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<div align="center">回避申请书</span></font></div>
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<p>一、现将本文书的制作要点介绍如下：</span></span></p>
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<p >1</span>．首部。</span></span></p>
<p >写明：第一，标题；第二，申请人与被申请人的基本情况。</span></span></p>
<p >2</span>．正文。</span></span></p>
<p >写明：申请回避的具体原因。</span></span></p>
<p >3</span>．尾部。</span></span></p>
<p >写明：第一，致送人民法院的名称；第二，申请签名。</span></span></p>
<p >二、格式：</span></span></p>
<p align=center style='
text-align:center;line-height:22.0pt;
'>回避申请书</span></span></p>
<p >申请人：</span></span></p>
<p >被申请人：姓名、性别、工作单位及职务、参与本案工作的职务</span></span></p>
<p >请求事项及理由：</span><u><span>
</span></u></p>
<p align=right >此致</span><span> </span></p>
<p ><u><span>
</span></u>人民法院</span></span></p>
<p align=right >申请人：（签名）</span><span>
</span></p>
<p align=right >年</span><span> </span>月</span><span> </span>日</span></span></p>
<p class=MsoBodyTextIndent>三、举一范例供制作时参考：</span></span></p>
<p align=center style='
text-align:center;line-height:22.0pt;
'>回避申请书</span></span></p>
<p >申请人：蒋××，女，××年××月××日出生，×族，××省××市××公司职员，住本市××路××号。</span></span></p>
<p class=MsoBodyTextIndent><span style='font-family:宋体'>被申请人：陶××，男，××市××区人民法院刑二庭审判员，在审理申请人诉××市××区××一案中担任审判长。</span></span></p>
<p >请求事项及理由：</span></span></p>
<p >据悉，</span><span style='font-family:
宋体'>陶</span>××与本案被告××系××关系，二人为近亲属。为避免本案不公正处理，现根据《中华人民共和国刑事诉讼法》第28条的规定，申请</span></span><span style='font-family:宋体'>陶</span>××回避。</span></span></p>
<p >望批准。</span></span></p>
<p align=right >此致<span> </span></p>
<p >××市××区人民法院</span></span></p>
<p align=right style='text-align:right;
line-height:22.0pt;
'>申请人：蒋××</span></span></p>
<p align=right style='text-align:right;
line-height:22.0pt;
'>××年××月××日</span></span></p>
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