<p class="MsoNormal" align="center" style="text-align:center;"> <b>公证咨询登记表<span></span></b> </p> <table class="MsoTableGrid" border="1" cellspacing="0" cellpadding="0" align="center" style="border:none;width:90%;"> <tbody> <tr> <td width="110" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;">咨询日期<span></span></span> </p> </td> <td width="134" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;"> </span> </p> </td> <td width="52" colspan="2" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;">姓名<span></span></span> </p> </td> <td width="112" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;"> </span> </p> </td> <td width="79" colspan="2" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;">性别<span></span></span> </p> </td> <td width="171" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;"> </span> </p> </td> </tr> <tr> <td width="110" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;">出生日期<span></span></span> </p> </td> <td width="134" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;"> </span> </p> </td> <td width="163" colspan="3" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;">公民身份号码<span></span></span> </p> </td> <td width="249" colspan="3" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;"> </span> </p> </td> </tr> <tr> <td width="110" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;">工作单位<span></span></span> </p> </td> <td width="134" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;"> </span> </p> </td> <td width="163" colspan="3" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;">住<span> </span>址<span></span></span> </p> </td> <td width="249" colspan="3" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;"> </span> </p> </td> </tr> <tr> <td width="110" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;">申请人或<span></span></span> </p> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;">代理人<span></span></span> </p> </td> <td width="134" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;"> </span> </p> </td> <td width="163" colspan="3" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;">联系电话<span></span></span> </p> </td> <td width="249" colspan="3" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;"> </span> </p> </td> </tr> <tr> <td width="110" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;">咨询事项<span></span></span> </p> </td> <td width="547" colspan="7" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal"> 民事： 继承 赠与 委托 声明 亲属 保全证据 证书 证照 出生 <br /> 死亡 生存 学历 签名 有无犯罪记录 婚姻状况 现场监督 其他<br /> 经济： 合同 协议 赋予债权文书具有强制执行效力 其他 </p> </td> </tr> <tr> <td width="110" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;">译文语种<span></span></span> </p> </td> <td width="182" colspan="2" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;"> </span> </p> </td> <td width="153" colspan="3" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;">用途及使用地<span></span></span> </p> </td> <td width="211" colspan="2" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;"> </span> </p> </td> </tr> <tr> <td width="110" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;">咨询内容<span></span></span> </p> </td> <td width="547" colspan="7" valign="bottom" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="right" style="text-align:right;"> <span style="font-size:12.0pt;font-family:宋体;">时间：<span> </span>年<span> </span>月<span> </span>日<span></span></span> </p> </td> </tr> <tr> <td width="110" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;">接待人员<span></span></span> </p> </td> <td width="547" colspan="7" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;"> </span> </p> </td> </tr> <tr> <td width="110" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;">咨询回复<span></span></span> </p> </td> <td width="547" colspan="7" valign="top" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;"> </span> </p> <p class="MsoNormal"> <br /> </p> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;"> </span> </p> <p class="MsoNormal"> <br /> </p> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;"> </span> </p> <p class="MsoNormal"> <br /> </p> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;"> </span> </p> <p class="MsoNormal"> <br /> </p> <p class="MsoNormal"> <span style="font-size:12.0pt;font-family:宋体;"> </span> </p> <p class="MsoNormal"> <br /> </p> <p class="MsoNormal" align="right" style="text-align:right;"> <span style="font-size:12.0pt;font-family:宋体;">时间：<span> </span>年<span> </span>月<span> </span>日<span></span></span> </p> </td> </tr> <tr> <td width="110" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;">备<span> </span>注<span></span></span> </p> </td> <td width="547" colspan="7" style="border:solid windowtext 1.0pt;"> <p class="MsoNormal" align="center" style="text-align:center;"> <span style="font-size:12.0pt;font-family:宋体;"> </span> </p> </td> </tr> <tr> <td width="110" style="border:none;"> </td> <td width="134" style="border:none;"> </td> <td width="48" style="border:none;"> </td> <td width="4" style="border:none;"> </td> <td width="112" style="border:none;"> </td> <td width="38" style="border:none;"> </td> <td width="41" style="border:none;"> </td> <td width="171" style="border:none;"> <br /> </td> </tr> </tbody> </table> <p class="MsoNormal" align="right" style="text-align:right;"> <br /> </p>