个体工商户登记(备案)申请书 (模板一:标准详细版)
基本信息
- 申请人姓名 (Applicant Name): ____ (请使用正楷填写 Please write in block letters)
- 性别 (Gender): □ 男 (Male) □ 女 (Female)
- 民族 (Ethnicity): ____
- 出生日期 (Date of Birth): __ 年 (Year) _ 月 (Month) ___ 日 (Day)
- 身份证件类型 (ID Document Type):
- □ 居民身份证 (Resident ID Card)
- □ 港澳居民来往内地通行证 (Hong Kong/Macau Resident Mainland Travel Permit)
- □ 台湾居民来往大陆通行证 (Taiwan Resident Mainland Travel Permit)
- □ 护照 (Passport)
- □ 其他 (Other): ____
- 身份证件号码 (ID Document Number): ________
- 户籍所在地 (Registered Domicile Address): __ 省 (Province) _ 市 (City) 区/县 (District/County) 街道/乡镇 (Street/Township) 路/村 (Road/Village) 号/组 (Number/Group) ___ (室/单元 Unit/Room)
- 现居住地址 (Current Residential Address): __ 省 (Province) _ 市 (City) 区/县 (District/County) 街道/乡镇 (Street/Township) 路/村 (Road/Village) 号/组 (Number/Group) ___ (室/单元 Unit/Room) (如与户籍所在地相同,可填“同上” If same as Registered Domicile Address, write “Same as above”)
- 联系电话 (Contact Phone Number):
- 手机 (Mobile): ________ (必填 Required)
- 固定电话 (Landline): ________ (选填 Optional)
- 电子邮箱 (Email Address): ________ (建议填写 Recommended)
- 政治面貌 (Political Affiliation): ____ (如:中共党员、共青团员、群众等 E.g., CPC Member, CYL Member, Masses, etc.)
- 文化程度 (Education Level): ____ (如:小学、初中、高中、大专、本科、研究生等 E.g., Primary, Junior High, Senior High, College Diploma, Bachelor’s, Master’s/PhD, etc.)
- 职业状况 (Occupation Status):
- □ 在业 (Employed)
- □ 失业/无业 (Unemployed)
- □ 退休 (Retired)
- □ 在校学生 (Student)
- □ 农民 (Farmer)
- □ 其他 (Other): ____
- 是否属于港澳台居民 (Are you a resident of Hong Kong, Macau, or Taiwan?): □ 是 (Yes) □ 否 (No)
- 是否属于残疾人士 (Are you a person with disabilities?): □ 是 (Yes) □ 否 (No) (如是,请注明残疾类别和等级 If yes, please specify type and level of disability: ____)
- 是否属于退役军人 (Are you a veteran?): □ 是 (Yes) □ 否 (No)
- 是否属于高校毕业生 (Are you a recent college graduate – typically within 5 years?): □ 是 (Yes) □ 否 (No)
- 是否属于登记失业人员 (Are you registered as unemployed?): □ 是 (Yes) □ 否 (No)
字号名称信息 (Business Name Information)
- 字号名称 (Proposed Business Name): ________ (请提供3-5个备选名称,按优先级排列 Please provide 3-5 alternative names, listed in order of preference)
- (注:字号名称应符合《个体工商户名称登记管理办法》规定,不得含有禁用内容,建议提前进行名称自主查询。 Note: The business name must comply with the “Measures for the Administration of Registration of Names of Individual Industrial and Commercial Households”, not contain prohibited content, and pre-checking name availability is recommended.)
- 名称构成形式 (Name Composition Format):
- □ 行政区划 + 字号 + 行业 + 组织形式 (Administrative Region + Trade Name + Industry + Organizational Form) – 例如:北京市海淀区【XX】超市 Example: Haidian District, Beijing 【XX】 Supermarket
- □ 字号 + 行政区划 + 行业 + 组织形式 (Trade Name + Administrative Region + Industry + Organizational Form) – 例如:【XX】(北京市海淀区)超市 Example: 【XX】 (Haidian District, Beijing) Supermarket
- □ 字号 + 行业 + 行政区划 + 组织形式 (Trade Name + Industry + Administrative Region + Organizational Form) – 例如:【XX】超市(北京市海淀区) Example: 【XX】 Supermarket (Haidian District, Beijing)
- □ 其他符合规定的形式 (Other compliant formats): ________
- (注:组织形式通常为“厂”、“店”、“馆”、“部”、“行”、“中心”等。 Note: Organizational form is typically “Factory”, “Shop”, “Hall”, “Department”, “Firm”, “Center”, etc.)
