脫貧攻堅幹部結對幫扶走訪表(空表)

2020年度        結對幫扶幹部入戶走訪記錄

脫貧攻堅幹部結對幫扶走訪表(空表)

 

物件住址:威寧自治縣     鎮      村      組

          聯絡電話:              

走訪時間:   年  月  日  時  分

走訪者姓名:      單位及職務                        

聯絡方式(電話):                         

被訪談人:                 電  話:                 

 

訪談內容要點摘錄:

                                                                                 

                                                                                

                                                                                 

                                                                                

                                                                                 

                                                                                

                                                                                

                                                                                                                                              

                                                    

                                                    

                                                    

                                                      

                                        

 

被訪談人簽字:             幫扶幹部簽字: