Chuong Trinh Quan Ly Moi.

xls

TRNG I HC NGOI NG- TIN HC

THNH PH H CH MINH

CNG HO X HI CH NGHA VIT NAM

c lp T do Hnh phc

PHIU YU CU BNG IM
Knh gi:

PHNG O TO NCKH

Ti tn: . .. . M s SV: .................................................

Ngy sinh: . .Ni sinh: ..
Sinh vin lp: .Khoa:
Yu cu phng o to NCKH cp cho Ti bng im
Mu kim tra li ( xin hc tr n mn, bo lu, thi hc v xin hc li)
Mu ch ly im t ( xin vic lm, du hc, xut cnh, xin hc bng)
L do:.......................................

Ch nh du chn duy nht

in khng y l khng hp l.
Phng o to s t chi khng gii quyt

Tp. HCM, ngy .. ..thng .. ..nm

K tn
(ghi r h v tn)

Chuong Trinh Quan Ly Moi.xls

TRNG I HC NGOI NG- TIN HC

THNH PH H CH MINH

CNG HO X HI CH NGHA VIT NAM

c lp T do Hnh phc

PHIU YU CU BNG IM
Knh gi:

PHNG O TO NCKH

Ti tn: . .. . M s SV: .................................................

Ngy sinh: . .Ni sinh: ..
Sinh vin lp: .Khoa:
Yu cu phng o to NCKH cp cho Ti bng im
Mu kim tra li ( xin hc tr n mn, bo lu, thi hc v xin hc li)
Mu ch ly im t ( xin vic lm, du hc, xut cnh, xin hc bng)
L do:.......................................

Ch nh du chn duy nht

in khng y l khng hp l.
Phng o to s t chi khng gii quyt

Tp. HCM, ngy .. ..thng .. ..nm

K tn
(ghi r h v tn)