-----------------------------~-----------------------------

i

•

BO GrAO THONG VAN TArC GIAO THONG vAN TAl TP. HO CHi MINH.

•

QUYTRiNH

QUAN LY, cAp PIlAT VAN BANG CHUNG CHi

(Thong bao s6 285/TB-DHGTVT, ngay 05 thang 5 nam 2017)

TP. HB Chi Minh, 2017

CONG HOA xX HOI CHU NGHiA VIET NAM. . .DQc I~p - T1}'do - H~nh phiic

BO GrAO THONG VAN TArTRUONG DH GIAO THONG V~N TAl

TP. HO CHi MINH

S6: 285 ITB-DHGTVT

i

TP. H6 Chi Minh, ngay 05 thang 5 nam 2017

THONGBAoQuy trinh quan Iy, c~p phat van b~ng, chimg chi

1. M1}cdich va pham vi ap dung

1.1 M1}Cdich

- Quy trinh nay chuan hoa viec quan ly, c~p phat van bfutg chirng chi CVBCC);

- Dam bao viec quan ly c~p phoi, in ~n, luu trfr h6 So', phat VBCC thea dung yeu d.u,trinh tu duoc quy dinh tai quyet dinh s6 872/QD-DHGTVT ngay 10 thang 11 nam 2016 cuaHieu tnrong v€ viec ban hanh Quy ch~ quan ly van bang, clnrng chi cua tnrong Dai hoc Giaothong v~n UtiTP. H6 Chi Minh; dam bao moi viec lien quan diroc thuc hien thuan loi, khoa

hoc va dung quy dinh hien hanh;

1.2 Pham vi ap dung

Quy trinh nay ap dung khi c~p phoi, in ~n, phat VBCC va quan ly h6 So' VBCC d6i voisinh vien/hoc vien t6t nghiep dai hQC,cao d~ng, thac si, ti~n SI va cac khoa hQc ng~n h~n t~iTruOng D~i hQc Giao thong v~n tai thanh ph6 H6 Chi Minh.

2. Tic vi~t t~t

i

BGH

CCCD

CMND

PDT

PDTVLVH

QD

: Ban Giam hi~u

: Can cucrc cong dan

: ChUng minh nhan dan

: Phong Dao t~o

: Phong Dao t~o Vira lam vira hQc

: Quy~t dinh

SDH : Sau d~i hQc

SVIHV : Sinh vien/hQc vien

TC-HC : Tf>chuc - Hanh chinh

TT

VBCC

: Trung tam

: Van b~ng chUng chi

3. Luu dB quy trinh e§p ban gBe

4. D~e ta quy trinh e§p ban gBe

(xem trang 3)

(xem trang 4 - 6)

5. Cae bi~u rn§u/hU'fl'ng d§n kern theo

TT Ten bi~u m~ulH6 So' Ky hi~u

1 Phi~u d€ nghi c~p phoi VBCC BM-VBCC-Ol

2 Bien ban giao/nh~n phoi VBCC BM-VBCC-02

3 Bien ban Ki~m tra va giao/nh~n VBCC sau khi in BM-VBCC-03

1/8

TT Ten bieu m~ulH6 sa Ky hieu

4 Bien ban giao/nhan phoi VBCC hong BM-VBCC-04

5 S6 theo d5i qua trinh thirc hien in, Icy, d6ng dAuVBCC BM-VBCC-05

6 S6 quan 1y in, cApphat phoi VBCC BM-VBCC-06

7 S6 g6c cApbang, chirng chi BM-VBCC-07

8 Dan d~ nghi cApban sao VBCC BM-VBCC-08

•

2/8

.. "J

QUY TRINH cAp PHAT VAN BANG, CHUNG CHi (ban g8c)

I LUUHOSODON VI cHuAN BI HO so

0UZ=,0 I=u~~

THVCHI~N

Sai(7) Ki~mtra(1)

Lap h6 sa

(2)Ti~p nhan h6 sa

(6) In VBCC

••••••••••• M•••• M•• _ ••••••• _ •••••• _ ••••• M _ •••••••••••• _ ••••••••••••••• __ ••••••• _ c...............•...•. _ _ •.••.•..........• _ •....• _ .......•. _. __ . __ ............•. _._._. __ ...••..... __ ._._ •••__ ••..• __ _ __ .. __ . __ - •. ----.- ••.• --

