CNG HA X HI CH NGHA VIT NAM

c lp - T do - Hnh phc
N NGH CP TIN H TR MIN, GIM HC PH
(Dng cho hc sinh, sinh vin ang hc ti cc c s gio dc ngh nghip
v gio dc i hc cng lp)
Knh gi: Phng lao ng-thng binh v x hi (cp huyn)...
H v tn: ..
Ngy, thng, nm sinh: .
Ni sinh:
H tn cha/m hc sinh, sinh vin: ...
H khu thng tr (ghi y ):
X (Phng): .......................................Huyn (Qun): ...............................
Tnh (Thnh ph): ........................................................................................
Ngnh hc: .... M s sinh vin:
Thuc i tng: (ghi r i tng c quy nh ti Thng t lin tch hng dn Ngh nh
49 ).
Cn c vo Ngh nh s 49/2010/N-CP ngy 14 thng 5 nm 2010 ca Chnh ph, ti lm n
ny ngh c xem xt, gii quyt c cp tin h tr min, gim hc ph theo quy nh
v ch hin hnh.
.........., ngy .... thng .... nm ............
Ngi lm n
(K tn v ghi r h tn)

Xc nhn ca c s gio dc ngh nghip v gio dc i hc cng lp

i hc khoa hc hu
Xc nhn anh/ch: .................................................................................................................
Hin l hc sinh, sinh vin nm th ..... Hc k:....Nm hc........................ lp ........... khoa
........... kha hc......................... thi gian kha hc.........(nm) h o to
............................................................................. ca nh trng.
K lut: ................................................................................ (ghi r mc k lut nu c).
S tin hc ph hng thng: ................................. ng.
ngh phng lao ng - thng binh v x hi xem xt gii quyt tin h tr min, gim hc
ph cho anh/ch ........................................................ theo quy nh v ch hin hnh.
Hu, ngy ..... thng ..... nm ...........
Th trng n v
(K tn, ng du)