyyyyyyyyyyyyyyyyyyyʿʭʢ츸ʗjfhUjehUj(ehU h}'hjdhUhh}'h5OJPJQJ\jhUmHnHujhUjz@zBzDzFzHzJzLzNzbzdzfzhzjzlznzpzrztzvzzzzzzzzzzzzzӽӲӗjihUh}'h5OJPJQJ\j]ihUj_hhUjghUh h}'hjhUmHnHujhUjsghU;yzDzFzHzJzLztzzMHHHgd]kdh$$Ifl\H$ t0644 layt6dh$Ifgd6zzzzzzzzzzzzzzzzzzzzzzz{{{ { {{{{{{{,{.{0{2{4{6{8{:{<{>{@{T{V{X{Z{\{^{`{b{d{f{h{|{ӽӢӗjlhUj3lhUh}'h5OJPJQJ\jkhUjjhUh h}'hjhUmHnHujhUjIjhU8zzzz{>{f{{Mkd5k$$Ifl\H$ t0644 layt6dh$Ifgd6|{~{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{||||| || |"|$|&|(|*|,|.|0|2|4|H|ӭӢӗjohUjjohUjnhUh}'h5OJPJQJ\j~nhUh h}'hjhUmHnHujhUjmhU9{{{{+dh$Ifgd6kdm$$Ifl\H$  t(0644 lap(yt6{|0|2|Z||||MkdVp$$Ifl\H$ t0644 layt6dh$Ifgd6H|J|L|N|P|R|T|V|X|Z|\|p|r|t|v|x|z|||~||||||||||||||||||||||||||||||||||||||}ʿʭʢ츸ʗjshUj@rhUjqhU h}'hjTqhUhh}'h5OJPJQJ\jhUmHnHujhUjphU8|||$}+dh$Ifgd6kdr$$Ifl\H$  t(0644 lap(yt6}}}}}}} }"}$}&}:}<}>}@}B}D}F}H}J}L}N}b}d}f}h}j}l}n}p}r}t}v}x}}}}}}}}}}}}}}}}}}}}}}}}ӽӲӗjuvhUh}'h5OJPJQJ\juhUjuhUjthUh h}'hjhUmHnHujhUjthU8$}L}t}v}}}}~Mkdwu$$Ifl\H$ t0644 layt6dh$Ifgd6}}}}}}}}}}}~~~ ~ ~~~~~~~~.~0~2~4~6~8~:~<~>~@~B~V~X~Z~\~^~`~b~d~f~h~j~~~~~~~~~~~~~~ӽӢӗjyhUj6yhUh}'h5OJPJQJ\jxhUjawhUh h}'hjhUmHnHujhUjvhU8~~@~h~+dh$Ifgd6kdw$$Ifl\H$  t(0644 lap(yt6h~~~~~ 2ZMkdz$$Ifl\H$ t0644 layt6dh$Ifgd6~~~~~~~~~~~~~~~~~~~~~~~~~~~   "$&(*,.024HJLNPRTVXZ\^rӭӢӗj|hUj |hUj{hUh}'h5OJPJQJ\j {hUh h}'hjhUmHnHujhUj"zhU9Z\+dh$Ifgd6kd|$$Ifl\H$  t(0644 lap(yt6rtvxz|~ "$&(<ʿʭʢ츸ʗjAhUjChUj~hU h}'hjW~hUhh}'h5OJPJQJ\jhUmHnHujhUj}hU8&NvMkd$$Ifl\H$ t0644 layt6dh$Ifgd6<>@BDFHJLNPdfhjlnprtvx€ĀƀȀʀހӽӲӗjxhUh}'h5OJPJQJ\jhUjhUj-hUh h}'hjhUmHnHujhUjhU8Ȁ+dh$Ifgd6kd$$Ifl\H$  t(0644 lap(yt6  .02468:<>@BDXZ\^`bdfhjlЁӽӢӗjNhUj؅hUh}'h5OJPJQJ\jbhUjdhUh h}'hjhUmHnHujhUjhU8@BjMkdڄ$$Ifl\H$ t0644 layt6dh$Ifgd6Ёҁԁց؁ځ܁ށ  "$&(*,.0246JLNPRTVXZ\^rtvxz|~ӭӢӗjhUjhUjhUh}'h5OJPJQJ\j#hUh h}'hjhUmHnHujhUjĆhU9 