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Mu: 2-KN

NG CNG SN VIT NAM

L LCH
CA NGI XIN VO NG

H v tn ang dng:

..

H v tn khai sinh:

..

Qu qun:

..
..
S LL: ...............

nh
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S LC L LCH

H v tn ang dng: ........................................................ Nam, N...............


H v tn khai sinh: ...........................................................................................
Cc b danh: ........................................................................................................
Sinh ngy...............thng...............nm...............
Ni sinh: ..............................................................................................................
Qu qun: ............................................................................................................
Ni hin nay: ...................................................................................................
Dn tc: ...................................... Tn gio: ......................................................
Ngh nghip bn thn hin nay: .......................................................................
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Trnh hin nay: ..............................................................................................
- Gio dc ph thng: ........................................................................................
- Chuyn mn, nghip v, hc v, hc hm: ...................................................
+ Chuyn mn, nghip v: .............................................................................
+ Hc v: ........................................ Hc hm: ................................................
- L lun chnh tr: ..............................................................................................
- Ngoi ng: ........................................................................................................
Ngy v ni vo on TNCSHCM: ...............................................................
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Ngy v ni vo ng CSVN ln th nht (nu c): ....................................
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Ngy v ni cng nhn chnh thc ln th nht (nu c): ............................
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Ngi gii thiu vo ng ln th nht (nu c):


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2. ........................................................................................................................
LCH S BN THN
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NHNG CNG TC V CHC V QUA


T thng nm
n thng
nm
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Lm vic g, u

Chc v

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C IM LCH S
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NHNG LP O TO BI DNG QUA


Tn trng

Ngnh hc hoc tn lp hc
Hnh thc hc

T thng
nm n
thng nm

Vn bng
chng ch

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I NC NGOI
T thng nm
n thng nm

Ni dung i

Nc no

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KHEN THNG
Thng nm

L do hnh thc

Cp
quyt nh

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K LUT
Thng nm

L do hnh thc

Cp
quyt nh

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HON CNH GIA NH


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T NHN XT
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CAM OAN V K TN
Ti cam oan khai y , r rng v chu trch nhim trc
ng v nhng ni dung khai trong l lch.
Bin Ho, ngy

21

thng
K tn

nm 20

NHN XT CA CHI U
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Ngy ..thng.nm
T/M Chi u chi b
B Th

CHNG NHN CA CP U C S

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................................................................................................................................
................................................................................................................................
Ngy ..thng.nm
T/M

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NHN XT CA CP U, T CHC NG
NI N THM TRA L LCH NGI VO NG
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