B GIO DC V O TO VIN I HC M H NI

---oOo--PHIU NG K HC I HC
CHNG TRNH O TO C NHN TRC TUYN TOPICA
M HC VIN (hc vin khng ghi y)
ng k hc ngnh(*)
Qun Tr Kinh Doanh

K Ton

Ti chnh-Ngn hng

Tin Hc D

Vn bng dng ng k xt tuyn(*)( H/C/TC/THPT):...........................................

Ngnh tt nghip(*): ................................... Nm tt nghip(*):/...............
Ni cp(*)(trng tt nghip): ..................................................................
H v tn(*)(vit in hoa): .....................................................................................................
Gii tnh(*): . Ngy/thng/nm sinh(*): .................
Ni sinh(*)(tnh/thnh ph): ................................... Tn gio: .........................................................
Dn tc(*): ...................
Dn tc t ngi(ghi r):
.......................................
S CMND/ h chiu(*):Ngy cp/ . . ./ Ni cp:
.........................
in thoi di ng:
.................................in thoi c nh:......................................................
Email: ...................................................................................................................................................
H Khu thng tr( ghi y ):
.................................................................................................
............................................................................................................................................................
............................................................................................................................................................
a ch lin h(*)( gi giy bo nhp hc):
1. H v tn ngi nhn:
.............................................. in thoi:....................................
2. S nh,phng,x: ...............................................................................................................
3. Qun/huyn:..............................................................................................................................
4. Tnh/thnh ph:.........................................................................................................................
C quan cng tc (nu c): - Tn C quan: .....................................................................................
- a ch :.............................................................................................
Ti cam oan c k nhng hng dn v qui nh ca Vin i Hc M H Ni, Nu
c xt tuyn vo hc ti xin cam oan thc hin y qui ch v o to T xa do B Gio
dc v o to ban hnh v cc qui nh ca Vin i hc M H Ni.
Cn b thm nh h s
(Vin H M H Ni)