第1页共7页编号：时间：2021年x月x日书山有路勤为径，学海无涯苦作舟页码：第1页共7页AcceptanceNo.:_____________IdentificationNo.:_____________SoftwareEnterpriseIdentificationApplicationFormApplicant:____________________________IdentificationInstitute:____________________________DateofFilling:____________________________PreparedbytheMinistryofInformationIndustryofthePeople’sRepublicofChina第2页共7页第1页共7页编号：时间：2021年x月x日书山有路勤为径，学海无涯苦作舟页码：第2页共7页.ProfileoftheDeclarerⅠEnterpriseName(inChinese)EnterpriseName(inEnglish)RegisteredAddressPostalCodeAddressPostalCodeWebsiteE-mailLegalrepresentativeTEL.IDNo.PersoninchargeTEL.FaxContactTEL.FaxCompetentUnitinchargeoftheenterpriseRegistrationDateAtHi-TechParkorSoftwareParkRegisteredCapitalBusinessRegistrationNo.Hi-TechEnterpriseIdentificationDateHi-TechEnterpriseCertificateNo.CompetentTaxDepartment(statetax)TaxRegistrationNo.CompetentTaxDepartment(landtax)TaxRegistrationCertificateNo.MainShareholders&HoldingSituationsNumberofsharesRateofshareheldNumberofsharesRateofshareheld第3页共7页第2页共7页编号：时间：2021年x月x日书山有路勤为径，学海无涯苦作舟页码：第3页共7页NumberofsharesRateofshareheldShareHoldingsbyEmployeesManagerialStaffNumberofshareholdersTotalnumberofsharesheldAccountfor_____ofthetotalenterprisesharesKeyTechnicalPersonnelNumberofshareholdersTotalnumberofsharesheldAccountfor_____ofthetotalenterprisesharesOthersNumberofshareholdersTotalnumberofsharesheldAccountfor_____ofthetotalenterpriseshares.OperationsofPrevious-YearⅡUnitPrice:TenThousandYuanTotalIncomeoftheEnterpriseTotalIncomefromSoftwarePercentageofsoftwareincomeinthetotalincome(%)IncomefromSelf-developedSoftwarePercentageofself-developedsoftwareincomeinthesoftwareincome(%)InvestmentsinSoftwareResearchandDevelopmentPercentageofR&Dinthesoftwareincome(%)SoftwareIncomeClassificationSalesofproductsEngineeringcontractingTechnicalserviceConsultation&trainingTechnicaltransferOthersFromdomesticsaleFromexport第4页共7页第3页共7页编号：时间：2021年x月x日书山有路勤为径，学海无涯苦作舟页码：第4页共7页Personinchargeofthefinance(signature)EnterpriseFinanceStampD/M/YEnterpriseLegalRepresentative(signature)CorporateStampD/M/Y.MainOperationsandProductsDeclaredⅢMainOperations&Priority□Development&SaleofSoftwareProducts□CustomSoftware□SystemIntegration□SoftwareTesting□SoftwareSupportService□Others(pleasespecifyaccordingtothepriorityorder)MainProducts□SystemSoftware□SupportSoftware□ApplicationSoftware□SoftwareService□OthersS/NMainSoftwareSoftwareProductRegistrationCertificateNo.12345ISO9001Certification□passedon______(____Grade)□inprocess□NotyetCMMCertification□passedon______(____Grade)□inprocess□NotyetSystemIntegrationEnterpriseQualificationCertification□passedon______(____Grade)□inprocess□Notyet.SoftwareDevelopmentEnvironmentⅣAreaofDevelopmentSite(m2)Small,mediumQuantityServerQuantity第5页共7页第4页共7页编号：时间：2021年x月x日书山有路勤为径，学海无涯苦作舟页码：第5页共7页DevelopmentEnvironmandlarge-scalemachineModelModelWorkstationQuantityPCMachineQuantityModelModelLaptopQuantitySwitchQuantityModelModelRouterQuantityHUBQuantityModelModel第6页共7页第5页共7页编号：时间：2021年x月x日书山有路勤为径，学海无涯苦作舟页码：第6页共7页DevelopmentDatabasesystemInternetsystemothers.PersonnelStructureⅤTotalNumberofEmployeesPercentageofEmployeeswithcollegediplomaoraboveinthetotalnumberofworkforce(%)NumberofSoftwareTechniciansPercentageofsoftwaretechniciansinthetotalnumberofworkforce(%)EducationLevelJuniorCollegeUndergraduateMAPh.DSoftwareStaffNumberofR&DStaffNumberofProjectManagementStaffandProjectManagerialStaffNumberofMarketingStaffandServiceTechnicians.SubmissionofMaterialsⅥ第7页共7页第6页共7页编号：时间：2021年x月x日书山有路勤为径，学海无涯苦作舟页码：第7页共7页□Duplicateandcopyofenterprisebusinesslicense□Copy/copiesofdocumentsprovingthatthesoftwareproductsareself-developedorpossessintellectualpropertyright(productregistrationcertificate,copyrightregistrationcertificate,orpatentcertificate,etc.)□balancesheet,andincomestatement□listofsoftware-relatedproductsdeveloped,producedandoperated(whicharedevelopedbytheenterpriseortosellasanagent)□Qualificationcertificatesystemintegrationenterprises,andcopy/copiesthereof.IdentificationCommentsⅦExpertsSignature&Stamp(D/M/Y)IdentificationInstituteSignature&Stamp(D/M/Y)CompetentDepartmentSignature&Stamp(D/M/Y)
