辨认笔录

时间：_______年_______月_______日 _______分至_______年_______月_______日_______分地点：___________________________________________________________

侦查人员姓名、住址、单位：_______________________________________

辨认人员姓名、住址、单位：_______________________________________

见证人员姓名、住址、单位：_______________________________________

辨认对象：_______________________________________________________

辨认目的：_______________________________________________________

辨认过程及结果：_________________________________________________

侦查员：______________

辨认人：______________

见证人：______________

记录人：______________

签字：