cộng hoà xã hội chủ nghĩa việt nam
Độc lập - Tự do - Hạnh phúc
đơn xin thuyên chuyển công tác.
Kính gửi : .............................................................................................................................................................................................
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Tôi là: ................................................................................................................................................Nam (nữ):......................................
Ngày, tháng, năm sinh: ...............................................................................
Quê quán:
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Chỗ ở hiện nay:
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Hiện đang công tác tại đơn vị trờng:
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Giáo viên môn ..............................trình độ đào tạo.....................................Tốt nghiệp loại..................................
Chức vụ hiện nay: ................................................Hệ đào tạo chính quy( tại chức)...........................................
Vào ngành giáo dục năm............................Đã công tác tại đơn vị đợc mấy năm............................
Hệ số mức lơng hiện hởng.........................................................mã ngạch .................................................................
Ngày vào Đảng cộng sản Việt Nam .......................................... ngày chính thức.....................................
I. Hoàn cảnh gia đình (ghi rõ hoàn cảnh gia đình mình và gia đình chồng (vợ) nếu
có gồm cha, mẹ, anh chị em ruột).
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II. Hoàn cảnh bản thân:
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III. Kết quả công tác và thành tích đã đạt đợc trong quá trình công tác (mức
độ hoàn thành nhiệm vụ, lao động giỏi, chiến sỹ thi đua, giáo viên giỏi, giấy khen,
bằng khen...)
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IV. Kỷ luật (mức độ vi phạm kỷ luật, hình thức kỷ luật).
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V. Lý do xin thuyên chuyển:
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VI. Đơn vị xin thuyên chuyển đến:
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Tôi xin cam đoan những lời khai trên là hoàn toàn đúng sự thật. Nếu sai tôi xin
hoàn toàn chịu trách nhiệm trớc tổ chức và pháp luật.
Ngày............tháng............năm 2006
Ngời khai ký tên
VII. Nhận xét và xác nhận của thủ trởng đơn vị.
1. Nhận xét về phẩm chất đạo đức, năng lực công tác, hiệu quả đã đạt đợc
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2. Xác nhận lời khai của ngời viết đơn
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3. ý kiÕn ®Ò nghÞ
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Ngµy............ th¸ng............ n¨m 2006
Ký tªn ®ãng dÊu