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QUYT NH

CA B LAO NG - THNG BINH V X HI S 62/2008/Q-BLTBXH


NGY 04 THNG 11 NM 2008
V VIC BAN HNH H THNG BIU MU, S SCH QUN L DY
V HC TRONG O TO NGH
B TRNG B LAO NG THNG BINH V X HI
Cn c Lut Dy ngh ngy 29 thng 11 nm 2006;
Cn c Ngh nh s 186/2007/N-CP ngy 25 thng 12 nm 2007 ca Chnh ph v vic
quy nh chc nng, nhim v, quyn hn v c cu t chc ca B Lao ng Thng binh v
X hi;
Theo ngh ca Tng cc trng Tng cc Dy ngh,

QUYT NH:
iu 1. Ban hnh km theo Quyt nh ny h thng biu mu, s sch qun l dy v hc
trong o to ngh trnh s cp ngh, trnh trung cp ngh, trnh cao ng ngh p
dng thng nht i vi cc trung tm dy ngh, trng trung cp ngh, trng cao ng ngh,
trng trung cp chuyn nghip, trng cao ng, trng i hc, doanh nghip, c s khc c
hot ng dy ngh (sau y gi chung l c s dy ngh) trong phm vi c nc, bao gm:
1. Biu mu dng chung trong cc c s dy ngh:
a)
b)
c)
d)
)
e)
g)

Tin o to
K hoch gio vin
S ln lp
S tay gio vin
S gio n l thuyt
S gio n thc hnh
S gio n tch hp

Mu s 1
Mu s 2
Mu s 3
Mu s 4
Mu s 5
Mu s 6
Mu s 7

2. Biu mu dng cho o to ngh trnh s cp ngh


a)
b)
c)
d)

K hoch o to
S cp chng ch s cp ngh
S cp bn sao chng ch s cp ngh t s gc
S qun l hc sinh trnh s cp ngh

Mu s 8
Mu s 9
Mu s 10
Mu s 11

3. Biu mu dng cho o to ngh trnh trung cp ngh, trnh cao ng ngh.

a)
b)
c)
d)
)
e)
g)

K hoch o to
S cp bng tt nghip trung cp ngh
S cp bng tt nghip cao ng ngh
S qun l hc sinh trnh trung cp ngh
S qun l sinh vin trnh cao ng ngh
S cp bn sao bng tt nghip trung cp ngh t
s gc
S cp bn sao bng tt nghip cao ng ngh t
s gc

Mu s 12
Mu s 13
Mu s 14
Mu s 15
Mu s 16
Mu s 17
Mu s 18

iu 2. Quyt nh ny c hiu lc sau 15 ngy, k t ngy ng Cng bo v thay th


Quyt nh s 830/1999/Q- BLTBXH ngy 20 thng 7 nm 1999 ca B trng B Lao ng
Thng binh v X hi v vic ban hnh h thng biu mu, s sch qun l dy v hc trong cc
c s dy ngh.
iu 3. Cc B trng, Th trng c quan ngang B, Th trng c quan thuc Chnh
ph, Ngi ng u c quan Trung ng cc T chc chnh tr x hi; Ch tch U ban nhn
dn tnh, thnh ph trc thuc Trung ng; Gim c S Lao ng Thng binh v X hi,
Chnh Vn phng B, Tng cc trng Tng cc Dy ngh; Ngi ng u c s dy ngh v
Th trng cc c quan, n v lin quan c trch nhim thi hnh Quyt nh ny./.

KT. B TRNG
TH TRNG
m Hu c

( Tn c s dy ngh)

Mu s 1. (Kh A2)
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

TIN O TO
NM HC: ................
Thng

Tun

TT
LP

T ngy
n ngy

....

47

48

49

50

............

............
............
............
............
............

Khai b ging
Thi tt nghip (kim tra
kt thc kho hc)

Vn ho THPT

Ngh h, l

Mn chung

Lao ng/ngoi kho

Mn hc /m- un
o to ngh
Thc tp ti doanh
nghip

Ghi ch: Cc c s quy nh cc k hiu c th cho tng ni dung sao cho khng trng lp.
HIU TRNG/ GIM C
( K tn, ng du)

TRNG PHNG O TO

51

52

Ghi ch

Tn c s dy ngh : ..
Khoa (t mn).

Mu s 2 (Kh A2)
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

K HOCH GIO VIN


NM HC..............HC K...............
Cc nhim v khc

B TR GING DY

S
TT

H V TN

gio vin

Thng
Tun
Mn
hc,
Lp
Mun
3
4

.......

25 26

S
gi
ging
6

NI DUNG

Quy
i
thnh
gi
ging

Tng
s gi
ging
trong
hc k

Gi
tiu
chun
theo
quy
nh

10

SO SNH

Gi
tha

Gi
thiu

11

12

.....
.....
.....
.....
.....
.....
.....
.....
.....
HIU TRNG/GIM C
(K tn, ng du)

Ngy thng nm
TRNG KHOA, B MN

Trang ba 1

Mu s 3 (Kh 26x38,5)
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH
N V QUN L TRC TIP (nu c)
(phng ch: VnTime,
( in hoa, c ch: 14)
....................................................
C S DY NGH
(phng ch: VnTime, in hoa, c ch: 14, m)
...................................................

S LN LP
Lp : ..
Trnh : .................................
Ngh :..
Kho:.......................................

Nm hc:...................