经营场所信息 (Business Premise Information)
- 经营场所地址 (Business Address): __ 省 (Province) _ 市 (City) 区/县 (District/County) 街道/乡镇 (Street/Township) 路/村 (Road/Village) 号/门牌 (Number/Building Number) ___ (楼层/房间号 Floor/Room Number)
- 经营场所性质 (Nature of Business Premise):
- □ 自有房产 (Owned Property)
- □ 租赁 (Leased)
- □ 无偿使用 (Used Free of Charge)
- □ 其他 (Other): ____
- 经营场所面积 (Area of Business Premise): ____ 平方米 (Square Meters)
- 经营场所联系电话 (Business Premise Contact Phone): ________
- 邮政编码 (Postal Code): ____
- 经营场所证明文件类型 (Type of Document Proving Right to Use Premise):
- □ 不动产权证书 (Real Estate Title Certificate)
- □ 房屋租赁合同 (Property Lease Agreement)
- □ 场地使用证明 (Premise Use Certificate – e.g., from property management or owner)
- □ 市场摊位租赁协议 (Market Stall Lease Agreement)
- □ 其他有效证明文件 (Other valid proof): ____
经营范围信息 (Business Scope Information)
- 主营行业代码及名称 (Primary Industry Code and Name): ____ (请根据《国民经济行业分类》选择 Please select according to the National Economic Industry Classification)
- 经营范围 (Business Scope): (请详细、规范填写,可参考《经营范围登记规范表述目录(试行)》。一般经营项目可直接登记,许可经营项目需取得相关许可证后方可经营。 Please fill in accurately and normatively, referring to the “Catalog of Standardized Expressions for Business Scope Registration (Trial)”. General business activities can be registered directly; licensed activities require obtaining relevant permits before operation.)
___________
___________
___________
___________
(示例 Example: 零售:日用百货、服装鞋帽、文具用品;餐饮服务(须取得食品经营许可证);打字复印服务;等等 Retail: daily necessities, clothing, footwear, hats, stationery; catering services (food business license required); typing and copying services; etc.)
- 涉及前置许可项目 (Involving Pre-licensing Items?): □ 是 (Yes) □ 否 (No)
- (如是,请列出项目名称及许可机关 If yes, list item names and licensing authorities: ____)
组成形式与从业人员信息 (Organizational Form and Employee Information)
- 组成形式 (Form of Operation):
- □ 个人经营 (Individual Operation)
- □ 家庭经营 (Family Operation) (如选择此项,请填写参与经营的家庭成员信息 If selected, fill in information of participating family members below)
- 参与经营的家庭成员信息 (Information of Participating Family Members – only if “Family Operation” is selected):
| 姓名 (Name) | 与申请人关系 (Relationship to Applicant) | 身份证件号码 (ID Number) | 联系电话 (Contact Phone) |
| :———- | :————————————— | :———————– | :———————– |
| | | | |
| | | | |
| | | | |
- 从业人数 (Number of Employees): ____ 人 (Persons) (包含申请人本人 Including the applicant)
- 其中,雇工人数 (Number of Hired Employees): ____ 人 (Persons)
资金数额信息 (Capital Amount Information)
- 出资额 (Capital Contribution Amount): ____ 元 (RMB) (此项为申报制,可不填写 This is declarative and optional)
- 资金来源 (Source of Funds):
- □ 个人积蓄 (Personal Savings)
- □ 家庭共有财产 (Family Joint Property)
- □ 借贷 (Loan)
- □ 其他 (Other): ____
委托代理人信息 (Authorized Agent Information – if applicable)
- 是否委托代理人办理 (Is an agent appointed for this application?): □ 是 (Yes) □ 否 (No) (如否,则无需填写本部分 If no, skip this section)
- 代理人姓名 (Agent Name): ____
- 代理人身份证件类型 (Agent ID Document Type): ____
- 代理人身份证件号码 (Agent ID Document Number): ________
- 代理人联系电话 (Agent Contact Phone): ________
- 代理人地址 (Agent Address): __________
- 委托权限 (Scope of Authorization):
- □ 提交申请材料 (Submit application documents)
- □ 领取核准文书/营业执照 (Receive approval documents/business license)
- □ 全权办理登记相关事宜 (Handle all registration matters)
- □ 其他 (Other): ____
- 委托期限 (Authorization Period): 自 __ 年 _ 月 日 至 年 月 ___ 日 (From YYYY-MM-DD to YYYY-MM-DD)
党建信息 (Party Building Information – Optional)
- 是否已建立党组织 (Has a Party organization been established?): □ 是 (Yes) □ 否 (No)
- 负责人是否为中共党员 (Is the person in charge a CPC member?): □ 是 (Yes) □ 否 (No)
- 经营者或从业人员中是否有中共党员 (Are there CPC members among the operator or employees?): □ 是 (Yes) □ 否 (No)
- (如是,党员人数 If yes, number of members: ____ 人)
申请人承诺与声明 (Applicant’s Commitment and Declaration)
本人(及参与经营的家庭成员)郑重承诺并声明:
I (and participating family members) solemnly promise and declare that:
- 本次申请登记所提交的文件、证件和有关附件真实、合法、有效,复印件与原件一致。 The documents, certificates, and related attachments submitted for this registration application are true, legal, and valid, and the photocopies are consistent with the originals.
