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nh
4x6
S YU L LCH
I. S lc l lch:
- H v tn: .B danh: ................................
- Ngy, thng, nm sinh: .. Nam/N: ................................
- Ni sinh: ....................................................................................................................
- Dn tc: ......................................................Quc tch: ...............................................
- Thng tr ti: ..........................................................................................................
.
- Ngh nghip:.
- n v cng tc hin nay (nu l cn b, cng chc)...............................
.
II. Qu trnh o to, bi dng chuyn mn, nghip v:
Tn trng hoc c
s o to, bi
dng
Chuyn ngnh
o to, bi dng
T thng, nm
n thng, nm
Hnh thc o
to, bi dng
Vn
bng,
chng ch
Mu 28
(Ban hnh km theo Quyt nh s 617/Q-UBND-HC
ngy 28 thng 6 nm 2013 ca Ch tch UBND tnh ng Thp)
Cp quyt
nh
Cp quyt
nh
V. K lut:
Thng, nm
Ngi khai
XC NHN
Ti xin cam oan v nhng li Bn l lch ny do...
khai trong bn l lch ny l ng t khai ti ...............................................................
s tht v chu trch nhim trc l ng s tht.
php lut.
UBND/C QUAN....
............., ngy... thng ...nm........
(C quan nu ngi t khai l CB, CC,VC)
(K tn, ghi r h tn)
..............., ngy .....thng .... nm ........
(K tn, ghi r h tn v ng du)