Hnh th SV

TRNG I HC BCH KHOA HQG TP.HCM (Size 3x4)

Hnh mi
KHOA KHOA HC V K THUT MY TNH chp trong
LP SINH HOT: .................................................. vng 06
thng tr li
GIO VIN CH NHIM: .......................................................... y.

PHIU NH GI IM RN LUYN SINH VIN

Nm hc 2016-2017

H v tn: ........................................................ Nam/N: .............. MSSV: ..........................................

Chc v (trong Lp sinh hot, CLB i Nhm ca Khoa/ Trng) [2016-2017]: ...............................
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Nguyn qun: ...............................Dn tc: ................................... Tn gio:
.........................................................
a ch h khu: .....................................................................................................................................
.................................................................................................................................................................
in thoi di ng/ bn: .........................................................................................................................
E-mail (ngoi e-mail MSSV): ................................................................................................................
a ch lin lc/ tm tr: .........................................................................................................................
.................................................................................................................................................................
im TB HK1: ....................................... Tng TCTL HK1: ............................................................
im TB HK2:........................................ Tng TCTL HK2: ............................................................
Bng nh gi:
SV t
im Lp
TT Cc mt nh gi nh Khoa Ghi ch
ti a GVCN
gi
1 thc hc tp. 20
thc chp hnh ni quy, quy
2 25
ch, quy nh trong Trng.
thc tham gia cc hot ng
chnh tr - x hi, vn ha, vn
3 20
ngh, th thao, phng chng
ti phm v cc t nn x hi.
Phm cht cng dn v thc
4 25
trong quan h vi cng ng.
thc v kt qu tham gia
5 cng tc cn b lp, on th, 10
t chc trong Trng.
Khen thng (+) [C minh
6
chng].
7 K lut (-) [C minh chng].

Tng cng: 100

(Tng im nh gi khng vt qu 100 im).
Ghi ch khc (nu c): ...................................................................................................................
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TP.HCM, ngy thng nm

Sinh vin Gio vin ch nhim Khoa