(3) Ki~mtra

(12) Bao cao k~t qua

Dungi

(8) KyVBCC

(13)S6 quan ly dp phat

... . _._ __.._._ .._._._._. __ .._._ _._.__ .__ ._ _._.- .._.__._. __ .._._ _. ..._ ··i·--.·_··············_······· _ _._ _ _._ -_ _ _._._.._ ..i

(11) Phat VBCC

t(10) L~p s6 quan ly

(5) '-I'~,--__ ___r ~ .I (14)Xu~t phoi VBCC H6 sa quan ly, hru trft

01) - -- --- •..•.........••.....- .. - - --.... .....•..•- •..•- -.- ..- -- -.- --- - +--..- - -..-..- -.--.-- + - -- - -..- - -1c::'::3~

1 _ _ · -+... - ,i-_.-- - - --.- - -...........--._ '''-''''''-''''''-''-''-'''-'__ _.__.__ t~- -..- - --..-..-..-.------..!-.-- - - -.-..- - ..-..-- -- ..-. .--j

L-- __ Khong duyet -I~ Duyet -

;

3/8

(9) Dong d~u

D~C TA QUY TRiNH cAp PHA.T VAN BANG - CHUNG CHi (ban g6c)

B9 phan/ngiroi Ket qua H~n Bi~uB9 phan/Nguoi ph6i hop thuc hoan mftu/h6 saTT Ten biroc N9i dung cong viec thuc hienhien dat duoc thanh

L~p h6 sa, g6m:- Phieu de nghi c~p phoi VBCC PDT, PDT

L~p h6 sa - QD SVIHV du dieu kien c~p VBCC VLVH, Vi~n, B9 h6 sa BM-VBCC-OI1- Danh sach kern thea QD Trung tam- QD SVIHV trung tuyen/nhap h9C (theodanh sach c~p VBCC)

Tiep nhan h6 sa c~p phoi VBCC g6m:- Phieu de nghi c~p phoi VBCC

B9 phan PDT, PDTTiep nhan - QD SVIHV du dieu kien c~p VBCC VLVH, Vien, B9 h6 sa2h6 sa Danh sach kern thea QD quan ly VBCC Trung tam-

- QD SVIHV trung tuyen/nhap h9C (theodanh sach c~p VBCC)

H6sa+Ki~m tra h6 sa thea quy dinh, xac dinh ra

PDT, PDT Xac nhans6 IUQ'ng,loai VBCC, Iy do c~p phoi, ... B9 phan

VLVH, Vi~n, thong tin de 1,0 ngay3 Ki~m traNeu dung thi chuyen buoc 4, neu sai quan Iy VBCC Trung tam nghi c~pchuyen lai buoc 1

phoi VBCC

Xem xet kY duy~t c~p phoi VBCC. Hieu tnrongB9Ph~ H6 sa duQ'c

4 Xet duy~t Neu duy~t thi chuy~n bu6c 5, neu khong (ho~c Pho Hi~u duy~t0,5 ngay

quan ly VBCCduy~t chuy~n I~i bu6c 1 truemg)

4/8

BQphan/Ngiroi BQphan/nguoi K~t qua Han Bi~uTT Ten buoc NQi dung cong viectlnrc hien ph6ih9'Pthl,Tc hoan mfiu/h6 sahien dat diroc thrum

Ti~p nhan phieu duoc duyet (kern h6 sa),PDT, PDTchuan bi phoi va c~p phoi thea dung nQi BQphan

5 C~p phoi VLVH, Vi~n, Phoi VBCC 0,5 ngay BM-VBCC-02dung duoc duyet; l~p bien ban c~p phoi quanlyVBCC Trung tamVBCC

T6 chirc in noi dung len VBCC thea dung PDT, PDT6 In quyet dinh va danh sach SVIHV du di€u VLVH, Vi~n, VBCC 5 ngay BM-VBCC-05

kien Trung tam

Ki~m tra VBCC dff in so voi thong tin theaQD va danh sach SVIHV du di€u kien c~p. PDT, PDT BQphan BM-VBCC-03

7 Ki~m tra N~u dung thi chuyen len buoc (8), n~u sai VLVH, Vi~n, VBCC 01 ngaythi chuyen v€ buoc (5) lam thu tuc huy phoi Trung tam quanlyVBCC BM-VBCC-04

sai va d€ nghi c~p lai.

