Mu s: 19 (Ban hnh km theo Quyt nh s 1131/2008/Q - TTCP ngy 18 thng 6 nm 2008 ca Tng

thanh tra)

(1)..
(2).

CNG HO X HI CH NGHA VIT NAM

c lp T do Hnh phc

BIN BN LM VIC
Hm nay, hi...gi.ngythng..nmti.............(3) on
thanh tra tin hnh lm vic vi .................................(4) v......................................(5)
I. Thnh phn gm c:
1. i din on thanh tra:
- ng (b)..chc v...
- ng (b)..chc v... ..
2. i din .(6)
- ng (b).....chc v.......
- ng (b).....chc v...
II. Ni dung:
. .. (7)
Bui lm vic kt thc vo hi ...gi.ngythng..nm ...,
Bin bn ny c c li cho nhng ngi c tn nu trn nghe v k xc
nhn.

................................................ (6)

I DIN ON THANH

TRA
(K, ghi r h tn)

(1) Tn c quan tin hnh thanh tra.

(2) Tn on thanh tra.
(3) a im lm vic.
(4) Tn c quan, t chc, c nhn.
(5) Ni dung lm vic.
(6) Tn c quan, t chc hoc c nhn lm vic vi on thanh tra.
(7) Nu r din bin, kt qu ca bui lm vic .

(K, ghi r h tn)