QU HC BNG NG HNH

16 rue de Petit Musc

75004 Paris

S YU L LCH
(Bn phi dng mu ny khi lm n xin hc bng)

I. Thng tin c nhn

nh

- H v tn:..
- Gii tnh: Nam / N
- Ngy sinh:.
- Lp:...............
- Trng: .................................................
a ch lin lc thun tin nht:(dng lin lc vi bn khi chng ti c kt qu hc bng)
.............
..
- in thoi:

E-mail: .

- a ch gia nh :
..
- H tn b:
Tui: Ngh nghip:....
- H tn m:
Tui: Ngh nghip:
- H tn, tui, ngh nghip cc thnh vin cn li trong gia nh:
H v tn

Qu hc bng ng Hnh
Trang web : www.donghanh.net

Quan h

Tui

Ngh nghip

Ni cng tc

II. Kt qu hc tp
im trung bnh cc k
i hc

K 1

K 2

K 3

Cc thnh tch khc

(nu c)

III/ Cc thng tin khc

- Ni hc ph thng trung hc:
- Bn tng nhn c hc bng ng hnh?:
C
Nu c, khi no:...................................................

Khng

- Bn tng nhn c nhng s h tr v ti chnh no khc?:

Khng

Nu c
T chc

Thi gian

L do c nhn

Tr gi

- Cc hot ng khc :
+ Lm thm :
+ Cc hot ng x hi, tp th:

ng Hnh c th s dng tt c nhng thng tin trn phc v cho mc ch gy qu hc bng

ng Hnh?
C
Khng
Ti xc nhn cc thng tin khai trn l hon ton ng s tht.
Ngy

thng

nm

Ch k

Qu hc bng ng Hnh
Trang web : www.donghanh.net

2014

QU HC BNG NG HNH
16 rue de Petit Musc
75004 Paris

MU CU HI
(n xin hc bng)
Hng dn: Cc bn vit n xin hc bng ng Hnh bng cch tr li ln lt cc cu hi di
y, di khong 2 trang giy A4, nh my hoc vit bng bt mc en hoc mu m.
1. Bn hy trnh by, mt cch c th v theo mt b cc ty , hon cnh gia nh, nhng
kh khn trong cuc sng v l do bn quyt nh np h s cho chng trnh hc bng ng
Hnh.
2. Bn hy k s lc qu trnh hc tp ca bn thn v cc thnh tch t c. Thnh
tch cao nht m bn tng t c l g?
3. (Dnh cho cc bn tng c nhn hc bng ng Hnh) S tin hc bng gip
bn th no trong cuc sng?
4. Trnh by nhng m c, d nh ca bn thn trong tng lai.

Ch : Ngoi nhng thng tin c trong mu ny, bn cn cn phi c trong h s hc bng ng

Hnh cc mc sau:
- Bn sao (khng cn cng chng) ca bn im cc k trc.
- Bn sao cc giy chng nhn khc (nu c): h ngho, thi hc sinh gii, v.v...

Qu hc bng ng Hnh
Trang web : www.donghanh.net

QU HC BNG NG HNH
16 rue de Petit Musc
75004 Paris

PHIU IU TRA
H v tn (khng bt buc): ........................................... Nm sinh : .....................................................
Trng : ...................................................................................................................................................
Ngnh hc : .................................................................... Sinh vin nm th : .......................................
Qu qun : ...............................................................................................................................................
Email : .....................................................................................................................................................
Nhng thng tin bn cung cp di y s gip rt nhiu cho ng Hnh trong vic thc hin
mc tiu chia s, gip cc bn sinh vin Vit Nam.
1. Chi ph hng thng : ........................................................................................................
Trong :
Nh
.................. ng
i li
.................. ng
Tin n
.................. ng
Tin hc chnh kha
.................. ng
Tin hc thm
.................. ng
Vui chi gii tr
................... ng
Cc khon khc
................... ng
2. Thu nhp bnh qun hng thng ca gia nh .................. ng
3. Kinh ph trang tri cho cuc sng v hc tp ca bn hin nay l t :
Gia nh
.................. ng
Hc bng
.................. ng
Tin vay ngn hng
.................. ng
i lm thm
.................. ng
Nu c, bn c th cho bit bn lm vic g? Bao nhiu gi 1 tun? .........................................
..................................................................................................................................................................
..................................................................................................................................................................
Cc ngun khc (ghi r) :
4. Kh khn ln nht ca bn khi mi vo i hc? ..........................................................
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
5. Nu c hc bng ng Hnh, bn d nh dng vo nhng vic g? Khon tin ny dng
vo nhng vic c trong bao lu? (Mc hc bng hin nay ca ng Hnh l 3 triu
ng/hc k)
ng tin hc
............. thng
ng tin nh
............. thng
Hc thm vi tnh, ting Anh ..... thng
Vic khc:
Qu hc bng ng Hnh
Trang web : www.donghanh.net

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6. Bn mong mun nhn c g t ng Hnh ngoi vic gip ti chnh?
..................................................................................................................................................................
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7. Bn gp kh khn g trong qu trnh lm h s xin hc bng ng Hnh?
..................................................................................................................................................................
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8. Bn thy vic lin lc sau khi nhn hc bng ng Hnh l cn thit khng? ..............
Nu c, hnh thc no di y l ph hp nht vi bn?
Trao i qua th in t
n bn tin ng Hnh
Thng qua trang web, din n
Gp g Vit Nam
9. Bn c t/nhn gi g ti qu hc bng ng Hnh? ...............................................
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Qu hc bng ng Hnh c thnh lp t nm 2001 bi mt nhm sinh vin Vit Nam du hc ti
Php vi mong mun gip cc bn sinh vin, hc sinh Vit Nam, c hon cnh kh khn v
hiu hc.
ng Hnh chn thnh cm n s gip ca bn.

Qu hc bng ng Hnh
Trang web : www.donghanh.net

QU HC BNG NG HNH
16 rue de Petit Musc
75004 Paris

kin nh gi
(dnh cho thy c ph trch sinh vin, cn b on, i din ng Hnh ti trng...)
Sinh vin:
Ngi cho kin (ghi r chc v, cng vic m nhim):
I. Hon cnh gia nh:

II. Hc tp:

III. c m d nh:

IV. Cc nhn xt khc:

Ngy

thng

nm

Ch k

Qu hc bng ng Hnh
Trang web : www.donghanh.net

2014