សន្និបាតជាតិ..... សណ្ឋាគារ....., ..........., ថ្ងៃទី...ខែ....ឆ្នាំ........ កិច្ចប្រជុំពេញអង្គទី ១ ៖ ................................ កាលបរិច្ឆេទ ៖ ............................................. បន្ទប់ ៖ ...................................................... គោលបំណង ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ ប្រធាន ៖ ....................................................... វាគ្មិន ៖ ១............................. ២............................. ៣............................. ព័ត៌មានបន្ថែម លោក ................................. ទូរស័ព្ទ៖ ................ សារអេឡិចត្រូនិច៖.........................