武汉新区四新生态新城方岛区域
武汉新区四新生态新城“方岛”区域
城市
设计
领导形象设计圆作业设计ao工艺污水处理厂设计附属工程施工组织设计清扫机器人结构设计
国际
方案
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征集
Collecting international designing plans for the “Square Island”
area of Sixin Ecological New Town in the New Zone of Wuhan
报 名 表
Application Form
申请
关于撤销行政处分的申请关于工程延期监理费的申请报告关于减免管理费的申请关于减租申请书的范文关于解除警告处分的申请
机构:
Company or Joint Venture’s Name of Application
日 期(Date): 月(Month) 日(Day) 年(Year)
报名表格填写须知
1(本报名表格由5部分内容组成:1)报名申请表,2)报名单位联系表,3)
报名单位基本情况介绍表,4)主要设计人员履历表,5)报名单位设计人
员组成;
2(报名单位应按照所提供的表格如实填写(表格附后); 3(联合体报名应按照参与本项目的主次顺序排序,以排在第一位的单位为主
体,并须同时提供联合体投标
协议
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书(加盖公章); 4(报名单位若为分公司,应申报自身的业绩并注明与母公司的合作关系;
5(报名单位可根据具体内容对表格进行适当调整,但不应改变表格的结构;
6(报名单位可先将Word格式的报名材料发送至主办方指定电子邮箱,单个附
件小于15M,邮箱地址为:whxqtzzgb@163.com,截止时间为2010年4月
30日17:00(北京时间);
7(报名单位提交的一切报名资料不予退还; 8(报名单位对报名信息的真实性负责,因提供虚假信息所造成的一切后果一
律由报名单位自负。
Notes for completing application forms
1. The application form composed by 5 parts: 1) Application for collection, 2) Contact for Collection, 3) Basic Information about Applicant, 4) Introduction of Main Designers Proposed in this Project, 5) Proposed Staff / Assistant Staff Dedicated to this Project;
2. Applicant shall fill out the form provided authenticity (Form attached);
3. The Commonwealth shall participate in the project application the primary and secondary sort order to a unit ranked first as the main body, and shall provide the Commonwealth of Tender Agreement (official seal);
4. If the application for the branch unit, should declare its own performance and indicate the relationship with the parent company;
5. Applicants can be adjusted on the table, but should not change the form of the structure;
6. Word format registration unit may first registration materials sent to the host specified e-mail, a single attachment is less than 15M, E-mail: whxqtzzgb@163.com, deadline will be 5:00 p.m. on the April 30, 2010 (Beijing time) ;
7. Registration for all applicants to submit non-refundable registration information;
8. Applicants responsible for the authenticity of the registration information, for providing false information for all the consequences arising from the application unit shall be conceited
表一:报名申请表
Form 1:Application for Collection
我公司非常愿意参加《武汉新区四新生态新城“方岛”区域城市设计》国际
方案征集项目应征机构的比选,并填写此报名表。
我公司对提交的报名表负责。主办单位有权对我公司进行查询或调查,以证
实有关本申请提交的声明、文件和资料的真实性,同时在此授权本次方案征集主
办单位在其认为适当的时间和场合公开、使用有关信息。
We are willing to participate in the event of worldwide collection and selection of
“ ”
and fill in this application form.
We hold responsibility for this application form filled in by us, the sponsor and organizer are entitled to carry out inquiry and investigation on us, to verify the authenticity of all the
declaration, documents or information submitted herewith or stated in this application form.
Meanwhile, we authorize the sponsor and organizer to publish, to release, or to use all the relevant information provided here at any case when they think it proper.
主设计机构(盖章) 企业法人签字
Chief Design Organization (seal) Legal Representative:
(signature)
合作应征设计机构(盖章)
日期
Co-joint Design Organization (seal)
Date (Day /Month/ Year):
备注:报名表用中文填写。若合作组成应征机构,也应填写合作设计机构信息,需加盖公章,
以保证所填信息真实有效,与主设计机构所填表格一并提交。
Remarks: Please fill in application form in Chinese. If the applicant consists of two or above
organizations (joint venture), the information about this joint venture should be submitted with the
form which the chief design organization filled in, also with the stamp to ensure the authenticity
and validity of the information.
