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["国家小型微型企业创业创新示范基地"]
["推荐表"]
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[" "]
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["   申请单位名称：_________________________"]
["   所在省（区、市）：____________________"]
["   填报日期：            年      月      日"]
[]
[]
["工 业 和 信 息 化 部 制"]

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["推荐单位组织测评情况（随机抽取，不少于10家）"]
["测评方法",null,"□上门拜访  □电话询问  □网络互动  □书面征求  □其他"]
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["企业对创业创新基地的\n具体评价及意见"]
["专家组评审意见"]
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["专家姓名",null,"职务/职称","工作单位",{"$nulls":6},"签字"]
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["省级中小企业主管部门推荐意见："]
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[{"$nulls":10},"（  盖章  ）"]
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