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Annex IV: On-site Verification Record
On-site V erification Record
No.演出证明申请编号
No. of Application for the Performance Certificate 受理通知书编号No. of Application
Receipt
演出组织者Performance Organizer 演出名称
Name of Performance 演出地点
Venue of Performance
现场核实地点Venue of On-site Verification 现场核实日期Date of On-site Verification
是否演出Performance Staged or not
现场收集资料Documents collected on site 1.表演者名称2.演出节目清单3.演员名单
4.
1. Name of Performer
2. List of programs
3. List of artists
4.
说明:
Notes:
演出组织者或其授权代表签章:现场核实人员签章:
2010年月日Signature/seal of the performance organizer or its authorized representative:
Signature/seal of on-site verification personnel:
__/__/2010 The documents collected on site provided in attachments shall bear the signature/seal of the performance organizer and the on-site verification personnel.
This form shall be kept by the Bureau of Shanghai World Expo Coordination.