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c lp - T do - Hnh phc

PHIU NG K NHN GIY CHNG NHN TM THI

K KIM TRA NH GI NNG LC NGOI NG
Knh gi: Hi ng Kim tra nh gi nng lc ngoi ng
Trng i hc Cn Th
Ti tn:..............................................................................................................
Ngy sinh:.............................. Ni sinh:.......................................................................
S CMND/H chiu: ...................................................................................................
in thoi: ...................................................................................................................
Email:
tham d k kim tra nh gi nng lc ngoi ng do Trung tm nh gi nng
lc ngoi ng t chc ngy:S bo danh:.............................................
Nay ti lm n ny knh ngh Hi ng kim tra nh gi nng lc ngoi ng
cp cho ti giy Chng nhn tm thi .
Trn trng.
......................, ngy ........ thng ....... nm 20..
Th sinh ng k
(K v ghi r h tn)
(Th sinh dn 01 nh
4x6cm vo y)