Mu s 1

CNG HA X HI CH NGHA VIT NAM

c lp - T do - Hnh phc
--------------.., ngy

thng

nm 20 ..
`

N NG K D TUYN VIN CHC

(Ban hnh km theo Thng t s 15/2012/TT-BNV ngy 25 thng 12 nm 2012
ca B Ni v)
H v tn:

Nam, N:

Ngy sinh:
Qu qun:
H khu thng tr:
Ch hin nay:
in thoi lin lc:
Dn tc:
Trnh v chuyn ngnh o to:
i tng u tin (nu c): (1)
Sau khi nghin cu iu kin ng k d tuyn vin chc ca
. (2), ti thy c iu kin tham d k thi
tuyn (hoc xt tuyn) vin chc v tr vic lm . (3)
V vy, ti lm n ny ng k d tuyn vin
chc theo thng bo ca qu c quan, n v.
Nu trng tuyn ti s chp hnh cc quy nh ca Nh nc v ca c quan, n
v c thm quyn tuyn dng.
Ti gi km theo n ny h s d tuyn, gm:
1. Bn s yu l lch t thut;
2. Bn chp cc vn bng, chng ch, gm: . (4)
3. Giy chng nhn sc kho;
4. 02 phong b (ghi r a ch lin lc), 02 nh c 4 x 6.
Ti cam oan h s d tuyn ca ti l ng s tht. Nu sai s tht, kt qu
tuyn dng ca ti hy b v ti chu trch nhim trc php lut./.
Knh n
(K v ghi r h tn)

Ghi ch:
(1) Ghi r i tng u tin theo quy nh;
(2) Ghi ng tn n v s nghip c thng bo tuyn dng vin chc;
(3) Ghi ng v tr vic lm cn tuyn ca n v s nghip tuyn dng;
(4) Ghi r tn ca cc bn chp, c c quan c thm quyn chng thc, gi
km n ng k d tuyn.