Scribd Logo
Upload

Welcome to Scribd!

  • Mẫu 2

    Uploaded by

    Đào Thanh Tùng
    6 views1 page

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    6 views1 page

    Mẫu 2

    Uploaded by

    Đào Thanh Tùng

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    CNG HA X HI CH NGHA VIT NAM

    c lp T do- Hnh phc


    ----------------------

    N XIN NHN XT LU TR
    Knh gi: Cng an phng:.................................................................................
    ................................................................................................................................
    Tn ti l:...........................................Sinh ngy:...................................................
    L hc sinh lp:.....................................Trng:...................................................
    S CMTND:...........................................................................................................
    a ch thng tr:.................................................................................................
    Qun/ Huyn:.........................Tnh (Thnh ph):...................................................
    H khu ng k tm tr (thng tr) ti nh ng (B):........................................
    ................................................................................................................................
    S nh:.............................................ng ph:...................................................
    Phng:........................................Qun/ Huyn:...................................................
    Tnh/ Thnh ph:....................................................................................................
    Quan h vi ch h ang :...................................................................................
    Trong thi gian lu tr t ngy:thngnm 20..n ngy..thng.nm
    20c vi phm g khng?.
    ................................................................................................................................
    ................................................................................................................................
    ................................................................................................................................
    ................................................................................................................................
    Ngy ..thng.nm 20
    I DIN CNG AN PHNG
    (K tn, ng du)

    Ngy thng.nm 20..


    NGI LM N
    (K v ghi r h tn)

    You might also like