- 已知悉个体工商户登记相关的法律法规规章,特别是《中华人民共和国市场主体登记管理条例》、《促进个体工商户发展条例》及其实施细则的规定。 I am aware of the laws, regulations, and rules related to the registration of individual industrial and commercial households, especially the provisions of the “Regulations of the People’s Republic of China on the Administration of Market Entity Registration”, the “Regulations on Promoting the Development of Individual Industrial and Commercial Households” and their implementing rules.
- 所申请的字号名称符合国家有关规定。 The proposed business name complies with relevant state regulations.
- 经营场所符合法律法规要求,并已取得合法使用权,地址信息准确无误。 The business premises comply with legal and regulatory requirements, lawful right of use has been obtained, and the address information is accurate.
- 经营范围涉及许可经营项目的,在取得相关部门批准或许可证件前,不从事相关经营活动;不从事法律、法规禁止经营的项目。 If the business scope involves licensed items, I will not engage in related business activities before obtaining approval or licenses from relevant authorities; I will not engage in business activities prohibited by laws and regulations.
- 自觉遵守国家法律法规,依法经营,履行纳税义务,承担安全生产、环境保护、消费者权益保护等社会责任。 I will consciously abide by national laws and regulations, operate legally, fulfill tax obligations, and undertake social responsibilities such as production safety, environmental protection, and consumer rights protection.
- 本人(及参与经营的家庭成员)具备与所从事经营活动相适应的民事行为能力。 I (and participating family members) possess the civil capacity appropriate for the business activities engaged in.
- 同意将登记信息依法向社会公示。 I consent to the lawful public disclosure of the registration information.
- 对以上承诺和声明的真实性负责,如有虚假,愿承担一切法律责任。 I am responsible for the truthfulness of the above commitments and declarations, and am willing to bear all legal responsibilities if any falsehood is found.
申请人签字 (Applicant’s Signature): _
(家庭经营的,参与经营的家庭成员签字 Signatures of participating family members if family operation): _ _ _
签字日期 (Date of Signing): __ 年 (Year) _ 月 (Month) ___ 日 (Day)
(若委托代理人办理 If handled by an authorized agent)
委托代理人签字 (Agent’s Signature): _
签字日期 (Date of Signing): 年 (Year) 月 (Month) ___ 日 (Day)
提交材料清单 (Checklist of Submitted Documents)
- □ 本申请书 (This Application Form)
- □ 申请人身份证件复印件 (Copy of Applicant’s ID Document)
- □ 经营场所证明文件 (Proof of Right to Use Business Premise)
- □ 《个体工商户名称预先核准通知书》(如已办理)(Notice of Pre-approval of Individual Business Name, if obtained)
- □ 委托代理人办理的,还需提交委托书及代理人身份证件复印件 (If handled by agent, Power of Attorney and copy of Agent’s ID)
- □ 涉及许可经营项目的,提交有关批准文件或许可证件复印件(可在取得营业执照后,开展经营活动前提交)(For licensed items, relevant approval documents or license copies – can be submitted after obtaining the business license but before starting operation)
- □ 家庭经营的,参与经营家庭成员的身份证件复印件及关系证明(如户口簿复印件)(For family operation, copies of participating members’ IDs and proof of relationship, e.g., household register copy)
- □ 港澳台居民申请的,按规定提交身份核证文件或其他身份证明文件 (For HK/Macau/Taiwan residents, submit identity verification or other identification documents as required)
- □ 其他需要提交的文件 (Other required documents): ____
(以下由登记机关填写 Below to be filled by the Registration Authority)
