TRNG I HC Y T CNG CNG

HI NG TUYN SINH SAU I HC

H S D THI SAU I HC NM 2013

(Dn bn ngoi phong b h s)

ng k d thi chng trnh:

Tin s YTCC

Thc s YTCC

Chuyn khoa I YTCC

B tc kin thc

Y t Cng cng

Thc s QLBV

H v tn th sinh (IN HOA): ................................................................... Nam

Sinh ngy .........thng ........ nm ......... Ni sinh: ...........................................

Vn bng i hc: Trng .......................................................................................................................
H:..............................Nm tt nghip: .................Ngnh: ..................................... Xp loi: .
B tc kin thc YTCC (nu c): hon thnh

Ngh nghip: Nm bt u vo ngh:

i tng d thi:

T do

C quan nh nc

C quan cng tc: ..........................................................................................................................

..
a ch lin h vi th sinh: ...................................................................................................................
......................................................................................................... in thoi D:..............................
Thng binh, bnh binh

Con lit s

Ngi dn tc thiu s vng kinh t kh khn

Anh hng lc lng v trang

ang cng tc >2 nm ti vng cao, vng su, min ni, hi o

Con nn nhn cht c mu da cam

i tng u tin:

ang cng tc lin tc 2 nm tr ln ti vng cao, vng su, min ni, hi o

H S GM:
1. Phiu ng k d thi sau i hc (theo mu).
2. S yu l lch
3. Bn sao cc vn bng, chng ch sau:
a. Bng tt nghip i hc, bng im ton kha
b. Bng tt nghip thc s v bng im thc s (i vi thi sinh l thc s d thi tin s)
c. Cc chng ch b sung cc mn hc theo quy nh (nu thuc din phi b tc kin thc)
4. Vn bn c gi tr php l chng minh v thm nin cng tc.
5. Giy chng nhn sc khe hc tp, cng tc ca mt bnh vin a khoa.
6. Vn bn c gi tr php l v i tng u tin (nu thuc din u tin).
7. 02 nh mi nht c 4 6 cm ca th sinh.
8. 02 Phong b dn tem trong nc, ghi r h tn, a ch ngi nhn
i tng d thi nghin cu sinh b sung mc 10, 11, 12:
9. 01 Bn k cc danh mc cng trnh nghin cu khoa hc c cng b trn cc tp ch khoa hc km
theo bn photocopy cc cng trnh .
10. 02 th gii thiu.
11. 01 Bi lun v d nh nghin cu.
Nhn h s ngy........ thng .......nm 2013

Ngi nhn & kim tra HS: