CNG HA X HI CH NGHA VIT NAM

c lp - T do - Hnh phc
Nng, ngy

thng

nm 2013

N NG K D TUYN VIN CHC

H v tn: .. . ..Nam, N: .
Ngy sinh: ................................................................................................................
Qu qun: .................................................................................................................
H khu thng tr: .................................................................................................
Ch hin nay: ........................................................................................................
in thoi lin lc: ...................................................................................................
Dn tc: ....................................................................................................................
Trnh v chuyn ngnh o to: ..........................................................................
Mn d tuyn: ..........................................................................................................
o to theo h thng (nin ch/tn ch): .................................................................
Xp loi tt nghip bc i hc:............................................................................
im kt qu hc tp bc i hc:.........................................................................
(c tnh nh tit b, im 2.1, khon 2, mc 2, phn IV ca Thng bo tuyn dng)

i tng u tin (nu c): ......................................................................................

Sau khi nghin cu iu kin ng k d tuyn vin chc ca S GD&T
thnh ph Nng, ti thy c iu kin tham d k xt tuyn vin chc
v tr vic lm Gio vin trung hc. V vy, ti lm n ny ng k d tuyn vin
chc theo thng bo ca qu c quan, n v.
Nu trng tuyn ti s chp hnh cc quy nh ca Nh nc v ca c
quan, n v c thm quyn tuyn dng.
Ti gi km theo n ny h s d tuyn, gm:
1. Bn s yu l lch t thut;
2. Bn chp cc vn bng, chng ch v kt qu hc tp, gm:
..
..
..
3. Giy chng nhn sc kho;
4. 02 phong b (ghi r a ch lin lc), 02 nh c 4 x 6.
Ti cam oan h s d tuyn ca ti l ng s tht. Nu sai s tht, kt qu
tuyn dng ca ti hy b v ti chu trch nhim trc php lut./.
Knh n
(K v ghi r h tn)

CNG HO X HI CH NGHA VIT NAM

c lp-T do-Hnh phc
nh 3x4

BN KHAI L LCH
D XT TUYN VIN CHC
Phn I: S yu l lch bn thn
1. H v tn:
2. Ngy, thng, nm sinh:
3. Ni sinh:
4. Qu qun:
5. Ni ng k h khu thng tr:
6. Dn tc:
7. Ngh nghip:
8. Ngy vo on TNCSHCM:
9. Ngy vo ng CSVN:

Nam, n:

Tn gio:

Phn II: Quan h gia nh

10. H v tn cha:
- Ni ng k h khu thng tr:
- Ngh nghip:
- Trc 30/4/1975 (Lm g, u?):

Nm sinh:

- Hin nay (Lm g, u?):

11. H v tn m:
- Ni ng k h khu thng tr:
- Ngh nghip:
- Trc 30/4/1975 (Lm g, u?):

Nm sinh:

- Hin nay (Lm g, u?):

12. H v tn anh, ch, em rut (Nm sinh, qua cc thi k lm g, u?):

13. Tnh trng gia nh (c thn, c gia nh):

- H v tn v hoc chng (Nm sinh, lm g, u?):
- H v tn cc con:

14. Tnh trng sc kho bn thn hin nay:

15. Tm tt qu trnh hot ng ca bn thn (T 06 tui n nay lm g,
u?)

Phn III: Qu trnh o to

16. Trnh chuyn mn hin nay:
- tt nghip:
Chuyn ngnh:
- H o to:
- Thi gian o to:
Nm tt nghip:
- Tn trng o to:
- Cc lnh vc khc c o to:
17. Thnh tch trong thi k i hc v cng tc (Bng khen, hun, huy
chng nu c):
- Khen thng (hnh thc, cp khen thng)
- K lut (cp k lut):
- Tham gia cc hot ng:
Nng, ngy
thng
nm 20.
Ngi khai
(K, ghi r h tn)

CHNG NHN CA CHNH QUYN A PHNG NI CNG DN

NG K H KHU THNG TR