表二:报名单位联系表
Form 2:Contact for Collection
单位名称(公司注册名称):
Registered Name of Company or
Joint Venture
项目联系人姓名
Contact Name(Mr./Ms.)
头衔和职务
Title and Position
通信地址
Post Address
电话 电
(Tel)
传真 联系方式
Contact (Fax)
电子邮件
(E-mail)
表三 :报名单位基本情况介绍表
Form 3: Basic Information about Applicant
单位名称(公司注册名称)
Registered Name of Company or
Joint Venture
企业法人
Legal Representative
常驻地址
Permanent Address
电话
(Main Telephone)
传真 联系方式
(Fax) Contact
电子邮件和网址
(Email and Website)
公司成立日期
Date of Establishment
设计资格的种类/级别
Qualified Category/Class of
Design Practice
营业执照登记日期和编号
Date and Number of License
Issued
登记地
Place of Registration
是否主设计机构
Chief or not
公司在相关类似项目中的设计经验 Working Experiences with the Similar Projects 项目1
Project 1
简述项目名称、地点和时间 Brief Description of Project
所承担的设计内容
Brief Description of Design Assignment
合同
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完成情况和获奖情况
Contract Performance and Awards Received
客户/业主情况
Client /Employer Information
主要设计人员情况
Introduction of Main Designers
项目2
Project 2
简述项目名称、地点和时间 Brief Description of Project
所承担的设计内容
Brief Description of Design Assignment
合同完成情况和获奖情况 Contract Performance and Awards Received
客户/业主情况
Client /Employer Information
主要设计人员情况
Introduction of Main Designers
项目3
Project 3
简述项目名称、地点和时间
Brief Description of Project
所承担的设计内容
Brief Description of Design Assignment
合同完成情况和获奖情况
Contract Performance and Awards Received
客户/业主情况
Client /Employer Information
主要设计人员情况
Introduction of Main Designers
…..
备注:联合机构应征请复制此表,填写后一并提交。
项目介绍部分可另附图册和图片。 Remarks: in case of joint venture, please copy this form, all the members should fill in
individually and submit them all together. The Description of Projects could add another atlas or
pictures
表四:主要设计人员履历表 Form 4:Introduction of Main Designers Proposed in this Project 姓名 性别 年龄 学位专业特长职务工作单位
Name Sex Age Degree Specialty Position Employer
详细任职历史:
Professional experience (in reverse chronological order)
获得的国内或国际奖项:
Awards, Prizes, and Honors Received
拟在本项目中担任的职务及责任
Proposed Appointment in this Project
设计经验
Working Experience in Design (in similar project)
项目名称
Name of Project
项目规模、
特点及性质
Project Description
承担职责
Appointment in the
Project
项目名称
Name of Project
项目规模、特点
及性质
Project Description
承担职责
Appointment in the
Project
项目名称
Name of Project
项目规模、特点
及性质
Appointment in
this Project
承担职责
Appointment in the
Project
备注:联合机构应征请复制此表,填写后一并提交。
项目负责人须主持过类似项目,每位主要设计人员选取最具有代表性项目的3,5项填写,可另附图册和图片。
Remarks: in case of joint venture, please copy this form, all the members should fill in
individually and submit them all together.
Project Leader shall preside over similar Projects, each of the major designers may fill in 3 to 5
of the most representative projects, and may add to Atlas and pictures.
表五:报名单位设计人员组成表
Form 5: Proposed Staff / Assistant Staff Dedicated to this Project
本次项目担任职责 姓名 性别 年龄 学位 专业特长 职务 工作单位 Appointment in this Name Sex Age degree Specialty Position Employer Project
主要设计人员
Proposed Staff
其它设计师/辅
助人员 Assistant Staff
备注:须明确“项目负责人”和“主创设计师”,且项目负责人、主创设计师必须全程参与本次方案征集。
Remark: Application unit must confirm "project leader" and "Chief Architect". The project leader and Chief Architect must participate in the whole process of
this solicitation.