元氏县人民政府
 
发布时间:2020-12-19    来源:司法局
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 陈述(申辩)笔录

                                                                  

时间:                   分至       

地点:                                                                      

陈述(申辩)人:                  身份证号:                           

工作单位:                            电话:                            

住址:                                邮编:                           

与本案关系:                                                            

记录人:                        工作单位:                               

陈述(申辩)的目的:                                                     

                                                                           

陈述(申辩)的事实和理由:                                                

                                                                          

                                                                             

                                                                          

                                                                              

                                                                           

                                                                            

                                                                          

  应由陈述、申辩人注明陈诉申辩笔录上述内容,记录属实。”                                                                                                                                                                                                                                                                 

                                                                

陈述(申辩)人签字:                          记录人: