NG CNG SN VIT NAM

N XIN CHUYN SINH HOT NG

Knh gi: - ng y i hc Nng
- ng y Trng i hc S phm
- Chi y chi b..
Ti l: . sinh ngy .. thng .. nm......
Qu qun:..........................................................................................................
Chc v v n v cng tc:..............................................................................
Kt np vo ng ngy:....................................................................................
ang sinh hot ti Chi b..................................................................................
S in thoi lin lc:........................................................................................
L do chuyn sinh hot ng:
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Ni chuyn n:.....................................................................................................
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Knh ngh Chi b.. v ng y Trng i hc S phm
xem xt cho ti c chuyn sinh hot theo ng quy nh.
., ngy.. thng.. nm..

Ngi vit n

kin ca chi b
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