Mau Phieu Can Bo Cong Chuc

CNG HA X HI CH NGHA VIT NAM
c lp - T do - Hnh phc
------------------------------------------------------------------------------------
PHIU CN B, CNG CHC, VIN CHC

(Dng cho phn mm qun l h s cn b, cng chc, vin chc tnh Lo Cai)
C quan, n v ch qun: y ban nhn dn huyn Bc H
C quan, n v qun l trc tip: Phng Gio dc v o to huyn Bc H

I. THNG TIN CHUNG:
1. H v tn khai sinh (ch in hoa): PHM DUY THANH
2. H v tn thng dng:
PHM DUY THANH
4. Gii tnh:
Nam
6. S hiu cng chc, vin chc:
7. S CMTND:
Ngy cp:
3. B danh: Khng
5. Ngy, thng, nm sinh: 29/10/1984

Ni cp: Cng an tnh Lo Cai
8. Ni sinh: X Thi Nin-Bo Thng-Lo Cai

9. Nguyn qun: - Theo h s gc: X Nam Thng-Huyn Nam Trc-Tnh Nam nh
- Theo n v HC hin nay: X Nam Thng-Huyn Nam Trc-Tnh Nam nh
10. a ch h khu thng tr:
- Theo n v HC hin nay: Khu Ph I- Th Trn Ph Lu- Bo Thng - Lo Cai
- Theo h s gc: Khu Ph I- Th Trn Ph Lu- Bo Thng - Lo Cai
11. Ni hin nay: Khu Ph I- Th Trn Ph Lu- Bo Thng - Lo Cai
12. Dn tc: Kinh
Tn gio: Khng
Thnh phn xut thn: Cng nhn
13. Tnh trng hn nhn: ang c v
(cha kt hn ln no; ang c v (hoc chng); hin ly hn; ti hn; ga v (hoc chng))
14. a ch Email: phamduythanhlc2010@gmail.com

15. i biu:
Quc hi
HND cp tnh
in thoi: 0976776207
HND cp huyn
HND cp x
II. CNG TC:

16. Ngy tuyn dng u tin: 1/9/2006
C quan tuyn dng: UBND huyn Bc H
17. Ngh nghip trc khi tuyn dng: Khng ngh nghip
18. Hnh thc tuyn dng:
Thi tuyn
Xt tuyn
xTip nhn t ni khc
19. Ngun tuyn dng:. Sinh vin

20. V tr tuyn dng hin nay: Vin chc
(Cng chc; vin chc; hp ng theo Ngh nh 68/2000/N-CP; hp ng t bo m kinh ph)
21. Ngy tuyn dng chnh thc: 1/9/2006

22. Ngy vo c quan hin nay: 1/9/2006
23. Cng vic chuyn mn hin nay: Gio vin ging dy
24. Ngy vo ngnh: 1\9\2006
S nm cng tc trong ngnh: 5
25. Ngy k hp ng:

26. Lnh vc cng tc: Gio dc
1
III. LNG, PH CP:

27. M s ngch: 15a202
Tn ngch, chc danh: Gio vin THCS
Ngy b nhim vo ngch cn b, cng chc, vin chc: 01/09/2006

28. Bc lng hin hng: 2
H s lng hin hng: 2,41
Phn trm hng bc: 100%
Ngy hng bc lng hin nay: 1/9/2010

29. Mc thi gian tnh ph cp TNVK ln sau .........Ph cp thm nin vt khung ...........
30. Chc v theo n v: Gio vin
Chc v tng ng theo N204: Gio vin
H s ph cp chc v:
Ngy b nhim:
31. Ph cp khu vc: 0,7
Cc loi ph cp khc (nu c): 70%
32. S s bo him x hi:
Ngy cp s BHXH:
IV. O TO, BI DNG:

( H b tc vn ha)
33. Vn ho ph thng: 12\12

34. Trnh chuyn mn:
TT
Trnh
Cao
ng
Chuyn ngnh o to
Sinh-a
Hnh
thc
o to
Tt
nghip
loi
Nc
o to
Tn trng o to
Nm tt
nghip
Chnh
quy
TB
Vit
Nam
Trng CSP Lo
Cai
2006
35. Chc danh khoa hc:............................................................................ Ngy, thng, nm phong:............................................

36. Trnh l lun chnh tr: ......................................................................................................................................................................
37. Trnh qun l HCNN:
38. Trnh qun l kinh t: ..........................................................................................................................................................................
39. Trnh ngoi ng: Ting Anh:
Ngoi ng khc: Khng
40. Trnh tin hc:
Ting dn tc thiu s: Khng
41. Bi dng kin thc an ninh, quc phng:
An ninh
Quc phng.
V. THNG TIN KHC:

42. Ngy vo on: 26/3/1999............. Chc v on hin nay:...........................................................................................
43. Ngy vo ng:
Chc v ng hin nay:
44. Ngy tham gia LLVT:
Cp bc qun hm cao nht:
Ngy chnh thc:
S th ng:
Ni kt np:
Ngy xut ng:
Chc v cao nht:
45. Danh hiu NN phong tng:.......................................................................................................Nm phong tng:........................

46. i tng hng chnh sch NN:........................................................................................................................................................
47. Tnh trng sc kho: Tt
Chiu cao: 1m65
Cn nng: 55kg
Nhm mu: A
2
Thng binh loi:......................................................................Hnh thc thng tt:....................................................................

S s thng tt: ......................................................................... Khuyt tt: ..............................................................................................
48. Nng lc s trng: Ging dy
49. Vic lm lu nht: Ging dy
50. Khen thng cao nht: ...................................................................................................... Ngy quyt nh: ...................................
S quyt nh:........................C quan quyt nh: .........................................Ngi k quyt nh:.....................................
51. K lut cao nht ( qua hoc ang p dng)
........................................... .......Ngy
quyt nh: ..................................
S quyt nh: ...................... C quan quyt nh: ........................................Ngi k quyt nh: ...................................
52. c im lch s bn thn:
- Khai r: b bt, b t (t ngy thng nm no n ngy thng nm no, u), khai bo cho ai, nhng vn g ?
....................................................................................................................Khng...................................................................................................................
........................................................................................................................................................................................................................................................
- Bn thn c lm vic trong ch c (c quan, n v no, a im, chc danh, chc v, thi gian lm vic ...) ?
................................................................................................................Khng.......................................................................................................................
........................................................................................................................................................................................................................................................
- Tham gia hoc c quan h vi cc t chc chnh tr, kinh t, x hi no nc ngoi (lm g, t tr s u
... )?
.................................................................................................................Khng......................................................................................................................
........................................................................................................................................................................................................................................................
- C thn nhn (Cha, M, V, Chng, con, anh ch em rut) nc ngoi (lm g, a ch ... ) ?
....................................................................................................................Khng...................................................................................................................
........................................................................................................................................................................................................................................................
53. Quan h gia nh:
a) V bn thn: Cha, M, V (hoc chng), cc con, anh ch em rut

TT
Mi
quan h
H v tn
Nm
sinh
Qu qun; ngh nghip; chc danh, chc v; n v cng

tc, hc tp; ni hin nay; thnh vin cc t chc chnh
tr - x hi
Phm Vn Sin
1958
Hu tr Khu ph I- TT Ph Lu- Bo Thng- Lo cai
Th Xoan
1960
Hu tr Khu ph I- TT Ph Lu- Bo Thng- Lo cai
Con
Phm Qunh Anh
2009 Cn nh - vi b m
Ch gi
Phm Th Thanh Tm
1982 K Ton S Ti nguyn mi trng tnh Lai Chu
Em trai
Phm Ngc sn
1985 Cng an - Tnh Li cai
b) V bn v (hoc chng): Cha, M, anh ch em rut

TT
Mi quan
h
B v
H v tn
Trn vn Minh
Nm
sinh
1954
Qu qun; ngh nghip; chc danh, chc v; n v

cng tc, hc tp; ni hin nay; thnh vin cc t chc
chnh tr - x hi
Lm rung - X Bo Hng - Trn Yn - Yn Bi