Xem xet, Ky VBCC thea QD va danh sachHieu tnrong PDT, PDT

8 KySVIHV du di€u kien hoac Truong dan VLVH, Vi~n, VBCC 02 ngay BM-VBCC-05

vi duoc uy quyen Trung tam

Ti~p nh~n VBCC, ki~m tra, dong d~u vao PDT, PDT9 Dong d~u VBCC dff duQ'c Hi~u truOnglho~c TruOng PhongTC-HC VLVH, Vi~n, VBCC 02 ngay BM-VBCC-05,

dan vi duQ'c uy quyen dffkY. Trungtam

Ki~m tra, I~p s6 quan Iy c~p phat VBCC;PDT, PDT -VBCCL~p s6 yeu cAughi chinh xac, ro rang cae thong10 VLVH, Vi~n, - S6 g6c c~p 03 ngay BM-VBCC-07

tin: s6 hi~u VBCC, s6 vao s6 va thong tinqmin Iy Trungtam VBCCVBCC, ...

5/8

.''" (Y'J

B(>phan/Nguoi B(>phan/nguoi KSt qua H.;m BieuTT Ten buoc Noi dung cong viec phci hQ'Pthirc hoanthuc hien dat diroc m~u!h6sahien thanh

- T6 chirc phat VBCC ngay sau khi holmthanh buoc (10).- SVIHV phai xUc1ttrinh CMND hoac The

PDT, PDT Phong/Ban/CCCD hoac gic1Yto' tuy than (hQ'Pl~) khi11 PhatVBCCnhan VBCC hoac giay to' uy quyen theo VLVH, Vi~n, Khoa/Bo mon BM-VBCC-07

quy dinh (neu nhan h(» va ky nhan, ghi ro Trung tam thuoc Truong

ho ten, thoi gian nhan VBCC vao sf:,g6c.-re chirc L€ trao VBCC theo dinh kyo

Tf:,nghQ'P,thong ke va bao cao kSt qua:PDT, PDTBao cao Xac dinh s6 IUQ'ngda cc1p,s6 IUQ'ngcon lai Cuoi12 VLVH, Vi~n, Bao cao BM-VBCC-06

kSt qua de l~p bao cao bang van ban cho BGH va namTrung tam

b(>phan quan ly VBCC theo dinh kyo

- Quan ly, hru trft sf:,g6c cc1pva VBCC

Quan ly con lai theo dung quy dinh, dam bao an PDT, PDT -VBCC13 toan, tranh bi thc1tlc;tcho~c hu hong. VLVH, Vi~n, - sf:, g6c cc1p BM-VBCC-07

luu tru - TiSp tvc cc1pVBCC con lc;ticho nhung Trungtam VBCCSVIHV chua dSn nh~n tc;tibu6c (11)

Quan ly - Quan ly, luu tru h6 sa cc1pphoi VBCC B(>ph~n - H6 sa luu14 tm

luu tru - Th6ng ke VBCC, bao cao theo dinh ky qulin ly VBCC - Bao cao

6/8

o,

6. Quy trinh quan ly, cAp phat ban sao van b~ng, clnrng chi

TT Ten bUGC Noi dung cong viec Be)phan/Nguoi Be)phan/nguoi Ket qua Bieuthirc hien ph6i hop thuc hien dat duoc mfru/h6 sa

1 Lap de Lap phieu de nghi cApphoi ban sao PDT, PDT VLVH, Phieu de nghinghi Vien, Trung tam

2Tiep nhan

Kiem traBe)phan PDT, PDT VLVR, Xac nhan giAy

h6 sa quan ly VBCC Vien, Trung tam de nghiHi~u tnrong Be)phan Giay de nghi cAp3 Duyet Duyet cAp (hoac Ph6 Hi~u quan ly VBCC phoi duoc duyettnrong)

4 cAp cAp phoi ban saoB9 phan PDT, PDT VLVR, Phoi ban sao

quan ly VBCC Vien, Trung tam

Tiep nhan - Tiep nhan de nghi cApban sao til ngiroi h9C5 de nghi - Ki~m tra thong tin PDT, PDT VLVH, Phieu de nghi

cApban Vien, Trung Him duoc duyet- N9P l~ phi cfip ban sao theo quy dinh.sao

6 In In thong tin len ban sao VBCC PDT, PDT VLVH, VBCC ban saoVien, Trung tamHieu tnrong hoac PDT, PDT VLVH,7 Ky Ky ban sao VBCC Truong dan vi VBCC ban saoduQ'cuy quyen Vien, Trung tam

8 D6ng dAu D6ng dAuVBCC ban sao PhongTC-HCPDT, PDT VLVH, VBCC ban saoVi~n, Trung tam

Quan ly - Quan ly, luu trfr s6 cApban sao VBCC PDT, PDT VLVH,- Ban sao VBCC

9 - Th6ng ke, bao cao theo dinh ky ban sao - S6 cApban saoluu trfr t6n, hu hong Vi~n, Trung tam VBCC

7/8

,. ..,.

TT Ten bUGC NQi dung cong viecBQphan/Ngiroi BQphan/nguoi Ket qua Bieu

thirc hien ph6i hop tlnrc hien dat duoc mfru/h6 sa

Phat ban sao VBCC cho nguoi d~ nghi d.pPDT, PDT VLVH,

10 Phat Ngiroi nhan xuAt trinh giAy to' va Icy xac nhan VBCCbansaoVien, Trung tam

nhu bUGC(11) thu tuc cApban chinh- Quan ly, luu trfr h6 sa cApphoi ban sao

11Quan ly VBCC BQ phan - H6 sa luu trfr

luu trfr - Th6ng ke phoi ban sao VBCC, bao cao quan lyVBCC - Bao caothea dinh ky

Luu y:S6 hrong ban sao se duoc cApthea tung nam cho dan vi Dao tao/Vien/Trung tam tnrc ti~p cApphat ban sao VBCC.Thai gian d.p ban sao ngay trong ngay tiSp nhan yeu cAuhoac trong ngay lam viec tiSp thea nSu tiSp nhan yeu cAusau 03 (ba) giochien. Cac tnrong hop khac tuan thu khoan 3, di~u 30 Quy ch~ Quan ly van bang, clnrng chi cua Truang D~i hQc Giao thong v~n tai

TP HCM (kern theo quyit djnh sa 872 IQD-DHGTVT, ngay 1011112016 cua Hi¢u truon .~~~~-No"i Ilh{ill:- HQid6ng VBCC;- BGH (dS b/c);- PDT, PDT VLVH, Vi~n SDH;- Cac Vi~n, Trung tam;- P.TCHC, P.KHTV, P.CTCT&QLSV;- BQph~n QL d.p phoi;- Website;- LUll: VT.

, A ,

HO HIEU TRUONGPGS.TS.~~I jlq;n ~

8/8

~

BON VI: .

CQNG HOA XA HQI eHU NGHiA VI:¢T NAMDQcl~p - TV do - H~nh phuc

TRVONG VA.IHOC OTVT TP. HCM

TP. H6 Chi Minh, ngay thdng nam 201 ...

PHIEU DE NGHJcAp phoi van b~ng, clnrng chi

1. Ten don vi d€ nghi cAp phoi VBCC: .

....................................................................................................................................................2. Loai phoi va s6 hrong d€ nghi cAp:

Ly do cap: .

....................................................................................................................................................c 3. H6 sa g6m co:

+ Phi€u d€ nghi cApVBCC+ Quyet dinh cong nhan va danh sach SVIHV dli di€u kien cApVBCC:................................................................................................................................................................................................................................................................................................+ Quyet dinh va danh sach SVIHV tnmg tuyen/nhap hoc (theo danh sach cap VBCC)

................................................................................................................................................

................................................................................................................................................+C' .J.. t' kha (:.. ')ac gray 0' ac neu co : .................................................................................................................................................

