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["退付申请表"]
["申请人（单位）：（签章）",{"$nulls":4},"日期：    年    月    日"]
["基\n本\n情\n况","退费申请人\n（单位）名称",{"$nulls":3},"证件类型"]
[null,"证件号码"]
[null,"联系人",null,null,"联系电话"]
[{"$nulls":4},"手机"]
[null,"联系地址"]
[null,"退\n费\n账\n户","户名"]
[null,null,"账号"]
[null,null,"开户行"]
[null,"退费原因"]
[null,"备注"]
["业\n务\n部\n门\n审\n核","审核意见",null,"                          部门盖章：\n"]
[null,"经办人",null,null,"负责人"]
["财\n务\n部\n门\n审\n核","审核意见",null,"                          部门盖章：\n"]
[null,"经办人",null,null,"负责人"]
["表后附件包括：1、申请人（单位）有效证件复印件；2、缴款票据复印件；3、退款账户复印件。"]

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