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<span class='text_page_counter'>(1)</span>céng hoµ x· héi chñ nghÜa viÖt nam. §éc lËp - Tù do - H¹nh phóc. đơn xin thuyên chuyển công tác. KÝnh göi : ............................................................................................................................................................................................. ......................................................................................................................................................... .......................................................................................................................................................... T«i lµ: ................................................................................................................................................Nam (n÷):...................................... Ngµy, th¸ng, n¨m sinh: ............................................................................... Quª qu¸n: ................................................................................................................................................................................................................................... Chç ë hiÖn nay: ................................................................................................................................................................................................................................... Hiện đang công tác tại đơn vị trờng: ................................................................................................................................................................................................................................... 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............................ HÖ sè møc l¬ng hiÖn hëng.........................................................m· ng¹ch ................................................................. Ngµy vµo §¶ng céng s¶n ViÖt Nam .......................................... ngµy chÝnh thøc..................................... I. Hoàn cảnh gia đình (ghi rõ hoàn cảnh gia đình mình và gia đình chồng (vợ) nếu cã gåm cha, mÑ, anh chÞ em ruét). ................................................................................................................................................................................................................................... ................................................................................................................................................................................................................................... ................................................................................................................................................................................................................................... ................................................................................................................................................................................................................................... ................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................. .................................................................................................................................................................................................................................. ................................................................................................................................................................................................................................... II. Hoµn c¶nh b¶n th©n: ...................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................. ...................................................................................................................................................................................................................................
<span class='text_page_counter'>(2)</span> .................................................................................................................................................................................................................................. ................................................................................................................................................................................................................................... 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, b»ng khen...) .................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................. .................................................................................................................................................................................................................................. .................................................................................................................................................................................................................................. .................................................................................................................................................................................................................................. ................................................................................................................................................................................................................................... IV. Kỷ luật (mức độ vi phạm kỷ luật, hình thức kỷ luật). .................................................................................................................................................................................................................................... ........................................................................................................................................................................................................................................ V. Lý do xin thuyªn chuyÓn: .................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................. .................................................................................................................................................................................................................................. ................................................................................................................................................................................................................................... VI. Đơn vị xin thuyên chuyển đến: .................................................................................................................................................................................................................................... Tôi xin cam đoan những lời khai trên là hoàn toàn đúng sự thật. Nếu sai tôi xin hoµn toµn chÞu tr¸ch nhiÖm tríc tæ chøc vµ ph¸p luËt. Ngµy............th¸ng............n¨m 2006 Ngêi khai ký tªn 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 ....................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................... ..................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................... ................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................... ......................................................................................................................................................................................................................................... 2. Xác nhận lời khai của ngời viết đơn ....................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................... ........................................................................................................................................................................................................................................ 3. ý kiến đề nghị.
<span class='text_page_counter'>(3)</span> ...................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................... ........................................................................................................................................................................................................................................ ........................................................................................................................................................................................................................................ Ngµy............ th¸ng............ n¨m 2006 Ký tên đóng dấu.
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