第页共页
谈话时间_____年_____月_____日_____时_____分至_____年_____月_____日_____时_____分
谈话地点：_____________________________________________________________________
谈话人：_____________________________工作单位：_______________________________
记录人：_____________________________工作单位：_______________________________
被谈话人姓名：_________________性别：__________年龄：_________国籍：_________
工作单位及联系电话：____________________________________________________________
住址：__________________________________________________________________________
翻译人员姓名：____________________________________联系电话：_________________
工作单位或住址：________________________________________________________________
谈话记录如下：
________________________________________________________________________________