Mc lc
Ni dung

S
TT

Danh sch gio vin

Thi kho biu

Theo di ngy hc tp

Bng ghi tm tt ni dung

Bng ghi im

Xp loi kt qu rn luyn

Tng hp kt qu hc tp

Tng hp nh gi cui nm - cui kho

Kim tra tnh hnh dy hc

10

Hng dn s dng

Trang

Mu s 3.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

Danh sch gio vin ging dy


TT

H v tn gio vin

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
TT
1
2
3

Gio vin ch nhim

Ging dy
mn hc/ m-un

S gi ging
dy

Mu s 3.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH
THI KHO BIU

( Thc hin t ngy thng nm


TH 2
Ni dung

Thi gian
T
n
T
n
T
n
T
n
T
n
T
n
T
n
T
n

TH 3
Ni dung

Thi gian
T
n
T
n
T
n
T
n
T
n
T
n
T
n
T
n

n ngy thng

TH 4
Ni dung

TH 5

Thi gian
T
n
T
n
T
n
T
n
T
n
T
n
T
n
T
n

nm

Ni dung

Thi gian
T
n
T
n
T
n
T
n
T
n
T
n
T
n
T
n

TH 6
Ni dung

Thi gian
T
n
T
n
T
n
T
n
T
n
T
n
T
n
T
n

TRNG PHNG O TO (GIM C)

Mu s 3.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH
THEO DI NGY HC TP
TT

H V TN
HC SINH/
SINH VIN

NGY
..

Cng

..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
Khng php
C php

ThngNm.
29

30

31

S
gi
ngh
c
php

S gi
ngh
khng
php

GHI
CH

Mu s 3.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH
BNG GHI TM TT NI DUNG
NGY
LN
LP

S GI

L
Thc Kim
thuyt hnh
tra

H V TN GIO VIN:......................
MN HC/M-UN............................

TM TT NI DUNG BI DY,
KIM TRA

S HC
SINH/SINH
VIN VNG
MT

CH K
GIO
VIN

Mu s 3.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

Bng ghi im
Mn hc/m-un.........................
Ngy kim tra

TT

H v tn hc
sinh

im kim tra nh k
Mn hc/M-un

im kim
tra kt thc
Mn
hc/M-un
ln 1 ln 2

im
tng
kt

Ghi ch

Mu s 3.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH
Xp loi kt qu rn luyn
hc k.......................
S
TT

H v tn

nhn xt Tm tt
Xut
sc

Tt

Xp loi
Kh Trung Trung Yu Km
bnh bnh
kh

Mu s 3.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH
Tng hp kt qu hc tp
S
TT

H v tn

Kt qu hc tp mn hc/m-un
Tn MH/M:... Tn MH/M:... Tn MH/M:...
H s :......
H s :......
H s :......
im tng Kt

im tng Kt

im tng Kt

Mn hc/ Mun phi hc li

Mu s 3.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH
Tng hp nh gi cui nm hc/cui kho
S
TT

H v tn

S gi ngh hc

Tng
s

C
php

Khng
php

im
trung bnh
chung

Kt qu
rn luyn

mn hc/
m-un phi
hc li

Ghi ch

Mu s 3.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

HNG DN S DNG
S ln lp dng theo di ton b qu trnh hc tp v kt qu hc tp
ca hc sinh v ging dy ca gio vin trong ton kho hc. S c t ti
Phng o to hoc b phn ph trch o to ( gi chung l phng o to).
Phng o to quy nh hnh thc nhn s trc khi ln lp v tr s sau khi kt
thc ngy hc i vi ngi gio vin s dng.
Phng php ghi s:
1. Danh sch gio vin ging dy v thi kho biu do Phng o to ghi
trong mt nm hc ( i vi trung cp ngh, cao ng ngh) mt kho hc ( i
vi s cp ngh).
2. Theo di ngy hc tp ca hc sinh
- Hc sinh c mt : trng
- Hc sinh vng mt:
+ Vng mt c l do, ghi: P
+ Vng mt khng l do, ghi: K
Trong thi gian hc sinh ngh mt s gi hc trong ngy th gio vin ghi
s gi ngh ca hc sinh, sinh vin.
3. Ghi im theo quy nh ban hnh km theo Quyt nh s 14/2007/QBLTBXH ngy 24/5/2007 ca B trng B Lao ng - Thng binh v X
hi ban hnh Quy ch thi, kim tra v cng nhn tt nghip trong dy ngh h
chnh quy. im ghi trong s l im kim tra nh k, im kim tra kt thc
mn hc/m-un, im tng kt mn hc/m-un.
4. Quyt nh hc li mn hc/m-un l tn cc mn hc/m-un hc
sinh, sinh vin phi hc theo hnh thc: hc li b sung mn hc/m-un (i vi
mn hc/m-un khng phi l tin hc cc mn hc/ m-un tip theo)
hc li vi kho sau (i vi cc mn hc/m-un l iu kin tin ca cc
mn hc/m-un tip theo).
5. Phn tng hp nh gi cui nm - cui kho s dng cho qun l lp
hc theo nm hc v c kho hc tu theo thi gian ca kho hc. Ring i vi
o to ngh trnh s cp ch s dng cho kho hc.
6. Hng dn ghi im ln 1 ( ln 2).

Trang ba

Mu s 4. (Kh 19x26,5)
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

N V QUN L TRC TIP (nu c)


(phng ch: VnTime, in hoa, c ch: 14)
....................................................
C S DY NGH
(phng ch: VnTime, in hoa, c ch: 14, m)
...................................................

S TAY GIO VIN


Mn hc/m - un :..
Lp:....................... Kho:........................................
H v tn gio vin:.................................................
Nm hc:..................................................................

Mu s 4.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

THNG TIN V LP HC/KHO


1. Ngh o to:.
2. Trnh o to ngh:...
3. Trnh u vo v hnh thc nh gi u vo:...........................
.......................................................................................................................
.......................................................................................................................
4. Quyt nh thnh lp lp hc: ........................................................

5. T chc lp hc
a) S s lp hc:..................................................................................
b) B my qun l lp:
- Gio vin ch nhim: .
- Lp trng:
- Lp ph v cc t trng:

.
c) Phng thc t chc o to:
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Mu s 4.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH
Kt qu hc tp

S
TT

H v tn hc
sinh/sinh vin

Kim tra nh k MH/m

Kim tra kt
thc MH/M
Ln 1

Ln 2

im tng
kt

Mu s 4.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH
S GI NGH TRONG THNG:........
S
TT

H V TN
HC
SINH/SINH
VIN

NGY

........

27

28

29

30

31

TNG
S

Mu s 4.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH
TNG HP S GI NGH CHO MN HC/M - UN
S
TT

H V TN
HC
SINH/SINH
VIN

THNG

TNG
S

Mu s 4.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH
QUN L HC SINH/SINH VIN C BIT
(Tn hc sinh, c im, hnh thc qun l gio dc, nh gi pht trin)

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Mu s 4.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

NH GI QU TRNH GING DY MN HC/M-UN


(nh gi chung qu trnh t chc o to, qun l lp hc v kt qu hc tp ca
lp hc, kinh nghim ging dy mn hc/m-un)

Mu s 4.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

HNG DN S DNG
S tay gio vin l s ghi chp ca gio vin trong qu trnh qun l ging
dy trn lp hc. Ni dung phn nh k hoch hc tp v cc qu trnh din ra
trong trin khai k hoch hc tp mn hc/m-un m gio vin tham gia ging
dy.
Phng php ghi :
1. Thng tin lp hc v thi kho biu c xc nh khi bt u t chc
ging dy mn hc/m-un.
- Phn trnh u vo v hnh thc nh gi u vo ghi yu cu trnh
u vo quy nh chung ca hc sinh tham gia hc tp mn hc/m-un hoc yu
cu cc mn hc/m-un hc sinh phi phi tham gia trc khi hc tp mn
hc/m-un ; hnh thc nh gi u vo l hnh thc tuyn sinh hoc nh gi
kt qu cc mn hc/m-un hc sinh hc lm tin cho vic hc tp mn
hc/m-un.
- Phn phng thc t chc o to ghi d kin nhng nt c bn ca
phng thc t chc lp hc, phng php ging dy v nh gi kt qu hc tp
trong ging dy mn hc/m-un.
2. Kt qu hc tp ghi kt qu kim tra nh k, kim tra kt thc mn
hc/m-un theo quy nh ban hnh km theo Quyt nh s 14/2007/QBLTBXH ngy 24/5/2007 ca B trng B Lao ng - Thng binh v X
hi ban hnh Quy ch thi, kim tra v cng nhn tt nghip trong dy ngh h
chnh quy.
3. nh gi qu trnh ging dy mn hc/m-un ghi c im chung cc
hot ng ca lp hc, cc phng thc t chc o to a ra, nh gi tc
ng ca cc phng thc t chc o to, ni dung o to n kt qu hc tp
chung ca lp hc .
4. Theo di gi ln lp ca hc sinh/sinh vin.
5. Ghi hc sinh/sinh vin c bit.

Trang ba 1

Mu s 5 (Kh 19x26,5)
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

N V QUN L TRC TIP (nu c)


(phng ch: VnTime, in hoa, c ch: 14)
....................................................
C S DY NGH
(phng ch: VnTime, in hoa, c ch: 14, m)
...................................................

S GIO N

L THUYT
Mn hc: ...................
Lp : Kho :
H v tn gio vin : .
Nm hc:.......................................................

Mu s 5.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH
GIO N S:.............................

Thi gian thc hin:.............................................


Tn chng:.........................................................
..............................................................................
Thc hin ngy........thng......nm............

TN BI: .......................................................................................................................................
........................................................................................................................................................
MC TIU CA BI:
Sau khi hc xong bi ny ngi hc c kh nng: .................................................................
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DNG V PHNG TIN DY HC
...........................................................................................................................................................
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I. N NH LP HC:
Thi gian:..............................

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II. THC HIN BI HC
TT

NI DUNG

HOT NG DY HC
HOT NG CA
GIO VIN

Dn nhp
(Gi m, trao i phng
php hc, to tm th tch
cc ca ngi hc....)

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2

Ging bi mi
( cng bi ging)

HOT NG CA
HC SINH

THI
GIAN

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Cng c kin thc v
kt thc bi
.........................................
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Hng dn t hc

Ngun ti liu tham kho

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TRNG KHOA TRNG T MN

Ngy.....thng ........nm........
GIO VIN

Trang ba 1

Mu s 6 ( Kh 19x26,5)
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

N V QUN L TRC TIP (nu c)


(phng ch: VnTime, in hoa, c ch: 14)
....................................................
C S DY NGH
(phng ch: VnTime, in hoa, c ch: 14, m)
...................................................

S GIO N

THC HNH
Mn hc : ................
Lp : .
H v tn gio vin : .
Nm hc:.......................................................

Mu s 6.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH
GIO N S:.............................

Thi gian thc hin:.............................................


Bi hc trc:.........................................................
..............................................................................
Thc hin t ngy..............n ngy

TN BI: .......................................................................................................................................
........................................................................................................................................................
MC TIU CA BI:
Sau khi hc xong bi ny ngi hc c kh nng: .................................................................
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DNG V TRANG THIT B DY HC
...........................................................................................................................................................
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HNH THC T CHC DY HC:.....................................................................................

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I. N NH LP HC:
Thi gian:..............................
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II. THC HIN BI HC
TT

NI DUNG

Dn nhp
(Gi m, trao i phng
php hc, to tm th tch
cc ca ngi hc....)

