MU BIU

(Ban hnh km theo Quyt nh s /Q-HNLBG ngy thng nm

2014 ca Hiu trng trng i hc Nng - Lm Bc )
- Mu 01A: T trnh hoc ngh (i vi gi tr mua sm, SC trn 5 triu ng)
- Mu 01B: ngh v d tr kinh ph (i vi gi tr mua sm, SC di 5 triu )
- Mu 02: Bng k d ton kinh ph.
- Mu 03: D tr trang thit b.
- Mu 04: D tr vt t, dng c th nghim, mu vt.
- Mu 05: Phiu nhp ti sn c nh.
- Mu 06: Phiu nhp kho.
- Mu 07: Bin bn bn giao ha cht, dng c th nghim.
- Mu 08: Bin bn kim tra vt t, cng c, sn phm hng ha.
- Mu 09: Phiu giao nhn nguyn liu, vt liu, cng c, dng c.
- Mu 10: Phiu giao nhn TSC.
- Mu 11: Giy ngh thanh ton.
- Mu 12: Bin bn xt chn n v cung cp.
- Mu 13: Quyt nh v vic ph duyt kt qu kho st th trng, xt duyt gi
c hng ho v la chn nh cung cp.
- Mu 14: Hp ng kinh t.
- Mu 15: Bin bn nghim thu v bn giao a vo s dng.
- Mu 16: Thanh l hp ng.
- Mu 17: Phiu bo hng my mc, trang thit b v ngh sa cha.
- Mu 18: Bin bn nh gi hin trng s dng.
- Mu 19: Phiu xc nhn bo tr, bo dng, sa cha.
- Mu 22: Hp ng giao khon cng vic
- Mu 23: Bin bn nghim thu hon thnh cng vic
- Mu 24: Bin bn thanh l hp ng giao khon cng vic

1
 B NNG NGHIP V PTNT CNG HO X HI CH NGHA VIT NAM
TRNG H NNG - LM BC GIANG c lp - T do - Hnh phc

Bc Giang, ngy thng nm 201..

GIY NGH
V/v. Mu 01A
Knh gi: Ban Gim hiu

Phng (khoa, TT): ............................

ngh BGH, xem xt mua sm v sa cha:
1. Hng mc c s vt cht, l do xin mua sm (sa cha):
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
2. L do ngh mua sm, sa cha:
................................................................................................................................................
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................................................................................................................................................

Trng V S dng Ngi ngh

3. Phng TB T kim tra, xut phng n x l:

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........................................................................................................................... .....................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
.

Ban gim hiu P. Thit b - T

2
 B NNG NGHIP V PTNT CNG HO X HI CH NGHA VIT NAM
TRNG H NNG - LM BC GIANG c lp - T do - Hnh phc

Bc Giang, ngy thng nm 201

GIY NGH
V/v. Mu 01B

Knh gi: Ban Gim hiu

Phng (khoa, TT): ............................

ngh BGH, xem xt mua sm v sa cha:
1. Hng mc c s vt cht, L do ngh mua sm (sa cha):
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
2. D tr kinh ph:
STT Vt t, thit b VT SL n gi Thnh tin
1
2
3
4

Tng cng .
Bng ch:..

Ban gim hiu P. Ti chnh - KT P. Thit b - T n v s dung

3
 B NNG NGHIP V PTNT
TRNG H NNG - LM BC GIANG Mu 02

BNG K D TON KINH PH MUA, SA CHA

Ngy thng nm 201

STT Vt t, thit b VT SL n gi Thnh tin

Tng cng .
Bng ch:..

Ban gim hiu P. Ti chnh - KT P. Thit b - T n v s dung

4
 TRNG H NNG - LM BC GIANG CNG HO X HI CH NGHA VIT NAM
PHNG (KHOA, TT) c lp T do Hnh phc

Mu 03
D TR TRANG THIT B
Nm ..

D KIN YU CU CHO NM HC .. Thuyt minh nhu cu s dng

Tn thit b ( ngh cc n v thuyt minh nhu
TT (Ghi r tiu chun k thut, quy Cn sa cha nng cp Cn trang b mi cu c th cho tng loi thit b)
cch, k m hiu...) S lng, D kin (s lng, tiu D kin
k m hiu kinh ph chun k thut) kinh ph
(a) (b) (c) (d) (e) (f) (g)
I. THIT B PHC V CHO
O TO
01 .......................... 02 500.000 01 50.000.000 - Phc v cho TH th nghim........
02 .. .. . ..
..... .. .. .. . ..

II. THIT B PHC V

CHO QUN L
01 ------------------- 01 4.000.000 01 8.000.000 - In sao vn bn ....
02 ...................... . . . . - Trang b cho cn b vn phng.
. .. .. . .. . ....................

