CNG HO X HI CH NGHAVIT NAM

c lp - T do - Hnh phc
PHIU YU CU THAY I QUYN TRUY CP NGI DNG
Knh gi: Tp on vin thng qun i
Chuyn vin/V/Cc yu cu: .
....
i din l ng/b:. Chc v:
...................................
Ngy
gi
yu
cu:
..
Ngy
mong
mun
hon
thnh
yu
cu...........................
Ni dung yu cu (to ti khon mi, kha ti khon thu hi quyn truy cp/khi phc li
quyn truy cp b thu hi theo ch o ca lnh o v/cc hoc lnh o VPCP, cho
php/thu hi quyn c s dng thit b lu tr ngoi USB, ci t thm hoc g b phn
mm, my tnh sch tay, thit b truyn dn mng my tnh):
.
...
...
Thi gian yu cu c hiu lc (tc l thi gian cho php ngi dng c quyn truy cp/s
dng
thit
b
lu
tr
ngoi,..):
T
ngyn
ngy...............
Ti cam kt chu trch nhim bo mt thng tin d liu lin quan theo Quy ch an ton an
ninh thng tin ca Vn Phng chnh ph.
H ni, Ngy..thng.nm..
Viettel
(K & ghi r h tn)

V TCCB, VPCP
(K & ghi r h
tn)

Lnh o v/cc yu cu
(K & ghi r h tn)

Ngi yu cu
(K & ghi r h tn)

(Lu : Chm nht sau 1 ngy Viettel chnh thc nhn c Phiu yu cu ca VPCP th
Viettel s phi tr li cho u mi yu cu ca VPCP bit v cch thc thc hin yu cu v
thi gian thc hin yu cu).

XC NHN KT QU THC HIN YU CU

Kt qu thc hin yu cu:
.........................
...
.
Ngi thc hin:
................................................

VPCP_ACCOUNT_BM2

Ln ban hnh: 01 Ngy hiu lc:

 kin ca Chuyn vin/V/Cc yu cu (nu c):

...
...
.

NOC VIETTEL
(K & ghi r h tn)

VPCP_ACCOUNT_BM2

H ni, Ngy..thng.nm..
NOC VPCP
Ngi yu cu
(K & ghi r h tn)
(K & ghi r h tn)

Ln ban hnh: 01 Ngy hiu lc: