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國家食品藥品監督管理局行政復議法律文書示范文本——

行政(zheng)復議聽證筆(bi)錄(lu)

案由：      （寫(xie)明相關的案件(jian)事由） 。

聽證時間：  年  月  日  午 時  分至  午  時  分 
地(di)點：                                                          
主持(chi)人：                                                          

聽證員：                                                      

記錄(lu)人：                                                           

申請人：                                                  ;                    
被(bei)申請人：                                                             
第三(san)人：                                                     ;      

證人：                                                        
審理記(ji)錄(lu)：                                                       
            ;                                                   

                                                              

申請人：                       被申(shen)請人：            

（簽字(zi)或蓋章）                   （簽字(zi)或蓋章）

第三(san)人：                        證   人：       ;       

（簽字(zi)或(huo)蓋(gai)章）                 ;  （簽字(zi)或(huo)蓋(gai)章）