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["评标专家抽取申请表"]
[]
["陇南市公共资源交易中心：\n    根据招标项目要求，我单位特申请在贵中心的专家库中抽取评审专家，具体要求如下："]
["项目名称",null," "]
["项目编号"]
["项目类型",{"$nulls":4}," 开标时间"]
["招标单位",{"$nulls":4},"负责人",null,"电话"]
["招标代理机构",{"$nulls":4},"联系人",null,"电话"]
["行业主管部门"]
["评标委员会\n组成人员",null,"评委会共    人，其中项目单位    人，评标专家    人。"]
[null,null,"专家类别（下列□内打钩选择专家类别）"]
[null,null,"政采□",{"$nulls":3},"交通水利工程□"]
[null,null,"网络设备及软件、信息技术服务","□","农林机械及农林渔牧产品","□","交通工程□"]
[null,null,"办公设备及耗材","□","医药品及医疗设备","□","水利工程□"]
[null,null,"通讯设备","□","教学、文艺、体育设备（含营养餐）","□","房建市政类□"]
[null,null,"电气设备   ","□","家具用具","□","  工程设计类□     工程监理类□"]
[null,null,"广播、电视、电影设备","□","环保、矿物、仪器仪表等其他","□","房屋建筑工程施工□"]
[null,null,"车辆","□",null,null,"市政基础工程施工□"]
[null,null,"图书档案设备","□","其他服务","□","园林工程施工□"]
[null,null,"机械设备（含锅炉、电梯等）","□","工程采购类","□","材料、设备采购□"]
["回避条件"]
["招标人      （盖章）",null,"年  月   日",null,null," 代理机构  （盖章）","年   月   日"]
["备注：请在项目开标前1天在网上提交申请表，及时上传扫描件，并于开标当天按预约时间参加专家抽取工作。"]

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