Bc Giang, ngy thng nm

Ban Gim hiu Phng TC - KT Ngi lp bng Trng n v s dng

5
 TRNG H NNG - LM BC GIANG CNG HO X HI CH NGHA VIT NAM
PHNG (KHOA, TT) c lp - T do - Hnh phc

Mu 04
D TR VT T, DNG C TH NGHIM, VT T..., PHC V O TO
Nm hc:..

nh gi hin trng
Mc S S
(%) lng lng
S S
Tn vt dng, vt t,ho cht, VT p
TT lng lng cn cn Ghi ch
dng c th nghim, mu vt, linh kin...) ng
hin h mua mua
yu
c hng HK1 HK2
cu s
dng
(a) (b) (c) (d) (e) (f) (g) (h) (i)

1 Acide chlorhydric (HCl) kg

2 Natrium hydroxyde (NaOH) kg

3 ng nghim 1cc c

4 ..

.. ....

Bc Giang, ngy thng nm 20.......

Ban Gim hiu Phng KH-TC Ngi lp bng Trng n v s dng

6
 B NNG NGHIP V PTNT
TRNG H NNG - LM BC GIANG Mu 05
PHIU NHP TI SN C NH
(Theo hp ng s. gia Cng ty v trng HNLBG)

S: /NTS

Ghi
STT Tn ti sn c nh VT SL n gi Thnh tin
ch
A B C 1 2 3 4
1
2
3
4

Cng ..
Bng ch: ..

Ngy thng nm 201..

Phng TB-T K ton ti sn K ton trng Ban gim hiu

7
 B NNG NGHIP V PTNT Mu s: 01 - VT
TRNG H NNG - LM BC GIANG (Ban hnh theo Q s: 48/2006/Q- BTC
Ngy 14/9/2006 ca B trng BTC)

PHIU NHP KHO Mu 06

Ngy.. thng..nm 20
N
C
- H v tn ngi giao ....
- Theo...sngy.thng..nm.ca...
- Nhp ti kho:..a im.
Tn, nhn hiu, S lng
quy cch vt t, M n v n gi Thnh
STT
cng c, sn s tnh Theo Thc nhp tin
phm, hng ho chng t

A B C D 1 2 3 4

Cng x x x x x x

Tng s tin vit bng ch:....

S chng t km theo:.......

Ngy.thng.nm..
Ngi lp Ngi giao hng Th kho K ton trng
( K, h tn) ( K, h tn ( K, h tn) (K, h tn)

8
 B NNG NGHIP V PTNT CNG HO X HI CH NGHA VIT NAM
TRNG H NNG - LM BC GIANG c lp - T do - Hnh phc
Mu 07
BIN BN BN GIAO HO CHT DNG C TH NGHIM

Hm nay, ngy.thngnm 20, ti Trng i hc Nng - Lm Bc Giang

.
Chng ti gm:
A. Bn giao
1. ng (B)......Chc v:..
2. ng (B)..Chc v:..
3. ng (B)......Chc v:..
B. Bn nhn
1. ng (B)..Chc v:..
2. ng (B)..Chc v:..
3. ng (B)...Chc v:..
Bn A giao cho bn B nhng ho cht v dng c th nghim m bo ng chng
loi v cht lng theo danh mc sau:
DANH MC HO CHT DNG C TH NGHIM

Nc
S n v Ghi
Tn hng ho sn S lng
TT tnh ch
xut
1
2
3
4
5

Phng TB - T K ton ti sn Ph trch n v nhn Ngi nhn Ngi giao

( K, h tn) ( K, h tn) ( K, h tn) ( K, h tn) ( K, h tn)

9
 B NNG NGHIP V PTNT Mu s C25 HD
TRNG H NNG - LM BC GIANG Ban hnh theo Q s 19/2006/Q-BTC
Ngy 30 /3/2006 ca B trng b ti chnh

Mu 08
BIN BN KIM TRA
VT T, CNG C, SN PHM HNG HO
Ngy. thng.nm 20

- Cn c .. s, ngythng.nm.ca..
Ban kim nghim gm:
+ ng (B)Chc v.i din.. Trng ban
+ ng (B)Chc v.i din Phng TB - T U vin
+ ng (B)Chc v.i din k thut U vin
kim nghim cc loi:
Kt qu kim
Tn, nhn hiu, Phng S nghim
quy cch vt t, M thc VT lng Ghi
STT
cng c, sn s kim theo S lng S lng ch
ng quy khng ng
phm, hng ho nghim chng cch, phm quy cch,
t cht phm cht

A B C D E 1 2 3 F

kin ca ban kim nghim:

....

.
i din k thut Phng TB - T Trng ban kim nghim

10
 B NNG NGHIP V PTNT Mu s C26- HD
TRNG H NNG - LM BC GIANG (Ban hnh km theo Thng t s 185/2010/TT-BTC
ngy 15/11/2010 ca B Ti chnh)

PHIU GIAO NHN NGUYN LIU, VT LIU, CNG C, DNG C Mu 09

Ngy thng nm 201.
S: .
N:..
C:..

- H tn ngi giao: . a ch:

- H tn ngi nhn: a ch: ..
- a im giao nhn: . - Trng i hc Nng - Lm Bc Giang
- Chng ti tin hnh giao, nhn cc loi nguyn liu, vt liu, cng c, dng c, nh sau:
STT Tn nhn hiu, quy cch, phm cht nguyn M s n v tnh S lng n gi Thnh tin Ghi ch
liu, vt liu, cng c, dng c
A B C D 1 2 3 4
1
2
Cng ..

