บันทึกการสอบสวน (ความรับผิดทางละเมิด)
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This document appears to be records from an investigation or interrogation. It includes information about the person providing testimony such as their name, age, occupation, and address. The document notes that the person understands why they are being questioned and will provide testimony truthfully. The majority of the document consists of blank lines, presumably for recording the person's testimony and responses to questioning. At the end, the person providing testimony signs to confirm their statement was given voluntarily without coercion, and the panel signing to verify they took the testimony.
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บันทึกการสอบสวน (ความรับผิดทางละเมิด)
- 1. บันทึกการสอบสวนละเมิด เรื่อง ......................................................................................................................................... สอบสวนที่ ............................................................................ วันที่..............เดือน...................................... พ.ศ. ................... ข้าพเจ้า.........................................................................................................................อายุ...............ปี สัญชาติ......................... ศาสนา..................................... อาชีพ ........................................................................ บ้านเลขที่......................................... ตรอก/ซอย .................................................. ถนน ................................. แขวง/ตาบล................................................................ เขต/อาเภอ ..................................................................... จังหวัด ............................................................... เกี่ยวข้องกับเรื่องในฐานะ ................................................... สถานที่สะดวกในการติดต่อ ............................................................................................................................. โทรศัพท์ ............................................................................ โทรสาร ............................................................. ข้าพเจ้าได้ทราบเรื่อง ........................................................................................................................... ............................................................................................................................................................................ ............................................................................................................................................................................ ตามคาสั่ง.................................................................... ที่ ............ / .................... ลงวันที่................................. .................................................................... พ.ศ. ..................... และข้าพเจ้าให้ถ้อยคาตามความสัตย์จริง ดังต่อไปนี้ .............................................................................................................................................................. ............................................................................................................................................................................ ............................................................................................................................................................................ ............................................................................................................................................................................ ............................................................................................................................................................................ ............................................................................................................................................................................ ............................................................................................................................................................................ ............................................................................................................................................................................ ............................................................................................................................................................................ ............................................................................................................................................................................ ............................................................................................................................................................................ ............................................................................................................................................................................ ............................................................................................................................................................................ ............................................................................................................................................................................ ............................................................................................................................................................................ ............................................................................................................................................................................
- 3. หน้า......... ............................................................................................................................................................................ ............................................................................................................................................................................ ............................................................................................................................................................................ ............................................................................................................................................................................ ............................................................................................................................................................................ ............................................................................................................................................................................ ............................................................................................................................................................................ ............................................................................................................................................................................ ............................................................................................................................................................................ ............................................................................................................................................................................ ข้าพเจ้าขอรับรองว่า คณะกรรมการสอบสวนมิได้ทาหรือจัดให้ทาการใด ๆ ซึ่งเป็นการล่อล่วง ขู่เข็ญ หรือให้สัญญาเพื่อจูงใจให้ข้าพเจ้าให้ถ้อยคาอย่างใด ๆ และข้าพเจ้ารับรองว่าเป็นบันทึกถ้อยคาที่ถูกต้อง จึงลง ลายมือชื่อไว้ต่อหน้าคณะกรรมการสอบสวน (ลงชื่อ) .................................................... ผู้ให้ถ้อยคา (.....................................................) (ลงชื่อ) .................................................... ผู้บันทึกถ้อยคา (.....................................................) ข้าพเจ้าขอรับรองว่า.......................................................................ได้ให้ถ้อยคาและลงลายมือชื่อต่อ หน้าข้าพเจ้า ประธานกรรมการ (................................................) กรรมการ (................................................) กรรมการ (................................................)