Mu s 02/GD

GIY XC NHN
(Ban hnh km theo Thng t s 36/2015/TT-BLTBXH ngy 28 thng 9 nm 2015
ca B Lao ng-Thng binh v X hi)
CNG HA X HI CH NGHA VIT NAM
c lp - T do - Hnh phc
--------------GIY XC NHN
Phn I: Dng cho c s gio dc mm non, ph thng xc nhn
Trng: .....................................................................................................................
Xc nhn hc sinh:.....................................................................................................
Hin ang hc ti lp......................... Hc k:........................ Nm hc:..................
Phn II: Dng cho cc c s gio dc ngh nghip, gio dc i hc xc nhn
Trng:.......................................................................................................................
Xc nhn anh/ch:.......................................................................................................
Hin l hc sinh, sinh vin:
Nm th............... Hc k: .............. Nm hc...............
Khoa ................ Kha hc ................. Thi gian kha hc ............(nm);
Hnh thc o to: ................................
K lut: ........................(ghi r mc k lut nu c).
ngh Phng Lao ng-Thng binh v X hi xem xt, gii quyt ch u i
trong gio dc o to cho..................... theo quy nh v ch hin hnh.
... ..., ngy... ... thng... ...nm... ...
Th trng n v
(K tn, ng du)