Ngi lp Ngi giao Ngi nhn

(K, h tn) (K, h tn) (K, h tn)

11
n v:.................................... Mu s C50 - HD
B phn:.................................. (Ban hnh theo Q s: 19/2006/Q- BTC
ngy 30/03/2006 ca B trng BTC)
M n v QHNS:...................
Mu 10
BIN BN GIAO NHN TSC
Ngy .....thng .....nm ......
S:.............
N: ...........
C:............
Cn c Quyt nh s : ......................ngy .......thng .......nm .......ca
..............................................
.................................................................v vic bn giao TSC
Ban giao nhn TSC gm :
- ng/B ...............................chc v ..........................................i din bn giao
- ng/B ...............................chc v ..........................................i din bn nhn
- ng/B ................................chc v .........................................i din................
a im giao nhn TSC :.......................................................................................
Xc nhn vic giao nhn TSC nh sau :
Tnh nguyn gi ti sn c nh Ti
Cng
Tn, k hiu Nc Nm liu
S Nm sut Chi Chi
S quy cch sn a Gi Nguyn k
hiu sn (din ph ph
TT (cp xut vo s mua ... gi thut
TSC xut tch vn chy
hng TSC) (XD) dng (Z SX) TSC km
T.k) chuyn th
theo
A B C D 1 2 3 4 5 6 7 8 E

Cng x x x x x x

DNG C, PH TNG KM THEO

S TT Tn, quy cch dng c, ph tng n v tnh S lng Gi tr
A B C 1 2

Th trng bn nhn K ton trng bn nhn Ngi nhn Ngi giao

(K, h tn, ng (K, h tn) (K, h tn) (K, h tn)
du)

12
n v:.. Mu s: C37 - HD
B phn:... (Ban hnh theo Quyt nh s 19/2006/Q-BTC
M V c QH vi NS: ngy 30/3/2006 ca B trng B ti chnh)

GIY NGH THANH TON

Ngy thng nm 201
Mu 11

S:.
Knh gi:

H v tn ngi ngh thanh ton: .

B phn:
Ni dung thanh ton: .
S tin: ..
Vit bng ch: ..
(Km theo chng t gc)

Ngi ngh Ph trch b phn K ton trng Th trng n v

13
 Mu 12
B NNG NGHIP V PTNT CNG HO X HI CH NGHA VIT NAM
TRNG H NNG - LM BC GIANG c lp - T do - Hnh phc
S: / Bc Giang, ngythng nm 201

BIN BN
XT CHN N V CUNG CP

- Cn c ngh mua sm hng ho ca Phng Thit b - u t;

- Cn c Bo gi ca cc n v c kh nng cung cp hng ho,
T chuyn gia xt chn n v cung cp hng ha gm:
1) ng: Chc v:
2) ng: . Chc v:
3) ng: .. . Chc v:
. ) ng: .. Chc v:
. ...............
hp xt duyt gi v n v cung cp hng ho thit b gm:
TT TN HNG HA QUY CCH VT SL N V YU CU
1
2 .
3
4
Chng ti nhn c bo gi ca ba n v vi bo gi nh sau: (n
gi/VN).

TN HNG HO, QUY Cng ty 1 Cng ty 2 Cng ty 3

TT V SL
CCH

1
2
3
4
Tng bo gi
(Hoc c th cn c vo cc ti liu xc nh gi tr mua sm)
Cn c vo nhu cu mua sm, gi c th trng ti Bc Giang v khu vc, sau
khi kho st thc t v xem xt bo gi ca ba n v trn, chng ti thy:
1) Chng t ca ba n v bo gi v chng loi, thng s k thut, nguyn
liu sn xut ca cc mt hng m Nh trng cn mua l nh nhau.
2) Cc phng thc lp t, thanh ton, bo hnh ca c 3 n v l nh nhau.

14
 3) Gi ca Cng ty l thp nht.
Kt lun: T chuyn gia kho st th trng, xt thu, u thu, xt duyt gi
c v la chn nh cung cp hng ha ca trng i hc Nng - Lm Bc Giang
quyt nh chn Cng ty .lm n v cung cp hng ho cho trng vi gi
c duyt nh sau :
N GI THNH TIN
TT TN HNG HO, QUY CCH VT SL
( VN ) ( VN )
1
2
3
4
Tng cng
Bng ch:

T trng

15
 B NNG NGHIP V PTNT CNG HO X HI CH NGHA VIT NAM
TRNG H NNG - LM BC GIANG c lp - T do - Hnh phc
S: /Q - HNLBG Bc Giang, ngy thng nm 201..
Mu 13
QUYT NH
V vic ph duyt gi c hng ho v la chn nh cung cp

HIU TRNG TRNG H NNG - LM BC GIANG

Cn c Lut u thu s 61/2005/QH11 ngy 29 thng 11 nm 2005;

