旅游局（委）現場檢查筆錄

被檢查人        （公民姓名或法人、其他組織名稱）    性別    職業      

地    址          （法人、其他組織注冊地）                            

法定代表人                         職務           聯系電話            

證照號碼         （許可證、執業證、身份證）       聯系電話            

檢查地點和場所                                                        

檢查時間       年    月    日     時    分至    月    日     時    分

我們是   （旅游主管部門及案件承辦機構名稱）   的執法人員  （姓名）  、          ，證件號碼為           、           ，這是我們的證件（出示證件）。現依法對你（單位）進行現場檢查，請予以配合。

檢查情況                                                           

                                                                       

                                                                       

                                                                       

                                                                       

                                                                       

                                                                       

                                                                       

                                                                       

                                                                       

                                                                       

                                                                       

                                                                       

                                                                       

被檢查人（簽名）：                                        年    月    日

檢查人員（簽名）：          、               記錄人員（簽名）：         

現場筆錄共   頁  第  頁

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