Phg lgc 4.
MAu don ding ky dU tuy6n dUng c6ng chfc, vi6n chric ndm 2016
CQNG HOA XA HgT CHU NGHIA VIET NAM
DOc lOp - Tq do - Hanh phfc
ngdy ..... thdng ..... ndm 2016
DoN OANC Kf DUTUYEN DVNG CoNC CHUC, VrnN CHUC
rOxc cuc rHONG r0 xAnn 20rc
Hg vd t6n: . . ... Nam, nfr:
Ngdy sinh:
Trinh dQ vd chuy6n ngdnh ddo tpo:
Le d6i tugng uu ti6n (ntiu c6):
_r
Sauthi nghiOn cr?u cti6u kiQn ddng
ry 9q
Tuyiin
{ung
c6ng chric, vi6n chric
Tdng cuc Th6ng kO ndm 2016, t6i thdy c6 du di6u kiQnd€ tham du ky thi tuy6n [x6t
t"y6nl c6ng chric [vi6n chirc] viro vf tri viQc ldm
(2)
don ndy ddng ky dU tuy6n c6ng chirc [vi6n chirc] theo th6ng b5o cua Quy co quan.
N6u trirng tuy6n tdi sE ch6p henh c6c quy dinh cria Nhd nu6c vd cria T6ng
cgc Th6ng kC.
T6i gti kdm theo dcrn ndy h6 so du tuy6n, gd-'
1. Bin so y6u lf lich tr; thuft;
2.Btnsao gi6y khai sinh;
3. BAn chup cdc vdnbing, chimg chi vd ktit qu6 hgc tQp, g6m:
a. Gidy chimg nhQn sfc khoe do co quan y tti c6 thAm quydn c6p;
395. 03 phong bi ghi rd dia chi 1i6n 14c,2 6nh cd 4 x 6.
T6i cam doan hO so dg tuyiln cta t6i ld ttring sg thft, sau khi nhQn dugc thdng
b6o trung tuyerj t6i sE hodn thiQn di] hO so dg tuy6n theo quy
"dinh.
Ntiu sai sU thit
thi ktit qui tuytin dUng ctia t6i sE bi co quan c6 thAm quydn tuy6" dUng htiy b6 vd t6i
sE chiu trSchnhiQm tru6c ph6p IuQt.l.
K[nh don
(Ky vd ghi 16 h9 t6n)
Ghi chil:
(1) Ghi rO d6i tuo,ng uu ti6n theo quy ctfnh;
(2) Ghi 16 vi tri vi6c ldm (Vi dp: Thdng kC, K6 to6n...)
(3) Ghi r616n Phdng hopc Chi cpc {r tuy6n (Vi ds: Phdng Th6ng kO T6ng
"
hgrp, Chi cpc Th5ng kO huyQn X). Trudrng hqp Cgc Th6ng kO l.h6ng th6ng b6o tuycn
dung theo vi tri viQc ldm d timg phdng ho{c chi cpc thi b6 tr6ng.
(4) Ghi rd ton ctcrn vi (vf dp: viQn Khoa hgc Thdng ke, cr;c Thong ko tinh
Vinh Phfc...)
(5) Ghi rd t6n ctlachc bin chpp gti kdm dcrn ddng ky dU
40