Cn c Ngh nh s 85/2009/N-CP ngy 15 thng 10 nm 2009 ca Chnh
ph v hng dn thi hnh Lut u thu v la chn nh thu theo Lut xy dng;
Cn c Thng t s 68/2012/TT-BTC ngy 26/4/2012 ca B Ti chnh quy
nh vic u thu mua sm ti sn nhm duy tr hot ng thng xuyn ca c
quan nh nc, t chc chnh tr, t chc chnh tr - x hi, t chc chnh tr x hi -
ngh nghip, t chc x hi, t chc x hi - ngh nghip, n v v trang nhn dn,
Xt ngh ca T chuyn gia la chn nh cung cp hng ha ti Bin bn s
../ ngy //201..,

QUYT NH

iu 1: Ph duyt gi c hng ho v la chn nh cung cp :

- Nh cung cp:
- Tng gi tr hng ho theo bo gi: .. (Bng ch: ..)
iu 2: Cc ng (b): Trng phng Thit b - u t, K ton trng c trch
nhim phi hp cng th trng cc n v chc nng c lin quan thc hin cc bc
tip theo, theo ng cc vn bn Quy nh hin hnh.
iu 3: T chuyn gia xt chn nh cung cp hng ha v cc ng, b Th
trng n v c tn trong iu 1 chu trch nhim thi hnh Quyt nh ny.

Ni nhn: HIU TRNG

- Nh iu 3;
- Lu VT,

16
 B NNG NGHIP V PTNT CNG HO X HI CH NGHA VIT NAM
TRNG H NNG - LM BC GIANG c lp T do Hnh phc
S: ....../HKT Thi Nguyn, ngy thng nm 201

Mu 14
HP NG KINH T
V/v

- Cn c vo B lut dn s c Quc hi nc cng ho x hi ch ngha

Vit Nam thng qua ngy 14/06/2005;
- Cn c Lut u thu s 61/2005/QH11 ngy 29 thng 11 nm 2005;
- Cn c Ngh nh s 85/2009/N-CP ngy 15 thng 10 nm 2009 ca Chnh
ph v hng dn thi hnh Lut u thu v la chn nh thu theo Lut xy dng;
- Cn c Thng t s 68/2012/TT-BTC ngy 26/4/2012 ca B Ti chnh quy
nh vic u thu mua sm ti sn nhm duy tr hot ng thng xuyn ca c
quan nh nc, t chc chnh tr, t chc chnh tr - x hi, t chc chnh tr x hi -
ngh nghip, t chc x hi, t chc x hi - ngh nghip, n v v trang nhn dn;
- Cn c kh nng v nhu cu ca hai bn,
Hm nay, ngy thng .. nm 201, ti trng .
Chng ti, i din cho cc bn k hp ng, gm c:
Bn A: Trng i hc Nng - Lm Bc Giang
a ch: ........................................................................................................
in thoi:
Fax:
Ti khon: Ti: Kho bc Nh nc
MST:
i din l ng: .................................................................
Chc v: Hiu trng
Bn B: Cng ty
a ch:. ...... ................................................................................
in thoi: .......................................................................................................
Fax: ........................ E-mail: .
Ti khon:
M ti:..............................................................
M s thu: ..................................................
i din l ng/b: .
Chc v: ....
Hai bn tha thun k kt hp ng cung cp hng ha vi cc ni dung sau:
iu 1. i tng hp ng
i tng ca hp ng l cc hng ha c nu ti Ph lc km theo.
iu 2. Trch nhim ca hai bn

17
 Bn A cam kt thanh ton cho Bn B theo gi hp ng v phng thc thanh
ton nu ti iu 3 ca hp ng ny cng nh thc hin y ngha v v trch
nhim khc c quy nh trong hp ng.
Bn B cam kt cung cp cho Bn A y cc loi hng ha nh nu ti
iu 1 ca hp ng ny, ng thi cam kt thc hin y cc ngha v v trch
nhim c nu trong hp ng
iu 3. Gi hp ng v phng thc thanh ton
1. Gi hp ng: . [Ghi r gi tr bng s, bng
ch].
2. Phng thc thanh ton:
a) Hnh thc thanh ton: Chuyn khon hoc tin mt
b) Thi hn thanh ton: Trong .... thng (ngy) [S ln thanh ton v s
tin thanh ton trong mi ln s c c th khi thng tho hp ng ].
iu 4. Hnh thc hp ng: Trn gi
iu 5. Thi gian thc hin hp ng
Thi gian thc hin hp ng: ....... ngy k t ngy k kt hp ng
iu 6. Hiu chnh, b sung hp ng
1. Vic hiu chnh, b sung hp ng c th c thc hin trong cc trng hp
sau:
a) Thay i phng thc vn chuyn;
b) Thay i a im giao hng;
c) Thay i thi gian thc hin hp ng;
d) Cc ni dung khc (nu c).
2. Bn A v Bn B s tin hnh thng tho lm c s k kt ph lc b sung
hp ng trong trng hp hiu chnh, b sung hp ng.
iu 7. Chm dt hp ng
1. Bn A hoc bn B c th chm dt hp ng nu mt trong hai bn c vi
phm c bn v hp ng nh sau:
a) Bn B khng thc hin mt phn hoc ton b ni dung cng vic theo hp
ng trong thi hn nu trong hp ng hoc trong khong thi gian c Bn A
gia hn;
b) Bn B b ph sn, gii th;
c) Cc hnh vi khc (nu c).
2. Trong trng hp bn A chm dt hp ng theo im a khon 1 iu ny,
bn A c th k hp ng vi nh cung cp khc thc hin phn hp ng m bn B
khng thc hin. Bn B s chu trch nhim bi thng cho bn A nhng chi ph
vt tri cho vic thc hin phn hp ng ny. Tuy nhin, bn B vn phi tip tc thc
hin phn hp ng m mnh ang thc hin v chu trch nhim bo hnh phn hp
ng .
3. Trong trng hp bn A chm dt hp ng theo im b khon 1 iu ny,

