CNG HA X HI CH NGHA VIT NAM

c lp - T do - Hnh phc

nh 4 x 6

N XIN VIC
Knh gi: .

Ti tn:....................................................................................Nam , N
Sinh ngy.thng nm Ti:..............................................
Giy chng minh nhn dn s:..cp ngy../../ .. .
Ni cp...........................................................................................................
Hin c ng ti: .............................................................................................
...........................................................................................................................
Trnh vn ha:Ngoi ng:.............................
Trnh chuyn mn:....................................................................................
Tnh trng sc khe:.......................................................................................
Hin nay ti cha c vic lm, nguyn vng xin c b tr cng vic lm.
Nu c nhn ti xin cam oan thc hin cc cng vic c giao v chp
hnh cc ch trng chnh sch ca Nh nc v ch ni quy, k lut ca
c quan, n v.
Knh mong phng khm (c s) chp nhn./.
XC NHN
..., ngy.thng nm
Ca UBND x, phng, th trn
Knh n
(hoc Th trng n v)
(K tn, ghi r h tn)
.................
.
.................
.
.................
.
.................
.
Ngy .. thng.nm .

M68