SO YE,U Anh3x4 LY LICH Ngwdi ftng c[c/ eft cfi'bilu hm Thdnh vidn hQi ctdng quun tr! Hq vi t6n: Ngdy sinh: .1 CMND s6: cAn Noi noAy sinlr: I I Gi6itinh: Qutic tich: Noi cAn' Dia clri/ 36 DT li6n lac: Bdng cdp ClruyCn ngdnlt TAn fiwdng itcio tqo Tltdi gian Noi cing tdc Chrhc vql TOn COng ty Dia clri GiIy Chrbc vq CNDKKD ri rc.gdp von TOi cam doan nhtng diOu khai bdn ndy ld dirng su thdt, n6u sai t6i xin chiu tr6ch nhi0m tru6c ph6.p ludt Ngdy thdng Ngwdi khai ndm 2017