cgNG HoA xA HQr cHU NGHia vl[,r NAM
DQc I$p - Tg do - H4nh phric
HdN|i,ngdy
nAo CAo vn
Kinh
gfti:
I. C|nhdn
0t
thdng
A0 ndm27tl
rruy DoI sO HOU CUA Co DONG LoN
- fJy ban Chftng kho6n Nhi nufc
- Sd Giao dlch Chfng khoin TP HO Chi Minh
- COng ty CO phin 6 tO TMT
dAu
tu:
- He vd ten: ....N.gr
r,"r)r:;...Vfi*....A.r,["
- Ndm sinh: .....211.b.*............
- Qu5c tich: ......-Vii&...1\\0M/t4v.
- SO CivrXD/HO chiisu: .4ffi..,s.00.9.20..... ngdy
- Eia chi li6n tac: .&.lLo.*,fr.{$u",1\iin.r..fP..
.)6,"r. 1 iiilr. tlrr')B
1{*
- DiQn thopi: ...kL\h.tt 9,f..b.9.9............... Fax:
2.Tdnc0 phiiSu/md chimg kho6n sd hiru: .......1..1\4.I
3. SO lugng, t'j lQ cO phi0u n6m gifr ho{c cirng ngudi c6 1i6n quan nfm gifr trudc khi
thuc hiQn giao dich trcn tong so co phiriu dang luu hanh: .LLEt-1.?-r..
4.
SO
.........?^,.
5.
lugng
Li.l
sp ( +/ 1A I*)
cO phiiSu dd b6n:
- d L5.....s,,i..1
56 lugng,
y.<r;
tj lQ cO phi6u cd nh6n/t6 cht?c dAu tu ndm giii sau khi thyc hiQn giao
dich tr6n t6ng s0 c6 phiiSu dang luu hanh: ....0.
6.L! do thay eoi so hiru: .....t$.ha,r,.."fi,ti...M,
..dN':N.U....d:A"!r:6.*..,....
7, Ngdy thay ct6i sd hiru: .....0.6..1.A.A..1...LA.1il.
8. C6c thay el6i quan trgng khSc (ni5u c6):
..lA/llfi/if
Ngudi bio cio
(K!,, ghi rd hq tAn)
N# U;it A.L