调查证据申请书

                                                                                              证据调查申请书
    
                   申请人：
    
                  请求事项：
    
                  事实和理由：
    
                   此致
    
           XXX    人民法院
    
                                                                                                                                  申请人：
    
                                                                                                                                             年 月 日