nh

(4x6)

BO CO THNH TCH C NHN

NGH TRAO GII THNG SAO THNG GING
Nm hc 2013 - 2014

1. H v tn: ............................................................Nam, N:...............................

2. Ngy, thng, nm sinh:........................................................................................
3. Dn tc:...............................................................................................................
4. Qu qun:.............................................................................................................
5. Trng:................................................................................................................
Khoa :.........................................Lp:..................................Nm th:................
in thoi:Email:.
6. Chc v:..............................................................................................................
- on: :................................................................................................................
- Hi: :...................................................................................................................
7. ng vin, on vin:..........................................................................................
8. Kt qu hc tp nm hc 2011 - 2012:................................................................
9. Kt qu rn luyn nm hc 2011 - 2012:............................................................
10. Kt qu hc tp nm hc 2012 - 2013:..............................................................
11. Kt qu rn luyn nm hc 2012 - 2013:..........................................................
12. Hon cnh gia nh:...........................................................................................
13. Thnh tch trong cng tc Hi Sinh vin v on Thanh nin (khai chi tit):
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14. Thnh tch trong hc tp:...
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15. Thnh tch khc (khai chi tit)::.........................................................................
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Xc nhn ca on trng

............Ngy......thng.......nm 201..
Ngi bo co

Xc nhn ca BGH nh trng

nh
(4x6)

BO CO THNH TCH C NHN

NGH TRAO DANH HIU
SINH VIN 05 TT CP TRNG

I. L LCH TRCH NGANG:

1. H v tn: ............................................................Nam, N:...............................
2. Ngy, thng, nm sinh:........................................................................................
3. Dn tc:...............................................................................................................
4. Qu qun:.............................................................................................................
5. Trng:................................................................................................................
Khoa :.........................................Lp:..................................Nm th:................
in thoi:Email:.
6. Chc v:..............................................................................................................
- on: :................................................................................................................
- Hi: :...................................................................................................................
7. ng vin, on vin:..........................................................................................
II. THNH TCH:
1. o c tt:
- Tiu chun bt buc: ............................................................................................
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- Tiu chun u tin: ..............................................................................................
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2. Hc tp tt:
- Tiu chun bt buc: ............................................................................................
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- Tiu chun u tin: ..............................................................................................
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3. Th lc tt:
- Tiu chun bt buc: ............................................................................................
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- Tiu chun u tin: ..............................................................................................
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4. K nng tt:
- Tiu chun bt buc: ............................................................................................
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.................................................................................................................................
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- Tiu chun u tin: ..............................................................................................
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5. Hi nhp tt:
- Tiu chun bt buc: ............................................................................................
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.................................................................................................................................
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- Tiu chun u tin: ..............................................................................................
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6. Thnh tch khc (khai chi tit):
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7. Thnh tch khc trong hc tp (khai chi tit): ................................................
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8. Thnh tch trong cng tc Hi Sinh vin v on Thanh nin:
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XC NHN BCH CHI HI
CHI HI TRNG

Ngi vit bo co