Plaintiff :

(Translation)

The People's Republic of China

People's Court

CIVIL MEDIALION

(Name/Unit)

Lan

) Index No.

J

(Case No.

(Address)

Legal Representative :

(Name)

(Rark or post)

Authorized Agent

(Name)

Authorized Agent:

(Name)

(Cccupation)

(Cccupation)

Defendant :

Name/Unit

(Address)

Legal Representative :

(Name)

(Rank or post)

Authorized Agent:

(Tame)

Authorized Agent :

(Name)

(Cccupation)

(Cccupation)

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