18
bn A khng phi chu bt c chi ph n b no. Vic chm dt hp ng ny khng
lm mt i quyn li ca bn A c hng theo quy nh ca hp ng v php lut.
iu 8. Tnh hp l ca hng ha
Bn B phi nu r xut x ca hng ha; k m hiu, nhn mc ca sn phm
v cc ti liu km theo chng minh tnh hp l ca hng ha v phi tun th cc
quy nh v tiu chun hin hnh ti quc gia hoc vng lnh th m hng ha c xut
x.
iu 9. Cung cp, vn chuyn, kim tra v th nghim hng ha
1. Bn B phi cung cp hng ha v giao cc ti liu, chng t km theo.
2. Yu cu v vn chuyn hng ha: . [Nu yu cu v vn chuyn hng
ha, bao gm c a im giao hng cn c yu cu v tnh cht ca gi hng].
3. Bn A hoc i din ca bn A c quyn kim tra, th nghim hng ha
c cung cp m bo hng ha c c tnh k thut ph hp vi yu cu ca
hp ng. Thi gian, a im v cch thc tin hnh kim tra, th nghim: ....... [Ghi
thi gian, a im, cch thc tin hnh, chi ph cho vic kim tra, th nghim...cng
nh quy nh v cch thc x l i vi cc hng ha khng t yu cu qua kim tra,
th nghim]. Trng hp hng ha khng ph hp vi c tnh k thut theo hp ng
th bn A c quyn t chi v bn B phi c trch nhim thay th hoc tin hnh
nhng iu chnh cn thit p ng ng cc yu cu v c tnh k thut. Trng
hp bn B khng c kh nng thay th hay iu chnh cc hng ha khng ph hp,
bn A c quyn t chc vic thay th hay iu chnh nu thy cn thit, mi ri ro v
chi ph lin quan do bn B chu. Vic thc hin kim tra, th nghim hng ha ca bn
A khng dn n min tr ngha v bo hnh ca bn B hay cc ngha v khc theo
hp ng.
iu 10. Bn quyn v bo him hng ha
1. Bn B phi hon ton chu trch nhim v mi thit hi pht sinh do vic khiu
ni ca bn th ba v vic vi phm bn quyn s hu tr tu lin quan n hng ha m
bn B cung cp cho bn A.
2. Hng ha do bn B cung cp phi c bo him y b p nhng mt
mt, tn tht bt thng trong qu trnh vn chuyn, lu kho v giao hng nh sau:
......... [Cn c tnh cht v yu cu ca gi hng m quy nh c th ni dung ny trn
c s m bo ph hp vi quy nh ca php lut].
iu 11. Bo hnh
1. Bn B bo m rng hng ha c cung cp theo hp ng l mi, cha s
dng, m bo cht lng theo tiu chun ch to v s khng c cc khuyt tt ny sinh
dn n bt li trong qu trnh s dng hng ha.
2. Yu cu v bo hnh i vi hng ha nh sau: ngy (thng, nm) [Nu
yu cu v bo hnh (nu c) nh sau: thi hn bo hnh, phiu bo hnh km theo,
c ch gii quyt cc h hng, khuyt tt pht sinh trong qu trnh s dng hng ha
trong thi hn bo hnh...].

19
 iu 12. Gii quyt tranh chp
1. Bn A v bn B c trch nhim gii quyt cc tranh chp pht sinh gia hai
bn thng qua thng lng, ha gii.
2. Nu tranh chp khng th gii quyt c bng thng lng, ha gii trong
thi gian: [Ghi c th thi gian] k t ngy pht sinh tranh chp th bt k
bn no cng u c th yu cu a vic tranh chp ra gii quyt theo c ch:
.[Ghi c ch x l tranh chp].
iu 13. Hiu lc hp ng
1. Hp ng c hiu lc k t . [Ghi c th ngy c hiu lc ca hp
ng].
2. Hp ng ht hiu lc sau khi hai bn tin hnh thanh l hp ng theo lut
nh.
Hp ng c lp thnh .. b, bn A gi ..b, bn B gi. b, cc b
hp ng c gi tr php l nh nhau.

