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["中国石化加油卡客户业务申请表"]
["业务类型","      □ 客户开户        □ 客户资料变更         □ 客户清户        □ 不记名转记名          □ 不记名卡发售"]
["客户名称",{"$nulls":6},"客户类型","□ 单位多用户卡□ 单位单用户卡\n□ 个人单用户卡□ 个人多用户卡","通知类型","□ 短信提醒    □ 微信提醒\n□ 自动发邮件"]
["所属区域","                  省（市）                   市/区/县",{"$nulls":7},"限制类型","□ 强限车号"]
["联 系 人",{"$nulls":4},"证件类型",null,"账单寄送","□ 普通邮件寄送                  \n□ 电子邮件寄\n□ 不寄送                     ","网上业务","□ 开通网上业务"]
["证件号码",{"$nulls":8},"开票类型","□ 消费开票型\n□ 充值开票型"]
["客户地址",{"$nulls":6},"邮政编码",null,"经营类型","□ 消费型\n□ 生产型"]
[{"$nulls":7},"已持卡量"]
["电子邮件",null,null,"手机",{"$nulls":3},"传真",null,"QQ  号码"]
[{"$nulls":7},"固定电话",null,"微信号码"]
["单位信息（单位用户填写）"]
["客户简称",{"$nulls":6},"全国组织\n机构代码"]
["法人代表",null,null,"证件类型",{"$nulls":3},"证件号码"]
["税务登记号",{"$nulls":6},"发票类型","□ 增值税发票     □ 普通发票         "]
["行    业","□ 工业  □ 农业  □ 政府  □ 金融  □  教育  □ 医疗  □ 其它",{"$nulls":5},"结算类型"]
["开户银行",null,null,"银行帐号"]
["登记注册类型",null,null,"工商注册号"]
["企业规模",null,null,"车数",{"$nulls":3},"车型"]
["个人信息（个人用户选填）"]
["出生日期",null,null,"性别",null,"婚姻状况",null,"学历"]
["职称",null,null,"职位",{"$nulls":3},"车型"]
["职业类型",null,null,"工作单位"]
["主卡加油限制信息（选填）"]
["□ 开通非油品消费功能",null,"□ 限地区、油站："]
["□ 限车号："]
["□ 限每天加油次数：      次，□ 限每天加油金额：       元，□ 限每次加油量：      升，□ 限油品："]
["      兹声明：以上所填内容真实有效，同意背面《中国石化加油IC卡章程》的规定，现予以确认。"]
["客户签字/单位（加盖公章）：                    "]
["年        月       日"]
["以下由石油公司填写"]
["客户编码：",null,null,"主卡卡号："]
["持卡（联系）人姓名：",null,null,"卡有效期：",{"$nulls":3},"备注："]
["操作员：",{"$nulls":6},"日期："]

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[]
[]
["         中国石化加油卡卡处理业务申请表        "]
[]
["客户名称：","（客户不填）",null,"客户编码：","（客户不填）"]
["网点名称：","（客户不填）"]
["持卡人姓名","张三","业务类型","  □ 挂失  □ 止挂 □ 坏卡\n □ 换卡 □ 密码重装\n □ 副卡升级","原因：         "]
["原卡卡号",null,"是否补办","          □ 是     □ 否   ","客  户\n类  型","□ 单位多用户卡\n□ 单位单用户卡\n□ 个人多用户卡        □ 个人单用户卡"]
["新卡卡号","（客户不填）","卡有效期","（客户不填）"]
["证件类型",null,"证件号码"]
["客户签字：",null,"操作员：","（客户不填）","日期：","（客户不填）"]