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SÔÛ GIAÙO DUÏC & ÑAØO TAÏO T.

P HOÀ CHI MINH


Tröôøng THPT Nguyeãn Chí Thanh
Quaän Taân Bình

BAÛN TÖÏ KIEÅM CUÛA HOÏC SINH


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Kính gôûi: - Ban giaùm hieäu Tröôøng THPT Nguyeãn Chí Thanh.
- Phoøng giaùm thò.
- Giaùo vieân chuû nhieäm lôùp:……………….

Em teân:……………………………………………………………, hoïc sinh lôùp ………………………


Tröôùc nhaø tröôøng, em xin töï nhaän nhöõng khuyeát ñieåm cuûa mình trong thôøi gian qua nhö sau:
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Em ñaõ ñöôïc nhaø tröôøng nhaéc nhôû vaø ñaõ bò nhöõng quyeát ñònh kyû luaät tröôùc ñaây (neáu
coù):
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Em nhaän thöùc veà nhöõng khuyeát ñieåm noùi treân:
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Em töï nhaän hình thöùc kyû luaät: ............................................................................................................
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 YÙ kieán vaø hình thöùc xöû lyù kyû luaät cuûa GVCN:
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Taân Bình, ngaøy………thaùng……..naêm 201…


GVCN Hoïc sinh vi phaïm
(Kyù vaø ghi roõ hoï teân)

Nguyễn Hoàng Nhung

 YÙ kieán vaø chöõ kyù cuûa phuï huynh hoïc sinh :


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Taân Bình, ngaøy………thaùng……..naêm 201…


Cha Meï
(Kyù vaø ghi roõ hoï teân) (Kyù vaø ghi roõ hoï teân)

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