;· ... ' BAN CHAP HANH 'FRUNG UONG

* S6 '04-HD/TW

BANG CQNG SAN VI~T NAl\1

Ha N9i, ngZiy 06 thimg I 0 nam 2014

HUONGDAN m()t s6 vfrn d~ qr thg thvc hi~n Quy chg b~u cu trong Dan·g

- Can cu BiSu l~ BAng;

- Can cu Quy chS lam vi~c cua;Ban Ch~p hanh Trung uang, B9 Chinh tri va Ban Bi thu khoa XI;

. ., Can cu Quy chS b~u cu trong Bang (ban h8.nh kern thea QuySt dinh s6 244-QB/TvV, ngay 0.9-6-2014 cua Ban Ch~p hanh Trung uang ~oa XI),

l

. Ban Bi thu huang d~n rn9t s6 v~n ct€ C\). th~ thvc hi~n Quy chS b~u cu trong Bang nhu sau:

1- v~ ph~m vi ap d~ng (fli~u 1) :

Khi t6 chuc dang chuk bi nhan sv 18. c~p uy vi en, dang vi en d6 gi&i thi~u ung cir, b~u yao cac chuc danh Hinh d~o Nha mrac," M~t tr?.n Ta qu6c vf cac do an thS nhan dan tu Trung uang dSn ca sa thi phai thvc hi~n thea E>iSu 13 Quy chS b~u cir trong Bang va cac quy dinh, huang dftn co lien quan .

. 2- V~ sfi hrQng va danh sach aoan chii tjch (chii t~ch) O~i hQi; CO' quan ti€p nh~n h6 sO' ll'i:J.g cfr, a~ cii' ciia dang vien (khoan 1, khoan 2, fli~u 4) :

2.1- s6 lugng va danh sach doan chi+ tich c!~i h9i do c~p uy tri~u t?.p c!~i h9i chu~n bi, trinh ct~i h9i biSu quySt thong qua.

2.2- c§.p uy tri~u t?.p ct~i h9i giao ban t6 chuc cua c~p uy tiSp nh?.n, huang d&n hoan thi~n thu t\J.c, h6 sa d6i vai cac truemg hqp. ung cu, ds cu

· (thea cac khoan 3.1 va3.2, E>iSm 3 cua Huang dfrn nay).

3- v~ thii tgc, hB SO' ung cu, a~ cif (Di~u 10, fli~u 12) :

3.1- Vi~c ung cu, dS Clr a d~i h9i d~i biSu dang b9 ca sa:

- Dang vien chinh thuc khong phai la d~i biSu d~i h9i nSu (rng ci:r dS duqc b~u vao c~p uy thi lam dan ling cu (M6u s6 I) n9p dang uy CCI sa.

- E>~i biSu chinh thlic cua d~i h9i khi d~ Clr dang vien chinh thuc khong phai la a~i bisu cua ct~i h9i ds duqc b~u vao c§_p uy thi chuin bi phi~u d€ cu (M6u s6 2), tren phi~u co ghi y kiSn d6ng y cua nguai duqc cts cu, n9p ·do an chu tich d~i h9i.

3 .2-. Vi~c ling cu, dS cu a d~i h9i dang b9 c§_p huy~n va tuang duang tra len :

a) Thu 1\].c, h6 sa ung cu :

- Bai bi§u chinh thlic a dq.i h9i dq.i biSu n§u ung cu dS dugc b~u vao c~p uy thi.lam dan ung cu (Mdu s6 I) n9p doan chu tich dq.i hQi.

- Dang vien chinh thuc khong phai la d~i biSu d?i h9i neu ung Clr dS duqc b~u vao c~p uy thi n<)p h6 sa ung cu cho ca quan t6 chuc cua c~p uy tri~u t~p d~i h9i ch~m nh~t la 15 ngay lam vi~c tru&c ngay khai m?c d?i h9i. H6 sa cua nguai ung cu g6m :

+ Dan ung cu (Mdu s6 1).

+ Phi€u dang vien c6 xac nh~n cua c£p uy ca sa (Mdu 2 HJ SO' dang vien).

+Banke khai tai san, thu nh~p cua ca nhan va gia dinh (thea quy djnh hi¢n hcmh cua Thanh tra Chfnh phu).

+ Gifry chung nh~n sue khoe (thea quy ilinh hi?n hanh cua B9 Y ti).

+ Ban nh~n xet cua cftp uy ca sa nai sinh ho~t (Mdu s6 3).

+Ban nh~n xet eua e~p uy nai eu tru (Mdu s6 4).

b) Thu tve, h6 sa dS eli:

- D~i bi@u chinh thue eua d~i h9i nSu dS eli dang vien ehinh thue trong dall:g b9 khong phai la d~i bi@u eli~ d~i h9i dS duqc b§.u vao e~p uy thi ehuAn bi h6 sa dS eu, n9p dm\n ehu tjeh d~i h9i. H6 sad~ eli g6m :

' -

+ PhiSu d~ eu (Mdu sci 2).

+PhiSu dang vien e6 xae nh?n eua efrp uy ca sa (Mdu 2 H6 SO' ddng vien).

+ Ban ke khai tai san, thu nh?p eua ea nhan va gia dinh eua ngueri d:uqe · d§ cir (thea _quy iltnh hi?n hiznh cua Thanh tra Chinh phu).

+ Gi~y ehung nh?n sue khoe. eua ngueri d~ve. d:~ eu (thea quy iljnh hi?n hanh cua B9 Y ti).

+ Ban nh?n xet eua e~p uy ea sa nai sinh ho~t eua nguai duqc dS eli (Mdu s6 3).

+Ban nh?n xet eua e~p uy nai eu tru eua ngueri duqc d~ eli (Mdu s6 4).

3.3- T~i d~i h9i (h9i nghi), nSu vi~e ling cu, dS eu dugc t6 chile t~i cac . do an d?i biSu thi t~uang aoan ct~i. biSu t6ng hgp danh sach nhung nguai ung cu, augc as eli (khong I£iy danh nghia ctoan d?i biSu cts cu; khong biSu quyst danh saeh ling eli, dS cu t?i doan) n<)p do an ehu tjch d?i h9i (h9i nghi).

3.4- Vi~e ung cu, dS eu d6i v&i efrp uy vien tu chi b9 dSn Ba~ Ch~p hanh Trung uang tht,rc hi~n theo E>iSu 13 Quy ehS b~u eu trong Dang.

4- v~ vi?c cho rut va khong cho rut }{hoi danh sach biu cfr (khoan 4, khoan 5, :Di~u 5) :

- Doan Chu tieh t6ng hqp danh saeh nhung nguai ung eu, duqc dS Clr t~i a~i h9i (h9i nghi) va.'·nhung nguai xin rut khoi danh sach bfiu eu; as xu~t cho rut khoi danh saeh bfiu eu nhfrng truCm.g hqp vi ph~m DiSu 13 Quy ehS

,,

• ,I

l.t1U I YVU4 .UUl: 3

b~u cu trong Bang, nhfrng trucmg hqp duqc rut va khong duqc rut khoi danh sach b~u cu, bao cao a~i h9i (h9i nghD xem xet, quyst ainh b~ng hinh thuc biSu quy§t b~ng phiSu ho~c gia tay.

- Truong hgp danh s~ch g6m nhan sv do cftp uy tri~u t~p d~i h9i (h9i nghi) a€ cu, do ac;ti bisu ac;ti h9i (h9i nghD as cu va nguai ung cu chua au s6 du 30% so v&i s6 lugng cdn b~u thi doan chu tich dS xuftt v&i dc;ti h9i (h9i nghD biSu quyst thong qua danh sach bdu cu.

