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- <!DOCTYPE html>
- <html>
- <head>
- <meta charset="UTF-8">
- <title>四平市政府</title>
- <link rel="stylesheet" href="css/basic.css" />
- <script type="text/javascript" src="js/jquery-1.8.3.min.js" ></script>
- <script type="text/javascript" src="js/basic.js" ></script>
- <script type="text/javascript" src="js/idealDic/idealDicInclude.js"></script>
- <script src="js/mui.min.js"></script>
- <script>
- function close_page(){
- mui.currentWebview.close();
- }
-
- (function($){
- $.getUrlParam = function(name)
- {
- var reg = new RegExp("(^|&)"+ name +"=([^&]*)(&|$)");
- var r = window.location.search.substr(1).match(reg);
- if (r!=null) return unescape(r[2]); return null;
- }
- })(jQuery);
-
- </script>
- </head>
- <body>
- <div class="jfhead">
- <a href="#"><img src="images/fh.png"></a><b>填写表单</b>
- </div>
- <div class="clear"></div>
- <div class="bdcont bsfwnews">
- <p><b>办件名称</b><i><input type="text"></i></p>
- <p><b>证件号码</b><i><input type="text"></i></p>
- <p><b>申报主体</b><i><input type="text"></i></p>
- <p><b>法人代表</b><i><input type="text"></i></p>
- <p><b>联系人</b><i><input type="text"></i></p>
- <p><b>联系手机</b><i><input type="text"></i></p>
- <p><b>联系电话</b><i><input type="text"></i></p>
- <p><b>通讯地址</b><i><input type="text"></i></p>
- <p><b>是否取件</b><i><select><option>请选择</option><option>取件</option><option>不取件</option></select></i></p>
- <p><b>办件数量</b><i><input type="text"></i></p>
- <h3><input type="button" class="btn" value="下一步"></h3>
- </div>
- </body>
- </html>
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