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I HC K THUT CNG NGH

CNG HA X HI CH NGHA VIT NAM

KHOA CNG NGH THNG TIN

C LP T DO HNH PHC
____o0o____

PHIU XC NHN THC TP


1- Tn c quan nhn thc tp :.................................................................................................
a Ch:.....................................................................................................................................
S in thoi:......................

Email:......................................................................................

2- Ngi tip nhn hng dn :...............................................................................................


a ch :.....................................................................................................................................
S in thoi:......................

Email:......................................................................................

3- Xc nhn sinh vin:..................................

MSSV................. Lp...............................

hin ang thc tp ti c quan.


Cng vic c giao khi thc tp ti c quan:..........................................................................
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Lu : SV np giy xc nhn v Vn Phng Khoa sau 2 tun (20/08/07), nu khng c giy
ny th bi Bo co cui k khng c cng nhn .

I HC K THUT CNG NGH

CNG HA X HI CH NGHA VIT NAM

KHOA CNG NGH THNG TIN

C LP T DO HNH PHC
____o0o____

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TP. H Ch Minh, ngy thng

nm

XC NHN CA C QUAN
(k tn v ng du)

Lu : SV np giy xc nhn v Vn Phng Khoa sau 2 tun (20/08/07), nu khng c giy


ny th bi Bo co cui k khng c cng nhn .

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