5 Giay de cu ung vien bau bo sung BKS

ceNG HoA xA ngr
DQc l$p -

GIAY

cnt Ncnia.

vrET NAM

Tq do - Hpnh phfc

oi ctl uNc VION gAu Bo SUNG BAI\ xrrnn soAr
Kinh s*i:

c0Nc Ty Co pnAN 6 rO rMT

a-^
len co oong:
Gi6y CMND (ho[c Passporrt) s6: ............
^A ngdy:
Cdp

............/..........,..../.............. Noi cdp:

Dia chi thucmg tru:............
DiQn thoai li6n hQ:
A
mi
rl
a
3

'l'ong
s0
^ cO phan dang ndm

gifi:

c6 phan, tucrng img

voi............. ...............% v6n
X6t dA th6a m6n c6c di6u kiQn theo qui tlinh cira ph6p luflt hiQn hanh vd Ei6u lQ ctra Cdng ty C6 phAn
6 tO TMT, t6i d6ng f dO crl:

Gi6y CMND (hoac Passporrt) s6: ............
^i
Cdp
ngdy: .......1...............1.............. Ncyi c6p: ..........

Dugc dai diQn
cO phan md t6i dang sd hiru dC tham gia img ct bAu bO sung vdo
Ban ki6m so6t t4i Dai hQi cO d6ng thucmg ni6n n6m 20ll ciaC6ng ty C6 pfran O tO TMT. (C6 hd so
*ng viAn kdm theo bao g6m: So yilu ly lich, Bdn sao CMTND (hoqc hQ chi€u), h0 khiiu thudng trti,
,,)
.( ,,
cdc bdng cdp chung nhQn trinh d0 vdn hodvd trinh d0 chuyAn m6n).
Tdi hoan toin chiu tr6ch nhiQm v0 viQc dO cir ndy vir cam k6t tuan thri nghiOm chinh c6c quy dfnh
hiQn hdnh cria ph6p luflt vd cria Ei6u lQ ty C6 phdn 6 t6 TMT.
ngdy .. . ... . thdng .......... ndm

Ngudri

201l

tliicfr

(Ky vd ghi rd hp ftn)

Ghi chrtz

doyG""
C6ng ty

CO

vd hd so liAn quan phdi gwi ,d Bqn tii chtrc Dqi hii tru6c 16h00 ngay 19/04/2010 theo dla chi:
6 tO TMT, sd lggU Minh Khai, qufut Hai Bd Trrng, Hd N1ii.

pkln