Mu 2C-BNV/2008

C quan, n v c thm quyn qun l CBCC .

S hiu cn b, cng chc...
C quan, n v s dng CBCC .

S YU L LCH CN B, CNG CHC

1) H v tn khai sinh (vit ch in hoa): PHM NGUYN BO NGC
nh mu
(4 x 6 cm)

2) Tn gi khc: Khng
3) Sinh ngy: 01 thng 06 nm 1985 Gii tnh (nam, n): Nam
4) Ni sinh: Phng 3, Qun: Tn Bnh, Tnh: Tp. HCM
5) Qu qun: X Thy Vit, Huyn Thi Thy, Tnh Thi Bnh

6) Dn tc: Kinh
, 7) Tn gio: Khng
8) Ni ng k b khu thng tr: 43 Bch ng Phng 2 Tn Bnh Tp.HCM
(S nh, ng ph, thnh ph, xm, thn, x, huyn, tnh)
9) Ni hin nay: 43 Bch ng Phng 2 Tn Bnh Tp.HCM
(S nh, ng ph, thnh ph, xm, thn, x, huyn, tnh)
10) Ngh nghip khi c tuyn dng: Gio vin
11) Ngy tuyn dng: 01 / 09 /2006, C quan tuyn dng: Phng Gio Dc o To
12) Chc v (chc danh) hin ti: Gio vin
(V chnh quyn hoc ng, on th, k c chc v kim nhim)
13) Cng vic chnh c giao: Ging dy
14) Ngch cng chc (vin chc): , M ngch: ..........................
Bc lng: 3 , H s: 3.00 , Ngy hng: 01/09/2013
Ph cp chc v: 0.0 , Ph cp khc: 0.35
15.1- Trnh gio dc ph thng ( tt nghip lp my/thuc h no): 12/12
15.2- Trnh chuyn mn cao nht: C nhn
(TSKH, TS, Ths, c nhn, k s, cao ng, trung cp, s cp, chuyn ngnh)
15.3- L lun chnh tr: S cp
15.4-Qun l nh nc:.....................................
(Cao cp, trung cp, s cp v tng ng)

(chuyn vin cao cp, chuyn vin

chnh, chuyn vin, cn s,........)

15.5- Ngoi ng: i hc ,

15.6-Tin hc: A
Tn ngoi ng + Trnh A, B, C, D......)
(Trnh A, B, C,.......)
16) Ngy vo ng Cng sn Vit Nam: 18/08/2012 , Ngy chnh thc: 18/08/2013
17) Ngy tham gia t chc chnh tr - x hi: 19/05/2000
(Ngy tham gia t chc: on, Hi,..... v lm vic g trong t chc )
18) Ngy nhp ng://, Ngy xut ng: // Qun hm cao nht:.........

19) Danh hiu c phong tng cao nht: Khng

(Anh hng lao ng, anh hng lc lng v trang; nh gio, thy thuc, ngh s nhn
dn v u t, )
20) S trng cng tc: Ging dy
21) Khen thng: Chin s thi ua , 22) K lut: Khng
(Hnh thc cao nht, nm no)
Chin s thi ua 2013

(v ng, chnh quyn, on th hnh thc cao

nht, nm no)

23) Tnh trng sc kho: Tt , Chiu cao: 1m68, Cn nng: 70kg, Nhm mu: A
24) L thng binh hng: ./, L con gia nh chnh sch: ..................................
(Con thng binh, con lit s, ngi nhim cht c
da cam Dioxin)
25) S chng minh nhn dn: 023811803
Ngy cp: 03/06/ 2014
26) S s BHXH:
27) o to, bi dng v chuyn mn, nghip v, l lun chnh tr, ngoi ng, tin hc
Chuyn ngnh
Vn bng,
T thng, nm - Hnh thc
Tn trng
o to, bi
chng ch,
n thng, nm
o to
dng
trnh g
C. s phm
Gio vin
9/2003 8/2006
Chnh qui C nhn
i hc s phm Gio vin
10/2010- 5/2012 Ti chc
C nhn
/-/
/-/
/-/
/-/
/-/
/-/
Ghi ch: Hnh thc o to: Chnh quy, ti chc, chuyn tu, bi dng ..../ Vn bng:
TSKH, TS, Ths, C nhn, K s ............
28) Tm tt qu trnh cng tc
T thng, nm n
thng, nm
9/2003 8/2006
10/2010- 5/2012
T 9/2006 7/2014
T 8/2014 n nay

Chc danh, chc v, n v cng tc (ng, chnh quyn, on

th, t chc x hi), k c thi gian c o to, bi dng v
chuyn mn, nghip v,......
Hc ti trng Cao ng s phm
Hc ti trng i hc s phm
Lm gio vin ti THCS Bnh Hng Ha
Lm gio vin ti Tiu hc Sng L

29) c im lch s bn thn:

- Khai r: b bt, b t (t ngy thng nm no n ngy thng nm no, u), khai
bo cho ai, nhng vn g? Bn thn c lm vic trong ch c (c quan, n v
no, a im, chc danh, chc v, thi gian lm vic ....)

Khng tham gia..............................................................................................................

- Tham gia hoc c quan h vi cc t chc chnh tr, kinh t, x hi no nc ngoi
(lm g, t chc no, t tr s u .........?):
Khng tham gia..............................................................................................................
- C thn nhn (Cha, M, V, Chng, con, anh ch em rut) nc ngoi (lm g, a ch)?

Khng c........................................................................................................................
30) Quan h gia nh
a) V bn thn: Cha, M, V (hoc chng), cc con, anh ch em rut
Mi
quan h

H v tn

Cha
M
Em

Phm Cng Hng

Nguyn Th Kim Oanh
Phm Nguyn Ngc Minh

Nm
sinh
1955
1960
1993

Qu qun, ngh nghip, chc danh, chc

v, n v cng tc, hc tp, ni (trong,
ngoi nc); thnh vin cc t chc chnh
tr - x hi ........)
B i ngh hu
B i ngh hu
Sinh vin ti trng i hc Si Gn

a) V bn v (hoc chng): Cha, M, anh ch em rut: KHNG

Mi
quan h

H v tn

Nm
sinh

Qu qun, ngh nghip, chc danh, chc

v, n v cng tc, hc tp, ni (trong,
ngoi nc); thnh vin cc t chc chnh
tr - x hi ........)

31) Din bin qu trnh lng ca cn b, cng chc

Thng/nm
M ngch/bc
H s lng

32) Nhn xt, nh gi ca c quan, n v qun l v s dng cn b, cng chc

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........................................................................................................................................
. Ngy. thng nm
Ngi khai
Ti xin cam oan nhng li
khai trn y l ng s tht
(K tn, ghi r h tn)

Th trng c quan, n v qun l

v s dng CBCC
(K tn, ng du)