3
M v
Trn Th Lng
1955
Lm rung X Bo Hng - Trn Yn - Yn Bi
Ch v
Trn Th Mn
1980
T Do X Bo Hng - Trn Yn - Yn Bi
Ch v
Trn Th Hnh
1981
Ch v
Trn Th Hn
1983
Em v
Trn Xun Tn
1989
54. Din bin qu trnh lng:

(Theo Thng t lin tch s 01/2005/TTLT-BNV-BTC ngy 05/01/2005 ca B Ni v v B Ti chnh v hng dn thc hin chuyn xp lng c sang
lng mi i vi cn b, cng chc, vin chc); K khai ngch, bc lng k t khi c chuyn xp lng theo Ngh nh 204/2004/N-CP).
TT
T ngy
n ngy
M ngch
01/09/2006
31/08/2010
15a202
01/09/2010
n nay
15a202
Ngi khai
Ti xin cam oan nhng
li khai trn y l ng s tht
(K tn, ghi r h tn)
Tn ngch
Gio vin THCS t chun
Gio vin THCS t chun
Xc nhn kim tra

Cn b ph trch cng tc t
chc cn b ca n v
Bc
lng
H s lng
2,1
2,41
X Bn Ci, ,ngy 18 thng 4 nm 2011
Th trng c quan qun l trc tip

(K tn, ng du)
(K tn, ghi r h tn)
Phm Duy Thanh

------------------------------------------------------------------------------------

C quan, n v ch qun: y ban nhn dn huyn Bo Thng
C quan, n v qun l trc tip: Phng Gio dc v o to huyn Bo Thng

I. THNG TIN CHUNG:
1. H v tn khai sinh (ch in hoa): BI TH CHINH
2. H v tn thng dng:
Bi Th Chinh
3. B danh: Khng
4. Gii tnh:
N
5. Ngy, thng, nm sinh: 10/06/1984
6. S hiu cng chc, vin chc: T13-15115-015
7. S CMTND: 063174040 Ngy cp: 31/08/2007 Ni cp: Cng an tnh Lo Cai
8. Ni sinh: Gia Ph - Bo Thng - Lo Cai
9. Nguyn qun: - Theo h s gc: Vn L - L Nhn - H Nam
- Theo n v HC hin nay: Vn L - L Nhn - H Nam
- Theo n v HC hin nay: X Ph Lu - Bo Thng - Lo Cai
- Theo h s gc: Gia Ph - Bo Thng - Lo Cai
11. Ni hin nay: X Ph Lu - Bo Thng - Lo Cai
12. Dn tc: Kinh
Tn gio: Khng
Thnh phn xut thn: Cng chc
13. Tnh trng hn nhn: ang c chng
14. a ch Email:
15. i biu:
Quc hi
in thoi: 01666691393
HND cp tnh
HND cp huyn
HND cp x
II. CNG TC:

C quan tuyn dng: UBND huyn Si Ma Cai
Thi tuyn
Xt tuyn
xTip nhn t ni khc


24. Ngy vo ngnh: 1/9/2007
25. Ngy k hp ng:

5
III. LNG, PH CP:

27. M s ngch: 15115
Tn ngch, chc danh: Gio vin mm Non t chun


Chc v tng ng theo N204: Gio vin
H s ph cp chc v:
Ngy b nhim:
Cc loi ph cp khc (nu c): 50%
32. S s bo him x hi: 1008001716
Ngy cp s BHXH:
IV. O TO, BI DNG:

( H b tc vn ha)

34. Trnh chuyn mn:
TT
Trnh
Chuyn ngnh o to
Hnh
thc
o to
Tt
nghip
loi
Nc
o to
Tn trng o to
Nm tt
nghip
TCSP
Gio Dc Mm Non
Chnh
quy
TB
Vit
Nam
Trng CSP Vnh

Phc
2007

36. Trnh l lun chnh tr: ......................................................................................................................................................................
38. Trnh qun l kinh t: ..........................................................................................................................................................................
Ngoi ng khc: Khng
40. Trnh tin hc:
An ninh
Quc phng.
V. THNG TIN KHC:

42. Ngy vo on: 20/08/2004........... Chc v on hin nay:...........................................................................................
43. Ngy vo ng:
Chc v ng hin nay:
Ngy chnh thc:
S th ng:
Ni kt np:
Ngy xut ng:
Chc v cao nht:

