月亮湾奖励性住房入住情况调查问卷Yue Liangwan Rewarding Housing Questionnaire

Dear all


为了便于开展月亮湾奖励性住房相关工作,现进行入住信息统计,请您填写下方问卷,感谢配合!

In order to facilitate the work related to the Yue Liangwan Rewarding Housing , we are now conducting occupancy information statistics. Please fill in the following questionnaire, thank you for your cooperation!


基本信息

 Basic Information

姓名 Name    ____________
房间号(例如XX栋X单元X室)Room number (e.g. Room X, Unit X, Building XX)    ____________
目前房间是否为您本人入住?

Is the apartment currently occupied by you?

是 Yes
否 No
目前房间的状态是?

What is the current status of the apartment?

闲置 vacant
亲戚使用 used by relatives
租赁 leased
其他 others(请填写状态)(please fill in the status)
本人承诺上述信息真实有效。

I promise that the above information is true and valid.

4题 | 被引用0次

模板修改
使用此模板创建