- 受理审查意见 (Acceptance Review Opinion):
□ 材料齐全,符合法定形式,予以受理 (Documents complete and meet legal form, accepted)
□ 材料不齐全或不符合法定形式,一次性告知需补正内容 (Documents incomplete or do not meet legal form, one-time notification of required corrections): _____________
经办人 (Handler): _ 日期 (Date): ____
- 核准意见 (Approval Opinion):
□ 同意登记 (Registration Approved)
□ 不同意登记,理由 (Registration Denied, Reason): _____________
核准人 (Approver): _ 日期 (Date): ____
- 核准登记事项 (Approved Registration Items):
- 统一社会信用代码/注册号 (Unified Social Credit Code/Registration No.): ________
- 名称 (Name): ________
- 类型 (Type): 个体工商户 (Individual Industrial and Commercial Household)
- 经营者 (Operator): ____
- 组成形式 (Form of Operation): ____
- 经营场所 (Business Address): ________________
- 经营范围 (Business Scope): ________________
- 发照信息 (License Issuance Information):
- 营业执照领取方式 (Method of Receiving Business License): □ 窗口领取 (Pick up at counter) □ 邮寄送达 (Postal delivery)
- 领照人签字 (Recipient Signature): ____
- 发照日期 (Date of Issuance): __ 年 (Year) _ 月 (Month) ___ 日 (Day)
- 发照机关(盖章)(Issuing Authority Seal):
- 归档号 (Filing Number): ____
个体工商户设立登记申请书 (模板二:简化通用版)
一、 申请人基本情况 (Applicant’s Basic Information)
- 姓名 (Name): ________
- 身份证件号码 (ID Number): ____ (证件类型 Type: □ 居民身份证 Resident ID □ 其他 Other: _____)
- 联系电话 (Mobile Phone): ________ (必填 Required)
- 通讯地址 (Mailing Address): __________
- (可选 Optional) 电子邮箱 (Email): ________
二、 拟设立个体工商户基本情况 (Proposed Individual Business Information)
- 字号名称 (可选,或申请“无字号”) (Business Name – Optional, or apply for “No Name”):
- (名称需符合规定,建议查询 Name must be compliant, checking is advised)
- 经营场所 (Business Address):
- 地址 (Address): __ 省/市/自治区 _ 市/区/县 街道/乡镇 路/村 号/门牌 ___ (房号/部位 Room/Location)
- 产权/使用权证明 (Proof of Property/Usage Right): □ 自有 Owned □ 租赁 Leased □ 其他 Other: _ (需提供证明文件 Provide proof)
- 经营范围 (Business Scope): (请根据实际经营内容填写,涉及许可的需注明 Please fill according to actual operations, indicate if licensing is involved)
- 主营 (Primary): ____________
- 兼营 (Secondary): ___________
- (参考规范表述目录 Use standardized descriptions if possible)
- 组成形式 (Form of Operation):
- □ 个人经营 (Individual Operation)
- □ 家庭经营 (Family Operation) (成员信息另附 List member info separately if applicable)
- 从业人数 (Number of Employees): ______ 人 (Including applicant)
三、 委托代理人信息 (Agent Information – 如有 If any)
- 姓名 (Name): ________
- 身份证件号码 (ID Number): ________
- 联系电话 (Phone): ________
- 委托事项 (Authorized Matter): □ 办理设立登记 (Handle establishment registration) □ 领取执照 (Receive license) □ 其他 Other: _ (需附委托书 Power of Attorney required)
四、 承诺与签名 (Commitment and Signature)
本人承诺:所提交的材料和填写内容真实、准确、完整,符合法律法规规定。知晓并遵守个体工商户相关管理规定,依法经营,承担相应法律责任。同意登记机关依法公示登记信息。
I promise that the submitted materials and filled information are true, accurate, complete, and comply with laws and regulations. I am aware of and will abide by the relevant management regulations for individual industrial and commercial households, operate legally, and bear corresponding legal responsibilities. I consent to the registration authority lawfully publicizing the registration information.
