Mu s 05/TDSV

CNG HO X HI CH NGHA VIT NAM

c lp - T do - Hnh phc
---o0o--GIY CAM KT TR N
Knh gi: ng Gim c Hc vin Ngn hng
H v tn hc sinh, sinh vin: ...............................................................................
Ngy sinh: ........../........../..............
Gii tnh: Nam
N
CMND s ............................... ngy cp......./....../....... Ni cp............................
Lp: ........................ Khoa...........................................S th HSSV.....................
Kho: ...................................... Loi hnh o to: ................................................
H o to (i hc, cao ng..............): ...............................................................
Ngy nhp hc: ....... /...... / .......... ngy ra trng (d kin): ........./..... /.............
M trng theo hc (m quy c trong quy ch tuyn sinh): NHH
Trong thi gian theo hc ti c (gia nh) vay vn Ngn hng
chi ph cho hc tp ti trng theo Kh c (Hp ng) vay vn do
........................................... c tr ti thn (p, lng) ............................................
x (phng) ...........................................Huyn (Qun) .......................................
Tnh (thnh ph) ............................................................, ng tn vay vn ti
Ngn hng Chnh sch x hi............................................................. cho vay
tng s tin l:.............................................. ng.
(Bng ch.................................................................................................)
Ti xin cam kt trch nhim vi nh trng v gia nh:
Trong thi gian 60 ngy k t ngy k hp ng lao ng ti s thng bo a
ch n v cng tc cho nh trng v gia nh, ng thi ti c trch nhim
cng gia nh tr n s tin vay Ngn hng ti i hc.
Nu khng thc hin cam kt trn th ngn hng, gia nh v Nh trng c
quyn lm vic vi ngi c trch nhim ti n v ti ang cng tc tr thu
nhp tr n cho ngn hng ni gia nh (hc sinh, sinh vin) vay vn.
Ghi ch: a ch lin h:
- Gia nh:...

H Ni, ngy. thng.......... nm ...............

(K, ghi r h tn)

- in thoi: + Nh ring:.
+ Di ng: ...

NGI CAM KT