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["供应商报名登记表"]
["项目名称:"]
["项目编号：",null,null,"报名包段"]
["申请人名称",null,null,"成立时间","     年   月  日"]
["注册地址",null,null,"注册资本","    （万元）"]
["统一社会信用代码","",null,"企业性质"]
["电子邮箱",null,"固定电话"]
["驻琼分支机构及其地址","（省外企业如有）"]
["企业资质能力/营业范围"]
["法人代表","姓名","联系电话","身份证号码"]
[{"$nulls":3},""]
["联 系 人","姓名","手机号码","身份证号码"]
[{"$nulls":3},""]
["申请登记日期：     年   月   日"]
[]
["报名费请汇款到以下账户（并将银行回单附在报名材料中）：\n账 户：266261986176\n户 名：海南政通招投标有限公司\n开户行：中国银行股份有限公司海南省分行\n"]