S:

CNG HA X HI CH NGHA VIT NAM

c lp T do Hnh phc

Mu
DKMH-TH-12

N NG K MN HC TR HN
Hc k 2 Nm hc 2012- 2013
Knh gi: Phng o to - NCKH; Khoa: NGOI NG
Ti tn l (ch in hoa) : NGUYN THANH BNH Ngy sinh:01/01/1992
MSSV :10DH71189 - Khoa: NGOI NG - Lp: BA1001
Email :huonggiangsg010102@yahoo.com.vn - S in thoi: khng c
Trnh o to: i hc
Nay ti lm phiu ny xin c ng k mn hc tr hn.
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Lit k cc hc phn ng k:
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M mn hc
1522042

Tn mn hc
DCH NI 2

Nhm mn hc / Th /
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C nguyn vng vo hc

S
tn
ch

Xt duyt
ca
Phng
o to

Nhm 04/ th 4/ tit 4

2
Tng s tn ch ng k 2
TP. HCM, ngy 15 thng 01nm 2013
NGI VIT
(K v ghi r h tn)

XT DUYT CA PHNG O TO - NCKH

ng cho SV ng k . tn ch.
TP. HCM, ngy thng nm 20...
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Ghi ch: Sinh vin ghi thnh 02 bn, np v VP Khoa 01 bn, sinh vin gi 01 bn.