I DIN BN A I DIN BN B
(k tn, ng du) (k tn, ng du)

20
 B NNG NGHIP V PTNT CNG HO X HI CH NGHA VIT NAM
TRNG H NNG - LM BC GIANG c lp T do Hnh phc
S: ...../BB-.. Bc Giang, ngy thng nm 201

BIN BN NGHIM THU V BN GIAO A VO S DNG Mu 15

Cn c Hp ng kinh t s ./HKT c cc bn k ngy thng . nm

201,
Hm nay, ngy thng .. nm 201, ti
Thnh phn gm:
Bn A (Bn nhn): Trng i hc Nng - Lm Bc Giang
i din bi:
ng: .. Chc v: Hiu Trng
ng: . Chc v: .
a ch:
in thoi: Fax:
M s thu:
Ti khon: Ti:
Bn B (Bn giao): Cng ty .
i din bi: Chc v:

a ch: .
in thoi:
M s thu:
Ti khon: . Ti:
Sau khi nh gi thc t cng tc lp t vt t, thit b ti trng i hc Nng -
Lm Bc Giang. Hai bn cng nhau thng nht k Bin bn bn giao vi ni dung
sau:
1, V khi lng hon thnh: Bn B cung ng v lp t cho bn A ng chng
loi, s lng v thi gian bo hnh cc vt t, thit b c lp t, ng theo hp
ng c k kt bao gm:

TT TN HNG HO, QUY CCH VT SL GHI CH

1
2
2, Bn B lp t y tt c cc thit b, ng chng loi, cht lng, mi
100%.
3, Nhn xt k thut, cht lng, tin : Thit b c lp t v a vo s dng
ng cht lng v tin theo yu cu ca hp ng.
4, Bn A nhn y tt c cc thit b, ng chng loi, ng cht lng, mi
100%.

21
 Bin bn c thng qua, cc thnh phn nghim thu nht tr k tn v lp thnh
03 (ba) bn c gi tr php l nh nhau, bn A gi 02 (hai) bn, bn B gi 01 (mt)
bn.

I DIN BN A I DIN BN B

22
 B NNG NGHIP V PTNT CNG HO X HI CH NGHA VIT NAM
TRNG H NNG - LM BC GIANG c lp T do Hnh phc
S: ...../ Bc Giang, ngy thng nm 201.
Mu 16
THANH L HP NG
V/v ..

Cn c Hp ng kinh t s ./HKT c cc bn k ngy thng nm

20.;
Cn c Bin bn nghim thu v bn giao a vo s dng s /BB-., k
ngy. thng . nm 20...,
Hm nay, ngy .. thng .. nm 201, ti ...
Chng ti, i din cho cc bn gm:
Bn A: Trng i hc Nng - Lm Bc Giang
i din: ng: ..Chc v: Hiu Trng
ng: . Chc v:
a ch:
in thoi: 0280.3746.982 Fax: 0280.3746.965
M s thu: 4600400254
Ti khon: Ti:
Bn B: Cng ty
i din: ng:.. Chc v:
ng: . Chc v:
a ch: .
in thoi: ... .
M s thu:
Ti khon: .. Ti: ..
Hai bn thng nht thanh l hp ng gia trng i hc Nng - Lm Bc
Giang v Cng ty.. v vic cung ng v lp t vt t, thit b vi cc tho
thun sau:
1. Bn B cung ng v lp t vt t, thit b cho bn A vi s lng, cht
lng, chng loi, xut x ng nh trong hp ng.
2. Gi tr thanh l: . ng (Bng ch:
..)
3. iu khon thanh l:
a) Hnh thc: Tin mt (chuyn khon)
- Tm ng:
- Bn A thanh ton cho bn B

b) Thi hn: .......... ngy k t ngy hai bn k bn thanh l hp ng ny.

23
 Bin bn thanh l ny c gi tr k t ngy k v lp thnh 03 (ba) bn c gi tr
php l nh nhau, bn A gi 02 (hai) bn, bn B gi 01 (mt) bn.

I DIN BN A I DIN BN B

24
 B NNG NGHIP V PTNT CNG HO X HI CH NGHA VIT NAM
TRNG H NNG - LM BC GIANG c lp - T do - Hnh phc

PHIU BO HNG MY MC, TRANG THIT B

V NGH SA CHA
Mu 17
Hm nay, ngythngnm 201.
i din phng (khoa, TT s dng my mc, thit b):
...............................................................................................................................................
BO TNH TRNG MY MC THIT B

.......................................................................................................................................
......................................................................................... ......................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
.......................................................................................... .....................................................
Knh ngh n v chc nng kim tra, nh gi hin trng v hng
khc phc.
LNH O PHNG (KHOA, TT) NGI NGH

KT LUN, XUT CA PHNG TB T:

................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

Ban gim hiu Phng TBT

25
TRNG H NNG - LM BC GIANG CNG HO X HI CH NGHA VIT NAM
Phng (Khoa, TT) c lp T do Hnh phc

BIN BN KIM TRA NH GI HIN TRNG S DNG

Mu 18
Cn c vo phiu bo hng ca phng (khoa, TT):.
Hm nay, ngythngnm 201, ti..
A. i din n v s dng: .....................................................................................
1) ................................................................................................................................
2) ................................................................................................................................
B. i din Phng TB-T:
1) ................................................................................................................................
C. i din n v kim tra v nh gi hin trng:
1) ................................................................................................................................
2) ................................................................................................................................
tin hnh kim tra vt t, thit b: .........................................................................
...............................................................................................................................................
...............................................................................................................................................

Nguyn nhn:
....................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
Kt lun, phng n xut:
....................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
Phng TB - T n v kim tra Cn b k thut n v s dng

26
 B NNG NGHIP V PTNT CNG HO X HI CH NGHA VIT NAM
TRNG H NNG - LM BC GIANG c lp - T do - Hnh phc
Bc Giang, ngy thng nm 20

T TRNH Mu 19
V/v ngh ph duyt k hoch v d ton .....

Knh gi: Ban Gim hiu

Cn c Lut u thu s 61/2005/QH11 v Lut sa i s 38/2009/QH12;

Ngh nh 85/2009/N-CP, ngy 15/10/2009 ca Chnh ph v cc quy nh hin hnh
ca Nh nc;
Cn c Thng t s 68/2012/TT-BTC ngy 26 thng 4 nm 2012 Quy nh vic
u thu mua sm ti sn nhm duy tr hot ng thng xuyn ca c quan nh
nc, t chc chnh tr, t chc x hi, n v v trang nhn dn;
Cn c ..........................................................;
Cn c ..........................................................,
Phng Thit b - u t trnh Hiu trng k hoch mua sm ..........
Mc tiu u t mua sm:
- Trang b ..........................................
- S lng .........................................
Phng thc u t: .............................. (nu r hnh thc u thu)
L do la chn hnh thc ...................................................................... (p dng
Lut u thu v cc thng t hin hnh)
Tng kinh ph d ton: ................................... (VN/USD)
- S dng kinh ph t .........................................
Danh mc v d ton chi tit:
Tn thit b, c im, tnh nng c gi Thnh tin
TT VT SL
v cc thng s k thut c bn ( VN ) (VN)
1
2
Tng cng: .
Gi d ton da trn .......................................................................................
Thi gian thc hin: .....................................................................................

27
 Phng Thit b - u t ngh Hiu trng trng i hc Nng - Lm Bc Giang
xem xt, ph duyt phng c c s thc hin cc bc tip theo.

TRNG PHNG TB - T

B NNG NGHIP V PTNT CNG HO X HI CH NGHA VIT NAM

TRNG H NNG - LM BC GIANG c lp - T do - Hnh phc
s ./Q-HNLBG Thi Nguyn, ngy thng nm 201

QUYT NH Mu 20
V/v thnh lp T chuyn gia u thu (xt thu)

HIU TRNG TRNG H NNG - LM BC GIANG

Cn c Lut u thu s 61/2005/QH11; Lut sa i s 38/2009/QH12; Ngh

nh 85/2009/N-CP, ngy 15/10/2009 ca Chnh ph v cc quy nh hin hnh ca
Nh nc;
Cn c Thng t s 68/2012/TT-BTC ngy 26 thng 4 nm 2012 Quy nh vic
u thu mua sm ti sn nhm duy tr hot ng thng xuyn ca c quan nh
nc, t chc chnh tr, t chc x hi, n v v trang nhn dn,
Xt ngh ca ng Trng phng T chc cn b,
QUYT NH
iu 1: Thnh lp T chuyn gia u thu (xt thu) theo hnh thc .gm cc
ng, b c tn sau:
1. . Chc v: T trng
2. . Chc v: U vin
3. . Chc v: U vin
4. . Chc v: Th k
iu 2: T chuyn gia c nhim v t vn gip Hiu trng trong vic la
chn nh thu cho gi thu .. ca Trng theo Quy nh
hin hnh.
T chuyn gia t gii th sau khi hon thnh nhim v.
iu 3: Cc ng (b) Trng phng Thit b - u t, Trng cc n v c
lin quan v cc ng (b) c tn trong iu 1 chu trch nhim thi hnh Quyt nh
ny./.

HIU TRNG
Ni nhn:
- Nh iu 3;

28
- Lu VT,

29
TRNG H NNG - LM BC GIANG Ngythngnm 20
PHNG THIT B - U T

PHIU XC NHN BO TR, BO DNG, SA CHA

S:
n v ngh: .............................................................................................
Mu 21
Ni dung ngh sa cha:
Vt t,
Tn thit b
ph tng S n Thnh
TT ngh bo tr, bo Ni dung VT
cn thay lng gi tin
dng, sa cha
th

(Xc nhn thay th ng loi, s lng vt t nu trn, ti sn h hng c

sa cha t yu cu)
Xc nhn ca n v yu cu Ngi thc hin

30
 B NNG NGHIP V PTNT CNG HO X HI CH NGHA VIT NAM
TRNG H NNG - LM BC GIANG c lp - T do - Hnh phc
S: ./HGK MU S C08- HD
(Ban hnh km theo Thng t s 185/2010/TT-BTC
ngy 15/11/2010 ca B Ti chnh)

HP NG GIAO KHON CNG VIC Mu 22

Hm nay, ngy . thng .. nm 20. ti ., chng ti gm c:

i din cho bn giao khon
1. ng: Chc v: Hiu trng
2. ng: .Chc v:
i din cho bn nhn khon
ng (b): ..Chc v:.
- a ch:... S CMND:.
Cng k kt hp ng giao khon cng vic:
iu1: Ni dung, trch nhim v quyn li ca bn nhn khon
1. Ni dung, trch nhim cng vic nhn khon:
-
........
..
.

