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MU
(Ban hnh km theo Thng t s 12/TT-BXD ngy 24/6/2009
ca B trng B Xy dng )
------------------------------CNG HO X HI CH NGHA VIT NAM
C LP - T DO - HNH PHC
--------------------------.........., ngy.......thng....... nm......
N NGH CP CHNG CH HNH NGH......
(in loi chng ch hnh ngh thch hp: Kin trc s hoc K s
hoc Gim st thi cng xy dng cng trnh vo du ...)
Knh gi: S Xy dng (tnh hoc thnh ph trc thuc Trung ng)
1. H v tn:
2. Ngy, thng, nm sinh:
3. Ni sinh:
4. Quc tch:
5. S, ngy, ni cp chng minh th nhn dn (hoc s h chiu i vi ngi nc
ngoi):
6. a ch thng tr:
7. Trnh chuyn mn:
- Vn bng, chng ch c cp (ghi r chuyn ngnh o to):
8. Kinh nghim ngh nghip:
- Thi gian tham gia hot ng xy dng (Nu xin cp chng ch hnh ngh lnh vc
no th khai kinh nghim v lnh vc ):
+ tham gia thit k quy hoch xy dng:
+ tham gia thit k kin trc cng trnh:
+ tham gia kho st xy dng:
+ thit k cng trnh:
+ lm ch nhim, ch tr bao nhiu cng trnh:
+ tham gia thit k hoc thi cng xy dng (bao lu hoc bao nhiu cng trnh):
+ ...
ngh c cp chng ch hnh ngh kin trc s hoc k s hoc gim st thi cng
xy dng vi cc ni dung sau (cn c vo quy nh xc nh xin cp loi cng vic g cho
ph hp vi chuyn ngnh c o to v kinh nghim tham gia hot ng xy dng), V
d:
- Thit k quy hoch xy dng
MU
(Ban hnh km theo Thng t s 12/TT-BXD ngy 24/6/2009
ca B trng B Xy dng )
----------------------------------------------------------BN KHAI KINH NGHIM CNG TC CHUYN MN
TRONG HOT NG XY DNG
1. H v tn:
2. Qu trnh hot ng chuyn mn trong xy dng:
STT
Thi gian
Hot ng xy Ni dung hot ng
hot ng
dng trong c
xy dng (thit k
chuyn mn
quan, t chc quy hoch xy dng,
v xy dng no? hoc hot
thit k kin trc,
(t thng,
ng c lp?
thit k xy dng,
nm, . n
kho st xy dng,
thng nm)
thi cng xy dng,
gim st thi cng
xy dng)? ti cng
trnh no? ch tr
hay tham gia?
Ch u t, a
im xy dng
Ti xin cam oan ni dung bn khai ny l ng s tht, nu sai ti hon ton chu trch
nhim.
Xc nhn ca c quan, t chc qun l trc tip hoc Hi
ngh nghip
Ngi lm n
(K v ghi r h, tn)