- Truang hqp danh sach g6m nhan Sl,l' do cftp uy tri~u t~p d~i h9i (h9i nghD dS Clr, do dc;ti biSu dc;ti h9i (h9i nghi) dS cu va nguai ung Clr nhiSu han 3 0% so v&i s6 luqng cdn bdu thi tiSn hanh cac thu tl)c lfty phiSu xin y ki§n dc;ti h<)i (h9i nghi) d6i v&i nhung nguai ling cu, duqc dS cu t~i d~i h9i (h9i nghi).

Vi du.:

"£Jgi h9i clang b9 huy?n A bidu quyit s6 lu(fng cdn bdu la 35 nguai. Cdp uy tri?u t¢p ac;zi h9i chudn bj danh sach la 40 nguai (sci du so vbi sci lu(Yng cdn bdu la 14,28%).

C6 11 nguai ung cu va t!U(YC ad cu tgi tlgi h9i.

Nhu v(iy, t6ng h(Yp danh sach la 51 nguai, c6 s6 du 45,71% so vai s6 lu(Yng cdn bdu.

C6 7 nguai xin rut, tlgi h9i biJu quyit a6ng y cho 3 nguiJi rut, danh sach con lgi 48 nguai (trong t/6 c6 8 nguai ung CU, tfu(IC tfd CU tt;ti tJgi 'h<)i), c6 s6 du !a 3 7, 14% so vai s6 lu(fng cdn bdu; tlocm chit tjch lijp danh sach 8 nguai nay tti xin y kiin tlgi h<;Ji.

, ' , . , ,., Ket qua kiem phieu se hta ch9n 5 nguai theo s6 phieu a6ng y tir cao

ifin thJp (niu chQn 6 nguai thz sci du Se fa 3},42%, VU(Yf qua 30%) khz't/o , , .

danh sach c6 45 nguai, sO du la 28,57% (tlgt so du kh6ng qua 30%).

IJoan· chit tjch bao cao danh sach bdu cu c6 45 nguai, trinh tlgi h9i bidu quyit thong qua". . .

5- Vi~c I§y phi~u xin y ki~u d6i v&i nhfrng ngU'CYi ll'ng err, dugc d~ ci'r t~i d~i h(}i (h(}i nghi) :

- Do an Chu tich I~p t6 giup vi~c kiSm phiSu xin y kiSn la nhfrng thanh vi en cua do an thu ky. Truong hqp cdn thiSt do an chu tich c6 thS Iva ch9n m9t s6 d~i biSu chinh thuc (trong dc;ti h()i d~i biSu) h~~c m()t s6 dang vien chfnh thuc (trong d~i h9i dang vien) khong co ten trong danh sach ung cu, augc dS cu tham gia t6 giup vi~c kiSm phiSu.

- PhiSu xin y kiSn dc;ti h<)i (h()i nghi) thvc hi~n thea m~u (Mdu sci 5), · dong d~u cua c~p uy tri~u t~p d~i h9i (h9i nghD a goc tnii phia tren cua phiSu

. ( dfJi Vai chi b() trl,l'C thUQC dang uy CO' sa ho~C dang b() bQ ph~n dong dllu CUa dang uy CO' sa). PhiSu in hQ va ten nhung nguoi ling eli, duqc de cu tc;ti d~i .

h9i (h9i nghi) xep thfr tv ten nguai theo v~n A, B, C, ... ; nSu c6 nhi~u ngueri trung ten thi xsp theo h9; nsu trung ca h9 thi xep theo ten ct~m; neu ca 3 du ki~n nay d~u trling thl nguai c6 tu6i dang cao han duqc xSp ten tren (nai khong co ctisu ki~n in phiSu, t6 giup vi~c co thS ghi danh sach tren phiSu).

- Blili biSu Glili h9i (h9i nghi) Iva chQn, danh d~u X vao 6 d6ng y ho~c 6. khong a6ng y tuang ung v&i h9 va ten ngueri ~ong phiSu xin -y ki&n.

