sd GIA0 THONG VAN TAI CQNG HOA XA HQI CHU NGHIA WET NAM

THANH PHO HO CHI MINH DOc 14p — Ttr do —11#nh phtic

TRUNG TAM QUAN Lt
GIAO THONG CONG CONG
S6:J4-4,L TIT-KHDT Thanh pho Ha Chi Minh, ngay Q9tháng 11 num 2022
V/v mad tham gia nOp h6 so nang hm xet
dam nhan cung cap dich vii van tai hthili
kith cong Ong tren tuykn xe but lien ke
khOng trg gia Ben xe Mien Tay — Ben xe
Bien Ma

Kinh Ck don vi kinh doanh van tai hanh khach bang xe but.
Ps

Can ca Ng,In dinh s6 10/2020/ND-CP ngay 17 thang 01 nam 2020 cUa Chinh
pith quy dinh ve kinh doanh va diêu kin kinh doanh van tai bang xe ô to;
Can dr Thong tu s6 12/2020111-BGTVT ngay 29 thang 5 nam 2020 cna,130
Giao thOng van tai ban hanh quy dinh ye t6 chirc, quan 1' hog dOng van tai bang
to va dich vv 116 try van tai duang b0;
Can dr 'Thong bao s6 8917/TB-SGTVT ngay 25 thang 8 Kam 2022 cua Sb
Giao thOng van tai ve nOi dung ket luan cfla Giam doe Sb Giao thong van tai
Tran Quang Lam ve tinh hinh hoat d'Ong van tai hanh khach citing cOng bang xe
bukt lien tinh;
Can cir Quyet dinh s6 1190/QD-SGTVT ngay 10 thang 10 nam 2022 cilia Ser
Giao thong van tai ve Thanh lap TO cong tac xay dvng Ti'eu chi, hinh that lva
chon don vj cung cap dich vv van tai hanh khach bang xe buYt lien tinh gitia Thanh
ph6 H6 Chi Minh va tinh Wong Nai;
Can cir Citing van st 4753/SGTVT-QLVTPT&PT ngay 02 thang 11 nam
2022 dm Ser Giao thong van tai firth Diing Nai ye viec th6ng that tieu chi, phucmg
an to chat lva ch9n don vi cung cap dich vv In tai hanh khach bang xe buyt lien
tinh gift thanh pho Ho Chi Minh vã tinh Wang Nai;
Can cir Cong van se; 11903/SGTVT-VTDB ngay 08 thang 11 nam 2022 dm
Sb Giao thong van tai Thanh ph6 H6 Chi Minh ye viec tieu chi, hinh thIrc lva
chon don vi cung cap dich vv van tai va ke hoach trien khai tuyen xe buYt giika
thanh ph6 H'46 Chi Minh vã tinh Dong Nai;
Can cir Quyet dinh s6 810/QD-TT ngay 08 tiling 11 nam 2022 cfra Trung
tam Quin IY Giao thong et:ling Ong Thant' ph6 116 Chi Minh ve Phe duyet den
chi, phuang phap danh gia lira chon don vi khai thac dich vv van tai hanh khach
clang cOn4 trep cac tuyen xe buyt lien tinh lien ke gifia Thanh ph6 H6 Chi Minh
va firth Dicing Nai.
Trung tam Quan l Giao thOng ding cOng Thanh phis) H6 Chi Minh (Trung
tarn) then khai Iva ch9n don vi cung cap dich vv van tal hanh khach Gong ce.mg
 2

teen tuyen xe buSrt lien ke khong try gia B'en xe Mien Tay (Thanh pha Ha Chi
Minh) — Ben xe Bien Hee (Tinh Dang Nai). Trung tam mai cac don vi van tai tham
gia nap ho so hang !cc xet dam nhan tuyen voi thong tin co ban nhu sau:
, 1. Pharn vi cons viec: Cung cap dich vii van tai hanh khach deg cang tren
tuyen xe buSit lien ke thong ter gia Ben xe Mien Tay — Ben xe Bien Hem
Thong so hoat &Ong tuxen xe but lien ke khong fro gia Ben xe Mien Tay
(Thanh pha Ha Chi Minh) — Ben xe Bien Him (Tinh Dang Nai): Dinh kern tai Phi
lvc 1.
Co quart t6 chac Iva chon: Trung tam Quan 12 Giao thong cling ding
Thanh pha Ha Chi Minh.
Thai gian thvc hien hop clang: Tir ngay 01 thing 01 nam 2023 den het ngay
31 thing 12 nam 2027. (Thai gian thvc hien hop dang c6 the thay dai lchi c6 quyet
dinh dm co quan c6 tham quyen). Sau thai gian heat Ong 05 ham, cac Ser Giao
thong van tai tien hanh danh gia tinh hinh thvc hien hop tong cila don vi Ichai tilde
tuyen ten ccr sâ bao cao cüa Trung tam Quan 1ST Giao thong ding Ong Thanh pho
HO Chi Minh de danh gia va xem xet gia han hop (long them toi da 02 nam.
Tien chi, phucmg phap danh gia lva chon don vi cung cap,clich vi van tai
hanh khach cong cang tren tuy'en xe but lien k'e không fro gia Ben xe Mien Tay
(Thanh pita Ha Chi Minh) — Ben xe Bien Hem (Tinh acing Nai): Dinh kern Quyet
dinh so 810/QD-TT ngay 08 thing 11 nam 2022 dm Trung tam Quin 15+ Giao
thong Gong can Thanh phi) H6 Chi Minh
Huang clan lap ha so hang lire: Dinh kern tai Phi loc 2.
Huang d'an nhan ha so mai tham gia vá nap ha so hang Ice
, 7.1. Nhan ha so mai tham gia: Don vi van quan tam de nghi lien he phang
Ke hoach (tau tu (Trung tam) trong gib hanh chinh tit ngly 09 thing ,11 nam
2022 den tricot 14 gib. 00 phut ngly 22 thing 11 nAm 2022 de nhan ho so mai
tham gia. (Ca nhcin khi nhan ho so' mat tham gia phdi cung cap Giciy threw
ciia clan vi van tai)
7.2. Nap ho so hang hie: Don vi van tai chtlan7 bi va new ho so hang lye xet
dam nhan tuyen giri ye Trung tam Quan Giao thong cong cang Thanh pho HO
Chi Minh (S6 27 Pham Viet Chanh, Phuang Nguyen Cu Trinh, Quan 1, Thanh
phi; Ha CM Minh) triretc 14 O'Y 00 phut ngay 22 thing 11 dim 2022 (trong
henh chinh). (Ca /than khi den nap ha sa nang Itec phial cung ccip Giaty glen thi eu
caa dun vi van tá 0. Ban goc vá ban chop cila ho so nang Ice phai dime Ong trong
timg tüi c6 niem phong, ben ngoai ghi ro "Ban goc" hoc "Ban chyp", sau do tüi
ban gac va ban chop tiep toe dirge dvng trong ding mat tiM Ian c6 niem phong
(cock dcinh dau niem phong do clan vi van tcii tqc quy dinh).
Don vi van tai nap ha so hang Ice cif than so tham gia buai ma ha so nang
Ice tai hi truirng Trung tam Quan 15, Giao thong Gong cang Thant' pha ha CM
Minh (SO 27 Pham Viet Chanh, Phuang Nguyen Cu Trinh, Quan 1, Thanh phi)
H6 CM Minh), thZri gian 14 giir 00 phtit ngay 22 thing 11 dam 2022.
 Truerng hap, den 14 05. 00 phut ngiy 22 thing 11 nam 2022, do it han 03
don vi van tai nOp ho so nang thi Trung tam se bao cao Ser Giao thong van tai
Thanh pho Ho Chi Minh xem xet cho phep ma ho so nang lye ngay de tion hanh
danh gia hoac cho phep gia han theri diem nhan ho so nang
Trung tam xin th8ng tin den ck dcm vi van tai &rot biet va awe hienicor

