脱贫攻坚干部结对帮扶走访表(空表)

2020年度        结对帮扶干部入户走访记录

脱贫攻坚干部结对帮扶走访表(空表)

 

对象住址:威宁自治县     镇      村      组

          联系电话:              

走访时间:   年  月  日  时  分

走访者姓名:      单位及职务                        

联系方式(电话):                         

被访谈人:                 电  话:                 

 

访谈内容要点摘录:

                                                                                 

                                                                                

                                                                                 

                                                                                

                                                                                 

                                                                                

                                                                                

                                                                                                                                              

                                                    

                                                    

                                                    

                                                      

                                        

 

被访谈人签字:             帮扶干部签字: