Mu 1.

12 Bin bn
TN C QUAN, TC CH QUN (1)
TN C QUAN, T CHC (2)
S:

CNG HA X HI CH NGHA VIT NAM

c lp T do Hnh phc

/BB- (3).

BIN BN
(4) ..
Thi gian bt u...........................
a im.........................................
Thnh phn tham d.......................
...........................................................................................................................
...........................................................................................................................
Ch tr (ch ta):.......................................................................................
Th k (ngi ghi bin bn):....................................................................
Ni dung (theo din bin cuc hp/hi ngh/hi tho):
...........................................................................................................................
...........................................................................................................................
Cuc hp (hi ngh, hi tho) kt thc vo .. gi .., ngy . thng ..
nm ./.
TH K
(Ch k)
H v tn
Ni nhn:
- .;
- Lu: VT, h s.

Ghi ch:
(1) Tn c quan, t chc ch qun trc tip (nu c).
(2) Tn c quan, t chc ban hnh vn bn.
(3) Ch vit tt tn c quan, t chc ban hnh vn bn.
(4) Tn cuc hp hoc hi ngh, hi tho.
(5) Ghi chc v chnh quyn (nu cn).

CH TA
(Ch k, du (nu c))
(5)
H v tn