Noi nhfin KT. GIAM DOC

- Nhtr tren; PHO GIAM DOC
SO GTVT TP. HCM (de ban can); IT
- Ser GTVT Deng Nai va Binh Ducmg;
Hiep hi van tat '6 to hanh khich TP. HCM;
Cac ban dal (he trq clang tin);
- Ban Giam doe;
- Cac Ph6ng, Ban Trung tam;
- Dang website Sc'r GTVT Nth Trung tam;
- Ltru: VT, 'GMT.
 I 11, '
TRUNG TAM 3
VAN LY El Phu lyc 1:
G.
THONG • 9, ' T TUYEN XE BUtT LIEN ICE ICHONG TRici GIA
- ' MIEN TAY — BEN XE BIEN ROA
(Dinh ken Cling van so 9%1/7T-KNOT ngery .0.9thcing 11 neim 2022 &la Trung tom)

1. Thong tin chung:

Ten tuyen: Ben xe Mien Tay — Ben xe Bien Hee;
Ma s6 tuyen: 60-1;
- Loai hinh tuyen: Khong trg gia.
2. LO trinh tuyen, diem du-cutii, diem ding train tuyen:
2.1. Li) trinh tuyen:
Lugt di: Ben xe Mien Tay - Duang Kinh Ducmg Vucmg - Vong xoay An Lac -
Nga tu Binh Phu& - Quoc 10 IA - IChu du lich Suoi Tien - Nga tu Vimg Tau - Xa LO
Ha NOi - Duong Thing ICheri - Dueing Nguyen Ai Quoc - Ben xe Bien Him.
Lugt ve: B'en xe Bien Hee - Throng Nguien Ai Quec - Duang Deng IChei - Xa
LO Ha Nei - Nga Ui Vimg Tau - Khu du lich Su8i Tien - Quoc 10 IA - Ng'a tir Binh
Phuac - Yang xoay An Lac - Duang Kinh Throng Vucmg - Ben xe Mien Tay.
2.2. Diem - cuOi tuyen
:
Diem du tuy'en: Ben xe Mien Tay.
Diem cuei tuyen: Ben xe Bien Hee.
2.3. Diem dimg (don, tra hinh khach) tren tuyen:
Sfr dung the tram &mg, nha cher xe but hien hern teen 10 trinh thu'Oc dia ban
Thanh ph6 He CM Minh, tinh Binh Ducmg va tinh Deng Nai.
3. Cac thong sof, hoyt dOng khfic:
Stt Clic chi tieu khai thic Don vi tinh a
Thong sti augt
1 Cu ly binh quan tuyen Km 62
2 Then gian hkth trinh 01 chuyen xe Phatichuyen 120
3 Chung loai phtrong tien Hieu xe, se chi) 30-40 1-1K (c6 may lanh)
4 Tang so chuyen xe hoat Ong trong Nay Chuyeningay 108
5 Thin gian hoat Ong trong ngay
5.1 - Ben xe Mien Tay
a + Chuyen du tien xuat ben 04 gier 45
b + Chuyen cuOi cling xuAt ben Gier 18 gier 30
5.2 - Ben xe Bien Wm
a + Chuyen dau tien xuat ben 05 gier 00
b + Chuyen cuoi ding xuAt ben 18 giet 30
6 Se xe hoat dOng theo bleu de chay xe Xe/ngay 18
 2

4. Bieu d choy xe:

BEN XE MIEN TAY BEN XE BIEN Hem.
Se Qin each
Di D
Den i Den
chuyen choy xe
BX Mien Tay BX Bien Rea BX Bien Boa BX Mien Tay
1 4:45 6:45 5:00 7:00
2 5:00 7:00 0:15 0:15 5:15 7:15
3 5:15 7:15 0:15 0:15 5:30 7:30
4 5:30 7:30 0:15 0:15 5:45 7:45
5 5:45 7:45 0:15 0:15 6:00 8:00
6 6:00 8:00 0:15 0:15 6:15 8:15
7 6:20 8:20 0:20 0:15 6:30 8:30
8 6:40 8:40 0:20 0:15 6:45 8:45
9 7:00 9:00 0:20 0:15 7:00 9:00
10 7:15 9:15 0:15 0:15 7:15 9:15
11 7:30 9:30 0:15 0:15 7:30 9:30
12 7:45 9:45 0:15 0:15 7:45 9:45
13 8:00 10:00 0:15 0:15 8:00 10:00
14 8:15 10:15 0:15 0:15 8:15 10:15
15 8:30 10:30 0:15 0:15 8:30 10:30
16 8:45 10:45 0:15 0:15 8:45 10:45
17 9:00 11:00 0:15 0:15 9:00 11:00
18 9:15 11:15 0:15 0:15 9:15 11:15
19 9:30 11:30 0:15 0:15 9:30 11:30
20 9:45 11:45 0:15 0:15 9:45 11:45
21 10:00 12:00 0:15 0:15 10:00 12:00
22 10:15 12:15 0:15 0:15 10:15 12:15
23 10:30 12:30 0:15 0:15 10:30 12:30
24 10:45 12:45 0:15 0:15 10:45 12:45
25 11:00 13:00 0:15 0:15 11:00 13:00
26 11:15 13:15 0:15 0:15 11:15 13:15
27 11:30 13:30 0:15 0:15 11:30 13:30
28 11:45 13:45 0:15 0:15 11:45 13:45
29 12:00 14:00 0:15 0:15 12:00 14:00
30 12:15 14:15 0:15 0:15 12:15 14:15
31 12:30 14:30 0:15 0:15 12:30 14:30
32 12:45 14:45 0:15 0:15 12:45 14:45
33 13:00 15:00 0:15 0:15 13:00 15:00
34 13:15 15:15 0:15 0:15 13:15 15:15
35 13:30 15:30 0:15 0:15 13:30 15:30
36 13:45 15:45 0:15 0:15 13:45 15:45
 BEN XE MIEN TAY BEN XE BIEN HOA
SO Clan each
A
chuyen Di Den Di Den
.A Tay
a elm, xe ). Tay
-
BX Mien BX Bien Iloa BX Bien Illia BX Mien
37 14:00 16:00 0:15 0:15 14:00 16:00
38 14:15 16:15 0:15 0:15 14:15 16:15
39 14:30 16:30 0:15 0:15 14:30 16:30
40 14:45 16:45 0:15 0:15 14:45 16:45
41 15:00 17:00 0:15 0:15 15:00 17:00
42 15:15 17:15 0:15 0:15 15:15 17:15
43 15:30 17:30 0:15 0:15 15:30 17:30
44 15:45 17:45 0:15 0:15 15:45 17:45
45 16:00 18:00 0:15 0:15 16:00 18:00
46 16:15 18:15 0:15 0:15 16:15 18:15
47 16:30 18:30 0:15 0:15 16:30 18:30
48 16:45 18:45 0:15 0:15 16:45 18:45
49 17:00 19:00 0:15 0:15 17:00 19:00
50 17:15 19:15 0:15 0:15 17:15 19:15
51 17:30 19:30 0:15 0:15 17:30 19:30
52 17:50 19:50 0:20 0:20 17:50 19:50
53 18:10 20:10 0:20 0:20 18:10 20:10
54 18:30 20:30 0:20 0:20 18:30 20:30
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dm nude ma Don v j cung cap djch vii dang hoat dOng cap;

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Kheng clang trong Mari gian bj cam tham du t h au.

6. Tail ieu thing minh Dan vj van titi
hach man tai chInh diec 1p
Yen c Eu v lich sir khang hoin thitnh dong
TU ngay 01 thug 01 nam 2019den thttidiem denh gia he sa,
Dan vi cung cap djch vi khOng COhtm deng khOng hoan t hanh.
HOD clonz klyene hoan thank bao 26m:
- Hop &Mg 14 Chi aim tickitluein Don vi cung clip dick vu Meng
hoan thimh va Don vi,cung cap dickvu khOng phan dot;
- Hop tong bi 0114 adz' hr kit ItiOn Don vi cung diptlich vuykhOng
hoan thank thong dupe Dan vi cung cap djch vu chzip thucin nhung

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dd diem trong tai ho4c tea On kit twin theo Song kit loi cho Dan Cung cap tai lieu Ming thuc te.

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ma quyit dinh cüa Chudiu Sw do bj bac bo bang ca chi gicii
quyet tranh chip.Hop cling thong hoan thank phiti dim tren
tit Ca nhang Meng tin ve trank chelp hock kien tyng cluac giOt
quiyit theo quy dinhSo ca che giat quyit frank chip can hop
dong htemg ang vakhi ma Dan vi cung cifp djch vy ad hat tit
Cil ceic ca het c6 thikhilu not
Yin can yekiin tyng dang gial guyit

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hueing bat lqi cho Dan v j cung cap djch vy yethe khoan chi
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philien quan den ckk ien fling nay khOng duot vuort qua 50%
giatel tai san rang nrun 2021dm Dan v j cung cap did! vii.
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Hop Clang cung cAp clich vu in UM

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teihanhkhachdo Dan vj cung cap dich

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vu tg time hien vakha i thac (duce cap

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+ Tail iCu chang minh da thuc hien hob

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thanh hoac hoan thanh phAn Ian (Roan

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dens la phuang flan c6 san thuec guy&

sahut hoac quyan sir dung dm Dan v j
rg g

cung cAp clich vu:

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+ Gay clang k9 xe; guy chfrng nhan ki em

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dinh an toan k thuat vebao ve m6i
- S6lacing: 18 xe. hi:Crag phtrcmg nen giao th6ng to giai
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- Lip dat he thong ban ye 4:ging hoac he thong ban vdban
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+ TA' lieu chimg minh quyen sahan hoac

tg gong (cung cAp tailieu chung minh).
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ba

guy& sudung hqp phap theo hop drag

thue phucmg tien bang van bin ctia don v j
ac
a

kinhdoanh van tai hanh khachbang xe 6

to Need te chirc, ca nhan hoac hop (tang
hip tac kinh doanh theo .0 dinh ct a
 Cie yen au cin titAn MO

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ser hit dm thenli vien hap tee xa phei c6
hop clang djch vi gala thanh vien vai hop
tac xa, trong d6 quy cljnh hop tan xa c6
quyen, trach nhiem va nghia vii quan
sir dung, dieu hanh xe 8 to thueic ser hau
cUa thanh vien hop the xa.
+ icekhai danh sach phuang tien ho t
deng tren tuyen
Tnrang hcm phuong tin dy kin huy
dieng khong c6
the mua ban xe giaa
+ Hop ding nguyen
Don v i cung cep dich vy va nhtt cung cep
phucmg tien the hien disoluting phucmg
tien, nhan hieu xe, sac chira phuang tien
(theo thiet ke), nem clang ky Ian diu theo
yeu cAu, dam him ding tien d0 cung cap
theo yeu
Tai lieu chirng minhlap dat he theng
I ban ve ty deng hoac he thong ben ye ban
ty deng.

04
flu au ve ding kphi hien xe butt
Don v j cung cep djch vy cam ket bang van ben (theo matt dInh
-r.o.zt

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kern) ye yiec xin cep phU hieu xe butt theo s6lacing nhu sau:

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Tai IMAM ph6 He Chi Minh 09 xe (thong throng 5 0%se Itrcrng

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a. E ..g..„9
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xe) ve tai fink Deng Nai 09 xe (tucmg throng 50%s6 Krung

6 E >. o a
xe).
1. Truting hop tram sit chat, bac) duang
thuec quyen sir dyng dm Dan vj cung cep
r

dich vu:
t.)

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.=
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bo

hoc giey chirng nhan quyen sir dyng chit,

to

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Dan v j cung cep djch vy c6 tram stia chaa, bao during xe
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so boa mat bring hien trung tram bao

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tody kien huy tieing: 01 tra

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nrs

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a. 6 E ›-• ° 40 dy kien, giey ding ky nganh nghekinh

45 -2•-•
.0. E v, 0 -4) co
E- •' -03 6 a E .°

doanh saa chin bao clueing theo quy

djnh).
 Cale you eliican tubtha
Dan vj rig cap dich vy lien danh

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I 2. Tnremg Nip di thue:
+ Hop dong nguyen tic yea train sera chits
bao duang (don v i cho thue phaihoot
deng nganh nghe kinhdoanhbao dtremg,
sUa chaa 818 vA xe c6dOng ca khk (gay
phep clang k kinhdoanh) vi thtti gian
hop thing toi thieu b ang thtri gian thuc
hien cung cap dich vv VTHKCC irk
tuyen).
I. Tnrtmg hqp ch 8 d6 xe buyt thuOc
quyen dung caa Don v i cung cAp clich
vu:
+ Tai lieu chimg minh (hap ding thuedit
hose giAy cluing nhan gayer' kr clung Tat,
so hue mat bang Men trang bai d6,
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veu cAu vEnc,iau xc Tnrang hqp di thue:
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thai gian thk hien cung cAp dich vu

VTHKCC tren tuyen).
Phucmg an kinhdoanh
Phtrang An PCCC vabien ban kiem tra
trong yang I narn caa don v i chat nang.
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Yeu au va nguiri trvc tiip dieu hinhhoot deng vhn tai tren tuyin: I. Ke thai ning luc kinh nghiem
- S6narn lien tuc tham gia cang the quitn 19 van tai tren tuyan tai cdc doanh 2. Bin cap thehien trInhdO chuyen ngenh van tai
k Tai lieu cluing
nghiep, hop Mc xa inhdoanh vun tai bang xe o t8:?. 03 nam. minh la ban

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cap chuyen nganh van tai fro.len. gift trj toi thiri
- S6hong: 01 ngutri. Quyet djn hbe nhiem can bO di em xdt he so,

Yeu au vi ngtrtrihach than kitom, quin 19 thu chi, cat chi de vithui I. Bang cap thehien trinhdi) chuyen nganhk e man, tai chlnh tit cao d ing
00

vh tAlchinh: tr6len
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ch edo ve thue va tai chInh tai cac doanh nghiep, hop tac xti kinhdoanh guOp 08j S ugp den 't
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- TrinhdO chuyen ngarthk e toan, tai chInh tacao ding tr6len. 3. Quyet clinhb6 nhiem can MI
- SEWynn: 0 1 ngutri.
Yeu au ve ngtritri quirt 19, theo doi cic thin hien vi an tom ngiao thong: I. Bing cap thehien trInhde chuyen nganh van t ai
- s6 Mm lien tyc tham gia cong tic an ninh trot tat an tan giao th6ng va
OD

xis 19 si,r c6tai Sc doanh nghiep, hqp Mc xi kin hdoanh van titi biing xe Hop clang lao Ong
t8: >0 1 narn. 3,

en
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+Diem ky thuate.no: La s6di em &rot xac <Milt t i bubc danh gia vekg thuot;
+ Diem g ifisang =[Gt*nhli X1 00]Gsgutt .ei
Veri:
Gfitip gid ve xuat sau I6i, hien chinh sailech cna he sa thAp nhat;
lei,
Gdartgth:gjave de xuat sau sera hieu chinh sai tech caa he sanang Ivy dang xet.
Gia yede xuat [(Gia ye mang ung cu ly 5 7km) x 1/4] + [(Gia yeProng Cmg: 7km < cu ly 5 1/3 cu ly tuyen) x 1/4]
+ [(Gia yeProng tin: 1 /3< cu ly 5 2/3 cu ly tuyen ) x 1/41 + [(the ve Prang 1mg cu ly > 2/3 cc:ly tuyen) x 1/4].
cha:
+Gia yede xuit sau khidupe Iva chon khang duoc dieu chinh tang trong theri gian tai thi eu 01 nam. Truckkhidam
n han tuyen, don v j cung cap dich AzdE xuat gift ve phahop cho tang nh6m del tuong theo quy djnh.
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1
.a..

thucmg binh, benhbinh); Ngubikhuyet tat (CO xuat trinhCity Chang nhan khuyet tat); Ngubi cao tutli (CO auk trinh
gi ty tbchting minh t n. da 70 tu6i to&len); Ngubi c6 thedi xe butt mi en phido ca quan c6 th an' quyen cep.
+Giant tai thieu 25% gid ye Prong ting cho hoc sinh, sinh vien.
+Cia ye thong 1mg cu ly 5 7km: Kh6ng qua 7.000 dengthrot hanh khtich. Neu don v [ van tai c6Cid ye Prong ling
danh gia
ctr ly 57km lem han 7. 000deng/lucrt thldugt Mirth gie là khring dap img yeu eau vakh8ng duce xem xet
it ep.
Xip hung dun vj in till:
- Heso Ming luc COdi em teng hop cao n h At duqc xep hang Mir nh At.
- Truerng hqp, CO tfrhaidon vj van tai trb len c6diem tang hop bang nhau valem nh it thi sedua vio cAc tieu chi tru
tien theo thti ttr sau dfiy de xac djnhdon 1/1 van t aidirge xAp hang this n h at: ( I) CO chlnh sach giam g ift ve cho hoc
sinh, sinh vien tot han duce dant) gia cao han; (2) Kinh ngh iem trong boat (Mug van taihanhkhAch cong cOng bang
danh
xe bukt (don v j CO thbi gian tham gifttrong ho t dens van taiharthIchach cerng cOng bang xe bu t IAu han duqc
cao han .
 Mau WO 1.

