CNG HA X HI CH NGHA VIT NAM

c lp - T do - Hnh phc

N XIN XC NHN
THI GIAN TP TRUNG HC
Knh gi:

Ban ch nhim Khoa/Vin

Trng i hc Cn Th

Ti tn: .......................................................................................................................
Ngy thng nm sinh: .................................... Ni sinh: .............................................
C quan cng tc: .......................................................................................................
La hc vin cao hc chuyn nganh .............................................................................
M s hc vin: .................. Kha 20...... 20..... ca Trng i hc Cn Th.
Nay ti lm n ny knh xin Ban ch nhim Khoa/Vin xc nhn cho ti thi gian
hc tp trung :
t ....., t ngy .... thng ... nm ....... n ngy ....... thng ........ nm ..................
t ....., t ngy .... thng ... nm ....... n ngy ....... thng ........ nm ..................
t ....., t ngy .... thng ... nm ....... n ngy ....... thng ........ nm ..................
L do:..........................................................................................................................
.....................................................................................................................................
.....................................................................................................................................
Trn trng knh cho./.
XC NHN
Ngy
thng
nm 200
TL. HIU TRNG
TRNG KHOA/VIN

Cn Th, ngy
thng
nm 200
Ngi
vit
n