46. i tng hng chnh sch NN:........................................................................................................................................................
Chiu cao: 1m60
Cn nng: 52kg
Nhm mu: A
6

48. Nng lc s trng: Ging dy Mu Gio
49. Vic lm lu nht: Ging dy Mu Gio
........................................... .......Ngy
quyt nh: ..................................
........................................................................................................................................................................................................................................................
........................................................................................................................................................................................................................................................
........................................................................................................................................................................................................................................................
........................................................................................................................................................................................................................................................
... )?
........................................................................................................................................................................................................................................................
........................................................................................................................................................................................................................................................
........................................................................................................................................................................................................................................................
........................................................................................................................................................................................................................................................
53. Quan h gia nh:

H v tn
Nm
sinh
Qu qun; ngh nghip; chc danh, chc v; n v cng

tc, hc tp; ni hin nay; thnh vin cc t chc chnh
tr - x hi
Cha
Trn vn Kim
1949
Hu Tr - Gia Ph - Bo Thng - Lo Cai
Nguyn Th Thnh
1955
Lm rung Gia Ph - Bo Thng - Lo Cai
Chng
L Vn Cng
1982
Cng Nhn Cng Ty Qun L ng B Lo Cai
Con gi
L Khnh Huyn
2010
Cn nh - vi b m
Ch gi
Bi Th Bch
1975
Hiu Trng Trng TH S 2 Ph Nhun- BT - LC
Anh Trai
Bi Vn Thin
1978
GV Trng TH Gia Ph - Bo Thng - Lo Cai
Ch gi
Bi Th T
1979
GV trng THCS Gia Ph S 3 - Bo Thng - LC
Anh Trai
Bi nh chin
1981
Sinh vin Trng HSP 2 H Ni
TT
Mi quan
h
b) V bn v (hoc chng): Cha, M, anh chs em rut

Nm
sinh
H v tn

cng tc, hc tp; ni hin nay; thnh vin cc t
chc chnh tr - x hi
TT
Mi quan h
B Chng
L Vn Da
1958
Lm Rung - X Ph Lu - Bo Thng - Lo cai
M chng
Phm Th Vin
1961
Anh Chng
L Vn Dng
1980
Cng Nhn Cng Ty Qun L ng B Lo Cai
Em Chng
L Vn Cnh
1983
Em Chng
L Ch Linh
1988
Sinh Vin Trng C Y t Thi Nguyn

TT
T ngy
n ngy
M ngch
01/03/2008
01/03/2010
15115
01/03/2010
n nay
15115
Ngi khai
Ti xin cam oan nhng
(K tn, ghi r h tn)
Bi Th Chinh
Tn ngch
Gio vin Mm Non
Gio vin Mm Non
Xc nhn kim tra

chc cn b ca n v
(K tn, ghi r h tn)
Nguyn Th Hnh
Bc
lng
H s lng
1,86
2,06
X Ph Lu, ,ngy 18 thng 4 nm 2011

HIU TRNG
(K tn, ng du)
Nguyn Th Kim Thu

8
------------------------------------------------------------------------------------

C quan, n v ch qun: y ban nhn dn huyn Bo Thng
C quan, n v qun l trc tip: Phng Gio dc v o to huyn Bo Thng

I. THNG TIN CHUNG:
1. H v tn khai sinh (ch in hoa): NG TH NGUYT
2. H v tn thng dng :NG TH NGUYT 3. B danh: Khng
4. Gii tnh:
N
5. Ngy, thng, nm sinh: 05-10-1979
6. S hiu cng chc, vin chc: T13- 15a204 - 012
7. S CMTND: 063068687 Ngy cp: 9 -11- 1999 Ni cp: Cng an tnh Lo Cai
8. Ni sinh: Yn Bnh - Yn Bi
9. Nguyn qun: - Theo h s gc: Hi Quang - Hi Hu - H Nam Ninh
- Theo n v HC hin nay: Hi Quang - Hi Hu - Nam nh
- Theo n v HC hin nay: Khu ph I - Th trn Ph Lu- Bo Thng - Lo Cai
- Theo h s gc: Khu ph I - Th trn Ph Lu- Bo Thng - Lo Cai
11. Ni hin nay: Khu ph I - Th trn Ph Lu- Bo Thng - Lo Cai
12. Dn tc: Kinh
Tn gio: Khng
Thnh phn xut thn: Cng nhn
13. Tnh trng hn nhn: ang c chng
14. a ch Email:
15. i biu:
Quc hi
in thoi
HND cp tnh
HND cp huyn
HND cp x
II. CNG TC:

C quan tuyn dng: UBND huyn Bo Thng
Thi tuyn
Xt tuyn
xTip nhn t ni khc


24. Ngy vo ngnh: 1/9/1998
25. Ngy k hp ng: 1/9/1998

III. LNG, PH CP:
9
27. M s ngch: 15a204
Tn ngch, chc danh: Gio vin tiu hc chnh


Chc v tng ng theo N204: .......................................................................................
H s ph cp chc v: ................................... Ngy b nhim: ..........................................................................

Cc loi ph cp khc (nu c): u i 0,5%
32. S s bo him x hi: 1399000574
Ngy cp s BHXH: 31/03/1999
IV. O TO, BI DNG:

( H b tc vn ha)

34. Trnh chuyn mn:
TT
Trnh
Chuyn ngnh o to
Hnh
thc
o to
Tt
nghip
loi
Nc
o to
Tn trng o to
Nm tt
nghip
TCSP
Go vin tiu hc
Chnh
quy
TB
Vit
Nam
Trng THSP Lo
Cai
1998
CSP
Go vin tiu hc
Chnh
quy
TB-K
Vit
Nam
Trng CSP Lo
Cai
2006

36. Trnh l lun chnh tr: ......................................................................................................................................................................
38. Trnh qun l kinh t: ..........................................................................................................................................................................
Ngoi ng khc: Khng
40. Trnh tin hc:
An ninh
Quc phng.
V. THNG TIN KHC:

42. Ngy vo on: 23/3/1995............. Chc v on hin nay:...........................................................................................
43. Ngy vo ng:
Chc v ng hin nay:
Ngy chnh thc:
S th ng:
Ni kt np:
Ngy xut ng:
Chc v cao nht:

46. i tng hng chnh sch NN: Con lit s............................................................................................................................
Chiu cao: 1m 58
Cn nng: 47kg
Nhm mu: 0

10
48. Nng lc s trng: Ging dy

49. Vic lm lu nht: Ging dy
........................................... .......Ngy
quyt nh: ..................................
........................................................................................................................................................................................................................................................
........................................................................................................................................................................................................................................................
........................................................................................................................................................................................................................................................
........................................................................................................................................................................................................................................................
... )?
........................................................................................................................................................................................................................................................
........................................................................................................................................................................................................................................................
........................................................................................................................................................................................................................................................
........................................................................................................................................................................................................................................................
53. Quan h gia nh:

Mi quan
h
Cha
ng Vn Duyn
1944
Lit s
Trn Th Phi
1946
Hiu tr- Sn H -Bo Thng - Lo Cai
Chng
Ng nh Nguyn
1972
Li xe vn quc gia Hong Lin - Sa Pa- LC
Con trai
Ng ng nh Ngc
2000
Hc sinh Th trn Ph Lu- Bo Thng - Lo Cai
Con gi
Ng Phng Linh
2009
Cn nh vi b m
Anh Trai
ng nh ng
1967
T do - Sn H -Bo Thng - Lo Cai
ng Ngc Hng
1969
Bnh lu di nh-khu ph 4-TT Ph Lu - BT- LC
ng Th Lin
1972
T do-Sn H -Bo Thng - Lo Cai
7
8
Anh trai
Ch gi
H v tn
Nm
sinh

chc chnh tr - x hi
TT
b) V bn v (hoc chng): Cha, M, anh chs em rut
11
Nm
sinh
H v tn

chc chnh tr - x hi
TT
Mi quan h
B chng
Ng nh Hin
1943
mt- Sn H - Bo Thng- Lo Cai
M chng
ng Th Hi
1947
Hu tr- Sn H - Bo Thng- Lo Cai
Ch
Ng Th Tho
1970
Gio vin- Thn Ph Long- TT Ph Lu- BT- LC
Em
Ng Minh Thu
1974
T do- Qun Tn Bnh-Thnh ph H Ch Minh
Em
Ng Th Mai
1976
Gio vin- Th trn Phong Hi- BT - LC
Em
Ng Th M
1983
Gio vin- Thn Ph Thnh - TT Ph Lu- BT - LC