< Ten don vi van tai > ONG HOA Xit HO: I CHiJ NGII1A VItT NAM
Doc Ifip - Ta do - Hanh phfic

Thanh phi; Ha Chi Minh, ngay thong nam 2022

DON DE XUAT DAM NHAN TUYEN

Kink girt Trung tam Qucin 1St Giao thong cong Ong Thànhph Ha Chi Minh

Sau khi nghien cau van ban min tham gia nOp hà scr nang lye xet dam nhan cung cAp dich
vg van tai hanh khach &Ong cOng gen tuyen xe buyt lien ke khong trg gia Ben xe Mien.Tay — Ben
xe Bien H6a, chting t8i: [Ghi ten Don vi van tali cam ket tham gia dam nhan tuyen Ben xe Mien
Tay — Ben xe Bien Hea theo yeu cau ca.' a Trung tam Quart 19 Giao thOng c6ng cOng Thanh pho
HO Chi Minh, vei ve de xuat nhu sau:
Stt Ca ly chuyen di Gia ye twang ling
1 NW) hcrn hoac bang 7 km
2 Tit 7 km den hoc bang 1/3 cg ly tuyen
3 Tir 1/3 cg ly tuyen den hoc bang 2/3 cv ly tuyen
4 Tir 2/3 cg ly tuyen den hoc bang cg ly tuyen
Ching ten cam kat:
Gia ye de xuAt sau Mil dugc lga chon khong dugc dieu chinh tang trong then gian toi
thiAu 01 nam. Tnrac kid dam nhan tuyAn, don vi cung cap dich vg de xuat gia ye plait hgp cho
timg thorn dôi tircmg theo quy clink
.x
Mien lien ye cho cac doi tugng sau: Tre em cao tir 1,3 met trer xueng; Thucmg binh,
benh binh (co xuAt trinh the thuong .binh, b'enh binh); Ngutri Idiuyet tat (c6 xuat trinh Giay
chung nhan Idiuyet tat); Ngutri cao tuoi (c6 xuat trinh giAy ter chimg mirth tir do 70 Mtn trot Ten);
Ngutri do the di xe buYt raien phi do co quan co tham quyen cap.
Giam tOi thien 25% gia ye ttrong üng cho hoc sinh, sinh vien.
Gia ye ttrcmg Ung cg ly < 71an: Khong qua 7.000 dong/lugt hanh khach. N'eu don vi
van tai c6 Gia,v6 tuong ung cg ly < 71cm len hcm 7.000 dong/lugt thi dugc climb gia là lchong
dap (mg yeu cau va khong dugc xem xet dart gia tiep.
Khong dang trong qua trinh giai the; Ichong bi ket luan dang lam vao tinh tang pha sin hoc
ng khong co kha nang chi tra theo quy dinh atm phap luat
Nhibig thong tin trong h8 so n'ang lye la chinh xac, khong vi pham cac hanh vi bi cAm.
, ngay thang nam
Hai ditn hop phip ciia Dan vi In tai
(Ghi rti ten, chile danh, klj ten va dong dau)

Ghi cha:
(1) Throng hap dal dien theo phap luat dux Don vi van tai quyen cho caP
du& kfi don de xucit dam nhan tuyen thi phai girl kern theo Gay ay quyen So Mau s6
2. Truang hop tai dieu le cling ty, hop tic xd hoac tgi cac tai lieu.khcic lien quan có
phan cong trcich nhiem cho cap chafri kJ, don cle‘xuert dam nhan tuyen thi phai gai kern
theo ban sao cac van ban, tai lieu nay (Ichong can lap Gay ily quy'en theo Mau so 2).
 13

MAu sO 2.
(AP dyng cho truong hop Ngtreri dal dien theo phap luat ay quyin cho cap dirdi thac hien)
<Dan vi vAn tai> CONG HOA XA HOI CHU NGHIA VI1T NAM
DAc lap - Tr do - Hanh pink

Thanh pha Ha Chi Minh, ngery thang nam 2022

GIAY (JY QUYEN(1)
Horn nay, ngay thang nam tai
T8i la [Ghi ten, sá CMND hock sa ha chieu, chat danh caa ngtreri dal dien theo
pluip luat caa Dan vi van tail la nguai dai dien theo phap luat elm [Ghi ten Dcrnvj v an
tai] có dia chi tai [Ghi diarchi cita Dan vi van tail bang vAn ban nay ily quyen cho
[Ghi ten, so CMND hock so ha chieu, chac danh caa nguai duov ày guyen] thoc,hien
cac cong viec sau day trong qua trinh tham gia darn nhan tuyen Ben xe Mien Tay -.7 Ben xe
Bien H6a do Trung tarn Quan 11 Giao thong Gong cOng Thanh phe H6 Chi Minh to
Kj dun de3 xuat dam nhan tuyen ;
IC35.cac van ban, tezi lieu de giao dich voi Trung tam Quan 135 Giao th6ng cong Ong
Thanh ph6 H6 Chi Minh trong qua trinh tham dr.; dam nh an tuyen;
Therm gia qua trinh thtrang thao, hoan thien hop clang;
Cac nai dung cang viec khac (neu có phai ghi r5).
Ngu6i duqc ny quyen neu tren chi thqc hien ck ding vi'ec trong pham vi ily quyen yeti tu
cach la dai dien hop phap cUa [Ghi ten Dan vi van tag. [Ghi ten Dan vi
van tat] chin trach nhiem hoan toan ve‘nhiing ding viec do [Ghi ten ngweri &toy ay
quyen] thuc hien trong pham vi ily quyen.
Giay üy quyen co hien lye k tir ngay den ngay (2). Giay fry quyen nay duqc 10
thanh 04 ban c6 gia tri phap l nhu nhau, ngueri Uy quyen gift 02 ben, ngtreci &roc Ay quyen
gift 02 ban.
Npriri dtnyc iiy quyen Nguiri tly quyen
[Gil ten, chac danh, 195 ten va thing dclu [Ghi ten ngtrai dal dien theo phdp luat caa
(neu co)] Dan vi van tai, chat danh, 195 ten va thing
dau]
Ghi chit:
Trtremg hop ay quydn thi ban sac gay ay quyinphdi chew gai cho Trung tarn QuembiGiao
thong &Ong Ong Thanh pho HO Chi Minh cling y& don de xuat darn nhan tuyen. Viec ày quyen
caa ngtrai dal dien theo phap luat clic: Dan vi van tai cho cap phi), cap chrth, gicim doe chi nhanh,
ngtrai ding dau van phong doi dien caa Don vi v4n tai tie thay mat cho ngtrol dgi dien theo phcip
luat caa Dan vi van tái thac hien mat hock cac,noi dung Ong viec neu tre'n day. Viec s& dyng
con dem trong triremg hop dirge ay quyen co the la ddu cita Dan vi van tai hock da'u caa don vi
ma cá nhan lien quan dirge ày quyen. Nyco" chew ay quyen khong duct tiep tyc ay quyen cho
ngweri khotc.
Ghi ngety có hieu lye và ngay hit hieu lac caa giciy ay quyin pith hop voi qua trinh tham
gia dam nh an tuyen.
 14

Mu so 3.

