验明正身笔录（执行死刑用）

验明正身笔录（执行死刑用）　验明正身笔录（执行死刑用）
案　　由：____________________________________________________________________________
死刑罪犯姓名：________________________________________________________________________
时　　间：_________________年________________月________________日_______________时________________分
地　　点：____________________________________________________________________________
指挥执行的审判人员：____________________________________书记员：____________________________________
临场监督人：__________________________________________________________人民检察院检察员
（核对死刑罪犯的姓名、性别、出生年月日、民族、出生地、文化程度、住址等）
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
答：____________________________________________________________________
________________________________________________________________________
______________________________________ _________________________________
________________________________________________________________________
（核对犯罪事实）　
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
答：____________________________________________________________________
问：你有没有遗言和信札，还有什么话要说 　
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
验明正身笔录（执行死刑用）　验明正身笔录（执行死刑用）