THNH ON TP.

H CH MINH
TRUNG TM H TR HC SINH, SINH VIN
***
Dn nh
3x4

PHIU NG K D TUYN SINH VIN TNH NGUYN

Chng trnh Tip sc ma thi 2013 (t 05/6 - 15/ 7/ 2013)

1.H v tn: Nam/n:...................................

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2.Ngy thng nm sinh: .......................................................S CMND.............................
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3. Sinh vin trng: MSSV..............................
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Nm .Khoa...........................................................................
4. a ch thng tr:..........................................................................................................
5. a ch lin lc: ..............................................................................................................
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6. in thoi lin h:.. Email:...........................................
Nick Facebook:...................................................................................................................
7. Phng tin i li:...........................................................................................................
8. Thi gian tham gia (yu cu trn 20 ngy): t ngy n ngy.................
9. Bn tham chng trnh Tip sc ma thi my ln: ..................................................
10. Ca trc :
Ca 1 : T 5g00 7g00 (Ti Bn xe Min ng )
Ca 2 : T 7g00 - 12g00
Ca 3 : T 12g00 17g00
11. a im ng k trc:
Trung tm H tr HSSV Thnh ph (33 Nguyn Th Minh Khai. Q1)
Bn xe Min ng (27/6 - Quc l 13 - phng 26 - Bnh Thnh )
Bn xe Min Ty (37 - Hng Vng - Bnh Chnh )
Bn xe An Sng (1/1C - p ng Ln - huyn Hc Mn)
Bn xe Nga t Ga (Quc l 1A, phng Thanh Lc, qun 12)
Bn xe Ch Ln (86 Trang T, phng 14, qun 5)
Ga Si Gn (01 Nguyn Thng, qun 3)
Ng t Thu c (S 1, V Vn Ngn, Th c)
Ng ba i Cng - Bn xe but HQG
Ng ba 621, C s 2 - Trung tm H tr HSSV Thnh ph (Th c)
i ch th sinh v h tr giao thng
1

Trc ti cc nh tr ng th sinh
Trm xe but gn Trung tm H tr hc sinh, sinh vin Thnh ph
i hu cn
12. Kinh nghim tham gia cc hot ng x hi:...............................................................
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* Mt s lu ca Ban t chc :
- Hn cui nhn phiu ng k d tuyn v Trung tm:
+ Cp trng: 17g00 ngy 13/5/2013 (Th 2)
+ Cp thnh: 17g00 ngy 15/5/2013 (Th 4)
- Cc sinh vin sau khi np phiu ng k, phi tham gia vng s tuyn theo lch
quy nh ca Ban T chc Cp thnh. Nhng sinh vin vt qua vng s tuyn mi
c tham gia hot ng ti cc i hnh.
- Cc thng tin cn thit v chng trnh vui lng lin h s T: 08.3521.0104 v
theo di ti website www.hotrosinhvien.vn
TP. H Ch Minh, ngy thng nm 2013
(K tn v ghi r h tn )