CNG HO X HI CH NGHA VIT NAM

c lp T do Hnh phc
N XIN THC TP
Knh gi: Trung tm Cng ngh thng tin v Truyn thng
(nh 3x4)

H v tn: ..
Ngy sinh: /./

Nam

Ni sinh:
CMND s:. Ngy cp ....../.../
Ti: .
a ch thng tr: ...................................................................................................
a ch lin lc: ........................................................................................................
in thoi: .................................................. Email: ..............................................
Sinh vin trng: ........................................ Khoa: .................................................
ti thc tp:..........................................................................................................
...................................................................................................................................
Cc chng ch hc:
CCNA

MCITP (MCSA)

Thit k web

Lp rp my tnh

Chng ch khc: ..
Nay ti lm n ny vi mong mun c Trung tm Cng ngh thng tin v
Truyn thng tip nhn b tr thc tp hon tt chng trnh hc. Ti xin cam
kt thc hin cc ni dung sau:
1. Tun th tt c cc ni quy, quy nh i vi sinh vin thc tp; bo mt
thng tin, an ton ti sn ca Trung tm.
2. Bi hon cc tn tht, h hng ti sn do bn thn ti gy ra vi Trung tm
(nu c).
Ti xin hon ton chu trch nhim trc php lut nhng ni dung cam kt.
Knh mong Ban lnh o xem xt v to iu kin cho ti c thc tp ti
Trung tm.
, ngy.. thng .. nm 2014
Sinh vin