CNG HA X HI CH NGHA VIT NAM

c lp - T do - Hnh phc
N NGH CP TIN H TR MIN, GIM HC PH
(Dng cho hc sinh, sinh vin ang hc ti cc c s gio dc ngh nghip v
gio dc i hc cng lp)
Knh gi: Phng lao ng-thng binh v x hi (cp huyn)
H v tn:
Ngy, thng, nm sinh:
Ni sinh:
H tn cha/m hc sinh, sinh vin:
H khu thng tr (ghi y ):
X (Phng): .........................
Huyn (Qun): .....................
Tnh (Thnh ph): ...................................................................
Ngnh hc:
M s sinh vin:
Thuc i tng: (ghi r i tng c quy nh ti Thng t lin tch hng
dn Ngh nh 49)
Cn c vo Ngh nh s 49/2010/N-CP ngy 14 thng 5 nm 2010 ca Chnh
ph, ti lm n ny ngh c xem xt, gii quyt c cp tin h tr min,
gim hc ph theo quy nh v ch hin hnh.
.........., ngy .... thng .... nm ............
Ngi lm n
(K tn v ghi r h tn)
Xc nhn ca c s gio dc ngh nghip v gio dc i hc cng lp
Trng: .........................................................................................................
Xc nhn anh/ch: .................................................
Hin l hc sinh, sinh vin nm th ..... Hc k: ..............Nm hc............ lp .............
khoa ......... kha hc.......... thi gian kha hc..........(nm) h o to .................. ca
nh trng.
K lut: ........................... (ghi r mc k lut nu c).
S tin hc ph hng thng: ....................... ng.
ngh phng lao ng - thng binh v x hi xem xt gii quyt tin h tr min,
gim hc ph cho anh/ch ............................... theo quy nh v ch hin hnh.
.........,ngy ..... thng ..... nm ...........
Th trng n v
(K tn, ng du)