教育行政处罚当场处罚笔录
案由:_______________________________________________________
处罚时间:_____年_____月_____日_____时_____分至_____时_____分
处罚地点:_______________________________________________________________________________________。
执法人:1._______________________________________________________________________________________
2._______________________________________________________________________________________
当事人:__________住址:__________________________________________________________________________
见证人:__________住址:__________________________________________________________________________
记录人:__________________________________________________________________________________________
当事人违法事实:__________________________________________________________________________________。
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