ceNG HoA xA ugr cHU Ncuia vrEr NAM
D6c l6p - Tq do - Hgnh phric
Ilit N2i ngay 0l
gAx CUNG cAp rrIoNG T.IN
thcing 07 ndrn 201-
Kinh gr.ri: - U1,ban Chirng khorin Nhd ntro'c
- So'Giao dich ch[rns khohn
Nguy6n J'uan Anh
1/ FIo vd t6n :
2l Gi6i tinh:Nam
3/ Ngdy th6ng
n[m sinh: 04/08/1988
4i Noi sinh: Ceskalipa
-sl SO
-
TiQp
CMND (hoac s6 hO ciri6.r): 000088000009
]',lga,vcip:
6/ Qu6c
04
I
SO
Noi cdp: Ha Ngi
09 l2o L4
tich: Vi€t
Nam
8/ Dia chi thucrng trir: Sd
ql
Khic
7l
DAn tdc: Kir-rh
i77 ng6
1.13 Ngu1,6n
Chinh. Qudn Hoang N4ai. Hd
r.,,-0i
aien thoai: 0988300488
l0/ Dia chi email:
Kry:Z
11/ Chrlc vu hi6n na1, tai t6 chrlc ln d6i tllong c6ng b5 thdng tin:
12
Cac chirc
vu hi6n dang narn giir tai td chu'c khac: Dai cli0n hing hing kh6ng Emiratcs
l3/ Sd CP nam giir:
scr
hiru: Kh6ng.
luqng CP/CCQ
.a
nam gru, ty lg s0
SiS
STT.
TGn c6 nhfln/td chric
SO CNtrYDiHQ
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chi6u lOiii voi
ngiry
cip,
ncri
cip
hiru tr6n viin tlidu
cta c6ng ty dai
chfng, quf dai
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quan
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chrfing (n6u c6)
1
Nguy6n
Vin
Quang
838s3278
Kh6ng
86 di
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Nglrl'cAp: 2610212010
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2
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ij
xuAt
nhip canh
859699-53
1
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+ Dai di0n (t6n t6 chuc ia N1m nuoc/cd d6ng chi€n luoc/td chirc khiic) so hiiu: Khdng.
+ C6 nhdn
//^+/cor'tat
r
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ooANH tlc
Ngay' cAp: 21t02 1965
Noi c6p:
: nhup
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('uu quarr Ir rtrAt
uurtlr
Ph4m
J
ThiAn
c0324906
Kh6ng
Vo-
Kh6ng
Clon
Ngdy cip:
201042015
Noi
cAp:
:
(..ue qttrrn ,lr ruat
nhip
4
Nguy6n Pham Thi6n
Sinh ndm 2015
e
artlr
Nhdn
141 Cdc cam ket nam
giil(n€u c6):
Danl s6ch ngudi co 1i€n quan cta nguoi khai:
16/ Loi ich li€n quan ctoi vtri eong tr dai chung. clul'- dai chirng (n0Lr cti):
i7l Quydn loi mAu thuAn voi cdng t,v dai chirng, QLrli dai cl-rirng (n0u co.1:
Tdi cam doan nhirng lcri khai tr6n d61, 1a dung su thit, r-rOu sai t6i rin hoeur toin
15/
chir-r
tticit
nhiOm tru6'c ph6p luAt.
NGUOI KHAI
NGUYEN TUAN ANH
ceNG HoA xA Hgr cHU NcHia vrBT NAM
DQc lfp - Tg do - H4nh phric
so YEU r,v
1.
2.
i.
4.
5.
6.
qcn
Ho vir t6n: Nguy6n TuAn Anh
Gid'i tinh: l.larr
Nga)'sinh: 04i08/1988
No'i sinh: Ceskalipa-'f iOp Khirc
Qu5c tich: Vi6t Nam
Noi dang ki hg khAu thuong tru hiin nay: 'fo 33 Phr,rong Phuirng i.ien. I)6ng I)r.
Hd N6i
7.
chri'ng minh thu nhin tlan sd:
Ngiy
000088000009
cAp: 04i09 i2011
8.
9.
Di0n thoai li€n h€: 0988300488
10.
Chirc vu dans nim gifr' tai td chilc clang
1
1.
12.
Trinh d6 chuven ntdn:
ni0rn r.0t:
Qu6 trinh c6ng t6c
2810812010
-
01t06t2016
0210112016
13.
14.
ky,,
Chirc vu dang ndm giti tai cric t6 chuc lih6c:
Thdi giun: Tir thdng ndm
tthn thdng ndm
Tit
Noi cin: Hi N6i
-
Nay
IIanh vi vi pharn phap
Dorr vi cdng
nidrrr 1et:
Chil'c
vrL
Xi nghi6p Thuong r-nai \4it
aAt xot eai
Gianr sit chr,r1,en blil
Hing hang khong lrmirates
Dai cii6n hing hdng
\,'q:tmp fu6e-A"h tai I Il\ Ndi
l;h0ng
QtLtrc I e'
luAL:
So hfru chung khodn c[ra cd nhlh
i,^
t{c
vi
nguoi co li€n quan rr:,lrg rd chLic dinii i,r
(nltr rd s6 lurntg, t.l, l€ nant gitil
- So'hiru c6 nhdn: I(hOng.
- So hiru dai di6n: Kh6ng.
- So hiru cua nguoi c6 li€n q;;an (ho t€n, ntoi quan h€, s,i l,.ro'ng, 0, l€ rtarn
qitrcr1..
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):
16.
['hu 1ao vir loi ich ldrac nhdn
11.
Lo.'i ich
I-6i
rin
dr,ro-c ru
to ch[rc dang
1i1,,
ni6m y6t:
ii6n quan aOi vOi ro chirc d[ng ky ni6m y6t:
cam doan nl-rfr'ng loi khai tr6n ld
truirc cOng t1' va co quan co thAm
qu_v0n
theo quy dinh cira phdp luAt./.
,'\kd-r, ... thcing 06 ndm 2017
,\ga"l ... thdng 06 niim 2017.
X{c nhfln ciia t6 chti'c ding k,1'ni6m y6t
(]ONG I'Y CP DT VA PTDN VIET N,AM
I DONG QUAN TRI
'/aAA / 62 7;:
Ngucri khai
.U
// ct
,rl
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como
rv
CO Pf-rnr'r
rU vi Pn[i
r(,oAu DOANH
IiGtlIEP
\o\
VIET NAM
NGUYEN TUAN ANH