<Don vi von tai> cONG HOA xA HQI CHU NGHIA VItT NAM
Doc lap - Tv do - Hanh pinic

Thanh pha Ha Chi Minh, ngay thang nclm 2022

TH6A THUAN LIEN DANH

Can cir Lust Dau thau s6 43/2013/QH13 da ducic Quoc hOi nuerc CHXHCN Viet
Nam thong qua ngay 26 thSg 11 nam 2013;
Can cir Nghi dinh so 10/2020/ND-CP ngay 17 thang,01 nam 2020 oh Chinh phi)
quy dinh ve lcinh doanh va dieu kin ldnh doanh van tai bang xe ô to;
Can ca van ban mai tham gia nOp ho scr nang bre xet dam ratan cung cap dich vi
van tai hanh khach clang cOng tren tuyen xe buyt lien ke khong try gia Ben xe Mien Tay
— Ben xe Bien Boa.
Chang tea, dai din cho the ben ic5, them thuan lien danh, g6m co:
Ten thanh vien lien danh [ghi ten ding thanh vien lien dank/
Di din la Ong/bã: _
Chat vu:
Dia chi:
Dien thoai:
Fax:
Tai khoan:
Ma so thue: ,
Giay ay quy'en so ngay thang nam (trueng hpp cluvc ay quye'n).
Cac ben (sau day goi la thanh vien) thong that k ket them thuan lien danh vai
cac nOi dung sau:
A
Dieu 1. Nguyen tic chung
1. Cac thanh vien tu nguyen hinh thanh lien danh de' tham,gia dam nhan cling cap
dich vg van tai hanh khach ding cong tren tuyen xe butt lien ke kh6ng try gia Ben xe
Mien Tay — Ben xe Bien Hee ,
, 2. Cac thanh vien thong nhat ten goi dm lien danh cho mai giao dich lien quan
den viec dam Lilian tuyen nay la: [ghi ten caa lien danh theo them thuan]
3. Cac thanh vien cam ket khong thanh vien nao co quy'en tit choi that hien trach
nhiem va nghia vi guy dinh trong hop tong. Tnremg hop thanh vien dm lien danh tir
choi hoan thanh trach nhiem rieng caa minh nhu da thoa thuan thi thanh vien do bi xa
nhu sau:
- Boi thrtang thiet hal cho ccic ben trong lien danh.
- Boi thwang thiet hal cho Trung tam puan 135 Giao thong cong cong Thanh pho
Ha Chi Minh theo guy dinh neu trong hop clang.
- Hinh thac xti lj Mac [neu rö hinh thac xi( 135 khcic].
Dieu 2. Phan cling trach nhiem
Cac thanh vien thong nhat phan ding trach nhiem de tlarc hien cung cap dich vi
van tai hanh khach cong cong tren tuyen xe but lien ke khong trer gia Ben xe Mien Tay
— Ben xe Bien Hoa, doi veci timg thanh vien nhu sau:
 15

1. Thanh vien dimg dau lien danh

Cac ben nhat tri phan ding cho [ghi ten mat ben] lam thanh vien dung dau hen
danh, dai din cho lien danh trong nhiing phin viec sau:
IC35 don dé xuat dam nhan,tuyin;
- Kj ccic van ban, tai lieu dê giao clichval ca quan có tham quydn trong qua trinh
tham gia dam nhan tuyin,
Tham gia qua trinh thwang thao, hohn thien hop clong;
,Cac cling viec khac trzi viec kie, kit hop clang [ghi it nOi dung the cong viec
khac (neu co)].
2. Cac thanh vien trong lien danh [ghi cy thi phan tcong viec, frisch nhiem din
tting thanh vien, ki ca thiozh vien thing dciu lien danh viz neu có the ghi tfr le phi:1'n tram
gia (Ti twang zing].
Cac thanh vien trong lien danh thea thuan phan &Ong trach nhiem thot hien c8ng
viec theo bang duoi day:
Ni dung ding viec TS/ le % thfit hien
Sft Ten
dam nhOn trong lien danh
1 Ten thanh vien ding dau lien danh - _ %
2 Ten thanh vien thir 2 - - %
. ,, .... ....
Tong cOng Than WO c8ng viec 100%

Dieu 3. Hien hyc cfia them thuOn lien danh

Them thuan lien danh c6 hieu lye ke tir ngay kY.
Th6a thuan lien danh cham dirt Melt lye trong cac truang,hop sau:
- Cae ben houn thanh trach nhiem, nghla vo cüa minh va lien hanh thanh 19 hop
&Ping;
- Cac ben ding th6a the' chain dirt;
- Cac trutmg hop lchac.
Th6a thuan lien danh duoc lap thanh ban, m8i ben gift
ban, the ban th6a thuan c6 gia fri phap 19 nhu nhau.
1341 DIEN HQ1P PHAP CiJA THANH VIEN DUNG DAU LIEN DANH
[ghi ten, cluic danh, 195 ten va (long dau]
DAI DIN HQI' PHAP CIJA THANH VIEN LIEN DANH
[ghi ten tang thanh vien, char danh, kir/ ten va dong dau]

Ghi chzi: mini so 3 thea thuan lien danh mang tinh chat tham khcio, Dan vi van tea ce
the thay doi nai dung de phiz hop voi thwc te.
 16

laitu so 4.
1. totoi veil BIA HO SO:
CONG HOA XA HOI CHO NGHIA Vitt' T NAM
DOc 14p — Tv do — Hph phtie

H6 so NANG LU'C
(BAN GOC ) ho6c (BAN CHTJP)

CUNG CAP NCH VV VOTAI HANH KHACH CONG CONG TREN

TUYEN 3/E BUtT LIEN ICE KHONG TRO Ga BEN 3/E MIEN TAY -
BEN XE BIEN HOA

Dun vi vlan tai:

Nim 2022
 17

2. DOI VOI THING H6 SO BEN NGOAI:

CONG HOA XA HOT CHIJ NGHTA VIeT NAM
Dc 14p — Tv do — fIgnh phtic

9
II

HO SO NANG LtiC
(HO so Gom 1 BAN GOc VA BA'N arm

CUNG CAP BICH VV SCAN TAI HANH ICHACH C6NG CONG TREN
TUYEN XE BUtT LIEN ICE ICII6NG TRO GIA BEN XE MIEN TAY —
BEN XE BIEN BOA

Don vi In tfii:

Nam 2022
 18

MAu sti 5.
<Don vi van tai> ONG Hem XA HO CHU NGHIA VItT NAM
Dec - Tu do - Hanh Noir

Thanh ph a Ha Chi Minh, ngay thang Mm 2022

HOP BONG 'CHONG HOAN THANH THONG QUA 1CHe (I)

Ten dan vi van tai:
Ngay:
Ten thanh vien dm lien danh (n6u

Cac hop d6ng Ichong hoan thanh trong qua Ichir theo quy dinh tat tieu rape a Mpc 7 Phi
lye 2 (phan you eau ITO lich sir khong hoan thanh hop d'ong).
'Chong c6 hop &mg nao cla 14 nhtmg kh6ng thirc hiOn ke tir ngay 1 thang 1 nam [ghi
Mm] theo quy dinh tai tieu mpc a Mpc 7 Phil lye 2 (phan you cau ye licit sir khong hoan
thanh hcrp d6ng).
CO hop d6ng da lc), nhtmg khong hoan thanh tinh ,tir ngay‘ 1 Mang 1 nam [ghi
Mm] theo quy dinh tai tieu mpc a Mpc 7 Php lye 2 (phan yeu cau ve lich sir khong hoan
thanh h933 deng).
Tang gia tri hop dOng
Phan
vi?c
(gia CI MO Cal, dcrn vi
... hop clng
A
Nam , MO fa htyp (lôg Elan te, ts, gia loii doii, gia
khong hoan
tri twang throng Wang
thinh
VND)
MO ta hcp dAng:
Ten Chit du tu:
Dia chi:
Nguyen nhan khong hoan thanh h9p
&Ong:
Ghi chic:
(1) Don vi van tai phai Ice khai chinh xac, trung thirc cac hgp ding khong hoan
thanh trong qua khir; neu Trung tam Quan 1 Giao,thong c6ng ceung Thanh ph8 Ho Chi
Minh phat hien bat dr Don vi van tai nao eó hgp (long kh8ng hoan thanh trong qua lchir
ma khong ke khai thi &nye coi la hanh vi "gian Ian" va H6 so nang ltrc se 131 loai.
Inrang h9p Don vi van tai lien danh thi timg thinh vien dm lien danh phai ice
khai theo Mau nay.

, ngay thcing non:

DAI DItN HOP PHAP CiJA DON VI VAN TAI
(Ghi ten, chirc danh, Ic), ten va thing dau)
 19

Mau 6.

