Quy trnh x l k lut Mu 02: Bn kim im

CNG HA X HI CH NGHA VIT NAM

c lp T do Hnh phc

BN KIM IM
Ti tn...............................................................................................................
n v...............................................................................................................
Chc v.............................................................................................................
Nhim v c giao..........................................................................................
Theo yu cu ca lnh o n v, ti xin kim im nh sau:
Trnh by s vic xy ra:...................................................................................
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Xc nh li:......................................................................................................
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Nguyn nhn sai phm:.....................................................................................
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Hu qu do sai phm xy ra:.............................................................................
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T nhn hnh thc k lut:................................................................................
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Ngy

thng

nm

Ngi vit kim im