______________市场监督管理局

听证报告

案件名称:______________________________________________________________________

时间：______年_____月______日______时_____分至______时______分至______时_____分

听证地点： _____________________________________________________________________

听证方式：公开/不公开

听证主持人：______________________________（听证员：___________________________）

记录员：____________________________（翻译人员：）_____________________________

办案人员：________________________________、__________________________________

当事人：______________________________________________________________________

[法定代表人（负责人）：______________________委托代理人：_______________________]

[第三人: _______________________________________________________________________

法定代表人（负责人）：______________________委托代理人：_______________________

其他参加人：__________________________________________________________________]

听证的基本情况：

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

处理意见及建议：______________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

（需要报告的其他事项）________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

听证主持人:___________________________________ __________年________月________日

听证员：____________________________________  __________年________月________日

____________________________________  __________年________月________日