..........................................
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Hng dn ban u

HOT NG DY HC
HOT NG CA
GIO VIN

HOT NG CA
HC SINH

THI
GIAN

( Hng dn thc hin cng


ngh; Phn cng v tr luyn
tp)

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Hng dn thng
xuyn
(Hng dn hc sinh rn
luyn hnh thnh v
pht trin k nng)
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Hung dn kt thc
(Nhn xt kt qu rn
luyn, lu cc sai st v
cch khc phc, k hoch
hot ng tip theo)

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Hng dn t rn luyn

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IV. RT KINH NGHIM T CHC THC HIN: ....................................................................


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TRNG KHOA/ TRNG T MN

Ngy.....thng ........nm........
GIO VIN

Trang ba 1

Mu s 7 ( Kh 19x26,5)
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

N V QUN L TRC TIP (nu c)


(phng ch: VnTime, in hoa, c ch: 14)
....................................................
C S DY NGH
(phng ch: VnTime, in hoa, c ch: 14, m)
...................................................

S GIO N

TCH HP
Mn hc/ M-un : ..
Lp : Kho :...
H v tn gio vin : .
Nm hc:.......................................................

Mu s 7.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH
GIO N S:.............................

Thi gian thc hin:.................................................


Tn bi hc trc:.....................................................
..............................................................................
Thc hin t ngy........ n ngy ...........

TN BI: .......................................................................................................................................
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MC TIU CA BI:
Sau khi hc xong bi ny ngi hc c kh nng: .................................................................
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DNG V TRANG THIT B DY HC
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HNH THC T CHC DY HC:.....................................................................................

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I. N NH LP HC:
Thi gian:..............................
................................................................................................................................................
................................................................................................................................................
.......................................................................................................................................
II. THC HIN BI HC.
TT

NI DUNG

Dn nhp
( Gi m, trao i phng
php hc, to tm th tch
cc ca ngi hc....)

..........................................
.........................................
.........................................
.........................................
........................................

HOT NG DY HC
HOT NG CA
GIO VIN

HOT NG CA
HC SINH

THI
GIAN

Gii thiu ch
( Gii thiu ni dung ch
cn gii quyt: yu cu
k thut, tiu chun kin
thc k nng)
.........................................
........................................
..........................................
..........................................
.........................................
........................................
........................................
........................................
..........................................
Gii quyt vn
(Hng dn hc sinh rn
luyn hnh thnh pht
trin nng lc trong s
phi hp ca thy)
.........................................
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........................................
........................................
........................................
........................................
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........................................
........................................
........................................
.......................................
........................................
.......................................
........................................
........................................
.......................................
Kt thc vn
- Cng c kin thc
.......................................
.......................................
......................................
- Cng c k nng rn
luyn

(Nhn xt kt qu rn
luyn, lu cc sai st v
cch khc phc, k hoch
hot ng tip theo)
........................................
......................................
.......................................
Hng dn t hc
......................................................................
....................................................................
....................................................................
.....................................................................

VI. RT KINH NGHIM T CHC THC HIN: ....................................................................


...........................................................................................................................................................
...........................................................................................................................................................
...........................................................................................................................................................
...........................................................................................................................................................
...........................................................................................................................................................
.........................................................................................................................................
TRNG KHOA/ TRNG T MN

Ngy.....thng ........nm........
GIO VIN

Mu s 8 (Kh 29,5x42).
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH
( Tn c s dyngh)
..................................

CNG HA X HI CH NGHA VIT NAM


c lp - T do - Hnh phc

K HOCH O TO
1. Ngh o to:...............................M ngh: ........................ Lp:.......................
2. Trnh o to: S cp ngh
3. i tng tuyn sinh: (trnh hc vn lm cn c xt tuyn)
4. Mc tiu o
to: ............................................................................................................................
...................................................................................................................................
...................................................................................................................................
...................................................................................................................................
...................................................................................................................................
...................................................................................................................................
...................................................................................................................................
...................................................................................................................................
...................................................................................................................................
...................................................................................................................................
...................................................................................................................................
...................................................................................................................................
...................................................................................................................................
...................................................................................................................................
...................................................................................................................................
...................................................................................................................................
......
5. Thi gian kho hc: ...........thng ( t /../..n /../)
6. Thi gian hc tp:..tun, trong thi gian n, kim tra ht mn hc/mun, thi gian n, kim tra kt thc kho hc: ..tun.
7. Thi gian khai, b ging:..tun.
8. Quyt nh ph duyt chng trnh:

Mu s 8.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

9. Phn b thi gian o to.


S
TT

MN HC/ MUN

THI GIAN O TO
(gi)
n, Kim
L thuyt
Thc hnh
tra

LCH KIM TRA HT


MH/M

.../..../.../
.../..../.../
.../..../.../
.../..../.../
.../..../.../
.../..../.../
.../..../.../
.../..../.../
.../..../.../
KIM TRA KT THC KHO HC

T ngy .../..../....
n ...../....../......

10.Quy nh kim tra kt thc kho hc.


BI TP K NNG TNG
HP

IU KIN KIM
TRA

PHNG PHP
NH GI

GHI CH

......................................
.......................................
......................................
.......................................
.......................................
.....................................
....................................
....................................

.......................
........................
.......................
.......................
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........................
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.........................
........................
.......................
.......................
.......................
.......................
.......................
.......................

......................
.......................
.......................
.......................
.......................
.......................
.......................
.......................

