CNG HA X HI CH NGHA VIT NAM

c lp T do Hnh phc
__________________
nh mu
4x6cm
(c ng du
gip lai ca ca
c quan xc
nhn l lch)

S YU L LCH
PHN I: LCH S BN THN
1.H v tn :
Bi Tun Ngha
2.Gii tnh :
Nam
3.Dn tc
:
Kinh
4.Tn gio : Khng
5.S CMND : 241289620 6.Ngy cp : 24/08/2012
7.Ni cp: k Lk
8.Ngy thng nm sinh
:
28/03/1991
9.Ni sinh : k Lk
10.a ch thng tr :
357 Hng Vng, th x Bun H, tnh k Lk
11.Trnh vn ha :
i Hc
12.Ngoi ng
:
Ting Anh
13.Qu trnh bn thn (tm tt t lc 12 tui n nay, lm g? u?)
2002-2006
:
Hc cp 2 ti trng THCS Bun H, th x Bun H tnh k Lk
2006-2009
:
Hc cp 3 ti trng THPT Krng Buk, th x Bun H, tnh k Lk
2009-2014
:
Hc i Hc ti trng H Khoa Hc T Nhin TP. HCM
PHN II: QUAN H GIA NH
14. H tn cha:
Bi Tun Anh
Sinh nm :
Ngh nghip (chc v v cp bc) trc v sau 30-4-1975
- Trc 1975 : Hc sinh
- Sau 1975 : Lm nng

1966

Ch hin nay : 357 Hng Vng, th x Bun H, tnh k Lk

15. H tn m :
V Th Oanh
Sinh nm :
1971
Ngh nghip (chc v v cp bc) trc v sau 30-4-1975
- Trc 1975 : \\
- Sau 1975 : Lm nng
Ch hin nay:

357 Hng Vng, th x Bun H, tnh k Lk

16. H tn v (hoc chng)Sinh nm:.......

Ngh nghip (chc v v cp bc) trc v sau 30-4-1975
..............................................................................................................................
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Ch hin nay:....................................................................................................
17. H tn cc con: tui, lm g? u?
...............................................................................................................................
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18. H tn anh, ch, em rut: tui, lm g? u?
Anh : Bi Tun Trng
Nm sinh :1989
Ngh nghip : K s CNTT
Ni : 211/11/13 Tn Qu , phng Tn Qu, qun Tn Ph TP HCM
Em : Bi Tun Tr
Nm sinh : 2003
Ngh nghip : Hc sinh
Ni : 357 Hng Vng, th x Bun H, tnh k Lk
Ngy......thng.....nm...........
Ngi lm n
(k tn)

H tn :
NHN XT V CHNG NHN CA CHNH QUYN A PHNG
Ni dung chng nhn cn ghi bn l lch ny ng hay sai. Nu sai th ghi r sai ch no, c th nhn xt thm v t
cch ngh nghip v hon cnh ngi xin vic lm.

Ngy......thng.....nm...........
UBND Phng, X...............