CNG HA X HI CH NGHA VIT NAM

c lp-T do-Hnh phc

Tp. H Ch Minh, ngy

thng nm 2015

N XIN I HC
Knh gi:
- Hiu trng Trng i hc Cng nghip TP.HCM;
- Phng T chc - Hnh chnh;
- Lnh o:
Ti tn: ...................................................................Nam ; N
Sinh ngy
thng
nm
Ni sinh:........................................................................................................................
Ni hin nay:..............................................................................................................
n v hin ang cng tc:...........................................................................................
Ngy thng nm vo lm vic ti trng: ....................................................................
S in thoi c nhn:
Email:
Nay ti lm n ny knh ngh Ban Gim hiu, Phng T chc - Hnh chnh v
lnh o n v xem xt v chp nhn cho ti c i hc:
Tin s: Thc s: i hc: Cao ng: Trung cp:
Khc:
Ti trng:....................................................................................................................
Quc gia:......................................................................................................................
Ngnh hc:....................................................................................................................
Thi gian i hc: T thng/nm
n thng/nm
Kinh ph thi gian i hc :............................................................................................
Kh nng m bo cng vic trong thi gian i hc: ..............................................
.....................................................................................................................................
Ti cam kt chp hnh nghim chnh cc quy nh ca nh trng v hon thnh
kho hc ng thi hn.
Trn trng cm n./.
KIN CA N V
ng cho ng (b)
c i hc k t ngy thng
nm
Trng n v

Ngi lm n

Ph duyt ca
Hiu trng