Biên bản bắt người phạm tội quả tang - Thông tư 119/2021/TT-BCA
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14/10/2025
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Mẫu số: 69 BH theo TT số 119/2021/TT-BCA ngày 08/12/2021 CỘNG HÒA XÃ HỘI CHỦ NGHĨA VIỆT NAM Độc lập - Tự do - Hạnh phúc BIÊN BẢN BẮT NGƯỜI PHẠM TỘI QUẢ TANG Hồi .......... giờ ............ ngày......... tháng ......... năm ................... tại ......................................................................................... ...................................................................................................................................................................................................................................................... Chúng tôi gồm: Ông/bà: ........................................................................................................... Chức danh ..................................................................................... ...................................................................................................................................................................................................................................................... thuộc Cơ quan .............................................................................................................................................................................................................. ...................................................................................................................................................................................................................................................... Ông/bà: ............................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... Ông/bà: ............................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... Ông/bà: ............................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... Căn cứ Điều 111, Điều 133 Bộ luật Tố tụng hình sự, tiến hành lập biên bản bắt người phạm tội quả tang đối với(1): Họ tên: ........................................................................................................................................................... Giới tính: ......................................... Tên gọi khác: ............................................................................................................................................................................................................. Sinh ngày ............ tháng ........... năm ..................... tại: .................................................................................................................................. Quốc tịch: ................................................; Dân tộc: ......................................................; Tôn giáo: ....................................................... Nghề nghiệp: ................................................................................................................................................................................................................ Số CMND/Thẻ CCCD/Hộ chiếu:............................................................................................................................................................ cấp ngày............ tháng ............ năm ................... Nơi cấp: ....................................................................................................................... Nơi thường trú: ........................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... Nơi tạm trú: ................................................................................................................................................................................................................... Nơi ở hiện tại: ............................................................................................................................................................................................................. ......................................................................................................................................................................................................................................... 1. Tóm tắt nội dung, hành vi phạm tội quả tang (2) (lý do phát hiện, thời gian bắt người phạm tội quả tang; nội dung phạm tội quả tang, tang vật ): ............................................................. ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... (1) Trường hợp có nhiều người phạm tội quả tang thì ghi lần lượt nhân thân từng người theo yêu cầu trên. (2) Nếu vụ việc có hiện trường thì phải bảo vệ hiện trường và tổ chức khám nghiệm hiện trường theo quy định của pháp luật. ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... 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(3) 2. Lời khai của người phạm tội (ghi tóm tắt nội dung phạm tội): ..................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... 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(3) Trường hợp nhiều người phạm tội quả tang thì phải khi lời khai lần lượt từng người. 3. Lời khai của người bị hại: ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... 4. Lời khai của người làm chứng/người chứng kiến: ........................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... 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Tài liệu, đồ vật thu giữ, tạm giữ (nếu có): ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... 6. Thái độ của người bị bắt: ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... 7. Tình trạng sức khỏe người bị bắt(3): ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................... Việc bắt người phạm tội quả tang kết thúc vào hồi .......... giờ ......... ngày ........ tháng ...... năm .... Biên bản này đã đọc cho những người có tên trên nghe, công nhận đúng và cùng ký tên xác nhận dưới đây./. NGƯỜI BỊ BẮT NGƯỜI LẬP BIÊN BẢN NGƯỜI BỊ HẠI ĐẠI DIỆN CHÍNH QUYỀN ĐỊA PHƯƠNG (Hoặc đại diện cơ quan/tổ chức) (Nếu có) NGƯỜI CHỨNG KIẾN (4) Sức khỏe bình thường hoặc có thương tích, bệnh lý.
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