1.

Thng tin v cha m:

H v tn b: Trn Vn Dai..................................................S in thoi: 0913281495
H v tn m: Nguyn Th Lm...........................................S in thoi : 0913556642
a ch gia nh:S 7, Ng 281/5 Nguyn Tam Trinh, Hong Mai, H ni.
2. Thng tin v b:
H v tn b:Trn Nguyn Bo Chu. Nam/N: N
Sinh ngy:24/02/2006
Size o b mc: Rng vai (cm) 37....................................... Di o (cm) 45
3. Thng tin s thch, kh nng ca con:
3.1.
Anh/Ch c th chia s mt vi s thch ca con mnh c khng?
Ca ht.
3.2.
Anh/Ch c th chia s mt vi iu m con anh/ch thng khng thch?
.
3.3.
Anh/Ch c th chia s mt vi kh nng c bit ca con (nu c) bng cch tch X
cc phng n sau:
c th
Ca ht
V tranh
K chuyn
Din kch
Dn chng trnh
Ma
Ht, c th bng ting Anh
Kh nng khc (Ghi r..)
4. Thng tin lin quan n vic chm sc sc khe ca con
4.1.
Con ca Anh/Ch c b d ng vi loi thc phm no khng?
Khng
C (Ghi r..)
4.2.
Ch chm sc thng ngy cho con ca Anh/Ch c iu g cn lu tm khng?
D ng vi mui

BioSpring xin trn trng cm n Anh/Ch!