Private prosecutor: (basic identity)

Defendant: (ibid.)

The cause of action is: (list of charges)

Litigant request:

The court is requested to punish the accused's criminal behavior in accordance with the law.

Facts and reasons:

(specify the time, place, means, circumstances and consequences of the defendant's crime) and state the legal basis for the prosecution.

Source of evidence:

This brings

The people's court

Attachment: copy of this petition

Private prosecutor:

Year, month and day