Don vi nh~nBQph~n quan ly VBCC

Don vi d~ ngh]

HI~UTRUONG

BM-VBCC-OI

BO GIAO THONG VAN TAlTRUONG DH GIAO THONG V~N TAl

TP. HO CHi MINH

CONG HOA XA HQI CHi) NGHiA VI~T NAMDQc I~p - T\l' do - H~nh phuc

BIEN BANGiao/nh~n phoi b~ng, chirng chi

Vao h6i gio phut, ngay thang nam 201 .jai ..

Truong Dai h9C Giao thong v~n Utithanh ph6 H6 Chi Minh, chung toi g6m:

Ben giao: Ong/ba: ..

Ben nhan: Ong/ba: .

Chung kien: .

. .

. .

. .Dff ti€n hanh kiem tra va giao nhan phoi van bang, chirng chi, cu thS nhir sau:

•

TTTen phoi bang, S61uQ'Ilg S6hi~u VBCC Ghi chu

clnrng chi (cai)

1

2

TAng cQng

Toan bQ phoi van b~ng, clnrng chi ban giao con tinh trang t6t; khong bi: rach, nhau mit,

Am u61, bAn.Ong/ba dff kiem tra, nhan dli s6 phoi van bang, chirng chi noi tren,

d6ng y kY nhan van bien ban va s6 giao nhan.

Bien ban nay duoc lap thanh 02 ban co gia tri nhu nhau, m6i ben gift 01 ban.

Viec ban giao k€t thuc van luc gio phut cung ngay./,

Ben giao Ben nh~n

BM-VBCC-02

BO GIAO THONG VAN TAlTRUONG DH GIAO THONG V~N TAl

TP. HO CHi MINH

CQNGHOAXA HQI CHU NGHiAVItT NAMDQc l~p - Tl,f do - H~nh phuc

" ?BIEN BANKi~m tra va giao/nh~n b~ng, chtrng chi sao khi in

(Loai VBCC: )

Vao h6i gio phut, ngay thang nam 201 , tai ..

Truong Dai hoc Giao thong v~n tai thanh ph6 H6 Chi Minh, chung tci gom:

1. Ben giao: Ong/ba: .

phu trach in VBCC

2. Ben nhan: Ong/ba: .. (nhdn true nip)

. .

Ong/ba: .. (kiem tra tl6c ldp)

Tren co sa s6 lU9'11gVBCC da:duoc in la: ..

Va dtr lieu in VBCC (theo cac quyet dinh): ..

................................................................................................................................................Chung toi da:ti€n hanh kiem tra chi ti€t chfrt hrong va nQi dung in tren tung VBCC. K€t qua

kiem tra nhu sau:

S6 VBCC da:in c6 chfrt hrong dam bao; c6 nQi dung chinh xac la: .

S6 VBCC chua dam bao (neu C1:l thi) ..

................................................................................................................................................

................................................................................................................................................Chung toi thong nhfrt nQi dung tren va d6ng y ky vao bien giao/nhan nay.

Ben nhan hoan thanh cac thu tuc ti€p theo, l~p s6 g6c cfrpVBCC va thirc hien viec cfrpphat

thea quy dinh.

Bien ban nay duoc l~p thanh 02 ban c6 gia tri nhu nhau, m6i ben gifr 01 ban.

Vi~c ban giao k€t thuc vao h6i gia phut cung ngay./.

Bcn giao Bcn nh~n

Be) GIAO THONG VAN TAlTRUONG DH G~AO ~HONG V~ TAl

TP. HO CIDMINH

CQNG HOA xX HQI can NGHiA 'TI¥T NAMDqc I~p - T" do - H~nh phuc

BIEN BANGiao/nhj.n phoi VBCC hong

, hA• ., hr , ha ~ 201 .Vao .01 glO' put, ngay tang narn , t,;1.1 .Truong Dai h9C Giao thong v~ tai thanh ph6 H6 Chi Minh, chung toi g6m:

Ben giao: Ong/ba: . .Ben nhan: Ongiba:.................................................... . .Chung kien: . .fr .s. hanh ki~ nha h · VBCC h' h~ nha tien em tra va giao an p: 01 ong, cu t e ir sau:

TT Ten phoi S61u911g S6 hieu VBCC Ly do hongVBCC hong (cai)

TAng cong, ,So phoi VBCC hong nay duoc tiep nhan cho h9P hQi dong huy phoi,Bien ban nay diroc l~p thanh 02 ban c6 gia tri nhtr nhau, m6i ben gift 01 ban.Viec ban giao kSt thuc VaGluc gio phut cling ngay.z.

