The general writing format and key points of the self-examination form for self-surrender and report are as follows:

1. Basic personal situation.

2. Briefly describe the reasons and motives for surrendering, and sincerely report the facts of your illegal crimes to the public security organs.

3. Please list the facts of your illegal crimes, including time, location, means, objects, criminal circumstances, charges and other details, and provide evidence as much as possible. If there are multiple illegal and criminal acts, they can be listed separately.

4. Please carefully self-examine your illegal and criminal activities. If there are any circumstances that are not listed or incomplete, you should provide additional explanations here. At the same time, they should truthfully reflect the circumstances and culpability of their crimes, proactively admit their mistakes, and express repentance and reform.

5. If there is any other situation that needs explanation, you can add it here.

6. I voluntarily surrender to the public security organs, and am willing to actively cooperate with the investigation work of relevant departments, truthfully report my illegal and criminal facts, and accept legal sanctions.

7. I have carefully read the self-examination form for self-surrender and report, and I am responsible for the contents filled in. All the statements are true. If there is any untruth, I am willing to bear the corresponding legal responsibility.

8. Signature of the person who surrenders.

9. Date.