...........Ngy...........thng.........nm...........
HIU TRNG/GIM C
( k tn, ng du)

Mu s 8.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

HNG DN S DNG
Bng k hoch o to trnh s cp ngh c Phng o to hoc b
phn ph trch o to ( gi chung l phng o to) xy dng vo u kho hc
v c Hiu trng hoc ngi ng u c s dy ngh ph duyt v thng
bo cng khai cho gio vin v hc sinh vo thi im m u ca kho hc.
Phng php ghi
1. Mc tiu o to ghi ng nh mc tiu o to trong chng trnh dy
ngh trnh s cp c ph duyt.
2. Quyt nh t chc kho hc: ghi s v tn Quyt nh ca ngi ng
u c s dy ngh ph duyt t chc kho hc.
3. Lch kim tra ht mn hc/m-un ghi thi im d kin kim tra ht
mn hc/m-un
4. Bi tp k nng tng hp ghi d tm tt bi tp kim tra kt thc kho
hc hoc yu cu tiu chun k nng c bn, cn thit phi t c ca ngi
hc sau khi kt thc kho hc.
5. iu kin kim tra ghi cc iu kin cn thit kim tra kt thc kho
hc ( a im, my mc, vt t, ti liu...).

Trang ba 1

Mu s 9 (Kh 24x32).
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH
N V QUN L
TRC TIP (nu c)
TTTn
(phng ch: VnTime, in hoa, c ch: 14)
....................................................
C S DY NGH
(phng ch: VnTime, in hoa, c ch: 14, m)
...................................................

S CP CHNG CH S CP NGH
Quyn s :

Mu s 9.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

C quan

S CP CHNG CH S CP NGH
Quyn s :

CHNG NHN
CHNG NHN
S cp chng ch ny c: ............trang
S th t ng k t s: ........
nh s trang t s:........................
n s:..........
n s:..........
M s ngy: ......thng.......nm....... Kho s ngy:.....thng.......nm......
HIU TRNG/GIM C
( k tn, ng du)

HIU TRNG/GIM C
( k tn, ng du)

Mu s 9.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

Trang ..............

S
TT

H TN
HC
SINH

NGY
THNG
NM SINH

NI
SINH

NGH
O
TO

KHO:..
T /../
N./../..

QUYT
NH
TT
NGHIP

S HIU
CHNG
CH

CH
NGY
NGY
K
CP
NHN
CA
GHI CH
CHNG CHNG
NGI
CH
CH
NHN

Trang ba 1

Mu s 10 ( Kh 24x32).
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

Tn c s dy ngh
N V QUN L TRC TIP (nu c)
.. (phng ch: VnTime, in hoa, c ch: 14)
....................................................
C S DY NGH
(phng ch: VnTime, in hoa, c ch: 14, m)
...................................................

S cp chng ch s cp ngh
Sao t s gc
Quyn
s : CH S CP
S CP BN SAO
CHNG
NGH T S GC
Quyn s :

Mu s 10.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

S CP BN SAO CHNG CH S CP
NGH T S GC
Quyn s :
CHNG NHN
CHNG NHN
S cp bn sao CCSCN c: ............trang S th t ng k t s: ........
nh s trang t s:........................
n s:..........
n s:..........
M s ngy: ......thng.......nm....... Kho s ngy:.....thng.......nm......
HIU TRNG/GIM C
( k tn, ng du)

HIU TRNG/GIM C
( k tn, ng du)

Mu s 10.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

S
TT

H TN
HC
SINH

NGY
THNG
NM
SINH

NI SINH

S
QUYT
NH
CNG
NHN
TT
NGHIP

S HIU
CHNG
CH

S
LNG
BN SAO

HNH
THC CP
BN SAO

NGY
CP
BN
SAO

SAO
LC T
S BN
CHNH

S s
trang
S s
trang
S s
trang
S
s
/trang
S s
trang
S s
trang
S s
trang
S s
trang
S s
trang
S s
trang

CH K
NGI NHN

Trang ba 1

Mu s 11 (Kh A4)
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

N V QUN L TRC TIP (nu c)


(phng ch: VnTime, in hoa, c ch: 14)
....................................................
C S DY NGH
(phng ch: VnTime, in hoa, c ch: 14, m)
...................................................

S QUN L HC SINH
TRNH S CP NGH
Quyn s :

Mu s 11.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

S QUN L HC SINH
TRNH S CP NGH
Quyn s :
CHNG NHN
CHNG NHN
S Qun l hc sinh ny c: ............trang S th t ng k t s: ........
nh s trang t s:........................
n s:..........
n s:..........
M s ngy: ......thng.......nm....... Kho s ngy:.....thng.......nm......
HIU TRNG/GIM C
( k tn, ng du)

HIU TRNG/GIM C
( k tn, ng du)

Mu s 11.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

I. S LC L LCH
S ng k
...................

nh 3 X 4

H v tn khai sinh:......................................... Nam, n:...................


Tn thng gi: ...............................................
Sinh ngy ...thng..nm.........
Ni sinh:.
Qu qun: .
Ni ng k thng tr:
Dn tc: . Tn gio:
Trnh hc vn trc khi vo hc:
Ngy tham gia ng CSVN:............... Ngy chnh thc:.
Ngy kt np vo on TNCS H Ch Minh:
H v tn b:................................................
Ngh nghip: ..................
H v tn m:...............................................
Ngh nghip:...................
H v tn v ( chng):...................................
Ngh nghip:..................
i tng thuc din chnh sch:..............................................................
Ngh nghip lm trc khi vo hc: .........................................................
....................................................................................................................
a ch lin lc:...............................................
in thoi:......................
Ni lm vic sau khi kt thc kho hc (nu c):.......................................
.....................................................................................................................
.....................................................................................................................
II. KT QU HC TP TON KHO

Lp:Kho:..
Thi gian o to: ..............................thng
( T ,,,,,,//.n/../)
S Tn m-un/ mn hc
Kim tra
im
TT
ht
tng kt
M/MH
M/MH
Ln Ln
1
2

Kt qu hc tp cui kho
im kim tra
kt thc kho
hc
Ln 1 Ln 2

Xp loi kt qu rn
luyn: .....................

