道路交通陈述材料

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交通警察:

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姓名_____________性别_______民族_______,出生日期____________________,身份证号码______________________籍贯________,文化程度_______________,驾驶证准驾车型____________领证日期__________车辆号牌________________,驾驶证号__________________保险凭证号_________________________________户籍所在地(国籍、护照号)______________________________________________现住地_______________________________________________________________单位及联系方式_______________________________________________________经我自行请求(应交通警察要求),现将道路交通事故经过陈述如下:

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________当事人:

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