B GIO DC V O TO

TRNG I HC CN TH

CNG HA X HI CH NGHA VIT NAM

c lp - T do - Hnh phc

N NG K D TUYN O TO TRNH THC S NM 2014

Knh gi: HI NG TUYN SINH O TO TRNH THC S
TRNG I HC CN TH
H tn (ghi bng ch in hoa):Nam , N
Sinh ngy: ...//19.. Ni sinh (ghi tn tnh hoc Thnh ph):.
S CMND:Ngy cp:.Ni cp:
Dn tc: Tn gio:ng vin ............ on vin .
H khu thng tr:.
..
a ch lin h:.
.
C quan cng tc hin nay:..
..
in thoi: S in thoi nh:Di ng:..................
a ch Email:...
tt nghip i hc ngnh:.H:Loi:........
Trng:Nm tt nghip i hc:.
Ngnh tt nghip i hc th hai:..H:Loi:.......
Trng:Nm tt nghip i hc:.
Nay ti lm n ny xin c ng k d tuyn o to trnh thc s ca Trng i hc
Cn Th nm 2014 t 1
- Ngnh d tuyn:
- Ngoi ng ng k d tuyn:
- L ph thi tuyn: 420.000
- L ph n tp:
Trn trng knh cho.
Cn Th, ngy . . . . . thng . . . . . nm 20.
Ngi vit n
(Ky va ghi ro ho tn)

B GIO DC V O TO
TRNG I HC CN TH

nh 3x4
(khng qu 3
thng, c ng
du gip lai)

CNG HA X HI CH NGHA VIT NAM

c lp - T do - Hnh phc

L LCH C NHN

H v tn khai sinh...............................................................................................................Gii tnh: ..............

Sinh ngy: ....../......./.............. Ni sinh:....................................Dn tc: ..................Tn gio: .........................
S chng minh nhn dn: ..................................... ngy, ni cp: ......./......../............, .......................................
Ngh nghip, ni lm vic hin nay:..................................................................................................................
............................................................................................................................................................................
H khu thng tr:............................................................................................................................................
a ch lin lc:...................................................................................................................................................
Ngy vo on TNCS HCM: ........./........../............... Ngy vo ng CSVN: ........./........../............................
Din chnh sch (nu c):...................................................................................................................................
1. TM TT QU TRNH HC TP:
a. i hc
Ngnh hc 1:...........................................................................................Loi hnh o to : .............................
Thi gian o to: t nm............. n nm.............. Trng tt nghip:...........................................................
Xp hng tt nghip (xut sc, gii, kh, trung bnh kh, trung bnh), nm tt nghip:......................................
Ngnh hc 2 (nu c):.............................................................................Loi hnh o to : .............................
Thi gian o to: t nm............. n nm.............. Trng tt nghip:..........................................................
Xp hng tt nghip (xut sc, gii, kh, trung bnh kh, trung bnh), nm tt nghip:......................................
b. Trn i hc:
Thc tp khoa hc k thut t:...................................n:.................................................................................
Trng, Vin, Nc:..........................................................................................................................................
Ni dung thc tp:..............................................................................................................................................
Hc cao hc t:...................................n..................................ti:.................................................................
Chuyn ngnh:....................................................................................................................................................
Ngy v ni bo v lun vn tt nghip:.............................................................................................................
Cc chng ch khc (thi gian v ni cp):.........................................................................................................
C. Trnh ngoi ng:
Anh , Php . c chng ch A , B , C , Khc:.............................................................................................
Thi gian, ni cp chng ch ngoi ng: ......./......./............. ..............................................................................
2. TM TT QU TRNH LM VIC CA BN THN (t khi tt nghip i hc n nay)
Thi gian
(ghi t ngy tt
nghip i hc
n hin ti)
............................
............................
............................
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Cng vic v a im
(Ghi chi tit c th cng vic v ni cng tc theo tng thi im)
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3. QUAN H GIA NH (Cha, m, anh ch em rut, v/chng, con ci. Ghi r tn, tui, ngh nghip trc
30.4.1975, sau 30.4.1975 v hin nay lm g? u?)
Cha:...............................................................................................................................................................
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M:................................................................................................................................................................
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Anh, ch, em rut ..........................................................................................................................................
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V/Chng, con ci: .......................................................................................................................................
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Ti xin cam oan nhng li khai trn l ng s tht, nu c iu g sai tri ti xin chu trch nhim trc
php lut.
............................., ngy ............ thng ............ nm 20....
C quan hoc a phng xc nhn
Ngi khai k v ghi r h tn
(k tn, ng du)

