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["土地评估中介机构年检表"]
[]
["机构全称"]
["法定代表人",{"$nulls":4},"法人代码",{"$nulls":4},"企业类型"]
["工商登记号",{"$nulls":4},"工商登记机关",{"$nulls":4},"注册资金"]
["成立时间",{"$nulls":4},"税务登记号",{"$nulls":4},"营业期限"]
["联系电话",{"$nulls":4},"传      真",{"$nulls":4},"负责人手机"]
["会员证号",{"$nulls":4},"注册证书号",{"$nulls":4},"电子信箱"]
["经营范围"]
["机构地址",{"$nulls":9},"邮政编码"]
["通讯地址",{"$nulls":9},"邮政编码"]
[null,"姓   名",null,"性别","出生日期",null,null,"职 务",null,"是否土地估价师",null,"土地估价师资格证书号"]
[]
["  公司"]
["  股东"]
[" （合"]
["   伙"]
["      人）"]
[]
["   "]
["其他经济鉴证资格",{"$nulls":5},"资格取得时间",{"$nulls":3},"有效期截止日"]
[]
[]
[]
["分支机构情况"]
["分支机构地址",{"$nulls":6},"成立时间",null,"工商备案编号",null,"注册土地估价师人数"]
[]
[]
["\n\n\n                                                                        \n       法定代表人签字（盖章）：                                                               公司盖章    \n                                                                                                           "]
[]
[]
[]
["                                         年      月      日"]

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