ࡱ> gjf[ jbjbj 8tΐΐ0>\\8;<w\: @@@$!~$)"@K!!!8!!!!*]f! 0: !J%J%!J%!p@T!b n@@@@@@: J%@@@@@@@@@\ e:  C quan, n v c thm quyn qun l CBCC: Vin KSND tnh Ph Yn. C quan, n v s dng CBCC: ................................................................................................ PHIU B SUNG L LCH CN B, CNG CHC (T thng/ nm & /& & n thng/ nm & ./& & .) 1) H v tn khai sinh (vit ch in hoa): ...................................................................................................................................................... 2) Ngy thng nm sinh:................................................................................................................................. Gii tnh (Nam/n).................................. 3) Chc v (chc danh) hin ti:................................................................................................................................................................................................. (V chnh quyn, ng, on th, k c chc v kim nhim) 4) Ngch cng chc (vin chc): .................................................................................................................., M ngch: ................................................. 5) Bc lng: .......... , H s: ............. Ngy hng ........../............./..............., Ph cp chc v: ...................... Ph cp khc: .......................... 6) Ngy vo ng cng sn Vit Nam: .................../..................../ ..........................., Ngy chnh thc: .............../............../................................. I. THAY I V CHC DANH, CHC V, N V CNG TC (ch k khai nhng thay i hoc b sung v chc danh, chc v, n v cng tc so vi thi im trc) T thng, nm n thng, nmChc danh, chc v c b nhim, bu c, iu ng, min nhim (trong ng, chnh quyn, on th, t chc ca nc ngoi hoc lin doanh vi nc ngoi), thay i v ni dung cng vic, n v cng tc, danh hiu c phong tng...................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ........................................................................................................................................................................................................................ ........................................................................................................................................................................................................................ ........................................................................................................................................................................................................................ ........................................................................................................................................................................................................................ ........................................................................................................................................................................................................................ ........................................................................................................................................................................................................................ ........................................................................................................................................................................................................................ ........................................................................................................................................................................................................................  II. O TO, BI DNG NNG CAO TRNH  CHUYN MN, NGHIP V (ch khai b sung sau khi  kt thc kha o to, bi dng) C s o to, bi dngChuyn ngnh o to, bi dngThi gian o to, bi dngHnh thc o to, BDVn bng, chng ch ....................................................................... ....................................................................... ....................................................................... .......................................................................  .................................................................................... .................................................................................... .................................................................................... ....................................................................................  ..../........ - ....../......... ..../........ - ....../......... ..../........ - ....../......... ..../........ - ....../......... ......................... ......................... ......................... ......................... ....................... ....................... ....................... ....................... Ghi ch: Hnh thc hc: Chnh qui, ti chc, chuyn tu, bi dng ... ; Vn bng: TSKH, TS, Ths, c nhn, k s .... hoc chng ch III. KHEN THNG (ch khai nhng pht sinh mi)............................................................................................................................................................... ...................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................... IV. K LUT (ch khai nhng pht sinh mi).......................................................................................................................................................................... ....................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................... V. I NC NGOI (T 06 thng tr ln tnh t ngy ....../....../........ n ngy ....../..../....... . i nc no?  lm vic  c quan, t chc no? Ni dung cng vic) ....................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................... VI. TNH TRNG SC KHO (thi im hin ti)......................................................................................................................................................... ....................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................... VII. 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VIII. V GIA NH: (k khai nhng pht sinh mi v s lng v hon cnh kinh t, chnh tr ca cc thnh vin trong gia nh (b m, v, chng, cc con, anh ch em rut ...) ....................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................................................... IX. 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