- T6 giup vi~c kiSm phiSu huang d~n each thuc bo phiSu, kiSm tra, niem phong thung phieu, phat phiSu, kiSm ciSm va bao cao Glili h9i (h9i nghi} vS s6 luqng phiSu phat ra va phi~u thu vS; kiSm phi~u (tinh kt~t qua phiSu xin y ki6n, phi6u hqp I~, phiSu- khong hgp I~ dugc thvc hi~n tuang tg nhu quy. ainh vs tinh k6t qua b~u cu), l~p bien ban kiSm phiSu (MJu si 6), bao cao do an chu tich c!S c!oan chu tich trinh d?i h9i (hoi nghi) xem xet, quySt djnh.

6- VS danh sach b§u cfr trong tnrO'ng hgp b§u l~y s6 lrrgng 1 ngueri (Di~u 16) :

Truerng hgp b~u I~y s6 Iuqng 1 ngueri thi danh sach b~u cu t6i da hi 2 nguai; trong d6 clip uy tri~u t~p ci?i h9i (h9i ~ghi) chi nen lga chQn giai thi~u 1 nguai.

- Khi cftp uy tri~u t~p d?i h9i (h9i nghi) ciS cu 1 ngm]i va t?i d~i h9i · (hoi nghi) khong c6 ngueri ung ci'r, dugc d~ cfr them thi doan chu tich xin y kiSn a~i h9i (hoi nghi) bisu quyst thong qua ctanh sach bfru- cu.

- Truong hgp danh sach do cgp uy tri~u t~p d~li h9i (h9i nghi) ciS cu va ' t?i d?i h9i (h9i nghi) c6 nguai ung cu, dugc aS ci'r them vugt qua 2 nguai thi

do an chu tich l~y phiSu xin y kiSn d~i h(>i (h(>i nghi) vS nguai ling cu, c!uqc dS cut-hem t?i ci?i h9i (h9i nghi) dS l\.ra ch9n nhan SlJ I~p danh ·sach b~u cu t6i . cia la 2 nguai .

. 7;. Danh sach trich ng:ing:-~iia cac ung cif vien (Bi€u 18) :

Tu dq.i h9i cftp huy~n va t;bng duang tr& len, truac khi tiSn hanh bo phiSu chinh thuc~ aoan chu tich cung cfrp danh sach trich ngang cua cac ung eli vien (x§p thu tl,r nhu danh sach bfiu ci'r) d@ ci~i biSu nghien cuu tru6c Mdu s6 7).

_ 8- V~ vi~c bfiu dii s& Iu-qng d?i bi~u dv d~i hqi dang b() c~p tren; ri~u t?p ho?c khong tri~u t~p d~i bigu thay th~ d?i bigu dlJ d?i h{>i a6i &i mgt s6 trU'O'ng hqp ClJ. thg (f>i~u 20) :

8.1- VS s6 _ Iugng d?-i bi@u :

B?i h9i dang b9 cap du&i phai b~u du s6 luqng a~i biSu dv dlili h9i dang 9 c§.p tren; kh6ng duqc bftu qua s6 luqng quy c!inh. Truang hqp b&u thiSu hai auqc a a s6 a~i biSu biSu quy&t tan thimh va bao cao v&i c~p uy cfrp tren.

' '

14.HDiV•I04 5

8.2- Nhung tnrcmg hqp khong tri~u t~p dv d?i h9i :

- Nhfrng dang vien 6' d?i h9i dang vien; nhu·ng c~p uy vien v·a nhfrng d?.i biSu a d?i h9i d?.i bi§u truo·c tho·i di§m khai ID?.C dq.i h9i bi dinh chi sinh ho?-t dang, dinh chi sinh ho?-t c~p uy, b! khO'i t6, bi truy t&, t?-m giam; nhi1ng dq.i bi~u dugc b~u nhung k..~6ng dung nguyen t~c, thu ty.c biu cLr.

- Nhfrng c~p uy vien c~p tri~u t?p d?.i hQi da co thong bao ho~c quySt dinh nghi huu ho~c chuy~n cong tac ra ngoai dang b9 tru&c thai ai6m khai ID?-C dq_i hQi.