Tm tt nhn
xt: ............
............................
............................
im xp loi
............................
tt nghip:
........................
Quyt nh cng nhn tt nghip
s: ...........................ngy.../..../........
Chng ch s cp ngh s:..............
Ngy cp chngch s cp ngh: ..
...../......../..............

Mu s 12 (Kh 29,5x84)
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH
( Tn c s dyngh)
....................

CNG HO X HI CH NGHA VIT NAM


c lp T do Hnh phc

K HOCH O TO
1. Ngh o to:...............................M ngh: ...................................
2. Trnh o to:
3. i tng tuyn sinh: (trnh hc vn lm cn c tuyn sinh)
4. Mc tiu o
to: ............................................................................................................................
...................................................................................................................................
...................................................................................................................................
...................................................................................................................................
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...................................................................................................................................
...................................................................................................................................
.......5. Kho hc:
.........................................................................................................
6. Thi gian kho hc: ......nm ( t /../..n /../)
7. Thi gian hc tp:..tun, trong thi gian n, kim tra ht mn hc/mun, thi gian n, thi tt nghip: ..gi.
8. Thi gian khai, b ging, ngh l, ngh h v d phng:..tun
9. Quyt nh ph duyt chng trnh:

..

Mu s 12.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

HNG DN S DNG
Bng k hoch o to trnh trung cp ngh, trnh cao ng ngh
c Phng o to hoc b phn ph trch o to ( gi chung l phng o
to) xy dng vo u kho hc v c Hiu trng hoc ngi ng u c s
dy ngh ph duyt v thng bo cng khai cho gio vin v hc sinh vo thi
im m u ca kho hc.
Phng php ghi
1. Mc tiu o to ghi ng nh mc tiu o to trong chng trnh dy
ngh trnh s cp c ph duyt.
2. Quyt nh t chc kho hc: ghi s v tn Quyt nh ca ngi ng
u c s dy ngh ph duyt t chc kho hc.
3. Lch hc ton kho cc c s quy nh cc k hiu c th cho tng ni
dung sao cho khng trng lp.
4. Phn b thi gian hc tp theo tng trnh trung cp ngh, trnh cao
ng ngh
5. Lch thi tt nghip phi c th, thng bo y ni dung thi tt nghip,
d kin thi gian thi, hnh thc, phng php nh gi cho gio vin v hc
sinh/sinh vin vo thi im m u kho hc.

Mu s 12
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

I. LCH HC TON KHO


Thng
Tun
Nm hc

......................

46

47

48

49

50

51

52

I
II
III
IV
Khai b ging

Vn ho THPT

Thi tt nghip (kim tra


kt thc kho hc)

Mn chung

Ngh h, l

Lao ng/ngoi kho

Mn hc /m- un
o to ngh
Thc tp ti doanh
nghip

Ghi ch: Cc c s quy nh cc k hiu c th cho tng ni dung sao cho khng trng lp.
II.PHN B THI GIAN HC TP

TT

Cc mn hc

Tng s

Tng
s
(gi)

L
Thc
thuyt hnh
(gi) (gi)

Thi
(gi hc
k)

K hoch ging dy
Nm 1
Nm 2
Nm 3
Hc
Hc
Hc
Hc
Hc
Hc
k 1
k 2
k 3
k 4
k 5
k 6

Mu s 12.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

THI TT NGHIP
S
TT

NI DUNG THI TT
NGHIP

D kin thi gian thi tt nghip


Thi gian n Thi gian thi
K hoch thi
thi (ngy)
(Gi)
(t..n..)

Hnh thc

Phng php
nh gi

Ghi ch

..ngy..thngnm..
HIU TRNG
(K, ng du)

Trang ba 1

Mu s 13. (Kh 24x32)


Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

N V QUN L TRC TIP (nu c)


(phng ch: VnTime, in hoa, c ch: 14)
....................................................
C S DY NGH
(phng ch: VnTime, in hoa, c ch: 14, m)
...................................................

S CP BNG TT NGHIP
TRUNG CP NGH
Quyn s :

Mu s 13.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

S CP BNG TT NGHIP
TRUNG CP NGH
Quyn s :

CHNG NHN
CHNG NHN
S cp bng TNTCN c: ...........trang
S th t ng k t s: ........
nh s trang t s:........................
n s:..........
n s:..........
M s ngy: ......thng.......nm....... Kho s ngy:.....thng.......nm......
HIU TRNG
( k tn, ng du)

HIU TRNG
( k tn, ng du)

Mu s 13.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

S
TT

H TN
HC SINH

NGY
SINH

NI
SINH

NGH O
TO

KHO

HNH
THC O
TO

QUYT
NH CNG
NHN TT
NGHIP

S HIU
BNG

NGY
CP
BNG

NGY
NH
N
BNG

CH
K
NGI
NHN

GHI CH

Trang ba 1

Mu s 14(Kh 24x32)
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

N V QUN L TRC TIP (nu c)


(phng ch: VnTime, in hoa, c ch: 14)
....................................................
C S DY NGH
(phng ch: VnTime, in hoa, c ch: 14, m)
...................................................