申请人签字 (Applicant’s Signature): ___
日期 (Date): _ 年 月 ___ 日
(以下由登记机关填写 For Registration Authority Use Only)
- 受理意见 (Acceptance Opinion):
经办人 (Handler): _ 日期 (Date): _
- 核准意见 (Approval Opinion):
核准人 (Approver): _ 日期 (Date): _
- 登记事项 (Registered Items):
- 统一社会信用代码 (Unified Social Credit Code): ________
- 名称 (Name): ________
- 经营者 (Operator): ________
- 经营场所 (Address): ____________
- 经营范围 (Scope): _______
- 发照日期 (Issuance Date): ____
- 登记机关 (盖章) (Registration Authority Seal):
个体工商户登记(备案)申请表 (模板三:要素清单式)
申请事项 (Application Item): □ 设立登记 (Establishment Registration) □ 变更登记 (Change Registration) □ 注销登记 (Deregistration) □ 备案 (Filing)
【基本信息】(Basic Information)
项目 (Item) | 内容 (Content) | 备注 (Remarks) |
---|---|---|
申请人姓名 (Applicant Name) | ________ | 须与身份证件一致 (Must match ID document) |
证件类型 (ID Type) | □ 居民身份证 □ 港澳居民通行证 □ 台湾居民通行证 □ 护照 □ 其他: ______ | 选择一项 (Select one) |
证件号码 (ID Number) | ______ | 准确填写 (Fill in accurately) |
联系手机 (Mobile Phone) | ________ | 用于接收通知,务必准确 (For receiving notifications, must be accurate) |
住所/通讯地址 (Address) | ____________________ | 详细地址,用于文书送达 (Detailed address for document delivery) |
电子邮箱 (Email) | ________ | 建议填写 (Recommended) |
【字号名称信息】(Business Name Information) | ||
拟申请字号 (Proposed Name) | (按优先级) 1. _ 2. _ 3. ____ (可选填,也可申请无字号) | 符合名称规范,建议预查 (Must comply with naming rules, pre-check advised) |
【经营场所信息】(Business Premise Information) | ||
经营场所地址 (Premise Address) | __ 省 _ 市 区/县 街道/镇 路/村 号 ___ (具体到门牌、楼层、房间号) | 地址必须真实、具体、有效 (Address must be real, specific, valid) |
场所使用证明 (Proof of Use) | □ 自有产权证明 (Ownership proof) □ 租赁合同 (Lease contract) □ 社区/村委/市场管理方证明 (Community/Village/Market proof) □ 其他: ______ | 需提供对应复印件或原件核验 (Need corresponding copy or original for verification) |
【经营范围信息】(Business Scope Information) | ||
主营项目 (Primary Activity) | ____________________ | 参照《国民经济行业分类》和规范表述目录 (Refer to National Industry Classification and standardized description catalog) |
兼营项目 (Secondary) | ____________________ | 逐项列明,涉及许可的需注明 (List item by item, note if license required) |
是否涉及许可 (License?) | □ 是 (Yes) (项目名称: ___) □ 否 (No) | 取得许可后方可经营 (Operation only after obtaining license) |
【组织形式与人员】(Form & Personnel) | ||
组成形式 (Form) | □ 个人经营 (Individual) □ 家庭经营 (Family) (若选家庭经营,需附家庭成员信息及关系证明) | |
从业人数 (Total Personnel) | ______ 人 (含经营者) | |
【委托代理】(Agency – 如适用 If applicable) | ||
代理人姓名 (Agent Name) | ________ | 需提供委托书及代理人身份证明 (Power of Attorney and Agent’s ID required) |
代理人联系方式 (Agent Contact) | ________ | |
【申请人声明与承诺】(Applicant’s Declaration & Commitment) | ||
本人声明 (Declaration) | 本人已阅知并承诺遵守个体工商户登记管理相关法规政策,保证所提交材料及填写信息的真实性、合法性、有效性。如有虚假,愿承担一切法律后果。同意登记机关依法公示相关信息。 (I have read, understood, and promise to abide by the relevant laws, regulations, and policies regarding the registration and management of individual industrial and commercial households. I guarantee the truthfulness, legality, and validity of the submitted materials and information provided. I am willing to bear all legal consequences for any falsehood. I consent to the registration authority lawfully publicizing relevant information.) | |
申请人签字 (Applicant Signature): | ________ | |
日期 (Date): | __ 年 _ 月 ___ 日 | |
【提交材料核对】(Document Checklist) | ||
□ 本申请表 (This form) □ 身份证明复印件 (ID copy) □ 经营场所证明 (Premise proof) □ 名称预核准通知书 (如有) (Name pre-approval notice, if any) □ 委托书及代理人身份证明 (如有) (POA & agent ID, if any) □ 其他: ______ | 请核对无误 (Please check for completeness) | |
【登记机关专用】(For Registration Authority Use Only) | ||
受理人/日期 (Handler/Date): | ____ / __ | |
核准人/日期 (Approver/Date): | ____ / __ | |
统一社会信用代码 (USCC): | ______ | |
核准字号名称 (Approved Name): | ________ | |
核准经营范围 (Approved Scope): | ____________________ | |
发照日期 (License Issue Date): | ____ | |
登记机关(章)(Authority Seal): |
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