Plaintiff: name, gender, birth date, Han nationality, native place, work, address Defendant: name, gender, birth date, Han nationality, native place, work, address. Defendant: name, gender, birth date, Han nationality, native place, work, address. Claim: facts and reasons: evidence and evidence source, name and address of witness: Sincerely, People's Court of ______ County, ______ Province Plaintiff: Date: