Mau Gui Cac Khoa - CD

B gio dc v o to
Trng i hc Bch khoa H ni
cng ho x hi ch ngha vit nam
-***-
---------------------
c lp - T do - Hnh phc
giy bo nhp hc
Trng i hc Bch khoa H Ni trn trng thng bo
Anh (Ch): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .. . SBD: . . . . . . . . . . . . . . . . . . .
Ngy thng nm sinh: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
H khu thng tr ti: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
..........................................................................................................
trng tuyn vo h Cao ng k thut ngnh:
.......................................
(Ton:
.. . . . .
L: . . . . . . Ho: . . . .. . Tng im lm trn: . . .
. ... . .
; im chun: . . . . . .)
n tp trung ti: . . . .. . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . . .. .
Vo: . . . .. . . . . gi. . . .. . . . . ngy . . . .. . . . . thng . . . .. . . . nm . . . .. lm th tc nhp hc.

1. Cc giy t cn mang theo:
Mt ti h s gm:
- Bn l lch c xc nhn ca chnh quyn a phng qun l.
- Bn sao bng tt nghip PTTH, BTVH c cng chng
- Bn chnh Hc b PTTH v bn sao cng chng.
- n xin hc v b th c dn tem ghi sn a ch lin h khi cn thit.
- Bn sao giy khai sinh (c cng chng).
2. Kinh ph:
a. Hc ph
: . . . .. . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . .
b. L ph nhp hc
: . . . .. . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . . .. .
....
Ch :
H Cao ng k thut ca trng HBK H Ni l h o to chnh qui
hng nm c B Gio dc & o to cp ch tiu, tuy nhin h Cao ng
ny khng c Nh nc h tr kinh ph chi cho o to, thc hnh, thc tp
ca sinh vin nn theo thng t s 26/1999/TTLT/BLTB&XH-BTC-BGD&T

h o to ny khng p dng ch min gim hc ph.
H Ni, ngy
thng
nm 200
TL. Hiu trng
Mu C.2
b gio dc v o to
__________________
S:
/Q-HBK-TH
_________________
H Ni, ngy
quyt nh
thng
nm 200
V vic cho php khai ging lp Cao ng

hiu trng trng i hc bch khoa h ni
- Cn c iu l trng i hc ban hnh theo Quyt nh s 153/2003/Q-TTg

ngy 30 thng 7 nm 2003 ca Th tng Chnh ph v quyn hn v trch
nhim ca Hiu trng;
- Cn c vo kt qu thi tuyn sinh h CKT ngy.thng..nm
;
- Theo ngh ca ng Trng phng o to i hc.
quyt nh
iu 1: Cho php khai ging lp Cao ng k thut ngnh.

Vo ngy.. thng. nm .. ti ...
iu 2: Giao cho ng (B).. trng B mn phi hp vi Ban iu hnh thc
hin k hoch o to ca lp theo ng qui ch ca B Gio dc v o
to v cc qui nh hin hnh ca trng HBK H Ni.
iu 3: Cc ng, B Trng phng o to i hc, K hoch - Ti v, Trng khoa

(B mn), trng Ban iu hnh chu trch nhim thi hnh quyt nh
ny.
Hiu trng
Ni nhn:
- Nh iu 3
- Lu phng TH, HCTH.
b gio dc v o to
__________________
S:
/Q-HBK-TH
_________________
H Ni, ngy
2010
thng
nm
quyt nh
V vic nhn n tt nghip h C


nhim ca Hiu trng;
- Cn c Quyt nh s 25/2006/Q-BGD&T ngy 26/6/2006 ca B trng B Gio

dc v o to v vic ban hnh Quy ch v t chc o to, kim tra, thi v
cng nhn tt nghip i hc v cao ng h chnh qui.
- Cn c n xin lm n tt nghip ca sinh vin.
- Theo ngh ca cc ng Vin trng Vin C kh v Trng phng o to i hc.
quyt nh
iu 1:
Cho php Sinh vin :

Ngnh :
lp C :
.Kho
thuc Vin :
c nhn v bo v n tt nghip nm hc:

iu 2:
Cc Khoa, B mn qun l sinh vin c trch nhim t chc cho sinh

vin bo v n tt nghip nghim tc v ng qui ch..
iu 3:
Cc ng, B trng phng o to i hc, K hoch - Ti v, Trung tm

K tc x, cc trng n v c lin quan v sinh vin c tn trong iu 1 chu
trch nhim thi hnh quyt nh ny.
KT.Hiu trng
Ni nhn:
- Nh iu 3
- Lu phng TH, HCTH
b gio dc v o to
Trng i hc Bch khoa H Ni

-***danh sch sinh vin
c bo v thit k tt nghip
(Theo Quyt nh s
/Q-HBK-TH ngy.thng..nm.
ca Hiu trng trng HBK H Ni)
Kho hc ................... / ...................

Ngnh: ..................................................Lp C:...............................................................
TT
H v tn sv
Ngy sinh
im
trung bnh
Ghi ch
Ngy
Ban ch nhim Khoa
thng
nm
Phng o to i hc
Mu C.4
b gio dc v o to
__________________
S:
/Q-HBK-TH
_________________
H Ni, ngy
thng
nm 200
quyt nh
V vic thnh lp Hi ng chm thit k tt nghip h C


nhim cpa Hiu trng;
- Cn c vo kt qu hc tp v thit k tt nghip ca sinh vin.
- Theo ngh ca cc ng (B) trng Khoa..........................................................v trng phng o to i hc.
quyt nh
iu 1: Thnh lp Hi ng chm thit k tt nghip cho......................sinh vin

Ngnh........................................................Kho..................................................
thuc khoa......................................................................(c danh sch km theo)
gm cc thnh vin sau:
Ch tch Hi ng: ............................................................................................
Th k Hi ng: ................................................................................................
Cc u vin: .........................................................................................................
iu 2: Trng i hc Bch khoa H Ni mi thm cc cn b sau y tham gia
Hi ng (nu khng c cn b tham gia thm th b iu ny).
iu 3: Cc ng, B trng phng o to i hc, Trng Khoa, Trng B mn v cc
ng (B) c tn trong iu 1 chu trch nhim thi hnh quyt nh ny.
Hiu trng
Ni nhn:
- Ch tch Hi ng
- Lu TH, HCTH.
b gio dc v o to
__________________
S:
/Q-HBK-TH
_________________
H Ni, ngy
thng
nm 200
quyt nh
V vic thi tt nghip ca sinh vin h Cao ng

nhim ca Hiu trng;
- Cn c Quyt nh 268/Q-HBK-TH ngy 15 thng 02 nm 2008 ca Hiu trng trng i hc Bch khoa H Ni.
- Theo ngh ca cc ng (B) trng Khoa . . . . . . . . . . . . . . . . . . . . . . . . . .,v Trng phng
o to i hc.
quyt nh
iu 1:
Cho php . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . sinh
vin lp C. . . . . . . . . . . . . . . . . . . . .
....
Ngnh
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . Kho . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
thuc khoa
.............................................................
sch km theo) c thi tt nghip nm hc

iu 2: Trong tng s:
sinh vin c:
(c danh
.................................
cn n mn hc thuc danh sch th 2 c d
thi tt nghip nhng khng c cp giy chng nhn hon thnh chng trnh cao
ng v phi hon thnh thi li cc mn hc cha t trong thi hn theo quy ch
25/2006/
Q-BGD& T ngy 26 thng 6 nm 2006 ca B trng B gio dc v
o to.
iu 3:
Cc Khoa, B mn qun l sinh vin c trch nhim t chc cho sinh

vin thi tt nghip nghim tc v ng qui ch..
iu 4:
Cc ng, B trng phng o to i hc, K hoch - Ti v, Trung tm

K tc x, cc trng n v c lin quan v sinh vin c tn trong iu 1 chu
trch nhim thi hnh quyt nh ny.
Hiu trng
Ni nhn:
- Nh iu 3
- Lu phng TH, HC
b gio dc v o to
-***danh sch th 2 sinh vin c thi tt nghip

Nhng cn n mn hc nn khng c cp giy chng nhn hon thnh chng trnh
cao ng
(Theo Quyt nh s
Kho hc ................... / ...................
Ngnh: ................................................ ....................Lp C:...........................................................
TT
H v tn sv
Ngy sinh
im
trung bnh
Ghi ch
Ngy
Ban ch nhim Khoa
thng
nm
Phng o to i hc
Mu C.6
b gio dc v o to
__________________
S:
/Q-HBK-TH
_________________
H Ni, ngy
thng
nm 200
quyt nh
V vic thnh lp Hi ng Coi thi tt nghip h C

nhim ca Hiu trng;

- Cn c vo kt qu hc tp ca sinh vin.
quyt nh
iu 1: Thnh lp Hi ng Coi thi tt nghip cho...............................sinh vin

Ngnh........................................................Kho..................................................
thuc khoa..........................................................................................................
Hc ti: ..............................(c danh sch km theo) gm cc thnh vin sau:
Ch tch Hi ng: .............................................................................................
Th k Hi ng: ................................................................................................
Cc u vin: .........................................................................................................

Hiu trng
Ni nhn:
- Ch tch Hi ng
- Lu TH, HCTH.
Mu C.7
b gio dc v o to
__________________
S:
/Q-HBK-TH
_________________
H Ni, ngy
thng
nm 200
quyt nh
V vic thnh lp Hi ng chm thi tt nghip h C

nhim ca Hiu trng;
- Cn c vo kt qu hc tp ca sinh vin.
quyt nh
iu 1: Thnh lp Hi ng chm thi tt nghip cho.............................sinh vin
Ngnh........................................................Kho..................................................
thuc khoa...........................................................................................................
Hc ti: .............................(c danh sch km theo) gm cc thnh vin sau:
Ch tch Hi ng: ...........................................................................................
Th k Hi ng: ...............................................................................................
Cc u vin: .........................................................................................................
Hiu trng
Ni nhn:
- Ch tch Hi ng
- Lu TH, HCTH.
b gio dc v o to
__________________
S:
/Q-HBK-TH
_________________
H Ni, ngy
thng
nm 20
quyt nh
V vic thnh lp Hi ng chm thi mn hc cui kho - C


nhim ca Hiu trng;
- Cn c Quyt nh s 02/2004/Q-BGD&T ngy 23/02/2004 ca B trng B

Gio dc v o to v vic b sung Quy ch v t chc o to, kim tra,
thi v cng nhn tt nghip i hc v cao ng h chnh qui ban hnh theo
Quyt nh s 04/Q-BGD&T.
- Theo ngh ca ng trng phng o to i hc.
quyt nh
iu 1: Thnh lp Hi ng coi thi cui kho mn Kinh t chnh tr cho 160 sinh
vin ngnh Cng ngh thc phm kho 2007-2010 (k9) c danh sch km
theo
gm cc thnh vin sau:
Ch tch Hi ng: B Trn Lan Hng
Th k hi ng : B Cao Th Ton
Cc u vin
: ng Ng Quc Lm
iu 2: Cc ng, B trng phng o to i hc, Trng Khoa L lun Chnh tr ,

Vin CNSH v CNTP v cc ng (B) c tn trong iu 1 chu trch
nhim thi hnh quyt nh ny.
KT. Hiu trng
Ni nhn:
- Ch tch Hi ng
- Lu TH, HCTH.
b gio dc v o to
__________________
_________________
S:
/Q-HBK-TH
H Ni, ngy
thng
nm 20
quyt nh
V vic thnh lp Hi ng coi thi mn hc cui kho - C

nhim ca Hiu trng;
- Cn c Quyt nh s 02/2004/Q-BGD&T ngy 23/02/2004 ca B trng B
Gio dc v o to v vic b sung Quy ch v t chc o to, kim tra,
thi v cng nhn tt nghip i hc v cao ng h chnh qui ban hnh theo
Quyt nh s 04/Q-BGD&T.
- Theo ngh ca ng trng phng o to i hc v Trng khoa Mac Lnin
quyt nh
iu 1: Thnh lp Hi ng coi thi cui kho mn Kinh t chnh tr cho 160 sinh
vin ngnh Cng ngh thc phm kho 2007-2010 (k9) c danh sch km
theo
gm cc thnh vin sau:
Ch tch Hi ng: B Trn Lan Hng
Th k hi ng : ng Ng Quc Lm
U vin
: ng Nguyn Duy Thnh
iu 2: Cc ng, B trng phng o to i hc, Trng Khoa L lun Chnh tr ,

Vin CNSH & CNTP v cc ng (B) c tn trong iu 1 chu trch nhim
thi hnh quyt nh ny.
KT. Hiu trng
Ni nhn:
- Ch tch Hi ng
- Lu TH, HCTH.
b gio dc v o to
-***danh sch sinh vin thi cui kha mn.
(Theo Quyt nh s
Kho hc ................... / ...................
Ngnh: ................................................ .........Lp C:.......................................................................

Hc ti: ................................................ .................. ................................................ ..................
TT
H v tn sv
Ngy sinh
Ghi ch
Ngy
Ban ch nhim Khoa
b gio dc v o to
__________________
thng
nm
Phng o to i hc
S:
/Q-HBK-TH-CR
_________________
H Ni, ngy 10 thng 6 nm 2010
quyt nh
V vic tm ngng hc tp ca sinh vin h C

nhim ca Hiu trng;
- Cn c vo n xin ngh hc sinh vin v kin ca gia nh.
- Theo ngh ca ng Trng phng o to i hc.
quyt nh
iu 1: Cho php sinh vin : V Hong giang

Lp: C : in t 1
c SHSV: C0720111
Kho: K52(2007-2010)
tm ngng bo v n tt nghip nm hc 2009-2010

L do : Hon cnh gia nh
iu 2:
Mi ch Trng thc hin ht thng 6 nm 2010
iu 3: Cc ng, B trng phng o to i hc, Phng Cng tc Chnh tr v Cng

tc Sinh vin , K hoch - Ti v, Trung tm K tc x, cc trng n v c
lin quan v sinh vin c tn trong iu 1 chu trch nhim thi hnh
quyt nh ny.
KT. Hiu trng
Ni nhn:
- Nh iu 3
- Lu phng TH, HCTH
b gio dc v o to
__________________
S:
/Q-HBK-TH-CR
_________________
H Ni, ngy 31 thng 5 nm
2010
quyt nh
V vic thi hc ca sinh vin h C

nhim ca Hiu trng;
- Cn c vo n xin thi hc ca sinh vin v kin gia nh.
- Theo ngh ca ng (B) trng phng o to i hc.
quyt nh
iu 1: Cho php sinh vin:
Phm Hc S hiu sinh vin : C0810377
Lp: C : T ng ho 3
Kho: 53(2008-2011) thi hc.
L do: Xin thi hc v rt h s.

iu 2: Mi ch Trng thc hin ht thng 05 nm 2010.

quyt nh ny.
KT. Hiu trng

Ni nhn:
- Nh iu 3
- Lu phng TH, HCTH
- a phng c sinh vin
b gio dc v o to
__________________
S:
/Q-HBK-TH
_________________
H Ni, ngy
thng
nm 2010
quyt nh
V vic thi hc ca sinh vin h C

nhim ca Hiu trng;

quyt nh
iu 1: Buc sinh vin: Nguyn

Lp: C : 07BK 13 DM
Th Th
s hiu sinh vin : 0700033 DM
Kho: 13 (2007-2010) thi hc tr v a ph-
ng.
L do : Khng i hc v khng ng hc ph
iu 2:

quyt nh ny.
KT. Hiu trng
Ni nhn:
- Nh iu 3
- Lu phng TH, HCTH
- a phng c sinh vin
b gio dc v o to
__________________
S:
/Q-HBK-TH
_________________
quyt nh
V vic lu ban ca sinh vin h C

nhim ca Hiu trng;
- Cn c vo kt qu hc tp v n xin lu ban ca sinh vin.

quyt nh
iu 1: Cho php sinh vin:
Tun Anh
S hiu sinh vin : 0700004T
Lp C : 07 TM-03 T Kho : K3 (2007-2010) c lu ban xung hc cng

Lp C: 09AC-02 T
Kho : 2(2009-2012)
L do : Kt qu hc tp km
iu 2: Mi ch Trng thc hin t thng 10 nm 2009
quyt nh ny.
KT. Hiu trng

Ni nhn:
- Nh iu 3
- Lu phng TH, HCTH
B gio dc v o to
__________________
S:
/Q-HBK-TH-CV
_________________
H Ni, ngy 01 thng 03 nm
2010
quyt nh
V vic tip nhn sinh vin vo hc h C

nhim ca Hiu trng;
- Cn c n xin vo hc ca sinh vin.
- Theo ngh ca ng (B) Trng phng o to i hc.
quyt nh
iu 1:
Cho php sinh vin:
Phan nh Hng
c SHSV: 20083362
hc lp H
: CN Ho hc 7
L do ngh hc
: x l thi hc h i hc(sc kho yu)
Nay vo hc lp C
: in t 1
Kho : K53
Kho : K54 (2009-2012)
SHSV:
C0920177
iu 2: Mi ch Trng thc hin t thng 2 nm 2010.
iu 3: Cc ng, B trng phng o to i hc, Phng Cng tc Chnh tr v Cng tc
Sinh vin , K hoch - Ti v, Trung tm K tc x, Trng cc n v c lin quan v
sinh vin c tn trong iu 1 chu trch nhim thi hnh quyt nh ny.
KT. Hiu trng

Ni nhn:
- Nh iu 3
- Lu phng TH, HCTH
Ghi ch: cp li do b tht lc
b gio dc v o to
__________________
S:
/Q-HBK-TH
_________________
H Ni, ngy
quyt nh
V vic k lut sinh vin h Cao ng
thng
nm 200

nhim ca Hiu trng;
- Theo ngh ca Hi ng khen thng, k lut c s v ng Trng phng
o to i hc.
quyt nh
Buc sinh vin : L
iu 1:
Lp
Hng An S hiu sinh vin : 0600201 TH
: C 06TQ 14 TH
Kho: 14(2006-2009) nh ch hc tp.
L do : Vi phm quy ch thi ( Nh thi h mn H thng cung cp in)

iu 2:
iu 3:
Cc ng, B trng phng o to i hc, Phng Cng tc Chnh tr v

Cng tc Sinh vin , K hoch - Ti v, Trung tm K tc x, Trng cc n
v c lin quan v sinh vin c tn trong iu 1 chu trch nhim thi hnh
quyt nh ny.
KT. Hiu trng
Ni nhn:
- Nh iu 3
- Lu phng TH, HCTH
- a phng c sinh vin.
Mu C.16
Khoa/ Vin :
Bng ghi im hc k................. nm hc ...........................

Kho.............Lp C.............................. Thi ln th.......................
a
im
kt..............................................................................................
lin
Mn hc: .........................................Gio vin dy:.......................................

Ngy
thi: ................................................................................................................
TT
S hiu
sv
H v tn
im
thi
S t
Ch k
sv
Ghi ch
Cng cc im:........................
S t yu cu:.........................
cu: .............
Phng TH
Cn b chm thi 1
khng
Cn b chm thi 2
BCN Khoa (B mn)
Mu C.17
b gio dc v o to
yu

__________________
_________________
bng kt qu hc tp
(H Cao ng k thut)
H v tn:
Ngy sinh:
Ni sinh:
Kho:
S hiu SV:
Ngnh hc: :
Lp:
H o to: Chnh qui Tt nghip loi:
tt nghip Cao ng KT s:
Cp ngy:
Hc k 1
TT
Mn hc
Bng
Hc k 2
S
HT
im
CN
TT
Mn hc
S
HT
im
CN
Hc k 3
TT
Mn hc
Hc k 4
S
HT
im
CN
TT
Hc k 5
TT
Mn hc
Mn hc
S
HT
im
CN
S
HT
im
CN
Hc k 6
S
HT
im
CN
TT
Mn hc
- Kt qu chung ton kho ln 1:

- im trung bnh ton kho cao nht:
- S hc phn thi li:
H Ni, ngy
thng
nm
Xc nhn ca BCN Khoa
TL.Hiu trng
b gio dc v o to
__________________
_________________
giy chng nhn

Trng i hc Bch khoa H Ni chng nhn:
Sinh vin : Chu Mnh Quang
Ngy sinh : 29 thng 01 nm 1988.

Ni sinh
: Bungari.
hc xong chng trnh Cao ng k thut ngnh : Tin hc

Kho hc: K51(2006-2009)
bo v tt nghip thng 6/2009 .
Hin ang ch lm th tc cng nhn tt nghip v cp bng Cao ng .
TL. Hiu trng
Mu C.19
b gio dc v o to
nh
-***-
h s sinh vin
H
: Cao ng k thut
Ngnh:
Kho hc
a im o to: ...
Tn lp
: ... S CMTND:.
H v tn
: Nam, N:
Ngy thng nm sinh: ..

Ni sinh
: ..........
i tng d thi: Kt qu: ........
H khu gia nh:

S nh (Thn:
Phng (X): .........
Qun (Huyn): ..
Thnh ph (Tnh): ..........
in thoi : ....................................
Ch hin nay ca bn thn (ghi c th): .....
H v tn B: .
Chc v:
a ch c quan: ...........
in thoi: ..
H v tn M: Chc v:
a ch c quan: ......
in thoi: ..
H Ni, ngy
thng
Ngi khai
nm 200
(K, ghi r h tn)

Ghi ch: - Sv phi khai y cc ct mc trn, dn nh phi ng du gip lai ca a phng.
- Cn b qun l ghi c th i vi trng hp sv c khen thng, b k lut, lu ban, tm dng.
Mu C.20
b gio dc v o to
__________________
S:
/H-HBK-TH
_________________
H Ni, ngy
thng
nm 200
hp ng lin kt o to cao ng k thut
Ngnh:.........................................................................................................................
- Cn c vo cng vn s 783/H & SH ngy 10 thng 02 nm 2004 ca B

Gio dc v o to cho php trng i hc Bch khoa H Ni c tuyn sinh
o to h Cao ng k thut theo a ch.
- Theo ngh ca:..............................................................................................................................................ti
cng vn s....................../........................ngy...................thng..............nm..................
- Theo ngh ca ng trng phng o to i hc v ng (B) trng Khoa (Vin)...............
Chng ti gm:
Bn A: Trng i hc Bch khoa H Ni
ng: Nguyn Cnh Lng
Chc v:
Ph Hiu trng
S in thoi: 8.681912
S fax:
84.4.8692006
S ti khon: 710A-007-44 Ngn hng Cng thng khu vc II- Qun HBT- H Ni.
a ch: Trng H Bch khoa H Ni - S 1 i C Vit - Hai B Trng - H Ni.
Bn B: C s lin kt: ....
ng (B):
...............................................................................................
Chc v :......................................................
S in thoi: ...................................................................................S fax :..........................................................
S ti khon: .....................................................................................................................................................................
a ch: ..................................................................................................................................................................................
Cng cam kt cc iu khon sau y:
iu 1:
iu 2:
Hai bn lin kt o to Cao ng k thut

