PDT-01

S phiu: .

I HC QUC GIA TP.HCM

TRNG I HC BCH KHOA
Phng o to
www.aao.hcmut.edu.vn

PHIU NG K PHC TRA

Hc k: Nm hc:

H tn SV:....................................................................................................MSSV: ......................................
Ngy sinh:........................................... Lp:..................................................S T: ......................................
ng k phc tra bi thi cui k cc mn hc sau:
TT

MSMH

Tn mn hc

Nhm

- Khng nhn phc tra cc mn thi trc nghim, th nghim, thc tp,
n mn hc, lun vn tt nghip v mn thi vt.
- Nhn phc tra trong vng 7 ngy k t ngy cng b im ti Khoa.

Gi thi

Ngy thi

Sinh vin (H tn, ch k)

Ngy

/20

NV x l (H tn, ch k)
Ngy

/20

______________________________________________________________________________
S phiu: .

I HC QUC GIA TP.HCM

TRNG I HC BCH KHOA
Phng o to
www.aao.hcmut.edu.vn

BIN NHN NG K PHC TRA

Hc k: Nm hc:

H tn SV:....................................................................................................MSSV: ......................................
ng k phc tra bi thi cui k cc mn hc sau:
TT

MSMH

Tn mn hc

SV xem kt qu phc tra c cng

b trn trang web Phng o to.
Thi gian d kin: ngy

/20

(Thi gian thc t ty GV chm bi)

NV tip nhn (H tn, ch k)

Ngy

Mu PDT-01 - Cp nht 25-12-2014

/20