檢查筆錄
時(shí)間_______年_______月_______日_______時(shí)_______分_______年_______月_______日_______時(shí)_______分
地點(diǎn)_______________________________________________________________
復(fù)查員姓名、單位___________________________________________________
偵查人員姓名、單位_________________________________________________
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檢察人員姓名、單位_________________________________________________
被檢查人訴訟身份、姓名、性別、年齡、住址
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見(jiàn)證人姓名、住址、單位_____________________________________________
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檢查目的___________________________________________________________
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檢查過(guò)程及結(jié)果_____________________________________________________
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偵查員:______________
檢查人:______________
見(jiàn)證人:______________
記錄人:______________