2. Quyn li:



iu 2: Trch nhim v ngha v ca bn giao khon
-
..
- Thanh ton cho bn nhn khon sau khi nghim thu hon thnh cng vic.
iu 3: Nhng iu khon chung v hp ng
- Thi gian thc hin hp ng: .. ngy
- Phng thc thanh ton: Bng tin mt (vn) hoc chuyn khon.
iu 4. Gii quyt tranh chp
- Bn A v Bn B c trch nhim gii quyt cc tranh chp pht sinh gia hai
bn thng qua thng lng, ha gii.
- Nu tranh chp khng th gii quyt c bng thng lng, ha gii trong
thi gian 30 ngy k t ngy pht sinh tranh chp th bt k bn no cng u c th
yu cu a vic tranh chp ra To n Kinh t gii quyt theo php lut:

31
 iu 5. Hiu lc hp ng
- Hp ng c hiu lc k t ngy k.
- Hp ng c lp thnh 03 (ba) b, Bn giao khon gi 02 (hai) b, Bn
nhn khon gi 01 (mt) b, cc b hp ng c gi tr php l nh nhau.
i din bn nhn khon i din bn giao khon
(K, h tn) (K, h tn, ng du)

32
 B NNG NGHIP V PTNT CNG HO X HI CH NGHA VIT NAM
TRNG H NNG - LM BC GIANG c lp - T do - Hnh phc
S: ../BB - HNLBG Mu 23
BIN BN NGHIM THU HON THNH CNG VIC
THEO HP NG GIAO KHON CNG VIC

Hm nay, ngy thng . nm 20 ti .., chng ti gm c:

i din cho bn giao khon:
1. ng: Chc v: Hiu trng
2. ng: Chc v:
i din bn nhn khon:
1. ng (b): .Chc v:
- Hai bn cng nhau lp bin bn nghim thu cc khon, mc theo hp ng
giao khon cng vic s ../HGK k ngy thng . nm 20..
* Kim tra thc t cng vic giao khon theo hp ng, hai bn xc nhn cc
im sau:
a. Cc cng vic thc hin: Bn nhn khon hon thnh cc cng vic
nh trong hp ng giao khon m hai bn k kt (hoc khng hon thnh)
b. Thi hn thc hin hp ng: ..ngy
c. Nhng vn pht sinh: Khng (c)
d. Kt lun (nu khng c pht sinh): Cc iu khon trong hp ng giao
khon cng vic s ../HGK k ngy..thng . nm 20. c thc
hin xong
ngh bn nhn khon cho thanh l hp ng giao khon s /HGK vi
kinh ph nh tho thun trong hp ng k l: .. ng (Bng
s:)
- Tng s tin bn nhn khon c hng l:.... ng
(Bng s:)
i din bn nhn khon i din bn giao khon
(K, h tn) (K, h tn, ng du)

33
 Mu 24

B NNG NGHIP V PTNT CNG HO X HI CH NGHA VIT NAM

TRNG H NNG - LM BC GIANG c lp - T do - Hnh phc
S: . MU S C10- HD
(Ban hnh km theo Thng t s 185/2010/TT-BTC
ngy 15/11/2010 ca B Ti chnh)

BIN BN
THANH L HP NG GIAO KHON CNG VIC

Cn c vo hp ng giao khon cng vic s ..k ngy .. thng . nm

20..;
Cn c bin bn nghim thu v cng vic giao khon ngy ... thng nm
20..;
Cn c vo chc nng, nhim v hai bn,
Hm nay, ngy .. thng .. nm 20.
Ti
i din cho bn giao khon:
1. ng: ..Chc v: Hiu trng
2. ng: ..Chc v: ..
i din cho bn nhn khon:
1. ng (b): ..Chc v:
Sau khi tho thun, hai bn thng nht k thanh l hp ng giao khon cng
vic s .k ngy . thng nm 20.. vi cc ni dung sau:
- Bn nhn khon hon thnh trch nhim i vi cc iu khon v cng
vic k kt theo hp ng giao khon.
- Bn giao khon thanh ton cho bn nhn khon s tin theo hp ng k
l: .. ng. (Bng s:)
- Cc iu khon ca hp ng giao khon cng vic s k ngy .. thng
.. nm 20.. thc hin xong.

i din bn nhn khon i din bn giao khon

(K, h tn) (K, h tn, ng du)

34