8.3- VS thay thS d?-i bi~u :

- B?i biSu chinh thuc do d?-i hoi c.ip du:&i bfru rna kh6ng th~ tham dv su6t thcd giat"l.dq.i h9i thi c~p uy cir dq.i biSu dv khuy~t thay th.~.

- .Bi?-i bi@u chinh thrrc sau khi dugc b~u da chuy€n sinh ho?-t dang ra ngoai diL'lg b9 (d.p tri~u t~p d;;ti h9i) thi t6 chile dang nai d6 duqc cir d?i bi@u dv khuy6t thay thS. N§u khong c6 d;;ti bi~u dv khuySt thay th6. nO'i c6 diSu ki~n tbJ biu b6 sung d?i bi~u.

- B?.i biSu chinh thuc v~ng m~t nhUng ngay d~u d?i hqi, da c6 d?i biSu dv ld1uy§t thay th§, nhung thc)'i gian cu6i d;;ti h9i c6 di~u ki~n tham dl,! d?i hQi, nSu duqc doan chu tich dt;ti h9i u6ng y mai dv thi duQ'c dv theo tu each dt;ti bi6u mai.

* * *

Hu6'ng d~ nay duqc phtS biSn dSn chi b9 va th1,rc hi~n 1<6 tir_ggay ky. Trang qua trinh thllc hi~n, neu c6 vu6·ng mac thl bao cao Ban Bi thu (qua Ban T6 chU:c Trung uang) a~ xem xet, quySt dinh.

DANG BO THANH PH6 HANOI DANG ir¥ KHOI cA.c TRUONG D41 HQC, CAO DANG HA N<)I

Nai nhan: -TTDUK;

* S6 91-SLIBUK

- Cic d/c UVBCH DBK; - Ban TC, VP DUK; - Cac TCCSD tn,rc thu9c; -Luu.

T/MBANBITHU (Da kf;) Le H6ng Anh

DANG CQNG SAN VI:¢T NAM

Ha N(Ji, ngay 20 thang 10 nam 2014

14.HDTW04 6

DANG CQNG SAN VI~T NAM (M~u s61)

DONUNGCU

Kinh giti ................................................................................... ..

Ten t6i la :....................................................................... Nam, Nit

H9 va ten khai sinh : ........................................ .

HQ va ten dang dung:..................................................... Sinh ngay : ................... : ................ .

Que quan : .................................................................................................................................. .

Nai dang ky h9 kh~u : ........................................................................................ , ...................... ..

Nai t?m tru hi~n nay : ................................................................................................................ .

Dan toe: .............................................. :........................... Ton giao : ...................................... ,

Ngay vao Bang: ........................................................................................................................ .

Ngay chinh thuc : ...................... ..

Trinh d9 hQc v~n : ...................................................................................................................... .

Trinh d9 chuyen m6n, nghi~p Vl,l : ............................................................................................ ..

Trinh do ly lu~n chfnh tii : ........................................................................................................ .. Nghe nghi~p : ................................ : ............................................................................................ . Chuc Vl,l dang : ........................................................................................................................ · ... .

Chuc Vl,l chinh quyen : ............................................................................................................... .

La dang vien chinh thl'rc sinh ho?t t<}.i chi b9 : .......................................................................... ..

, Can c~ Bi§u 1~ Bang va Quy ch~ b§.u 9t:r trong, Bang, toi t\r nh?n thfty mihh co d:t:1 W~u chuan Va dieu ki~n nen !fun Bon nay ung Clf de duqc bau lam ....................................................... .

. . ~ .......................................................................................................................................................................... .

.. .. .. . . .. , ngay ....... thang ...... nam 20 ........

NGU'(H UNG CU (Ky va ghi ro h9 ten)

14.HOTW04 7

(Mftu sB 2)

DANG C<)NG SAN VI:(i:T NAM

PHIEUDECU

Kfnh gici .................................................................................... .

T~ ~-1' . hi;. A- "nlh . hib~ en t01 a:................................................ yn uang SI 1 O<?-t t<?-l c 9: ..................... .

