Mu 2a-BNV/2007 ban hnh km theo Quyt nh s 06/2007/Q-BNV ngy 18/6/2007 ca B trng B Ni v

C quan, n v c thm quyn qun l CBCC ..................................................................... S hiu cn b, cng chc: ..................................
C quan, n v s dng CBCC .................................................................................................

S yu L lch cn b, cng chc

1) H v tn khai sinh (vit ch in hoa): .................................................................................................................................

nh mu
(4 X 6 cm)

2) Tn gi khc:............................................................................................................................................................................
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:

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8) Ni ng k h khu thng tr: .........................................................................................................................................................................................

(S nh, ng ph, thnh ph; xm, thn, x=, huyn, tnh)
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(S nh, ng ph, thnh ph; xm, thn, x=, huyn, tnh)

9) Ni hin nay:

10) Ngh nghip khi c tuyn dng:

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11) Ngy tuyn dng: ........./........./..............., C quan tuyn dng:............................................................................................................

12) Chc v (chc danh) hin ti: ..............................................................................................................................................................................................
(V chnh quyn hoc ng, on th, k c chc v kim nhim)

13) Cng vic chnh c giao: ..................................................................................................................................................................................................

14) Ngch cng chc (vin chc):......................................................................................................................, M= ngch: ............................................
Bc lng: ..............., H s: ................, Ngy hng: ........./........./............., Ph cp chc v: ......................, Ph cp khc: ..........................
15.1-Trnh gio dc ph thng (= tt nghip lp my/thuc h

no):........................................................................................................

15.2-Trnh chuyn mn cao nht:........................................................................................................................................................................................

(TSKH, TS, Ths, c nhn , k s, cao ng, trung cp, s cp; chuyn ngnh )

15.3-L lun chnh tr: ............................................................................ 15.4-Qun l nh nc:.....................................................................................

(Cao cp, trung cp, s cp v tng ng)

(Chuyn vin cao cp, chuyn vin chnh, chuyn vin, cn s, .......)

15.5-Ngoi ng:........................................................................................... 15.6-Tin hc: ..........................................................................................................

(Tn ngoi ng + Trnh A, B, C, D,... )

(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,....)

20) S trng cng tc: ...................................................................................................................................................................................................................

21) Khen thng: ................................................................................................., 22) K lut: ...............................................................................................
(Hnh thc cao nht, nm no)

(v ng, chnh quyn, on th hnh thc cao nht, nm no)

23) Tnh trng sc khe: ................................................................, Chiu cao:............. , Cn nng:

24) L thng binh hng: ............/............. ,

...............kg,

Nhm mu: .........................

L con gia nh chnh sch (): .....................................................................................

(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: ..............................................

Mu 2a-BNV/2007 ban hnh km theo Quyt nh s 06/2007/Q-BNV ngy 18/6/2007 ca B trng B Ni v

27) o to, bi dng v chuyn mn, nghip v, l lun chnh tr, ngoi ng, tin hc
Vn bng,chng
ch, trnh g

Tn trng

Chuyn ngnh o to, bi dng

T thng, nmn thng, nm

Hnh thc
o to

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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

28) Tm tt Qu trnh cng tc

Chc danh, chc v, n v cng tc (ng, chnh quyn, on th, t chc x= hi), k
c thi gian c o to, bi dng v chuyn mn, nghip v, ...

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Mu 2a-BNV/2007 ban hnh km theo Quyt nh s 06/2007/Q-BNV ngy 18/6/2007 ca B trng B Ni v

29) c im lch s bn thn:

- Khai r: b bt, b t (t ngy thng nm no n ngy thng nm no, u), = khai bo cho ai, nhng vn g ? Bn thn c lm
vic trong ch c (c quan, n v no, a im, chc danh, chc v, thi gian lm vic ...)
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- Tham gia hoc c quan h vi cc t chc chnh tr, kinh t, x= hi no nc ngoi (lm g, t chc no, t tr s u

... ?) : ....

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- C thn nhn (Cha, M, V, Chng, con, anh ch em rut) nc ngoi (lm g, a ch ... ) ? ...........................................................................................
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30) QUAN H GIA NH

Mi
quan
h

a) V bn thn: Cha, M, V (hoc chng), cc con, anh ch em rut

Nm Qu qun, ngh nghip, chc danh, chc v, n v cng tc, hc tp, ni
H v tn
(trong, ngoi nc); thnh vin cc t chc chnh tr-x= hi ... ?
sinh

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Mu 2a-BNV/2007 ban hnh km theo Quyt nh s 06/2007/Q-BNV ngy 18/6/2007 ca B trng B Ni v

b) V bn v (hoc chng): Cha, M, anh ch em rut

Mi
quan
h

H v tn

Nm
sinh

Qu qun, ngh nghip, chc danh, chc v, n v cng tc, hc tp, ni

(trong, ngoi nc); thnh vin cc t chc chnh tr-x= hi ... ?

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31) Nhn xt, nh gi ca c quan, n v qun l v s dng cn b, cng chc

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Ngi khai
Ti xin cam oan nhng
li khai trn y l ng s tht
(K tn, ghi r h tn)

.................., Ngy ...... thng........ nm 20........

Th trng c quan, n v qun l v s dng CBCC
(K tn, ng du)