畜禽新品种配套系审定申请表

畜禽新品种配套系审定申请表品种（配套系）名称：________________________培育单位名称：________________________参加培育单位名称：________________________申请单位名称：________________________（盖章）省（区、市）畜牧行政主管部门：________________________（盖章）申请审定日期：______年____月____日国家畜禽遗传资源委员会制一、品种（配套系）基本信息品种（配套系）中文名称________________________品种（配套系）英文名称________________________有无密级()0-无；1-有密级()1-秘密；2-机密；3-绝密单位名称________________________通信地址________________________邮政编码________________________互联网网址________________________联系人________________________职务/职称________________________联系电话________________________传真________________________电子信箱________________________主管部门________________________单位名称________________________通信地址________________________邮政编码________________________主管部门________________________单位名称________________________通信地址________________________邮政编码________________________主管部门________________________（1）________________________（2）________________________（3）________________________（4）________________________（5）________________________（6）________________________（7）________________________（8）________________________（9）________________________（10）________________________序号姓名出生年月技术职称文化程度工作单位1________________________________________________________________________________________________________________________2________________________________________________________________________________________________________________________3________________________________________________________________________________________________________________________4________________________________________________________________________________________________________________________5________________________________________________________________________________________________________________________6________________________________________________________________________________________________________________________7________________________________________________________________________________________________________________________8________________________________________________________________________________________________________________________9________________________________________________________________________________________________________________________10_______________________________________________________________________________________________________