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["附件4"]
["机动车牌证申请表",{"$nulls":27},"填  表  说  明"]
[]
["申请人信息栏",{"$nulls":27},"    1、填写时请使用黑色或者蓝色墨水笔，字体工整，不得涂改；\n    2、“申请事项”栏为选择项目，请在相应栏内“□”中划“√”，“号牌”栏可多选；\n    3、“邮寄地址”栏，填写可通过邮寄送达的地址；    \n    4、“机动车所有人（代理人）签字”栏，机动车属于个人的，由机动车所有人签字，属于单位的，由单位的被委托人签字。由代理人代为办理的，机动车所有人不签字，由代理人或者代理单位的经办人签字，填写姓名/名称、手机号码；\n    5、“号牌种类”栏，按照大型汽车号牌、小型汽车号牌、普通摩托车号牌、轻便摩托车号牌、低速车号牌、挂车号牌、使馆汽车号牌、使馆摩托车号牌、领馆汽车号牌、领馆摩托车号牌、教练汽车号牌、教练摩托车号牌、警用汽车号牌、警用摩托车号牌填写；\n    6、“登记证书”栏，“未获得”是指被人民法院、人民检察院和行政执法部门依法没收并拍卖，或者被仲裁机构依法仲裁裁决，或者被人民法院调解、裁定、判决机动车所有权转移时，原机动车所有人未向现机动车所有人提供机动车登记证书的情形。"]
["机动车所有人",null,"姓名/名称",{"$nulls":14},"邮政编码"]
[null,null,"邮寄地址"]
[null,null,"手机号码",{"$nulls":14},"固定电话"]
["代理人",null,"姓名/名称",{"$nulls":8},"手机号码"]
["申请业务事项"]
["号牌种类",{"$nulls":13},"号牌号码"]
["申请事项",null,null,"申请原因及明细"]
["号牌","□补领",null,"              ","□丢失",{"$nulls":5},"□灭失",{"$nulls":7},"□前号牌",{"$nulls":5},"□后号牌"]
[null,"□换领",null,null,"□前号牌",{"$nulls":13},"□后号牌"]
["行驶证","□补领",null,"                        ","□丢失",{"$nulls":13},"□灭失"]
[null,"□换领"]
["登记证书","□申领"]
[null,"□补领",null,null,"□丢失",{"$nulls":5},"□灭失",{"$nulls":7},"□未获得"]
[null,"□换领"]
["检验合格标志","□申请",null,null,"□在登记地车辆管理所申请",{"$nulls":13},"□在登记地以外车辆管理所申请"]
[null,"□补领",null,"  ","□丢失",{"$nulls":13},"□灭失"]
[null,"□换领"]
["    机动车所有人及代理人对申请材料的真实有效性负责。",{"$nulls":7}," 机动车所有人（代理人）签字："]
[]
[{"$nulls":22},"年      月      日 "]