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：______________
