Mu 20-KN

NG B TRNG HCT
NG Y/CHI Y..
S: -PTTr/

NG CNG SN VIT NAM

Cn Th, ngy thng nm 20

PHIU THM TRA L LCH

(L lch ca ngi xin vo ng)
Knh gi :
c c s xem xt, kt np vo ng i vi qun chng
, sinh ngy thng nm
Qu
qun:
......................................................................................................................................
ang
lm
vic
ti:
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ngh cc ng ch thm nh nhn xt v l lch ca qun chng nu
trn, vi nhng ni dung sau:
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Mong cc ng ch quan tm, sm cho kin nhn xt vo trang sau phiu
nhn xt km theo.

Ni nhn:
- Nh trn.
- Lu: ng y/Chi y.

T/M NG Y/CHI Y
B TH
(K, ng du, ghi r h v tn)

Mu 20-KN

NG B
..
S: -PNX/

NG CNG SN VIT NAM

, ngy thng nm 20

PHIU NHN XT
(L lch ca ngi xin vo ng)
Knh gi :
Sau khi nhn c yu cu ca cc ng ch, chng ti thm nh v thng
nht nhn xt l lch ca qun chng ..nh sau:
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cc ng ch nghin cu xem xt, kt np qun chng..
vo ng.
T/M .
(K, ng du, ghi r h v tn)