S CP BNG TT NGHIP
CAO NG NGH
Quyn s :

Mu s 14.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

S CP BNG TT NGHIP
CAO NG NGH
Quyn s :
CHNG NHN
CHNG NHN
S cp bng TNCN ny c:
S th t ng k t s: ........
............trang
nh s trang t s:........................
n s:..........
n s:..........
M s ngy: ......thng.......nm....... Kho s ngy:.....thng.......nm......
HIU TRNG
( k tn, ng du)

HIU TRNG
( k tn, ng du)

Mu s 14.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

S
TT

H TN
SINH VIN

NGY
SINH

NI
SINH

NGH O
TO

KHO

HNH
THC O
TO

QUYT
NH CNG
NHN TT
NGHIP

S HIU
BNG

NGY
CP
BNG

NGY
NH
N
BNG

CH
K
NGI
NHN

GHI CH

Trang ba 1

Mu s 15 (Kh A4).
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

N V QUN L TRC TIP (nu c)


(phng ch: VnTime, in hoa, c ch: 14)
....................................................
C S DY NGH
(phng ch: VnTime, in hoa, c ch: 14, m)
...................................................

S QUN L HC SINH
TRNH TRUNG CP NGH
Quyn s :

Mu s 15.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

S QUN L HC SINH
TRNH TRUNG CP NGH
Quyn s :
CHNG NHN
CHNG NHN
S Qun l hc sinh ny c: ............trang S th t ng k t s: ........
nh s trang t s:........................
n s:..........
n s:..........
M s ngy: ......thng.......nm....... Kho s ngy:.....thng.......nm......
HIU TRNG
( k tn, ng du)

HIU TRNG
( k tn, ng du)

Mu s 15.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

I. S LC L LCH
S ng k H v tn khai sinh:.........................................
Nam, n:...................
................... Tn thng gi: ...............................................
Sinh ngy ......thng.....nm............
Ni sinh:.
nh 3 X 4 Qu qun: .
Ni ng k thng tr:
Dn tc: .
Tn gio:
Trnh hc vn trc khi vo hc:
Ngy tham gia ng CSVN:..................
Ngy chnh thc:.
Ngy kt np vo on TNCS H Ch Minh:
H v tn b:................................................
Ngh nghip: ..................
H v tn m:...............................................
Ngh nghip:...................
H v tn v ( chng):...................................
Ngh nghip:..................
i tng thuc din chnh sch:..............................................................
Ngh nghip lm trc khi vo hc: .........................................................
....................................................................................................................
a ch lin lc:...............................................
in thoi:......................
Nguyn vng vic lm sau khi kt thc kho hc:.......................................
.....................................................................................................................
.....................................................................................................................

II. Kt qu hc tp tng nm
NM TH:..............................NIN KHO:............

Mn hc/
M-un

NM TH:..............................NIN KHO:............

Kt qu hc tp Mn hc/M-un
Kim tra
nh k

Kim tra
ht MH/
M
Ln Ln
1
2

Mn hc /
M-un

Tng
kt

Kt qu hc tp Mn hc/Mun
Kim tra Kim tra ht Tng
nh k
MH/ M
kt
Ln
1

Xp loi hc tp:....................
Xp loi rn luyn:.............................
Khen thng, k lut: ....................................
.

Ln
2

Xp loi hc tp:....................
Xp loi rn luyn:.............................
Khen thng, k lut: ....................................
.

Mu s 15.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH
NM TH:..............................NIN KHO:............

NM TH:..............................NIN KHO:............

Kt qu hc tp Mn hc/Mun

Kt qu hc tp Mn hc/M-un
Mn hc/
M-un

Kim tra
nh k

Kim tra
ht MH/
M
Ln Ln
1
2

Tng
kt

Xp loi hc tp:....................
Xp loi rn luyn:.............................
Khen thng, k lut: ....................................
.

Mn hc /
M-un

Kim tra
nh k

Kim tra ht
MH/ M
Ln
1

Ln
2

Tng
kt

Xp loi hc tp:....................
Xp loi rn luyn:.............................
Khen thng, k lut: ....................................
.

III. KT QU TT NGHIP
S

THI TT NGHIP

Ni dung thi

Kt qu thi

Nhn xt tm tt qu trnh hc tp, rn luyn: ........

TT

..................................................................................
..................................................................................
.................................................................................
.................................................................................
................................................................................
................................................................................
...................................................................................
................................................................................
Quyt nh cng nhn tt nghip: ...........................
..................................................................................
Cp ngy.....thng..... nm ................
N V QUN L
TRC
TIPs:(nu
c)
Bng
tt nghip
............................
(phng ch: VnTime,
hoa,
c ch: 14)
Xp in
loi
tt nghip:............................................
Ngy cp:....../......./...........
....................................................
Ngi tng hp
C S DY NGH
(k,
ghi r h tn)
im trung bnh chung: (phng
.................................
ch: VnTime, in hoa, c ch: 14, m)
im xp loi tt nghip: .............................
...................................................
im xp loi rn luyn:................................

Trang ba 1

Ln
1

Ln
2

Mu s 16 (Kh A4).
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

S QUN L SINH VIN


TRNH CAO NG NGH
Quyn s :

Mu s 16.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

S QUN L SINH VIN


TRNH CAO NG NGH
Quyn s :
CHNG NHN
CHNG NHN
S Qun l sinh vin ny c: ............trang S th t ng k t s: ........
nh s trang t s:........................
n s:..........
n s:..........
M s ngy: ......thng.......nm....... Kho s ngy:.....thng.......nm......
HIU TRNG
( k tn, ng du)

HIU TRNG
( k tn, ng du)

Mu s 16.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

I. S LC L LCH
S ng k H v tn khai sinh:.........................................
Nam, n:...................
................... Tn thng gi: ...............................................
Sinh ngy ......thng.....nm............
Ni sinh:.
nh 3 X 4 Qu qun: .
Ni ng k thng tr:
Dn tc: .
Tn gio:
Trnh hc vn trc khi vo hc:
Ngy tham gia ng CSVN:..................
Ngy chnh thc:.
Ngy kt np vo on TNCS H Ch Minh:
H v tn b:................................................
Ngh nghip: ..................
H v tn m:...............................................
Ngh nghip:...................
H v tn v ( chng):...................................
Ngh nghip:..................
i tng thuc din chnh sch:..............................................................
Ngh nghip lm trc khi vo hc: .........................................................
....................................................................................................................
a ch lin lc:...............................................
in thoi:......................
Nguyn vng vic lm sau khi kt thc kho hc:.......................................
.....................................................................................................................
.....................................................................................................................

