告訴人聲請再議 Application for Reconsideration by the Complainant
Application for Reconsideration in Criminal Proceeding 股別： Section: 案號： 年度 字第 號 Case No.: year zhi No.
Suffix	姓名或名稱及國民身分證統一編號/護照號碼/居留證號 Name and National ID No./Passport No./Alien Resident Certificate No.	性別 Gender	出生 年月日 Date of Birth	住居所或營業所、郵遞區號及電話號碼 Domicile/Residence or Place of Business, Zip Code and Phone Number	送達代收人姓名、住址、郵遞區號及電話號碼 Name, Address, Zip Code and Phone Number of the Agent for Service of Process
聲請人 即告訴人 Applicant Complainant
Defendant
主旨：聲請再議。 Subject: Application for Reconsideration
說明： Explanation:
一、為不服 鈞署 年度 字第 號被告 涉嫌 乙案，檢察官所為之Combin，今聲請 人（即告訴人）依刑事訴訟法第256條第1項前段之規定，於法定 not to prosecute. of deferred prosecution. 期間內聲請再議。 1. The Applicant is unsatisfied with a ruling of case year zhi NO. by the prosecutor of your Office regarding the defendant suspected of committing . The Application is hereby filed by the Applicant (Complainant) according to the first part of Paragraph 1, Article 256 of the Code of Criminal Procedure within the statutory period to apply for reconsideration.
二、再議理由： 2. Reasons for Reconsideration:
此 致 臺灣宜蘭地方檢察署公鑒
TO Taiwan Yilan District Prosecutors Office
證人姓名 及 其住居所 Witness Name and Domicile/ Residence
證物名稱 及 件數 Evidence Name and Quantity
具狀人 簽名蓋章 Submitted by Signature/Stamp 撰狀人 簽名蓋章 Written by Signature/Stamp 住 址 Address 電 話 Tel. 中 華 民 國 年 月 日 Date: (mm)/ (dd), (yyyy)