提请假释建议书

（）字第号

罪犯______，男（女），______年______月______日生，______族，原户籍所在地______，因____________罪经____________人民法院于______年___________月______日以（）____字第______号刑事判决书判处________________，附加__________________，刑期自____________年______月______日至______年______月______日止，于______年_____月______日送我狱服刑改造。服刑期间执行刑期变动情况：________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________。

该犯在近期确有_______________表现，具体事实如下：

_____________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

为此，根据《中华人民共和国监狱法》第______条、《中华人民共和国刑法》第_____条____款、《中华人民共和国刑事诉讼法》第_______条_____款的规定，建议对罪犯_______予以假释。特提请裁定。

此致

________________________________人民法院