II.KT QU HC TP TNG NM
NM TH:..............................NIN KHO:............

NM TH:..............................NIN KHO:............

Kt qu hc tp Mn hc/Mun

Kt qu hc tp Mn hc/M-un
Mn hc/
M-un

Kim tra
nh k

Kim tra
ht MH/
M
Ln Ln
1
2

Tng
kt

Xp loi hc tp:....................
Xp loi rn luyn:.............................
Khen thng, k lut: ....................................
.

Mn hc /
M-un

Kim tra
nh k

Kim tra ht
MH/ M
Ln
1

Ln
2

Tng
kt

Xp loi hc tp:....................
Xp loi rn luyn:.............................
Khen thng, k lut: ....................................
.

Mu s 16.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

NM TH:..............................NIN KHO:............

Mn hc/
M-un

NM TH:..............................NIN KHO:............

Kt qu hc tp Mn hc/M-un
Kim tra
nh k

Kim tra
ht MH/
M
Ln Ln
1
2

Mn hc /
M-un

Tng
kt

Kt qu hc tp Mn hc/Mun
Kim tra Kim tra ht Tng
nh k
MH/ M
kt
Ln
1

N V QUN L TRC TIP (nu c)


(phng ch: VnTime, in hoa, c ch: 14)
....................................................
C S DY NGH
(phng ch: VnTime, in hoa, c ch: 14, m)
Xp loi hc tp:.................... ...................................................
Xp loi hc tp:....................
Xp loi rn luyn:.............................
Khen thng, k lut: ....................................
.

Ln
2

Xp loi rn luyn:.............................
Khen thng, k lut: ....................................
.

III. KT QU TT NGHIP
THI TT NGHIP

S
TT

Ni dung thi

Kt qu thi
Ln Ln
1
2

Nhn xt tm tt qu trnh hc tp, rn luyn: ........


..................................................................................
..................................................................................
.................................................................................
.................................................................................
................................................................................
................................................................................
...................................................................................
................................................................................
Quyt nh cng nhn tt nghip: ...........................
..................................................................................
Cp ngy.....thng..... nm ................
Bng tt nghip s: ............................
Xp loi tt nghip:............................................
Ngy cp:....../......./...........
Ngi tng hp
(k, ghi r h tn)

S CP BN SAO BNG TT NGHIP


TRUNG CP NGH T S GC
Quyn s :

im trung bnh chung: .................................


im xp loi tt nghip: .............................
im xp loi rn luyn:................................
Trang ba 1

Mu s 17 (Kh 24x32)
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

Mu s 17.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

S CP BN SAO BNG TT NGHIP


TRUNG CP NGH T S GC
Quyn s :

CHNG NHN
CHNG NHN
S cp bn sao bng TNTCN ny c: .........trang S th t ng k t s: ........
nh s trang t s:........................
n s:..........
n s:..........
M s ngy: ......thng.......nm....... Kho s ngy:.....thng.......nm......
HIU TRNG
( k tn, ng du)

HIU TRNG
( k tn, ng du)

Trang ba 1

Mu s 18 (Kh 24x32)
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

N V QUN L TRC TIP (nu c)


(phng ch: VnTime, in hoa, c ch: 14)
....................................................
C S DY NGH
(phng ch: VnTime, in hoa, c ch: 14, m)
...................................................

S CP BN SAO BNG TT NGHIP


CAO NG NGH T S GC
Quyn s :

Mu s 18.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH
`

S CP BN SAO BNG TT NGHIP


CAO NG NGH T S GC
Quyn s :

CHNG NHN
CHNG NHN
S cp bn sao bng TNCN ny c: .........trang S th t ng k t s: ........
nh s trang t s:........................
n s:..........
n s:..........
M s ngy: ......thng.......nm....... Kho s
ngy:.....thng.......nm......
HIU TRNG
( k tn, ng du)

HIU TRNG
( k tn, ng du)

Mu s 17.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

S
TT

H TN
HC
SINH

NGY
THNG
NM
SINH

NI SINH

S
QUYT
NH
CNG
NHN
TT
NGHIP

S HIU
BNG

SAO LC
T S BN
CHNH

HNH
THC CP
BN SAO

NGY
S
CP LNG
BN
BN
SAO
SAO

CH K
NGI NHN

S s
trang
S s
trang
S s
trang
S s
/trang
S s
trang
S s
trang
S s
trang
S s
trang
S s
trang
S s
trang

Mu s 18.
Ban hnh km theo Quyt nh s 62/2008/Q-BLTBXH

S
TT

H TN
SINH
VIN

NGY
THNG
NM
SINH

NI SINH

S
QUYT
NH
CNG
NHN
TT
NGHIP

S HIU
BNG

SAO LC
T S BN
CHNH

S s
trang
S s
trang
S s
trang
S s
/trang
S s
trang
S s
trang
S s
trang
S s
trang
S s
trang
S s
trang

HNH
THC CP
BN SAO

NGY
S
CP LNG
BN
BN
SAO
SAO

CH K
NGI NHN

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