TRNG I HC S PHM K THUT

PHNG O TO KHNG CHNH QUY

CNG HA X HI CH NGHA VIT NAM

c Lp T Do Hnh Phc

N NG K MN HC
Knh gi: - Phng o to khng chnh quy
- Hc k ./..-.
H v tn:.M SV:..Lp:Khoa:..
Mn hc ng k hc:

1.................................................M MH:..............................S tn ch:................Nhm:.....................

2.................................................M MH:..............................S tn ch:................Nhm:.....................

3.................................................M MH:..............................S tn ch:................Nhm:.....................

4.................................................M MH:..............................S tn ch:................Nhm:.....................

5.................................................M MH:..............................S tn ch:................Nhm:.....................

6.................................................M MH...............................S tn ch:................Nhm:.....................

7.................................................M MH...............................S tn ch:................Nhm:.....................

8.................................................M MH...............................S tn ch:................Nhm:.....................

Knh ngh phng QLTKCQ xem xt gii quyt.
Trn trng knh cho.
Ngy
thng..nm
Sinh vin (k, ghi h tn)

Lu : i vi sinh vin khi ng k hc li:

- SV ch c ng k trong vng 15 tn ch
- SV ch c KMH ng tn mn hc v m mn hc
- SV ch c ng k cc mn hc theo thi kha biu ca cc lp ti chc hc ban
m ti trng HSPKT (s xem xt sinh vin hc k cui ko di).
-

Phng o to KCQ s khng nhn v gii quyt cc trng hp sai st.

B phn k hoch

Sinh vin pht v lu li mt bn

Phng o to KCQ

TRNG I HC S PHM K THUT

PHNG O TO KHNG CHNH QUY

CNG HA X HI CH NGHA VIT NAM

c Lp T Do Hnh Phc

N XIN HC MN THAY TH
Knh gi:

Phng o to Khng Chnh Quy

Khoa,B mn: ...
C s lin kt ( CSLK):..

H v tn: .................................

M SV : .........................Lp: ...........................Khoa: ...................

Mn hc (thi khng t):

1. ...............................................

M MH: ........................S tn ch: ..................Lp: .....................

2. ...............................................

M MH: ........................S tn ch: ..................Lp: .....................

3. ...............................................

M MH: ........................S tn ch: ..................Lp: .....................

4. ...............................................

M MH: .........................S tn ch: ..................Lp: .....................

Xin hc mn thay th:

1. ...............................................

M MH: ........................S tn ch: ..................Lp: .....................

2. ...............................................

M MH: ........................S tn ch: ..................Lp: .....................

3. ...............................................

M MH: ........................S tn ch: ..................Lp: .....................

4. ...............................................

M MH: ........................S tn ch: ..................Lp: .....................

L do: ......................................................................................................................................................
..................................................................................................................................................................
Knh ngh B mn, Khoa, CSLK, Phng TKCQ xem xt gii quyt.
Trn trng knh cho.
Ngy
thng
nm
Sinh vin (k, ghi h
tn)

Lu : i tng c php hc mn thay th:

- SV thuc hc k ko di hoc SV tr n vi kha sau khng cn mn hc tng ng (do thay i chng trnh
o to).
- SV hc k cui ko di khng c m mn hc tr n.
SV ch ng k mn hc sau khi n xin hc thay th c duyt.

C s lin kt

SV photo v lu li mt bn

Khoa hoc b mn qun MH

(vi mn khng c trong Danh mc
cc mn hc thay th)

B phn KHT

TRNG I HC S PHM K THUT

PHNG O TO KHNG CHNH QUY

CNG HA X HI CH NGHA VIT NAM

c Lp T Do Hnh Phc

N NG K M LP
Knh gi : - P.o to khng chnh quy
- Khoa: ...............
H v tn : ..................................................................

MSSV: ..................................................

Lp:
.....................................................................................................................................................................
Xin m hc li mn :
.....................................................................................................................................................................
M MH :
.....................................................................................................................................................................
S tn ch:
.....................................................................................................................................................................

Chng em cam kt s ng s hc ph ti thiu cho 30 sinh vin.

Ph m lp:

TC x

SV x

Knh ngh P.TKCQ, Khoa, B mn xem xt gii quyt.

Trn trng knh cho.
Ngy

thng

nm 20

i din sinh vin

Lu :
Phi c danh sch ca s SV ng k mn hc
SV photo v lu li mt bn
Xc nhn ca Khoa, B mn

Phng o to khng chnh quy

Xc nhn ca CSLK