PHIU DN NH

DN NH

1. Th sinh dn nh vo cc khung di y v in cc thng tin c nhn vo phn sau mi

tm nh (ch dn 1 vt keo gia nh thun tin trong vic dn giy bo d thi).
2. nh dn phi ng kh 3x4cm v l nh mi nht (khng qu 3 thng)

nh 3x4cm

nh 3x4cm

nh 3x4cm

H v tn:..............................................................
Ngy sinh:................................................Ni sinh:...........................................

PHIU IM DANH N TP TUYN SINH TRNH

THC S NM 2014 (T 1)
(Dnh cho cc th sinh c ng k n tp)

nh 3x4cm

H v tn:.........................................................Phi:.......................................................
Ngy sinh:.....................................................Ni sinh:.................................................
Ngnh d tuyn:.............................................................................................................
Cn Th ngy.. thng.nm 20.

Th sinh n tp

Cn b lp phiu

(K v ghi r h tn)

(K v ghi r h tn)

Ghi ch: Th sinh n lp n tp phi mang theo phiu ny vo lp hc, nu khng c phiu s
khng c vo lp. Tuyt i khng c cho ngi khc mn phiu n tp, nu b pht hin
s tch thu phiu.

TRNG AI HOC CN TH
HTS O TO TRNH THC S

BIN NHN H S D TUYN THC S

NM 2014 (T 1)

I. Thng tin c nhn: (Phn ny th sinh ghi trc khi np h s)

Ngnh ng k d tuyn: ..............
Ho va tn:.Nam, N:.
Ngay sinh:...//19....Ni sinh (ghi tn tnh hoc thnh ph):..
a ch:

II. H s, Chi ph n v thi: (Phn ny Trng i hc Cn Th ghi khi nhn h s, th sinh xp h s theo th
t lit k h s theo nh ghi di y)

H s gm:
1. n ng k d tuyn (01 bn theo mu)............................................................................................
2. Bng tt nghip i hc (02 bn sao c th thc, mang bn gc i chiu nu khng tt nghip HCT) .........
3. L lch c nhn (01 bn theo mu, c ng du gip lai nh) ...................................................................
4. Giy khm sc khe (01 bn chnh, BV a khoa qun, huyn khng qu 3 thng)........................................
5. Giy khai sinh (01 bn sao c th thc) ................................................................................................
6. Chng minh nhn dn (01 bn sao c th thc) ....................................................................................
7. Phong b c dn tem ghi r a ch ca th sinh (02 phong b kh A6)..................................................
8. Phiu dn nh (dn km 3 nh c 3x4 mi nht, khng qu 3 thng)...........................................................
9. Bin nhn h s in y thng tin theo yu cu (01 bn theo mu) ........................................
10...........................Bng im B sung kin thc (01 bn sao c th thc, nu c)
..........................................................................................................................................................
11................................H s xc nhn u tin (01 bn sao c th thc, nu c)
..........................................................................................................................................................
12.........................Bng tt nghip i hc thc hai (01 bn sao c th thc, nu c)
..........................................................................................................................................................
* Tng cng:
- L ph thi tuyn:

loai
420.000

- L ph n tp:
* Tng cng:
Cn Th, ngay thangnm 20...
Ngi nhn h s1

Ghi ch: Th sinh ng l ph thi v l ph n tp ti Phng Ti v hn cui vo ngy 20/12/2013. Nu khng ng l ph ng hn h s xem nh
khng hp l v s khng c xt duyt h s.