CNG HA X HI CH NGHA VIT NAM

c lp T do Hnh phc

N XIN CHUYN HNH THC NG K HC PHN

Knh gi:

- Phng o to Trng H S Phm TP. HCM

Ti tn l: .............................................................M s SV: ......................................

Khoa: ...................................................................Trng H S Phm TP.HCM.
Nay ti lm n ny xin c chuyn hnh thc ng k cc hc phn sau:
Stt Nm hc

Hc
k

M lp hc
phn

Tn hc phn

Hnh thc ng k 1
Hnh thc
ng k
chuyn sang

1
2
3
4
5
6
7
8
9
10
Ti xin cam oan chu trch nhim hon ton trc nh trng v vic iu chnh thay
i hnh thc ng k hc phn ca mnh.
C vn hc tp

KH = bt buc, TCTD = t chn t do, CT = ci thin, HL=hc li

Mu CHTK01

Ngi lm n
(k v ghi r h tn)