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შუამდგომლობა აღკვეთის ღონისძიების შეფარდების შესახებ

თარიღი: ------------------- ადგილი: --------------------

საქმის N:

დოკუმენტის შედგენის დრო:

შუამდგომლობის შემდგენი პირი:

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ბრალდებულის მონაცემები:

სახელი:

გვარი:

პირადი ნომერი:

დაბადების თარიღი:

მუხლის დისპოზიცია და ბრალდების ფორმულირება:

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----------------------------------------ბრალდებულ ------------------------------------- ქმედება გამოიხატა
შემდეგში:
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აღკვეთი ღონისძიების გამოყენების ფაქტობრივი (მტკიცებულებითი) საფუძვლები:

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აღკვეთი ღონისძიების გამოყენების მიზანი და ფორმალური (საპროცესო) საფუძვლები:


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მოთხოვნილი აღკვეთის ღონისძიების სახე:

დასაბუთება:

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ვშუამდგომლობ

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შემდგენი პირის ხელმოწერა:

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