TRNG I HC CNG NGH

KHOA CNG NGH THNG TIN

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c lp - T do - Hnh phc
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N XIN I TN TI KHA LUN TT NGHIP

Sinh vin: ...............................................................................Ngy sinh:.............................
Chuyn ngnh:........................................................................Lp:.......................................
H o to (Chun/CLC/NVCL): .......................................... ..............................................
Gio vin hng dn: ............................................................Hc hm, hc v : .................
Ni cng tc: ........................................................................................................................
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Tn ti c : .......................................................................................................................
Tn ti mi : .....................................................................................................................
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kin ca gio vin hng dn: ..........................................................................................
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kin ca Ch nhim b mn: ............................................................................................
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H Ni, ngy
SINH VIN
(K v ghi r h tn)

GIO VIN HNG DN

(K v ghi r h tn)

thng

nm 2012

CH NHIM B MN
(K v ghi r h tn)