Ben giao Ben nh~n

c=!M-VBCC-04 JBO GIAO THONG VAN TAI

TRUoNG DH GIAO mONG vAN TAlTP. HO CIDMINH .

CQNG HOA xA HQI can NGHiA VI¥T NAMDQcI~p - T" do - H~nh phuc

BIEN BAN, ". ., , ,Giao!nh~n ~hoi VBC~ hong

Vao hOI gio phut, ngay thang narn 201 , tai .Truong Dai h9C Giao thong v~ tai thanh ph6 H6 Chi Minh, chung toi gem:

Ben giao: Ong/ba: . .Ben nhan: Ongiba:.................................................... . ..Chung kien: . .D- .:. hanh kie nh'" h ·VBCCh' he nha tien iem tra va giao ~PJOI ~ng, cl,lt e u sau:

TTTen phoi S61u911g S6 hi~u VBCC Ly do hong

VBCC hong (cai)

TBng cong,So ph01 VBCC hong mlY dugc tiep nh~n cha h9P hQi dong huy phoi.Bien ban nay duQ'c l~p thanh 02 ban c6 gia tri nhu nhau, m6i ben gift 01 ban.Vi~c ban giao kSt thuc vao luc gia phlit cling ngay.l.

Ben giao Ben: nh~ll

I. "e , •

TRUONG DH GIAO THONG V~N TAl TP. HeMPHONG DAo T~O

C(>NG HOA xA H(>I CHU NGHiA VI~T NAMDQc I~p - Tv do - H,nh phuc

SOTHEonOIQua trinh tlnrc hi~n in, ky, dong diu bing D~I HQC

STT NQi dung cong viec S6 Nguoi nhan thuc Ngay nhan/ Ngay tra/ Ngiroi ph6i hop/ Ghi chuIUQl1g hien nhiem vu kY xac nhan kv xac nhen ky xac nhan

I BM-VBCC-OS (DR) IL ,, ._

r» ., .TRUONG DH GIAO THONG V!N TAl TP. HeM

PHONGDAo T~oCONG HOA xA HOI CHU NGHiA VI~T NAM

DQc l~p - T1f do - H~nh phuc

SOTHEODOIQua trinh thuc hi~nin, ky, dong d§u bing CAODANG

STT Noi dung cong viecS6 Ngiroi nhan thuc Ngay nh~n/ Ngay tra! Nguoi ph6i hop/ Ghi chu

IUQ11g hien nhiem vu Icy xac nhan Icy xac nhan ky xac nhan

l BM-VBCC-OS (CD)---.--------~ _._------ -- - --~

I. •

TRUONG DH GIAO THONG VAN TAl TP. HeMPHONG DAo T~O

CQNG HOA xA nor CHU NGHiA VI"E:TNAMDqc I~p- Tv do - H~nh phuc

SOTHEODOIQua trinh thuc hi~n in, ky, dong diu chung chi GIAO DVCTHE CHAT

STT Noi dung cong viec S6 Nguoi nhan thirc Ngay nhan/ Ngay trW Nguoi ph6i Ghi chuhrong hien nhiem vu Icy xac nhdn Icy xac nhan hQ1l/kYxac nhan

! BM-VBCC-05 (GDTC)I

TRUONG DR GIAO THONG VAN TAl TP. HeMPHONGDAo T~O

CONG HOA xA HOI CHU NGHiA VI~T NAMDQcI~p - T., do - H~nh phuc

"

SOTHEonOIQua trinh th.,c hi~n in, ky, dong diu chung chi BOI

STT Noi dung cong viec S6 Ngiroi nhan thuc Ngay nh~nJ Ngay trW Ngtroi ph6i hQPI Ghi chuhrong hien nhiem vu kY xac nhan _leY xac nhan kY xac nh~n

