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["附件2："]
[]
["广州市南沙新区总部型企业认定（考核)申请表"]
[]
[]
["         申报单位（盖章）                      申请日期：     年     月    日"]
["申请企业填写"]
["企业基本情况","单位名称",{"$nulls":6},"单位性质"]
[null,"注册地址",{"$nulls":6},"机构代码"]
[null,"主营业务",{"$nulls":6},"注册时间"]
[null,"投资总额",{"$nulls":6},"注册资本"]
[null,"法人代表",{"$nulls":3},"电话",null,null,"传真"]
[null,"联系人",{"$nulls":3},"电话",null,null,"手机"]
["企业类别","     □现有企业申请认定     □新迁入企业申请认定"]
[]
["申请理由"," □世界500强总部或分支机构。世界500强企业名称：________"]
[null," □商务部认定或备案的跨国公司总部"]
[null," □中国企业500强□中国服务业企业500强□中国民营企业500强□中国连锁企业100强"]
[null," □国家和中央部门确定大企业（集团）"]
[null," □战略新兴产业行业排名全国前20名、全省前10名或全市前5名的领军企业"]
[null," □符合《广州市南沙新区总部型企业认定办法》"]
["投资或授权管理的企业情况","投资或授权管理的企业数量","申请企业投资或授权管理企业____个、分支机构___ 个、其中分别在广州市内___ 个、市外___ 个。"]
[]
[null,"投资或授权管理的企业名称","1、"]
[null,null,"2、"]
[null,null,"3、"]
[]
["履行总部职能介绍"," □决策中心  □结算中心  □采购中心"]
[null," □其他：_____________________________________________________"]
[]
["所属类别","□1.工业；□2.建筑业；□3.交通运输、仓储和邮政业；□4.信息传输、计算机服务和软件业；□5.批发零售业；□6.餐饮业；□7.房地产业；□8.租赁和商务服务业；□9.科学研究开发、技术服务和地质勘探业；□10.水利、环境和公共设施管理业；□11.教育、卫生、文化、体育和娱乐及其他服务业；□12.专业服务业；□13.农业                                                      "]
[]
[]
[]
[]
[]
["主要经营状况","上年度营业收入",{"$nulls":5},"上年末资产总额"]
[{"$nulls":7},"上年度投资收益"]
[null,"上年度缴纳主要税收",null,null,"增值税",{"$nulls":4},"营业税"]
[{"$nulls":4},"企业所得税",{"$nulls":4},"个人所得税"]
[null,"预计本年度纳税情况",null,null,"增值税",{"$nulls":4},"营业税"]
[{"$nulls":4},"企业所得税",{"$nulls":4},"个人所得税"]
["申请企业填写"]
["企业申明","   本公司经营规范，无违法违纪行为，且上述所填资料均真实无讹，否则愿意承担相应的法律责任。"]
[]
[null,"                                        法人代表签字：                        \n                                        （单位公章） "]
[]
[null,"                                   年     月      日"]
["审批部门填写"]
["国税局 意见","                                          \n                                                                                                             \n                                                            \n                                                 签名（盖章）：       \n                                              年    月    日                                                                                                    "]
[]
[]
[]
["地税局 意见","                                \n                                                                                 \n                                                                                    \n                                                                        \n                                                  签名（盖章）：         \n                                                年    月   日"]
[]
[]
[]
["市场监管局 初审意见","                                                  签名（盖章）：            \n                                               年    月    日"]
[]
[]
["发改局 审核意见","                                                  签名（盖章）：            \n                                               年    月    日"]
["投促局 审核意见","                                                  签名（盖章）：             \n                                               年    月    日"]
[]
[]
["南沙新区管委会审定意见","                                                  签名（盖章）：            \n                                               年    月    日"]
[]
[]
["填表说明：申请企业请下载本表格的电子文档，用A4纸双面打印，据实填报资料后由法人代表签名加盖公章。"]

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