4+dh$Ifgd6kd:$$Ifl\H$  t(0644 lap(yt64\ւ&Mkd$$Ifl\H$ t0644 layt6dh$Ifgd6ĂƂȂʂ̂΂Ђ҂Ԃւ؂ "$&(*>@BDFHJLNPRfʿʭʢ츸ʗjDhUjhUjohU h}'hjhUhh}'h5OJPJQJ\jhUmHnHujhUjhU8&(Px+dh$Ifgd6kd[$$Ifl\H$  t(0644 lap(yt6fhjlnprtvxzƒăƃȃʃ̃  0ӽӲӗjhUh}'h5OJPJQJ\jhUjhUj0hUh h}'hjhUmHnHujhUjhU9xȃʃBjMkd$$Ifl\H$ t0644 layt6dh$Ifgd602468:<>@BDXZ\^`bdfhjln҄Ԅք؄ڄ܄ބӽӢӗjQhUjےhUh}'h5OJPJQJ\jehUjhUh h}'hjhUmHnHujhUjhU8jl+dh$Ifgd6kd|$$Ifl\H$  t(0644 lap(yt6 6^Mkd=$$Ifl\H$ t0644 layt6dh$Ifgd6  $&(*,.02468LNPRTVXZ\^`tvxz|~ƅӭӢӗj'hUjhUj;hUh}'h5OJPJQJ\jŔhUh h}'hjhUmHnHujhUjǓhU9؅+dh$Ifgd6kd$$Ifl\H$  t(0644 lap(yt6ƅȅʅ̅΅Ѕ҅ԅօ؅څ "$&(*>@BDFHJLNPRThjlnprtvxz|ʿʭʢ츸ʗjhUjhUjrhU h}'hjhUhh}'h5OJPJQJ\jhUmHnHujhUjhU8(PRzʆMkd^$$Ifl\H$ t0644 layt6dh$Ifgd6†ĆƆȆʆ̆  2468:<>@BDFZӽӲӗjhUh}'h5OJPJQJ\jhUjHhUjҚhUh h}'hjhUmHnHujhUj\hU8D+dh$Ifgd6kd$$Ifl\H$  t(0644 lap(yt6Z\^`bdfhjlnԇև؇ڇ܇އ  $ӽӢӗjhUj}hUh}'h5OJPJQJ\jhUj hUh h}'hjhUmHnHujhUjhU8Dl6Mkd$$Ifl\H$ t0644 layt6dh$Ifgd6$&(*,.02468:NPRTVXZ\^`bvxz|~ƈȈʈ̈ΈЈ҈Ԉֈ؈ڈ܈ӭӢӗj*hUjhUj>hUh}'h5OJPJQJ\jȡhUh h}'hjhUmHnHujhUjihU968`+dh$Ifgd6kdߠ$$Ifl\H$  t(0644 lap(yt6؈ڈ*RzMkd$$Ifl\H$ t0644 layt6dh$Ifgd6 "$&(*,@BDFHJLNPRThjlnprtvxz|~ʿʭʢ츸ʗjhUjhUjhU h}'hjhUhh}'h5OJPJQJ\jhUmHnHujhUj(hU8z|̉+dh$Ifgd6kd$$Ifl\H$  t(0644 lap(yt6‰ĉƉȉʉ̉Ή   468:<>@BDFH\^`bdfhjlnpӽӲӗjhUh}'h5OJPJQJ\jIhUjKhUjէhUh h}'hjhUmHnHujhUj_hU8̉FnMkd$$Ifl\H$ t0644 layt6dh$Ifgd6Š֊؊ڊ܊ފ  &(*,.02468:NӽӢӗjhUjhUh}'h5OJPJQJ\j hUjhUh h}'hjhUmHnHujhUj5hU8+dh$Ifgd6kd!$$Ifl\H$  t(0644 lap(yt68`bdfjMHH> dgdPSugd]kd$$Ifl\H$ t0644 layt6dh$Ifgd6NPRTVXZ\^`bdfhjlnprtvxz|~ދra hrh7~CJOJQJ^JaJh1@CJOJQJ^JaJhCJOJQJ^JaJh#CJOJQJ^JaJ&h#h7~5:CJOJQJ^JaJh?:;h7~jjh7~Uhv}jhv}U h{F"hh h}'hjhUmHnHujhUjlhU!jlprvx|~RTVXgd] ddH$gdDgd# dgdPSu PRTVX h{F"hhQC8h7~ hDh7~CJOJQJ^JaJh7~CJOJQJ^JaJ21h:p / =!"#$% 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