c lp - T do Hnh phc BO CO THNH TCH ngh cng nhn danh hiu Chin s thi ua c s Nm hc: H v tn: .. Ngy, thng, nm sinh: . Chc v: n v cng tc: Trnh chuyn mn nghip v Trnh chnh tr: Ngy vo ng chnh thc Qu trnh cng tc: . Nhng kh khn, thun li trong vic thc hin nhim v . 2. Tn sng kin, gii php, n, thi gian, cp c thm quyn cng nhn . 3. M t sng kin, gii php, n a) Thuyt minh tnh mi . b) Kh nng p dng . c) Hiu qu p dng ca sng kin, gii php, n trong thc hin nhim v cng tc . 4. Kt qu thc hin nhim v c giao (Theo tiu ch CSTCS c quy nh ti Ngh nh 42/2010/N-CP v Quyt nh 25/2010/Q-UBND) 1.
a) Hon thnh tt nhim v c giao, t nng sut v cht lng cao;
b) Chp hnh tt ch trng, chnh sch ca ng, php lut ca Nh nc, c tinh thn t lc, t cng; on kt, tng tr, tch cc tham gia cc phong tro thi ua; c) Tch cc hc tp chnh tr, vn ha, chuyn mn, nghip v; d) C o c, li sng lnh mnh. 5. Kt qu bnh chn danh hiu gia nh vn ho, ng vin, on vin Cng on, on vin on Thanh nin cng sn HCM (nu c) .
6. Danh hiu thi ua, hnh thc khen thng c ghi nhn (Ghi r Quyt nh s, ngy, thng, nm v photo giy chng nhn km theo) . Duy Xuyn, ngy thng nm 2012 Xc nhn ca Th trng n v