4 Thu ung cu bau bo sung BKS

cgNG HoA xA ngr cu0 Ncni,q. vrpr NAM
DQc I$p - Tq do - H4nh phfc

THTI TNG CTI BAU NO SUNG BAN rrrcVr SOAT
KiNh gfiri: BAN TO CHTTC DHDCD THTIOI{G NITN NANN 20fl _CONC

TY CO PHAN 6 TO TMT
TCn
SO

t6i ld: .............

CVnqOnrO

chitiu......

Dang sd hfru/duo.c iry quyOn dpi

........c6p ngay

diQn:

........

.tai ...........

..... cO phan, chitim ................% v6n rti6u l0

cta C6ng ty.
X6t dA th6a mdn c6c <1i0u kiQn dugc quy tlinh cqa ph,ap luat hien hanh vd Di6u lQ cria C6ng ty,
t6i.hm thu ndy tt6 nghf dugc tham gP rmg" cil bAu bO sung vdo Ban ki6m so6t cria Cdng q, i6

phan 6 t6 TMT t4i cuQc hgp Dai hQi <16ng cO d6ng thucmg ni6n 2011 cira C6ng ty.
C6c h6 so dugc
-

So y6u

ly lich c6 ddntuth;

Ban sao CMTND (hoac hQ chit5u), h0 khAu thudng tru (ho[c gi6y dang ky tam tni dAi
h4n), c6c beng c6p chfmg nhan trinh dQ vin h6a vd trinh dQ chuy6n mdn;
Cdc gi6y

iry quy0n ttAi diQn (ntiu rmg cir vi6n dugc c6 d6ng ld t6 chric hoflc nh6m c6

tl6ng iry quydn img ctr).

N6u dugc trung cri, t6i cam k6t

tudn thir nghiOm chinh c6c quy ph6p luQt vd Di6u lQ C6ng ty CO phan 6 td TMT.
sE

Trdn trpng!
..........,

ngdy

.....

thdng.......... ndm

20ll

fi'ng cfrvi6n
(Ky vd ghi rd he ftn)

Ghi chrtz

@

Gi6y

tt),

quyin *ng ctb (n€u cd) vd h6 so lian quan phai gbi vd Ban tii chtbc Dqi hQi trudc
chi: C6ng ty CO phdn 6 tO TMT, sd tggn Minh Khai, quQn Hai Bd Trtmg,

16h ngay "t,
19/04/2011 theo dia

Hd N1i.