CNG HO X HI CH NGHA VIT NAM

c lp - T do - Hnh phc

N XIN HC LI
Em tn l:...............................................................MSSV:.....................................
Sinh vin lp:..............................Kho..........................H ....................................
Trng:....................................................................................................................
Trong hc k:.................................Nm hc:............................Sau 2 ln thi em
vn cha t im hc phn....................................................................................
S n v hc trnh: ............................. s in thoi: ............................................
Vy em lm n ny xin php Phng o to cho em c hc li mn hc trn
tr n.
Em xin ha s thc hin y mi quy nh ca trng ra.
Xp vo lp: ............................ ngy np n: ......................................................
PHNG O TO

NGI LM N
(K ghi r h tn)

Xc nhn ca Ging vin ging dy

(V iu kin d thi ca Sinh vin)

* Hng dn ng k hc li:
bc 1: in thng tin ng k hc li nh trn; bc 2: np danh sch hc li phng o to xc nhn; bc
3: ng hc ph hc li theo quy nh ti phng ti v; bc 4: np danh sch hc li cho GV ging dy theo
di v xc nhn; bc 5: sau khi hon thnh cc bc 1,2,3,4 sinh vin np danh sch ng k hc cho
phng o to t chc thi kt thc mn.