Can cu Bi~u 1~ Bang va Quy ch~ biu eli trong Dang, toi lam Phi~u nay d~ Clr d6ng chi : .......................................... -d~ dugc b~u vao ..................................................................... .

So· y~uly l!ch cua.ngrro'i GU'Q'C a~ Clr

H9 va ten khai sinh : .................................................. Narn, Nfr...... Sinh ngay : .................... .

H9 va ten dang dung : .................................................... .

Que quan : ........................... , ...................................................................................................... .

Noi dang ky_h9 kh!u : ............................................................................................. _ ................... .

Nai t<?-m tru hi~nnay : .......... · .................................................... -._ .............. , ............. -; ........ ; ............ .

. Dan t9c :.......................................................................... Ton giao : ...................................... .

Ngay vao Bang : ....................... ..

Ngay chinh thuc : ....................... .

Trinh d9 h9c v~n : ..................................................................................................................... ..

Trinh d9 chuyen men, nghi~p vv : ............................................................................................. . Trinh d<) ly lu?n chinh tr! : ......................................................................................................... .

Ngh~Ilghi~p : ................................................................................................................. ; ........... .

Ch-Lrc vv dang : .............................................................. · .............................................................. .

Chuc V1,l chinh quy~n : ........................................ , ...................................................................... .

La dang vien chinh thlic sinh ho<?-t t<?-i chi b9 : ........................................................................... .

Y KIEN CUA NGUOI BUQ'C BE CU

{Ky va ghi ro h9 ten)

.......... , ngay ....... thang ........ nfun 20 ....... .

NGUOI BE CU (Ky VCl ghi ro h9 ten)

,. :' 14J-IOTW04

DANG BQ ........................................... .. CHI UY ................................................ ..

8

(Miu s6 3)

DANG CQNG SAN VI~T NAM

.. .... , ngay .... thang ....... niim 20 .....

NH~N xET CUA CHI UY DOI VOI D.ANG VIEN ( cua chi uy no·i dang vi en dang sinh ho:].t)

H ' ' a· -~ d nh' ' ' - 9 va ten ang v1en uqc ?-n xet : .............................. ·: ............................................ .

- Chile Vl,l hi~n nay : .................................... , ................................................................. ..

Tom tit y ki~nnh~n xet nhfrng tru, khuy~t d:i€m 'chinh:

I. V S tu tu6ng chinh tri : ........................................................................................................................................................................ • • 0 •• 0 ••••••••• 0 .................... 0 ....... " ......... 0 ................................................. ~ ... 0 •••• 0 ..... 0 • 0 0 .... 0 ••• 0 ...................................... 0 •••

........................................................................................................................................................................... .

2. ve phAm ch~t d?-o due, I6i s6ng :

................................................................................................................................................................... ································································································································································ • o ·, • 0 0 • • o o '• • o o o • 0 o o o o o o • o o o • o o o • o o • o o • o o o o o o ~ o o ~ o o o • o o o o • o o • • o o o o o o • o a a o o • o o o o • o o • o • • o o o o • • • • o • o • • •·• o o o • o • o o • o o • o • • • on o'" o o o o o o • o • a 0 o o o o o • o • o o o 0 o o o o o o o o o o o o o o o

J. Ve tht,rc hi~n nhi~m Vl,l chtrc tnich, nhi~m yV duqc giao : .

• • • • • • • • • • • • • • • • • .. .. • • • • • • .. • • .. .. • • .. • .. • • • • • • .. • • • • • • .. • • 0 •• 0 ...... 0 ••••• 0 ............................ 0 ..... 0 ...... 0 ••• i 0 ••• 0 ••• " ............ 0 ....................... 0 •••••• ~ .. .

•••••••••••••••• ;,_ .................................................................................................................................................. o ...... .

................................................................................................................................................................. 4. ve y thuc t6 ch(rc ky lu~t :

····································•o•••······················································································································· ···················································································································o•••••••.···································· ........................................................................................................................................................................... 5. Nh~n xet khac :

............................................................................................. , ..................................................................... . 0 0 0

0 0 0 ° "'" • 'I 0 0 0 0 0 0 0 o 0 I 0 0 0 o o 0" 0 0 0 0 o 0 0 0 o o 0 o 0 a" 0 "o 0 0 0 0 o I o t 0 o o o 0" o o 0 o o • o o o 0 o I o o ~ o 0 0 0 o o o o 0 I • • o o" 0 0 0 • 0 0 • •" 0 o 0 o o.o • • • 0 0 • • • 0 0 o o o • "a • o I o 0 0 0 0 o o o 0 o too o o o o o o o o" 0 I I I I o o 0 0 0 o o o

·······························································································································································

xA.c NH~N evA BANe uv ca sa (Kj, ghi riJ h9 ten, tl6ng ddu)

T/MCHIUY (Ky va ghi riJ h9 ten)

14.HDTW04

DANG BO ............................................ . cHftJv-:~·:~::: ....................................... .

9

(M~u s6 4)

BANG CQNG SAN VI~T NAM

. ....... , ngay ... ... thang. ... ... nam 20 .. ...

NH~ xET CUA CHI UY DOI V61 DANG VIEN ( cua chi uy noi dang vien dang cu· trii)

- HQ va ten dang vien dugc nh~ xet : ................................................................................. .

- Chuc vv. hi~n nay: .......................................................................................................... ..

- Ca q'uan, dan vi (dang b9) c6ng tac : ............................................................................... ..

Tom t~t nh~n xet nhfr:ng U'U, khuy~t di~m chfnh :

1. Vi~c ch~p hanh chu truang, chinh sach cua Bang, phap lu?t cua Nha mr6-c cua dang vien va gia dinh nai cu trU : ·

.........................................................................................................................................................................

.. o o o o o o o o,.. o o o o o o o a 0 0 0 o 0 o o o o,. o o o o o o o o o o o o o o o o o o o o o o o o oo o o o o o o o o o 0 0 o o o o o o o • o o o o • o o o o o o o o o • o o o o o o o • • • o o • o o o o o o o o • • o • • • • o o • o • • • • • o o o • • o • o o • • • •• • • • o ~a o • o o • o o • o o o • oo

2. V6 phfun ch~t d?-o due, 16i s6ng :

o o o o o o o o o o o o o • o o o o o 0 0 0 0 0 o o o o o o o o o o o o o o o o o o o o • o o o o o 0 a o o o o o • o o o o '"• o o. o o o o. o o o o o o o o. • o • o o • o o o • ~ • o o o • o • o • o o o o o o o o o o o o o o • o o o • o • • • o o o • • • o • o o • o • • o • • • • o • • o o o o o o <1 o • o • o o

....................................................................................................................................................................

3. M6i quan h~ v6-i nhan din nai cu tru :

4. Nh@.n xet khac :

·········.·····.··················.·····················································································.················.··························

xAc NH~N CUA DANG uY CO s6" (Ky, ghi ro h9 ten, a6ng d6u)

T/MCHiuY (Ky va ghi ro h9 ten)

...... 14.HDTW04 10

D~I H(H (Hi}i nghj) .............................. .

(lVIfiu s6 5)

DANG CQNG SAN VI:¢T NAM

(dong ddu cdp uy) . ....... , ngay ...... them g. ...... nam 20 .....

PIDEU XIN Y KIEN v:€ l!hfing ngu·o'i rrng cfr, duQ'c d~ err t~i d~i hqi (h/?i nghJ)

de bau vao ................................................................................ .

~----,---·-

j DBngy STT Hq va ten / d~ tron~ danh

1 SaCh ball CU

Khongdfingy d~ trong danh sach bftu ell'

Ghi chii

~ ~--------------r------------~----------~r-----~----------------~ I 3 I l . ~ ~-=--=--~-=--=---=--=---=--=-----i------ I ~~------------~----------~-------------'----~--------~--~---~-"

Ghi ch-Lt:

- D6i vbi m6i ngu:ai trong danh sach xin y kiin, ar;zi bdu ar;zi h9i (h9i nghi) chi ddnh ddu X vilo 6 a6ng y ho(ic kh6ng a6ng y. . . . ·. - Nhflng nguai -Lmg cu, aU'(JC aJ cu thu9c phr;zm vi aiJu chinh' cz,[a £Ji€u 13, Quy chi bdu cit: trong Dang thi ghi ro vao phdn Chi chu.

