Ma hoa: BM-ISO/16/T

TRNG I HC CNG NGHIP THC PHM

THNH PH H CH MINH

Ban hanh ln: 01

Hiu lc t ngay: 12/12/2012
Trang/ tng s trang:1/2

PHIU NG KY XT TT NGHIP
(Danh cho i tng ai hoc, cao ng hoc theo h thng tin chi ng ky
xet tt nghip sm hoc mun)
Knh gi: Hiu trng Trng ai hoc Cng nghip Thc phm TP HCM
Ti em l: .........................................................................Gii tnh:
..............................................................................................
Ngy sinh: /./.. Ni sinh:
.............................................................................................................................................
M s SV: ...................................... Lp:
............................................................
Ngnh:............................................ Khoa:
............................................................
a ch thng tr:
.............................................................................................................................................
in thoi lin lc: C nh ....................................D :
.....................................................................................
- Tng s tn ch tch lu ti thiu :
.........................................................................................................................................
- Tng s tn ch tch ly :
.........................................................................................................................................
- im trung bnh chung tch lu ton kho:
.........................................................................................................................................
- Kt qu rn luyn:
.........................................................................................................................................
- Cc chng ch iu kin :
1/ Chng ch Gio dc quc phng : C Khng
2/ Chng ch Gio dc th cht :
C Khng
3/ Chng ch B (C) Anh vn : C Khng (bn sao cng chng nh
km)
- im TOEIC: ..............................................................................................
4/ Chng ch B Tin hc : C Khng (bn sao cng chng nh km)
- Cc khon n i vi Nh trng:
Hc ph :
C Khng
Tai liu:
C Khng
Vt t, thit bi: C Khng
Vi kt qu t c nu trn, ti lm n ny knh ngh Phng o to xem
xt ti c xt cng nhn tt nghip.
Trn trng knh cho.
Ngy nhn n:/./20....

Ma hoa: BM-ISO/16/T

TRNG I HC CNG NGHIP THC PHM

THNH PH H CH MINH

Ban hanh ln: 01

Hiu lc t ngay: 12/12/2012
Trang/ tng s trang:2/2

Tp. H Chi Minh, ngy thng nm 20

Ngi nhn
(K v ghi r h tn)

Sinh vin
(K v ghi r h tn)

Ngy nhn n:/./20....