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BỘ GIÁO DỤC VÀ ĐÀO TẠO CỘNG HÒA XÃ HỘI CHỦ NGHĨA VIỆT NAM

TRƯỜNG ABC Độc lập – Tự do – Hạnh phúc

() ()
Tp.HCM, ngày. . .tháng. . .năm 200..

ĐƠN XIN CHẤM PHÚC KHẢO

(Bài thi kết thúc môn học)
Kính gửi: PHÒNG KHCN-HT&SĐH
Thầy (Cô).........................................................................................................................................
Phụ trách môn học..........................................................................................................................
Họ tên học viên: ......................................................... MSHV:......................................................
Ngày sinh:................................................................... Nơi sinh:....................................................
Chuyên ngành: ........................................................... Khóa:.........................................................
Đề nghị Phòng KHCN-HT&SĐH và giảng viên phụ trách môn học chi chấm phúc tra bài thi môn

..........................................................................................................................................................

Ngày thi......................Phòng thi ................Điểm thi (điểm chữ.................).

Phòng KHCN-HT&SĐH Học viên

........................................................ ......................................................

___________________________________________________________

PHẦN DÙNG CHO CHẤM PHÚC TRA

(Giảng viên phụ trách môn học phản hồi kết quả chấm phúc tra
về Phòng KHCN-HT&SĐH trước ngày ... tháng ...năm.....)
Điểm thi trước phúc tra: Điểm số.................................Điểm chữ ................................................
Điểm phúc tra: Điểm số................................................Điểm chữ ................................................
Lý do thay đổi điểm (nếu có thay đổi):............................................................................................

........................................................................................................................................................

Ngày ... tháng ... năm 20...

Khoa quản lý ngành Giảng viên phụ trách môn học

................................................... ...................................................

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