Cng ho x hi ch ngha Vit nam

c lp - T do - Hnh phc
______________________________

..................., ngy

thng

nm

20.....
n ng k d tuyn cng chc
Knh gi: - Hi ng thi tuyn dng cng chc Tng cc Thu nm 2014
- Cc Thu tnh (thnh ph)

H v tn:...................................................... Nam,
N:.........................
Ngy
sinh:..............................................................................................
.
Qu
qun:.............................................................................................
...
H
khu
tr:................................................................................

thng

Ch

hin
nay: ......................................................................................
in
thoi
lc: ................................................................................

lin

Dn
tc:...............................................................................................
...
Trnh

v
chuyn
to:........................................................

ngnh

i
tng
u
tin
c): ...................................................................(1)

o
(nu

Ngch
tuyn
dng:..................................................................................
ng
k
thi
vo
Thu: ....................................................................

Cc

Sau khi nghin cu iu kin ng k d tuyn cng

chc ca .......................................... (2), ti thy c iu
kin tham d k thi tuyn cng chc. V vy, ti lm n
ny ng k d tuyn cng chc theo thng bo ca qu c
quan.
Nu trng tuyn, ti s chp hnh cc quy nh ca Nh
nc v ca c quan c thm quyn tuyn dng.
Ti gi km theo n ny h s d tuyn, gm:
1. Bn s yu l lch t thut;
2. Bn sao giy khai sinh;
3. Bn chp cc vn bng, chng ch v kt qu hc tp,
gm:..............
.
.
(3)
4. Giy chng nhn sc kho do c quan y t c thm
quyn cp;
5. Bn sao giy chng nhn u tin trong tuyn dng cng
chc (nu c) c c quan c thm quyn chng thc.
6. 03 phong b ghi r a ch lin lc, 2 nh c 4 x 6.
Ti cam oan h s d tuyn ca ti l ng s tht, sau
khi nhn c thng bo trng tuyn ti s hon thin h s d tuyn theo
quy nh. Nu sai s tht th kt qu tuyn dng ca ti s b
c quan c thm quyn tuyn dng hu b v ti s chu trch
nhim trc php lut./.
Knh n.
(K v ghi r h tn)

Ghi ch:
(1) Ghi r i tng u tin theo quy nh;
(2) Ghi ng tn c quan, t chc, n v c thng bo tuyn dng cng chc;
(3) Ghi r tn ca cc bn chp gi km n ng k d tuyn cng chc.