光明高新技术产业园公共技术服务平台建筑方案设计招标报名表

1、附 件 2：Appendix 2: 报名表Application FormA、 申请单位基本情况 A. Basic information of the applicant1公司注册名称Registered name of the company2公司详细资料Details of the company法定代表人Legal representative 常驻地址Address电话Phone传真Fax网址Website电子邮箱Email 公司成立日期Date of incorporation设计资格的种类/级别Type and level of the design qualification

2、3本项目联系人Contact person of this project姓名Name职务或职称Title 电话Phone传真Fax电子邮箱Email通信地址及邮政编码Post address and post code4商业登记/营业执照Commercial registration/business license 登记证编号Registration No.登记日期Date of registration登记地Place of registration注：须提供设计单位资质证明（企业法人营业执照复印件、资质证书复印件、法人代表证明书）Note: qualification certific

3、ates of the design unit are to be provided, including the copy of the enterprise legal persons business license, the copy of qualification certificate, and the certificate of the legal representative. B、 公司同类型项目设计经验B. Design experience of the company for similar project 填写要求：1、 简述项目名称、地点、所承担的设计内容及项目

4、规模。2、 项目完成情况和获奖情况。3、 业主情况和业主联系方式（通讯地址、电话、传真和电子邮件）。主要设计参加人（设计师）的姓名、职务、作用及责任分工。Filling requirements: 1. Describe briefly the name, place, design work, and scale of the project2. The completion information of and prize won for the project3. Information and contact way of owners (post address, phone, fa

5、x, email)4. Name, title, role, and responsibility of the main design participants (architects)项目1Project 1项目2Project 2项目3Project 3注：应附作品实景照片或效果图。Note: the photo of the real architecture or the impression of the architecture C、本项目中拟出任的主要设计人员C. The main architect assigned to this project 姓名Name学历、学位及专

6、业特长 Education background, academic degree, and major 详细任职历史（自现职开始）Detailed working experience, writing from the current job 获得国内或国际奖项 Prize won in China or abroad设计经验 Design experience 项目名称Name of the project 项目规模、特点及性质Scale, characteristic, and nature of the project项目名称Name of the project 项目规模、特点及性

7、质Scale, characteristic, and nature of the project项目名称Name of the project项目规模、特点及性质Scale, characteristic, and nature of the project拟在本项目中承担的职责及任务Responsibility to be assumed and work to be done in this project D、签字盖章D. Signature and seal我谨代表前述申请参加本次应标的设计公司声明：本表各页，加盖公章为记，所填一切内容属实，并同时在此授权本次竞赛组织者在其认为适当的时间和场合公开、使用有关信息。I hereby on behalf of the above design company tendering for this project certify that each page of this form shall be sealed, all the contents filled in are true. I also hereby authorize the organizer of this competition to publish and use relevant information