I HC HU

TRNG H KINH T

CNG HO X HI CH NGHA VIT NAM

c lp - T do - Hnh phc
Hu, ngy .............thng ........ nm 2014

N XIN XT CNG NHN TT NGHIP

K42, K43 CQ - t: THNG 3 nm 2014
(Dnh cho SV sau khi hc ci thin hoc tr n, CCTC, CCQP v Ban
CTSV kim tra bng C3 nay iu kin tt nghip)

Knh gi: Hi ng xt tt nghip trng i hc Kinh t - HH

H v Tn:............................................... ...... Ngy sinh.................................
Lp:................................................................ MSV.........................................
in thoi: DD.........................................
C..........................................
L sinh vin Kho K42, K43, t xt tt nghip ln trc em cha tt nghip do em
cha hc xong cc mn, hc li cc mn cn b im F, hc ci thin mn c kt qu
im D hoc cha c CCTC, CCQP, nay em hc, np chng ch nh sau:
+ Kt qu mi hc li cc mn:
1. Mn....................................................... im:................ (theo thang im 10)
2. Mn........................................................im)...............................................
3. Mn........................................................im................................................
4. ............................................................................................................................
5. ............................................................................................................................
6. ...........................................................................................................................
+ np cc loi Chng ch: ............................................................
Theo Quy ch o to tn ch, em c kt qu hc tp, rn luyn v c CCQP,
CCTC, np bng C3 ti Ban CTSV HH, iu kin tt nghip theo quy nh.
Nay em lm n ny xin Hi ng tt nghip xt cho em c tt nghip t thng 3.
Em xin cm n.
Ngi vit n
(K v ghi r h tn)

(Ghi ch:n np ti Phng TH CTSV - hn cui cng ngy 28./02/2014.)