ngnh:..........................................................
Trch nhim mi bn:
I. C s lin kt:
1. Cng vi trng HBK H Ni t chc cng tc tuyn sinh theo ng qui ch
tuyn sinh ca B Gio dc v o to.
2. m bo cc iu kin c s vt cht phc v qu trnh o to (phng hc,
th nghim, thc hnh...).
3. Phi hp, b tr v t chc qu trnh o to theo ng k hoch c
Hiu trng trng i hc Bch khoa H Ni duyt.
4. Qun l sinh vin theo ng qui ch hin hnh ca B Gio dc v o to.
5. Thu hc ph nh k.
6. Tham gia ging dy mt s mn trong k hoch ging dy khi c s ng ca

Hiu trng trng i hc Bch khoa H Ni (c danh sch km theo).
7. B tr ch n, cho cn b ca trng i hc Bch khoa H Ni trong thi gian
ging dy v cng tc.
II. Trng i hc Bch khoa H Ni:
1. Cng vi c s lin kt t chc cng tc tuyn sinh theo ng qui ch tuyn
sinh ca B Gio dc v o to.
2. Lp k hoch o to ton kho v tng nm hc.
3. Qun l ton b chng trnh ni dung o to ca ngnh.
4. B tr cn b n ging dy theo ng k hoch c duyt.
5. Phi hp cng bn A t chc th nghim, thc tp, thi, lm n...
6. Xt cng nhn v cp bng tt nghip: Cao ng k thut cho nhng sinh
vin hon thnh nhim v hc tp theo qui ch hin hnh ca B Gio dc v
o to cng cc ph lc qui ch ca trng i hc Bch khoa H Ni.
7. m nhim chc trch Trng ban iu hnh hp ng ny. Trng ban iu hnh
ngh danh sch Ban iu hnh trnh Hiu trng trng i hc Bch khoa H Ni duyt.
iu 3. Kinh ph o to:
1. Hc ph nm th nht:........................../1sinh vin/thng.
Cc nm sau tu theo mt bng kinh ph o to trong x hi, Ban iu hnh
trao i, bo co Hiu trng trng i hc Bch khoa H Ni xin phng n iu
chnh hc ph.
2. Ton b kinh ph thu c phn phi theo qui nh chung ca trng i hc
Bch khoa H Ni (c ph lc km theo).
iu 4:
iu khon thi hnh:
1. Hai bn cam kt thc hin ng cc iu khon k.

2. C s lin kt giao cho ng...................................................................................................................
Chc v:................................................................................................................................................................
Trng HBK H Ni giao cho ng Dng c Hng
Chc v: Trng phng o to i hc thnh lp ban iu hnh.
3. Ban iu hnh c trch nhim t chc thc hin hp ng ny.
4. Trong khi thc hin hp ng, nu c kh khn hai bn cng bn bc gii

quyt. Ch nhng tho thun bng vn bn c ch k ca hai bn mi c hiu
lc thi hnh.
5. Hp ng ny c lp thnh 06 bn, mi bn gi 03 bn, c gi tr ngang nhau v
c hiu lc thi hnh trong mt kho hc k t ngy...........thng...........nm 200......
i din
C s lin kt
i din
trng i hc bch khoa h ni
Ph lc hp ng s................./H-HBK-HH-C
ngy......./......./.....
Ph lc v kinh ph o to Cao ng k thut

a im hc:...........................................................................................................................................................
I. Phn thu:
Hc ph:.....................................................................................................................................................................................
II Phn chi:
1. Chi cho ging dy
2. Chi cho h tr c s vt cht :

3. Chi cho iu hnh lp hc
4. Chuyn cho trng HBK H ni chi cho c s vt cht v qun l iu

hnh
chung ca Trng
:
25%
TM Ban iu hnh hp ng
Mu C.21
b gio dc v o to
__________________
_________________
giy chng nhn sinh vin

Chng nhn Anh, Ch: c s th sinh vin

Ngy thng nm sinh:
Hc h: Cao ng
a ch gia nh:Phng (x)Qun (Huyn)
Thnh ph (Tnh)..
Ch hin nay:
L sinh vin ang hc ti lp
Kho ..
im lin kt vi Trng l: ....

Chng nhn Anh, Ch c xt hng cc ch chnh sch hin hnh.
Giy ny c gi tr
n:...
H Ni, ngy
thng
T/L Hiu trng
nm 200
(Trng Khoa/Vin k v ng du trng)
Mu C.22: (A4 landscape)

B Gio dc v o to
Danh sch duyt h s sinh vin h Cao ng k thut
Trng HBK H Ni
Lp.........................................Ngnh..........................................Khoa....................................................
Ngy khai ging...................................Ti a im...............................................................................
TT
H v tn
Ng
y
sinh
L
lch
Khai
sinh
Bng
PTTH
Hc b
PTTH
kin ngi duyt
.......
Ngi lp biu
Mu C.23
BCN Khoa
H Ni, ngy thng n m 200

Phng TH duyt
Danh sch thy c c mi dy h CKT

(Thy c gio ngoi trng)
Trng HBK H ni
Khoa:...................................
....
Hc k:.......................................Nm hc:.........................................
Ngnh:........................................Lp:................................................
TT
H v tn
Chc danh
Ni cng tc
Dy mn
Ghi ch
i din c s lin kt
Trng HBK H ni
Danh sch thy c c mi dy h CKT

(Thy c gio trng HBK)
Trng HBK H ni
Khoa:...................................
....
Hc k:.......................................Nm hc:.........................................
Ngnh:........................................Lp:................................................
TT
H v tn
Trng ban iu hnh
Chc danh
B mn, Khoa
Dy mn
Ghi ch
Trng Khoa
Mu C.24
bng ghi im hc k..........nm hc....................
Trng HBK H ni
Khoa:...................................
....
(Dng cho h CKT)
Mn hc:..............................................
Lp:......................................................
Thi ln th:..........................................
T
T
H v tn sv
im
thi
Ch k
sv
Gio vin ph trch:..............................

Ngnh:...................................................
Ngy thi:..............ngy np im..........
T
T
H v tn sv
im
thi
Ch k
sv
S t yu cu:...............................S khng t:..........................................

Trng B mn
CB chm thi 1
CB chm thi 2
Mu C.25
Trng HBK H ni
Khoa:...................................
....
bo co x l cui nm
(Dng cho h CKT)
Ngnh:..............................Lp:.............................Kho hc:.............................
T
T
S
hiu
sv
H v tn
i
tng
im
TBC
ln 1
im
TBC
cao nht
S hc
trnh n
S hc
phn n
X l
Ngy
thng
nm
Trng B mn
Ngy
thng
nm
Trng Khoa
Ngy
thng
nm
Phng o to i hc
Mu C.26
B gio dc v o to
bo co
(The
Trng H bch khoa h ni
Khoa:
Ngnh hc:
Lp:
Kho
hc:
T
T
S
hiu
sinh
vin
H v tn
tn sv
Ngy
thng
nm
Phng o to i hc
Ngy
sinh
Ni sinh
Kt qu qu trnh
hc tp
im
im
TBC ln
TBC
1
cao
nht
Ngy
thn
Hiu tr
trng i hc bc
Mu C.27
B gio dc v o to
Trng H bch khoa h ni
Khoa:
Ngnh hc:
Lp:
Kho
hc:
TT
S hiu H v tn
sinh vin
Ngy
thng
nm
Phng o to i hc
Ngy
sinh
Ni sinh
im T
ln 1
Ngy
trng i
Mu C.28
Trng H Bch khoa H ni
Khoa:................................................
......
Ngnh:
hc:
Kho hc:
S Hc k
Hc k IV
T
S hc trnh
T
Mn
hc
bng im ton kho h

a
im
Hc k V
H v tn
sinh vin
H ni, ngy
thng
nm
Trng ban iu hnh
H ni, ngy
th
Trng Kh
Ghi ch:
Hc K IV, V, VI thng k tng t nh trn
S ct trong mi hc k ph thuc vo s mn hc ca
Ngnh trong hc k
Cc im TBC ch tnh cho ton kho hc.
b gio dc v o to
__________________
_________________
bng kt qu hc tp
(H Cao ng k thut)
H v tn : Nguyn Th Thanh Trc Ngy sinh: 23/5/1971 Ni
sinh:Si Gn
Kho:4(1996-1999)
Lp : I4A
Ngnh hc: Tin hc
H o to: Chnh qui Tt nghip loi: Trung bnh.
Bng tt nghip Cao ng KT s: B 275578
Cp ngy:
11/11/2003
Hc k 1
TT
Mn hc
Hc k 2
S
HT
TT
im
CN
93
Mn hc
S
HT
im
CN
Hc k 3
TT
Mn hc
Hc k 4
S
HT
im
CN
TT
Hc k 5
TT
Mn hc
Mn hc
S
HT
im
CN
S
HT
im
CN
Hc k 6
S
HT
TT
im
CN
94
Mn hc
- Kt qu chung ton kho ln 1:

- im trung bnh ton kho cao nht:
- S hc phn thi li:
H Ni, ngy
Xc nhn ca BCN Khoa
thng
TL.Hiu trng
Ghi ch: Bng im ny thay cho s im. Khng cp li.
95
nm
96

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B gio dc v o to

Trng i hc Bch khoa H ni

cng ho x hi ch ngha vit nam

trng tuyn vo h Cao ng k thut ngnh:

L: . . . . . . Ho: . . . .. . Tng im lm trn: . . .

