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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)

nh
4x6

CNG HO X HI CH NGHA VIT NAM


c lp - T do - Hnh phc

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

............................ .............................. ....../.......-....../....... ........................ ..............


............................ .............................. ....../.......-....../....... ........................ ..............
............................ .............................. ....../.......-....../....... ........................ ..............
............................ .............................. ....../.......-....../....... ........................ ..............
............................ .............................. ....../.......-....../....... ........................ ..............
............................ .............................. ....../.......-....../....... ........................ ..............
............................ .............................. ....../.......-....../....... ........................ ..............
............................ .............................. ....../.......-....../....... ........................ ..
Ghi ch: Hnh thc o to, bi dng bao gm: Chnh qui, ti chc, chuyn tu, ..
Vn bng bao gm: Tin s, thc s, bc s, dc s, c nhn, k s, cao ng, trung cp, ..

III. Qu trnh lm vic:


T thng, nm lm nhng cng vic g (k c hp ng lao ng) trong c quan, n v, t
n thng, nm chc no, u.

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)

IV. Khen thng:


Thng, nm

Ni dung v hnh thc khen thng

Cp quyt
nh

L do v hnh thc k lut

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)

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