BM- VBCC-OS (B) I

"

TRVONG DH GIAO THONG V~N TAl TP. HeMPHONG DAo T1).0

CQNG HOA xA HQI CHU NGHiA VI"E:TNAMDQc l~p - T1! do - H~nh pht'ic

SOTHEO nOIQua trinh thuc hi~n in, kj, dong diu clnmg chi GlAo DVC ouoc PHONG

STT Noi dung cong viec S6 Nguoi nhan thirc Ngay nhan/ Ngay trW Nguoi ph6i hop/ Ghi chuhrong hien nhiem vu kYxacnh~n Icy xac nhan Icy xac nhan

BM-VBCC-OS (GDQP) i

BQ GIAO THONG V~N TAlTRUONG D~I HQC GIAO THONG v!N TAl TP. HO CHi MINH

so QuAN LV IN vA cAp PHAT PH(n VANBANGCHUNG CHiNA.M2017

S6 Loai Van bang,Nh,p kho cAp phat

Ghi chuTT Chung chi Ngay nhap S6 S6 hieu phoi Nguoi nhap Ngiroi Ngay phat S61ugng S6 hi~u phoi Nguoi phat Nguoi nhan

luong kiem tra

1

2

3

, , ,Ghi chit: cuoi nam co thong ke van bang chirng chi ton kho.

TP. H6 Chi Minh, ngay thang ndm 2017HI¥UTRUONG

(Ky, dong ddu, ghi ro ho ten)

I--------~-~-----lI BM-VBCC-06 I

BO GlAO THONG VAN TAlTRUONG D~I HQC GIAO THONG V~ TAl TP. HO CHi MINH

so GOC cApBANGTOT NGHIt:P D~I HQCKhoa hoc: .

Hinh thirc dao tao: .

Quyet dinh cong nhan t6t nghiep s6 ngay thang nam .

HQ va ten nguoi hoc

Ngaythangnamsinh

S6TT Noi sinh Gioi

tinhDan tQc QU6c

tich Nganh dao tao

s6hieuvanb~ng

Ghi chu

s6vaoA ;.so goc

cApvanb~g

X~ploai t6tnghiep

Namt6t

nghiep

Nguoi nhanvan bang Icy vaghi ro ho ten

TP. H6 Chi Minh, ngay thang ndm .IIQ:U '!RUONG

(Ky, dong ddu, ghi rii ho ten)

BM-VBCC-07 (DH) Ii

..

BO GIAO THONG V~N TAlTRUONGD~I HQCGIAOTHONGV~N TAl TP. HO CHi MINH

so GOC cAP BANG TOT NGHltp CAO DANGKhoa hoc: : .

Hinh thirc dao tao: .

Quyet dinh cong nhan t6t nghiep s6 ngay thang nam .

I BM-VBCC-07 (CD) .1I~._.._-.-- ~. .~._

Ngay Nam X@p sa vao Nguoi nhan vanS6 Nai Gioi Dan Quec se hieu s6 g6cTT HQ va ten nguoi hoc thang sinh tinh tQc tich

Nganh dao tao t6t loai t6t van bang dpvanbang Icy va ghi ro Ghi chit

nam sinh nghiep nghiep biing ho ten

TP. H6 Chi Minh, ngay thong ndm .HI:E;U TRUONG

(Ky, dong ddu, ghi ro ho ten)

..

BO GIAO THONG VAN TAlTRUONG D~I HQC GIAO THONG V~NTAl TP. HO CHi MINH

so GOC cApBANGTH~C si

NgayQuyet dinh Ten nganh Quy€t dinh cong S6 hieu S6 vao s6 Nguoi nhan

S6 HQva ten thang Noi Gioi Dan Qu6c t~anh l~phQi Ngay hoac chuyen nhan tMnghiep, van g6c cap van bing Icy va Ghi chuTT nguoihQc nam sinh sinh tinh tQc tich dong danh gia bao ve nganh dao tao dp bing thac sf bing van bing ghi ro ho ten

lu~nvan

, ,Ghi chu: Quyet dinh thanh l~pHQidong danh gia lu~nvan va Quyet dinh cong nh~n tot nghiep, cap bang thac si ghi ro so, ngay thang nam.