<Don vi van ft> CUING HontA XA HOI CHU NGHIA VICT NAM
Doc lip - Tie do - Hanh rthitc

ThànhphJH Chi Minh, ngety thing neim 2022

MEN TUNG PANG GIAI QUYET (I)

Ten dan vi van tai:
Ngdy:
Ten thanh vien Gila lien danh (neu c6):

Cfic vy kitn dang giai quyit

Chon mOt trong cfic thong tin mo ti dunfri day:
Kh6ng c6 vg kien nao dang giai quy6t.
Duai day la mo tã ye' cac vg kien dang sit quyet ma don vi van tai la mOt ben throng
str (hode moi thinh vien dm lien danh neu la don vi In tai lien danh).
Gia tri vu . .
Ty" le' en' a gm' tri.
kin dang
Nam Yin a tranh chip gifii quyet
vy k7n dang pat
quyet so vat gm
tinh bang
trI titi sfin rong
VND

Ghi chti:
(1) Dan vi In tai phdi ke khai chinh xac, trung thuc cac vg kien twig dang giai
quyet; nen Trung tam Quan I Giao thong ding cOng Thanh phi) Ho CM Minh phat hien
bat dr Dan vi van tai nao dang c6 cac vu kien tung ma Ichong ke khai thi dirge coi la
Unit vi "gian lan" va Ho so 'fang lye së bi loai.
Tnrang hap Don vi van tai lien danh thi 11:mg thanh vien dm lien danh phai kê
khai theo Mau nay.
ngay thcing nam
DIM DItN HOP PHAP CUA DON VI VAN TAI
(Ghi ten, chIrc danh, Icy ten \fa &rig &du)
 20

miu sip 7.
THONG Id TINH HIM! TAI CHiNH Cl.JA DON VI

Sa lieu tai chinh cho 2 nam gan nhat [VND]

Nam 2020 Nam 2021
ThônE tin tie Ban can dei ketoán
Tang tai sin
Tang ng
Gia tri tai san rang
Tai san ngan hart
Ner ngin han
Win km Ong
Than tin tie BA° cao ket qua kinh doanh
Tong doanh thu
Lgi nhuan trudge thue
Lgi nhuart sau thus
Dinh kern la ban sao cac bao cao tai chinh (cac bang can doi ke toan bao garne t& cá
thuyet minh ca lien quan, va cac bao cao ket qua kinh doanh) cho hai nam gan nhat, nhu
da neu ten, tuan tha cac dieu kien sau:
Phan anti tinh birth tai chinh dm dun vi ma khOng phai tinh hinh tai chinh dm mot
chit the lien ket nhu c6ng ty me hoac citing ty con.
Cac bao cao tai chinh dugc kiem than theo quy dinh.
Cac bao cao tai chinh phai hoan chinh, day da nal dung theo quy clink
Cac bao cao tai chinh phai tuang img vai cac kji ke toan da hoan thanh va duce Lem
toan. Kent theo la ban chap &rem chimg thgc mat trong cac tAi lieu sau day:
- Bien ban kiem tra quyet toan thue;
- TO khai ar quyet wan thue (thue gia tri gia tang va thue thu nhap doanh nghiep) ca xic
nhan dm co quan thue ve their diem da nap to khai; ,
- Tai lieu cluing mirth viec Don vi van tai &A Ice khai quyet toan thue then tit;
- Van ban xac nhan &Ia co quan quan l3", thue (xac nhan so nap ca nam) ye viec thgc
hien ngliia At nap thue;
- Bao cao kiem toan.

ngay awing niim

DItN HOP PHAP CI:JA DON VI nIsi TAI
(Ghi ten, chirc danh, k ten va clang dal.)
 21

Mau sir 8.
<Dan vi van tali> CONG HOA Nit WO CHI) NGHIA VItT NAM
Doc lap - Tir do - Hanh pluic

Thanh pho Ha Chi Minh, ngay thdng niim 2022

NGUON LUC TAI CHiNH (I)

Neu re' cac ngulin tài chinh dv kien, chang han nhu cac tài san c6 kha nang thanh Idioan
cao(2), cac han mut tin dung va cac nguon tai chinh khac (khong phai la cac khoan tam
üng theo hap d6ng) cep san de dap ling yeu eau ve nguen lay tai chinh.
Ngulin lifc,thi chinh cfia dun I/ von tai
STT Nguon tai chinh sa tin (VND)
1
2
3

Tring nguOn hyc thi chinh cila dot vi van tai (TNL)
Ghi
(1) Timg dcm vi van tai hoac thanh vien lien danh phai cung cap th8ng tin v8 nguen hrc
Ui chinh cUa mitt, kern theo tai lieu chfrng minh.
Ngutm lye tki chinh ma dun vi van tai dkr kien huy Ong dt thyc hien &etc tinh theo
ding flare san:
NLTC = TNL -0TH
Trong do:
NLTC la ngu6n hrc tai chinh ma dun vi van tai dy Mn huy Ong a thyc hi'en;
TNL la t6ng ngulin hrc Ui chinh cüa dun vi van tai (ding nguon Itrc tai chinh quy dinh
tai Mau nay);
- DTH la tong you cu ve nguim lyc tai chinh hang thang cho cac ligp ding dang thyc
hien (quy &ph tai Mau so 9).
Dun vi van tai dirge danh gia la dap ung you cu ve ngurin lyc tai chinh nu co ugulin
lye tai chinh dv lcien huy Ong de thkrc hien (NLTC) toi thieu bang gia tri yeu cau tai
tieu myc a Myc 7 Phu lye 2 (phan yeu cau ve nguon hrc tai chinh).
Tnrang hgp trong H6 scr nang lye, don vi van tai c6 nOp kem theo ban cam ket tin dung
cila to chirc tin Ong hoat Ong hgp phap ti Viet Nam, trong do cam ket se cung cap tin
dung choslon vi van tai de thkrc hien cung cap dich vu tren tuyen xe buSrt lien ke khong
trg gia Ben xe Mien Tay — Ben xe Bien Hoa Arai han mirc toi thieu bang gia tri yeu cau
tai tieu myc a Muc 7 Phy lye 2 (phan you cau ye nguon lye Ui chinh) trong snot tiled gian
thkrc hien hgp (long thi dun vi van tai dirge danh gia la dap img you cau ve nguon lye tai
chinh va khong phai ke khai thong tin theo quy dinh Mau nay va Mau so 9.
(2) Tai san c6 kha nang thanh khoan cao la tren mat va ttrcmg ducmg tien mat, the cling
cv tai chinh ngan han, cac chi:mg khoan san sang de ban, chung Ichoan de ban, cac khoan
phai thu thucmg mai, cac lchoan phai thu tai chinh ngan han va cac tai sari khac ma có
the chuyen doi thanh tien mat trong yang mOt nam.
 22

Mk so 9.
<Don vi van tai> ONG HOA XAIHOI CHU NGHIA VIET NAM
Doc lap - Tir do - Hanh phtic

Thanh pha Ha CM Minh, ngliy thong nom 2022

NGUON LVC TAI CHINII HANG THANG CHO CAC HOP BONG BANG
THIJC HIEN (1)
Thai han Gia tri hap
Ngtral lien he , A Yen au ve
. ?, • „ con Ni cua dong chin A
Ten cila Chu dau Ngay hoan nguon loc tai
hop -dling thanh Wan,
STT hap fir (dia chi, thinh hop chinh hang
tin. h bang bao gam 6
ding dien thoai, clang thang
thing thu dA
fax) (B) 3) (B/A)
(A)(2)
1
2
3
...
Tang yen au ye nguan lat tai chinh hang thing cho cac hop tiling
dang that Men (DTH).
GM chn:
Tfmg don vi van tai hoc thanh vien lien danh phai cung cap thong tin dirge neu
clued day de tinh toan tong cac you cau ve nguon lac tai chinh, bang tong dm: (1) cac
cant ket hien tai dm don vi van tAi (hoc timg thanh trong vien lien danh) trong tat cã
cat hgp dong ma don vi In tai (hoac timg thanh trong vien lien danh) dang thac hien
hoc se dirge that hien; (ii) yeu eau ye nguon lac tAi chinh den yeti hgp tong dang xet
theo xic dinh dm Chü dau hr. Ngoai ra, don vi van tAi ding phai cung cap th8ng tin ve
bat kY nghla vi tai chinh nao khac c6 the anh twang dang ke den viec thac hien hop
clang dang xet neu don vi van tai dirge trao hap don.
Thai han con lai dm hop ding tinh tai thai diem 28 ngay fro& ngay c6 thai diem
ket that nhan he so nang lat.
Gib tri.hop deng can Ii chin dirge thanh toan tinh Ni tiled diem 28 ngAy truck ngay
c6 thai diem ket that nhan ho scr nang

, ngay thang witn

041 DIN HO) PHAP CIJA DON VII ViNN
(GM ten, chfrc danh, k ten va (hang du)
 oSS

23

Miu A 10.
<Dan vi van tai> ONG HOA ICA HOI CHU NGHiA VIET NAM
Doc lap - Tv do - Hanh ph&

Thanh Ha Chi Minh, Tway tilting nom 2022

HOP BONG MING TV DO DON VI VittN TAI THVC HIEN 00

Ten don vi van tdi: [ghi ten ddy áá cüa dan vi van tail
Thông tin ve turn hqp dein , m8i hqp ding can bao dam cat thong tin sau day:
Ten va si hop ding
Ngay Icy hop ding
Ngay hoan thanh
Gia hop ding
Trong truang hop la thanh vien
trong lien danh hoac nha thau
pho, ghi gia tri phin hop clang
ma Dan vi van tai dam nhiem
Ten do. an:
Ten Chi Mu tu:
Dia chi:
DiOn thoii/fax:
E-mail:
[ghi ten ddy du cna hop clang, sor Icy hieu]
[ghi ngay, thong, nom]
[ghi ngay, thcg, nom]
[ghi tong gia hop thing bEing s6 tidn Tucrng dining VND
va clo'ng tien cld Icy]
• • Tucffig duang
[ghi p!Uin tram gia [ghi so tie n va VND
hop clang ,trong tong thing tien dcl
gia hop tang] 19'd
[ghi ten clily chi clic: du an co hop thing clang ke khai]
[ghi ten ddy dzi cna chzi diki tic trong hop clang dang ke khail
[ghi da'y dii dia chi hien tai clic, chn delu tu]
[ghi so din thooi, sa fax Icei ca md quac gia, ma vimg, dia chi
e-mail]

Ma tá tinh chat Wong tv (2)

Loai dich vii [ghi thong tin pith hop]
Ve gia tri [ghi so' tidn bang VND] -
Ve quy mo thoc hiOn [ghi quy mo theo hop slang]
Cac dc tinh khac fghi ale dc tinh khac flat ca'n thilt]

Dan vi van tai phai gui kern theo bin chop cac van bin, tai lieu lien quan dOn cac hop
deng de (xac nhan cüa Chil diu tu ve hop ding da hoan thanh theo cac nOi dung lien
quan trong bang tren...).
Ghi chit:
Trong trutrng hop lien danh, timg thanh vien trong lien danh ke khai theo Mu nay.
Dan vi van tai chi ke khai nOi dung Wong to veri you cau.

ngety thang nom

BA! DIN HOP PHAP CIJA DON VI V4N TAIL
(Ghi ten, chirc danh, k ten va thing Mu)
 24

Watt A 11.
<Don vi van tai> CeNG HOA XA HQI CHIJ NGHIA VIET NAM
Doc lap - Tir do - Hanh phtie

Thanh ph a Ha Chi Minh, ngiry thing nam 2022

ICE KHAI DAM SACH PHIYONG TIEN HOAT HONG THEN TUYEN
BEN XE MIEN TAY — BEN XE BIEN ROA

Thuiesfr him Sikh& (be ti chi' la xi) Dom A cling cipThiit

Ten SO Gay
Minh Bik Mm sin bi gam sit Minh Tait hi Mn vO
Stt suitding kir
ale& 4
Paall6 686
.
Don vim gap
vi v‘
ding bt Chi .gai Cb8 ding se 6 tO
trial, (Citkaing)
(C6/Kbong)
(1) (2) (3) (4) (8) (6) (7) (8) (9) (10) (II)

Chong tor xin ehju trach nhiem tele phap luat ve the nOi dung ke khai neu tren va cam

+ Phucmg tin thuOc quyen so hitu hoc quyen sir dung hgp phap thee hop deng thue
phucmg tin bang van ban dm Don VI van tai vth to chirc, ca nhan boa° hgp dOng hap tac kinh
doanh theo quy clinkdm phap luat. Trutmg hgp xe thug k9 thuOc sO hau cim thanh vien hap
tac xa phai có hgp dong dich vi giita thanh vien yogi hop the la, trong de quy dinh hgp the xä
co quyen, trach nhiem va nghia vu (pan 19, sir dung, dieu hanh xe ô to thuOc sO hat ala thanh
vien hcp xa.
a
+ CO day du cac he so có lien quan chimg minh phucmg tin clang k9 tren thuec quyen
quan ly, khai thac sir dung elm chimg t8i theo quy dinh cAa phap luat
+ Cac thiet bi dirge lap fiat tren xe nhu thiet bj giam sat hanh frith, camera giam sat, wifi
dirge chimg tOi ky ket va trien khaiyeri cac don vi cung img dich vu dit /tang lye va dieu kin.
Cac thiet 131 dam bao dirge hgp chuan, hgp quy theo quy dinh ala phap luat
+ Dei vei truemg hem phuang tien do kien dau,tir: Don vi van tai nOp hcrp deng Aguyen
tAc veri ben cung cap phuong tin kern bang thong s8 ky thua:t elm phuang tin earn ket cung
cap cho tuyen. Thai gian dim phucmg tin vao dam nhan tuyen muern nhat la 90 ngay ke tit ngay
c6 quyet dinh don vi van tai dit nang lye dam nhan tuyen. Torrang hop don vi van tai lchimg dap
img dii cac xe &Mg nhu yeu cau thi xem nhu Don vi van tai da vi pham hgp tong, Dan vi van
tai phai chiu trach nhiem va thoc hien theo yeu can cim ca quan quan 19 Nha nuem co tham
quyen.
+ Torang hgp, chimg t8i dirge lya chon dam nhn cung cap dich vu van tai hitt khach
ding cOng tren tuyen xe buYt lien tinh lien ke kheing trg gia Ben xe Mien Tay — Ben xe Bien
Flea, chimg tog cam ket thirc hien thit tuc xin cap phep phit hieu xe buyt d8i vOi phucmg tin
boat diang tren tuyen nay theo quy dinh yeti so Mang nhu sau: Ti Thanh pile HO CM Minh 09
xe (tucmg ducrng 50% se, lugng xe) va tai firth Dong Nai 09 xe (tucn3g ducmg 50% so lugng xe).

, ngley .... thong nam

D3i dien hqp phap cüa Dan vj v(in tai
(Ghi rO ten, chi:re danh, k9 ten va &mg dal')
 25

Min se* 12.

<Dan vi van tai> CONG HOA la H91 CHU NGHIA VIET NAM
Dec lap - Ttr do - Hanh phtic

Thanh ph a lid Chi Mink ngay thing nam 2022

PH1AING AN DSU DO PHIYONG TIEN HOST HONG THEN TUYEN

BEN XE MIEN TAY — BEN XE BIEN HOA

Kinh Trung tam Quin Giao th6ng c6ng cOng Thanh pho H6 Chi Minh

Dan vi van tai:

Dia chi:
Coe phucrng tin tham gia dam nhan tuyen Ben xe Mien Tay — Ben xe Bien Hem
dia chi sau:
Bien s6ch8 Dia chi
STT
ding 14 ChO thing Ch8 noli dO xe (*)
1
2
...

Don vi van tai xin cam ket nhiing nOi dung neu tren la dung sr that. Neu có gi
khong thing, Don vi van tai xin chiu trach nhiem trutc phap luat.

ngity ....‘thang ... nom...

Dqi then hqp phap ctia Dan vi van tai
(Ghi re- ten, chirc danh, kY ten va thing dau)
 26

Mu st 13.