TT
T ngy
n ngy
Ngi khai
Ti xin cam oan nhng
(K tn, ghi r h tn)
M ngch
Xc nhn kim tra

chc cn b ca n v
(K tn, ghi r h tn)
Tn ngch
Bc
lng
H s lng
X Ph Lu, ,ngy 18 thng 4 nm 2011

HIU TRNG
(K tn, ng du)
ng Th Nguyt
12

Mau Phieu Can Bo Cong Chuc

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CNG HA X HI CH NGHA VIT NAM

PHIU CN B, CNG CHC, VIN CHC

C quan, n v qun l trc tip: Phng Gio dc v o to huyn Bc H

5. Ngy, thng, nm sinh: 29/10/1984

8. Ni sinh: X Thi Nin-Bo Thng-Lo Cai

14. a ch Email: phamduythanhlc2010@gmail.com

II. CNG TC:

C quan tuyn dng: UBND huyn Bc H

xTip nhn t ni khc

19. Ngun tuyn dng:. Sinh vin

21. Ngy tuyn dng chnh thc: 1/9/2006

S nm cng tc trong ngnh: 5

25. Ngy k hp ng:

III. LNG, PH CP:

Tn ngch, chc danh: Gio vin THCS

Ngy b nhim vo ngch cn b, cng chc, vin chc: 01/09/2006

H s lng hin hng: 2,41

Phn trm hng bc: 100%

Ngy hng bc lng hin nay: 1/9/2010

31. Ph cp khu vc: 0,7

Cc loi ph cp khc (nu c): 70%

32. S s bo him x hi:

IV. O TO, BI DNG:

33. Vn ho ph thng: 12\12

35. Chc danh khoa hc:............................................................................ Ngy, thng, nm phong:............................................

Ngoi ng khc: Khng

40. Trnh tin hc:

Ting dn tc thiu s: Khng

41. Bi dng kin thc an ninh, quc phng:

V. THNG TIN KHC:

Ngy chnh thc:

45. Danh hiu NN phong tng:.......................................................................................................Nm phong tng:........................

Chiu cao: 1m65

Thng binh loi:......................................................................Hnh thc thng tt:....................................................................

quyt nh: ..................................

53. Quan h gia nh:

a) V bn thn: Cha, M, V (hoc chng), cc con, anh ch em rut

Qu qun; ngh nghip; chc danh, chc v; n v cng

Hu tr Khu ph I- TT Ph Lu- Bo Thng- Lo cai

Hu tr Khu ph I- TT Ph Lu- Bo Thng- Lo cai

Phm Qunh Anh

1982 K Ton S Ti nguyn mi trng tnh Lai Chu

1985 Cng an - Tnh Li cai

b) V bn v (hoc chng): Cha, M, anh ch em rut

Qu qun; ngh nghip; chc danh, chc v; n v

Lm rung - X Bo Hng - Trn Yn - Yn Bi

Lm rung X Bo Hng - Trn Yn - Yn Bi

54. Din bin qu trnh lng:

Xc nhn kim tra

X Bn Ci, ,ngy 18 thng 4 nm 2011

Th trng c quan qun l trc tip

(K tn, ghi r h tn)

Phm Duy Thanh

CNG HA X HI CH NGHA VIT NAM

PHIU CN B, CNG CHC, VIN CHC

C quan, n v qun l trc tip: Phng Gio dc v o to huyn Bo Thng

II. CNG TC:

C quan tuyn dng: UBND huyn Si Ma Cai

xTip nhn t ni khc

19. Ngun tuyn dng:. Sinh vin

21. Ngy tuyn dng chnh thc: 1/3/2008

S nm cng tc trong ngnh: 4

25. Ngy k hp ng:

III. LNG, PH CP: