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  • Bản Tường Trình (Tai Nạn Rủi

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    icefox201
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    Bản Tường Trình (Tai Nạn Rủi Ro)

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    18K views1 page

    Bản Tường Trình (Tai Nạn Rủi

    Uploaded by

    icefox201
    the statement sample

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    CNG HA X HI CH NGHA VIT NAM

    c lp T do Hnh phc

    BN TNG TRNH
    Knh gi: Bo him X hi TP H Ch Minh
    V vic: Xin hng tr cp tai nn ri ro
    Ti tn l: ...................................................................................................................................
    Sinh ngy: .......................... CMND s: ....................................... Cp ngy: ...............................
    a ch thng tr: .....................................................................................................................
    ..................................................................................................................................................
    S BHXH s: ..............................................................................................................................
    Lm vic ti n v: ....................................................................................................................
    ..................................................................................................................................................
    Nay ti xin trnh by s vic nh sau:
    ..................................................................................................................................................
    ..................................................................................................................................................
    ..................................................................................................................................................
    ..................................................................................................................................................
    ..................................................................................................................................................
    ..................................................................................................................................................
    ..................................................................................................................................................
    Do vy, ti vit n ny trnh by n c quan BHXH bit v thanh ton tin tr cp tai nn
    ri ro cho ti.
    Ti cam kt chu hon ton trch nhim vi ni dung trnh by trn y./.

    .., ngy thng .nm.....


    NGI VIT N
    (K v ghi r h tn)

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