Professional Documents
Culture Documents
Mu 2C-BNV/2008
S hiu cn b, cng chc: ......................................
3) Sinh ngy: .......... thng .......... nm ............... , Gii tnh (nam, n):.................................
4) Ni sinh: X.............................., Huyn....................................,
Tnh .....................................
5) Qu qun: X............................., Huyn..................................., Tnh.................................
6) Dn tc: ................................................................., 7) Tn gio: ........................................................................
8) Ni ng k h khu thng tr:..........................................................................................................................
(S nh, ng ph, thnh ph; xm, thn, x, huyn, tnh)
(Chuyn vin cao cp, chuyn vin chnh, chuyn vin, cn s....)
(Trnh A, B, C,...)
16) Ngy vo ng Cng sn Vit Nam: ............./ .......... / ..............., Ngy chnh thc: ........ / .......... / ..............
17) Ngy tham gia t chc chnh tr - x hi:
...........................................................................................................
(Ngy tham gia t chc: on, Hi, ... v lm vic g trong t chc ).
18) Ngy nhp ng: ...... / ...... / ....... Ngy xut ng: ...... / ...... / .........Qun hm cao nht: .................................
19) Danh hiu c phong tng cao nht:
................................................................................................................
(Anh hng lao ng, anh hng lc lng v trang, nh gio, thy thuc, ngh s nhn dn v u t ...)
23) Tnh trng sc khe: ..................................................... Cao: 1m ......, Cn nng: ....... (kg), Nhm mu: ........
24) L thng binh hng: ............/..........., L con gia nh chnh sch:...................................................................
1
(Con thng binh, con lit s, ngi nhim cht c da cam Dioxin)
25) S chng minh nhn dn: ..............................., Ngy cp: ...... / ...... / ....... 26) S s BHXH: .......................
27) O TO, BI DNG V CHUYN MN, NGHIP V, L LUN CHNH TR, NGOI NG
Tn trng
Hnh thc
o to
Vn bng, chng
ch, trnh g
Ghi ch: Hnh thc o to: Chnh qui, ti chc, chuyn tu, bi dng .../ Vn bng: TSKH, TS, ThS, C nhn, K s ...
T thng, nm
n thng, nm
H v tn
Nm
sinh
H v tn
Nm
sinh
Ngi khai
Ti xin cam oan nhng
li khai trn y l ng s tht
(K tn, ghi r h tn)