CONG HOA xA HQI CHU NGHiA VIET NAM. . .DQc l~p - T\f do - H~nh phuc

..................... , ngay thdng ndm .

(Dan anh 4x6)

PHIED DANG KY mr TUYENV· t . d t ~ (I)! rr l! uyen : .

DOll vi dl}' tuy~n(2): .

I. THONG TIN cA NHAN

. H9 va ten: Ngay, thang, nam sinh:................. Nam 0 Nfr 0

In. A tA TA "lLIan QC:. .•......•....•..•..........••.. on glao: .. "So CMND hoac The can ciroc cong dan: Ngay cap: NO'i cap: .

S6 di~n tho~i di dQng o€ bao tin: Email: "-1Que quan: .

IrIQkhau thuOng tr6: .. .

Ch6 a hien nay (d€ bao tin): .

h'inh trang sire khoe: , Chi€u cao: , Can nang: kg

Thanh phan ban than hien nay: .~---------------------------------------------------------------------I

rrrlnh dQ van h6a: II

Trinh oQ chuyen mon: Loai hinh dao tao: I

II. THONG TIN BAo T~OI

Ngay, thang,Ten trmmg, Trinh dQ ss hi~u cua

Chuyen nganhNg:imh Hinh X~p loai

nam cap vanco' sO'dao tao van b~ng, van b~ng,

dao tao (ghidao thtrc b~ng, Ib~ng, chung A clnrng chi clnrng chi

theo bangtao dao tao chung c ~i

chicap

di~m)

II

I

HI. MIEN THI NGO~I NGU, TIN HQC

(Thi sinh thuoc dien miSn thi ngoai ngfr, tin h9C cAn ghi ra Iy do miSn thi amuc nay)

Mien thi ngoai ngfr do: .

MiSn thi tin hoc do: .

IV. DANG KY mr THI 1\10NNGO~I NGU

(Thi sinh Iua chon va ghi ro dang ky thi met trong nam thtr tieng: Anh,Phap, Nga, Trung Quoc, Dire hoac ngoai ngif khac thee yeu cAu cua vi tri du tuyen.Thi sinh duoc miSn thi men ngoai ngir kh6ng phai diSn thong tin a muc nay).

D~ kv d thi '-rrang Y l! l 1ngoai ngu: .

V. DOl TU(}NG UlJ TIEN (neu co)

T6i xin cam doan nhirng loi khai tren cua toi la dung sir that. Sau khi nhanduoc thong bao trung tuyen toi se hoan thien h6 sa theo quy dinh. NSu sai sir thatthi kSt qua tuyen dung cua toi se bi ca quan co tham quyen tuyen dung huy bo, toise chiu trach nhiem truce phap luat va cam kSt khong dang ky tham gia ky tuyendung kS tiep tai co quan tuyen dung.z,

xctror VIET PHIEU(KY, ghi ro ho ten)

Ghi clus:

(1) Mil vi tri viec lam:

- Giao vien ti~u h9C co ban: THCB;

- Giao vien Ti~u h9C My thuat (My thuat - D9i): THMT;

- Giao vien mfrm non: MN.

(2) Dan vi du tuyen: Cac tnrong Mfrm non, Ti~u h9C thuoc VBND huyen Blnh San.