<Dan vi van tai> CONG HOA XA HOI CHU NGHIA VItT NAM
DOc lap - Ttr do - Hanh phfic

Thanh phd Ha' Chi Minh, ng2ry thang nom 2022

ICE KHAI NANG INC, KINH NGHItM QUAN Lt DIEU HANH CIJA
DON VI VAN TAI THONG LIINH WC VAN TAI HAM! ICHACH BANG
XE BUICT

Ten Don vi van tai:

- Dia chi :
So Wong xe butt hia'n c6: ....phucmg tin. Trong do:
SO phucmg tin thuOc se hint cfla <Dan vi van tai> lk phucmg tin
- So phucmg tian thuoc se hau cila thanh vian phucmg tin
3. Tong so lao dOng hian c6 • ngtr6i.
Can be quanlj va chuyen mon tai <Dan vi van tai > c6: ngutri
Trinh di SoA nam
.
Stt 119 vi ten Clnirc nit A
Hgc van Chuyen min ding tic
1
2
'•
3.1. Teng s6 can b0 nhan vien be phan dieu hanh: ngutri
Ho ding Ian ding BHXH
Ngity thing Si
Ng aim slab S4 Ngbi Win Inc hyp Chire aim Chi
SIT vii
CMND/CCCD dOng 2.
1.01
ten nghiip s4 Ngly • danh MA s6 Thom Sag dal
A hyp
tuyin HD 14 Tir Den en chuyin BHXH ghi MC
Nam NU dyng moo
nghy only °g
1
2

3.2. TOng s6 can b0 va nhan vien thuerc b0 phan ke toan: ngutri

Nglay Hqp dung Ma dung ItHXH
H9 thing
so
sóNgoi Hiatt lye_ a . Chirc nim Chi
STT vit nim sinh nghiOp SO Ngay hip dine danh Ma so Tham
CMND/CCCD z hqp tang chi'
ten z
tuyen LIB irs, chuy n BHXH gia the
Nam Nit Tfr Ben don
dyng ngly ngay g ma:
1
2

3.3. BO phan quan 1y theo dal cac dieu kin ye an toan giao thong:

Stt HQ vl ten Chet vg

Trinh dO SoA nim
A
Hgc van Chuyen mon cling tic
1
2
•'
 27

3.4. Be phan theo d6i, xir ly thong tin ifs thiet bi giam sat hanh trinh:
A ..
Trinh dti Soam
n
Stt Hy vi ten Chit vtit A
Hqc van Chuyen mon cang tic
1
2
' ••
3.5. TOng se lai xe va nhan vien phuc vp tai <Dan vi van tai>:
Stt MST Ten tuyen SO Iii xe So nhan vien phis vy tren xe

Chung hal xin cam ket nhftng nei dung ke khai tren la hoan toan dung sir that,
chling fed xin chiu trach nhiem trite phap luat ve viec ke khai nay.
(Ghi chu: Neu tham gia vol tie cach lien danh thi mai thanh Wen lap rieng 1 ban theo
mclu nay).

, ngely .... thing ncim

Di din hop phip elm Dun vi vo'n tii
(Ghi rO ten, chirc danh, Icy ten va (king dAu)
 28

Mau so 14.
<Dan vi van tai> ONG HOA XA 1101 CHU NGHIA VIET NAM
Doe lap - Tn. do - Hanh pink

Thanh pho Ha Chi Minh, ngery th6ng Sim 2022

ICE ICHAI DANH SACH LAI XE 1104T BONG TREN TUYEN

BEN XE MIEN TAY — BEN XE BIEN HOA

Trinh Gig), phep Mt xe Thai hurt Gitty chting nhan tap hugn
Ho ve Nam SO
Stt 88 hoc Thai nghiep vo, Wang cao trach nhiem, duo due
ten sinh CMND v• An Hung
hun nghg nghiep
(1) (2) (3) () (5) (6) (7) (8)
1
2
- --

Chang Col xin chiu trach nhiem throe phap lust v cac nOi dung ke khai neu tre'n vã cam
ket:
+ nue hien day da vice 14 hop &Ong lao &Ong, dong cac loai bao Mem, to chirc Icham
sue kheoe dinh kt (theo Thong ttr lien tich so 24/2015/TTLT-BYT-BGTVT ngay 21 thang 8
nam 2015 cim Bi) truerng Be y te va BO trueng B6 Giao thong van tai va giay kham the khoe
caa lai xe con hieu lye thi Minh) va tlarc hien day da cac quyen loi ciia lai xe theo quy dinh caa
phap luat ye lao &Ong.
+ Lái xe thee man cac lieu chuan quy dinh tai Dieu 9 caa Quyet dinh so 20/2014/QD-
UBND ngay 30/05/2014 cilia Uy ban titian clan Thanh phe ye Quy dinh to chire, quan 1, kirk
tilde boat dang van tai hanh lchach bang xe buYt hen dia ban thanh ph6 H6 CM Minh.
+ Lai xe khong nam trong danh sach do Trung tam Quan Gat, theng c6ng Ong thong
bao da bi chant dirt quan h lao ding, bj sa thai tir cac Don vi van tAi khde vi vi pham guy dinh
ye boat deng xe but hen dia bàn thanh pheo HO CM Minh.
, nglry thang ?dim ....
03i din hyp phip ctia Dan vi In lei
(GM re ten, ehirc danh, k ten va dong dau)
 29

MAu s6 15.
<Don vi van tai> ONG HOA xA HOI CHIJ NGITIA VIET NAM
Doc lap - Ttr do - Hanh phtic

Thimh pha Ha Chi Mink ngity thang

ICE ICHAI DAM SAC

H NHAN ViCEN PHVC HOAT HONG TRENUYEN1
TI
BEN XE MIEN TAY — BEN XE BIEN HOA

Trinh
Hy vit Nim So TIsel hyn GiAy chting nhfin tfip ham nghiep vy, nfing cao
Stt (10 hyc
ten sinh CMND trich nhiem, do dirc nghe nghiep
van
(1) (2) (3) (4) (5) (6)
I
2

-•

Chimg toi xin chiu trach nhiem truck phap luat v cac noi dung ke khai neu teen
va cam ket:
+ Thpc hien day do vie 14 hop dting lao dOng, thing cac loai bao hiem, to chirc
kham sire khoe dinh k5/ va awe hien day dü cac quyen lqi dm nhan vien phpc vi tren xe
theo quy dinh cña phap lust ve lao dOng.
+ Nhan vien phoc sip tren xe them man cac tieu chuan quy dinh tai Dieu 9 ctia
Quyet dinh s6 20/2014/QD-UBND ngay 30/05/2014 dm fly ban nhan clan Thanh pho
ve Quy dinh tt chirc, quart 1St', khai thac hog dOng van tai hanh khach bing xe bu3Ift tren
dia ban thanh ph6 116 Chi Minh.
+ Nhan vien phpc vi tren xe khonF nim trong danh sach do Trung tam Quin 13?
Giao thong c6ng cOng thong bao a bi chant dirt quan h lao dOng, bi sa thai tir cac Don
vi van tai khac vi vi pham quy dinh ye hog dOng xe butt tren dia ban thanh pho HO Chi
Minh.
ngery ... nem ....
Di din hap phip eiia Dan vi 4n till
(Ghi r6 ten, chirc danh, k ten va dong du)
 30

Mau se 16.
<Don vi van tai> CONG 116A 3CA HO C1115 NGH1A VItT NAM
Dc 14p - Tv do - Hanh ph&

Thanh pha Ha Chi Minh, ngay thang ntim 2022

BAN CAM KET

Thvc hie:n nghla vi va trach nhi§na ciia Dan vi vYn tii

KInh Trung tam Quan 19 Giao thong cong cOng Thanh phe He Chi Minh

Dan vi van tai:

Dia chi
Dien thoai Fax
Dai din theo phap 1114- Chirc vi:
Dan vi van tai cam ket thvc hi'en day dü viec k9 hop,deng lao dOng, 'Jong the loai bao
him, to chirc kham sire khoe dinh va thvc hien day dil cac quyen loi cila ngued lao
dong (bao gem ca lai xe, nhan vien phnc tren xe) theo quy dinh cüa phap luat ve lao
&Ong.
Trong qua trinh thvc hien co phat sinh tranh chap thi Dan vi van tai se hoan toan chiu
trach nhiem theo quy dinh cüa phap luat.
, ngay thang nam
Di din hop phip ciia Don vi In tai
(GM re ten, chive danh, 1c9 ten va thing dau)