TP.H6 Chi Minh, ngay (hang ndm .HI¥UTRUONG

(Ky, dong d6u, ghi ro ho ten)

1--------------------- - -

I BM-VBCC-07 (ThS)

..

BO GIAO THONG VAN TAlTRUONG D~I HQC GIAO THONG V~N TAl TP. HO CHi MINH

so GOC cAp BANG TIEN sl

NgayQuyet dinh Ten nganh Quyet dinh s6 S6vao

sb HQ va ten nguoi thang Gi&i Dan Qubc thanh l~p hQi Ngay ho~c cong nhan hieu ;:. " Ngiroi nh~n vanNai sinh dAng danh gia chuyen hoc vi va

so goc bang ky va ghi TO Ghi chuTT hQc nam tinh tQc tich lu~n an cAp

bao ve nganh dao cApbangvan cApvan ho ten

sinh tnrong hoac vi~n tao ti~n SIb~g b~ng

Ghi chu: Quyet dinh thanh I~pHQidong danh gia luan an cap tnrong hoac vien, Quyet dinh cong nhan hoc vi va cap bang tien SI ghi TO so, ngay thang nam.

TP.H6 Chi Minh, ngay thdng ndm .m:E:u TRUONG

(Ky, dong ddu, ghi rii ho ten)

l BM-VBCC-07 CTS) If

_____ ~ __ ~ no- _

BO GlAO THONG V~N TAlTRUONGD~I HQC GIAOTHONGV~ TAl TP. HO CHi MINH

'" .c. .c. TaT" (*)SO GOC CAP CHu xc CHI .

Chuang trinh dao tao, b6i dutrng: .h '" , b ~. d - " ha ~ dA' ha ~T 0'1glan dao tao, 01 uang: nr ngay tang nam en ngay tang nam .

H9i ?6ng thi/kiem tra (1~~Uco): ; .

TP.H6 Chi Minh, ngay thdng ndm .HI¥UTRUONG

(Ky, dong ddu, ghi ro ho ten)

Quyet djnh cong nh~n tot nghiep so .......... n ay .... thang ... nam .........

sf> Ngay Nai Gi&i Dan X~p loai t6t se hieu clurng se vao sB g6c Nguoi nhan clurng chiTT HQ va ten nguoi hoc thang sinh tinh tQc nghiep chi dp chirng chi ky va ghi ro ho ten Ghi chu

nam sinh

Ghi chu: (*) Ghi ten clurng chi.

[--~------------~---~----I

BM-VBCC-07 (C~J

•)

CQNG HOA xA HQI CHU NGHiA VI~T NAMDQc I~p - TV do - H~nh phuc

DON DE NGHI cAp BAN SAO BANG TOT NGHIEP. .Caoding D

Kinh giri:Ban Giam hieu;

Phong Dao tao - Tnrong Dai h9C GTVT TP HCM .:

Toi ten: Ngay sinh: ..NO'isinh (ghi huyen/quan, tinhlTP): ..

G·,· lnh D" " D'" h '1''' h"10'1 ttn : an t9C: l~n t O~l len ~: ..se CMNDIHQ chien: Ngay cap: ..Di'ih9C lap: Kh6a h9C: .Nganh h9C: Hinh thirc dao tao: .Chuyen nganh: .

sa hieu Van bang di'idiroc cap: se vao s6: ..Ly do xin cap ban sao: · .....................................................................................................................................................Nay toi d~ nghi duoc cap ban sao Van bang neu tren voi s6luqng: ban.Hinh thirc nhan: Tnrc ti~p 0 ; Giri qua dirong Buu di~n 0 theo dia chi: ..........................................................................................................................................................................................................................................................................................................

Don nop kern:Ban chinh (tM il6i chieu) hodc ban sao cong chung:- Van bling g6c hade CMNDIH9 chieu- Gidy fa chung minh quan h? vai ngutri duac capvan bang t16i voi truong hap lam h9.

BQphan kiem tra

TP. H6 Chi Minh, ngay ... thdng ... ndm 201 ...Ngum d~ ngh](Ky va ghi ro ho ten)

BM-VBCC-08