CNG HA X HI CH NGHA VIT NAM

c lp - T do - Hnh phc

N NGH CP TIN H TR MIN, GIM HC PH

Knh gi:

Phng lao ng - thng binh v x hi

huyn

H v tn: ....
Ngy, thng, nm sinh: ...
Ni sinh: ...
H tn cha/m sinh vin: .....
H khu thng tr:
X (Phng): ................ Huyn (Qun): .........
Tnh (Thnh ph): .
Ngnh hc: M s sinh vin: ...............
Thuc i tng: (ghi r i tng c quy nh ti Thng t lin tch hng dn Ngh nh 49) ..................
.........................................................................

Cn c vo Ngh nh s 49/2010/N-CP ngy 14 thng 5 nm 2010 ca Chnh ph, ti

lm n ny ngh c xem xt, gii quyt c cp tin h tr min, gim hc ph theo
quy nh v ch hin hnh.
ngy .... thng .... nm 20............
Ngi lm n

.........,,

(K tn v ghi r h tn)

HIU TRNG TRNG I HC THY LI

Xc nhn anh/ch: ....................................................................................................................................................................................................
Hin l sinh vin nm th .... Hc k: ....................... Nm hc: .................................................. Lp: ..........................
Khoa: ......................................................................................................................Kha hc:..... ........................................................................................
Thi gian kha hc: ........................ ........................................................H o to:..............................................ca nh trng.
K lut: .........................................................................................................................................................................................................................................
S tin hc ph hng thng: .......................................................................................................................................................................................
ngh phng lao ng - thng binh v x hi xem xt gii quyt tin h tr min, gim hc ph
cho anh/ch .............................................................. theo quy nh v ch hin hnh.
Tp.H Ch Minh, ngy .... thng .... nm 20............
TL/GIM C
TRNG BAN O TO & QUN L SINH VIN