Vo: . . . .. . . . . gi. . . .. . . . . ngy . . . .. . . . . thng . . . .. . . . nm . . . .. lm th tc nhp hc.

ca sinh vin nn theo thng t s 26/1999/TTLT/BLTB&XH-BTC-BGD&T

TL. Hiu trng

cng ho x hi ch ngha vit nam

V vic cho php khai ging lp Cao ng

- Cn c iu l trng i hc ban hnh theo Quyt nh s 153/2003/Q-TTg

iu 1: Cho php khai ging lp Cao ng k thut ngnh.

iu 3: Cc ng, B Trng phng o to i hc, K hoch - Ti v, Trng khoa

cng ho x hi ch ngha vit nam

V vic nhn n tt nghip h C

- Cn c iu l trng i hc ban hnh theo Quyt nh s 153/2003/Q-TTg

- Cn c Quyt nh s 25/2006/Q-BGD&T ngy 26/6/2006 ca B trng B Gio

Cho php Sinh vin :

c nhn v bo v n tt nghip nm hc:

Cc Khoa, B mn qun l sinh vin c trch nhim t chc cho sinh

Cc ng, B trng phng o to i hc, K hoch - Ti v, Trung tm

Trng i hc Bch khoa H Ni

Kho hc ................... / ...................

cng ho x hi ch ngha vit nam

V vic thnh lp Hi ng chm thit k tt nghip h C

- Cn c iu l trng i hc ban hnh theo Quyt nh s 153/2003/Q-TTg

iu 1: Thnh lp Hi ng chm thit k tt nghip cho......................sinh vin

cng ho x hi ch ngha vit nam

V vic thi tt nghip ca sinh vin h Cao ng

sch km theo) c thi tt nghip nm hc

cn n mn hc thuc danh sch th 2 c d

Q-BGD& T ngy 26 thng 6 nm 2006 ca B trng B gio dc v

Cc Khoa, B mn qun l sinh vin c trch nhim t chc cho sinh

Cc ng, B trng phng o to i hc, K hoch - Ti v, Trung tm

-***danh sch th 2 sinh vin c thi tt nghip

Kho hc ................... / ...................

Ngnh: ................................................ ....................Lp C:...........................................................

Ban ch nhim Khoa

cng ho x hi ch ngha vit nam

- Cn c iu l trng i hc ban hnh theo Quyt nh s 153/2003/Q-TTg

- Cn c Quyt nh s 25/2006/Q-BGD&T ngy 26/6/2006 ca B trng B Gio

iu 1: Thnh lp Hi ng Coi thi tt nghip cho...............................sinh vin

iu 2: Trng i hc Bch khoa H Ni mi thm cc cn b sau y tham gia

cng ho x hi ch ngha vit nam

- Cn c iu l trng i hc ban hnh theo Quyt nh s 153/2003/Q-TTg

iu 1: Thnh lp Hi ng chm thi tt nghip cho.............................sinh vin

cng ho x hi ch ngha vit nam

V vic thnh lp Hi ng chm thi mn hc cui kho - C

- Cn c iu l trng i hc ban hnh theo Quyt nh s 153/2003/Q-TTg

- Cn c Quyt nh s 02/2004/Q-BGD&T ngy 23/02/2004 ca B trng B

iu 2: Cc ng, B trng phng o to i hc, Trng Khoa L lun Chnh tr ,

cng ho x hi ch ngha vit nam

- Cn c iu l trng i hc ban hnh theo Quyt nh s 153/2003/Q-TTg

: ng Nguyn Duy Thnh

iu 2: Cc ng, B trng phng o to i hc, Trng Khoa L lun Chnh tr ,

-***danh sch sinh vin thi cui kha mn.

Kho hc ................... / ...................

Ngnh: ................................................ .........Lp C:.......................................................................

cng ho x hi ch ngha vit nam

- Cn c iu l trng i hc ban hnh theo Quyt nh s 153/2003/Q-TTg

iu 1: Cho php sinh vin : V Hong giang

tm ngng bo v n tt nghip nm hc 2009-2010

Mi ch Trng thc hin ht thng 6 nm 2010