- Kh6ng kf; ten hoi;ic ghi them nhflng n9i dung khac:

----·-~----···---------------~-------- --------·---·----·-.. ~---------~----·---- ----~·----------·-------~------------~ -------------~-··---------

14.HDlW04 11

B~I H(H (H9i nghD .............................. .

(Miu sfi 6)

DANG CONG SAN VIETNAM . .

(dong d6u c6p uy)

BIEN BAN KIEM PHIEU XIN Y KIEN

yg !lgu-Oi li-ng cu:, dU"Q'C dg cu· t?i B?i h<}i (hqi nghj) de bau vao ....................................................................... ..

Hom nay, ngay ..... thang ..... nfun ......... . :L'\ • 1 ~· (h~· hi). . A--+;~ h"--1..1~· hi~ . , u~ lQl. Ql ng ...................................................................... ua uen a..tul ay P, eu xm y

ki~n Bi;Li h9i (h9i ng.b:D v~ nhiing nguCri ling eli", dtrqc de cu t~ Bi;li h9i (h9i nghi) de 1?-p darlh -sach bftu ..................................................................................................................................... .

· 1. Doan Chu tich Bi;li h9i (h9i nghi) da cu T6 giup vi~c ki~m phi~u xirt y ki~n g6m c6 cac c:t6ng chi c6 ten sau :

,~1 =S~T~T_I~----------~H~oL·~v~a~te=n~----------~~--~----C~h_u_·c_vu_.~ _______ _J l 1 I I To tm6ng I

·I- · 2. I· . I T6 ph6/Thu ky/uy vien I 2~ PhiSu xin y kiSn c6 danh sach nhfrng ngucri ling cu, dugc de cl'r t~ Bi;li h9i (h9i nghi)

gbm c6 cac dbng chi (ten x~p thea thl:r t1;r A,B,C ... ) : . 1. B6ng chi: .................................................................. .

2. B6ng chi: .................................................................. . 3. TcSng s6 d?-i bi~u dugc tri~u t~p la : ....... ~ .... abng chi. -Sb d?-i bi~u c6 m?.tluc lfty phi~u xin y ki~n la : ........... abng chi. - s6 phi~u phat ra : ..................... ; s6 phi~u thu v~ : ................... .. - s6 phi~u hQp 1~ : ................... .. - s6 phi~u kh6ng hgp 1~ : ..................... (ly do). 4. K~t qua ki~m phiSu xiny ki~n nhu sau (x~p thl:r tJ,I nhu trong phi~u xin y ki~n):

STT I HQ va ten So phieu dong y Ti 1~% -~ · · I : l ·.1

i

2 ! -t--·-· ~--1. 5. Can cl:r quy dinh v~ s6 du trong danh sach bftu Clr va k~t qua kiem phi~u xin y ki~n B?-i

hQi (h{)i nghi), cac a6ng chi CO ten SaU day aU"Q"C h,ra chQn au-a vao danh sach b~U Clr (thfr tv theo s6 phi~u·aang y ti.r cao d~n thftp) : ·

~f_s_TT __ +i ____________ H~9_v~a~t~en~----------~~S~6~p~h=ie~~u~d=o~~n3g~yL·~~-Til~% : I f I 2 i "! ----'---------·

Bien ban nay duqc l?,p thanh 3 ban vao h'ic ............... , gl:ri Boan Chu tich Bq.i hoi (hoi nghi) bao cao xin y ki~n B?-i hoi (h9i nghi) quySt dinh. ·

Bien ban va phi~u xin y ki6n B~i hoi (h(li nghi) duQ"c niem phong va glii Doan Ch"lt tich B?i h9i (h9i nghD d~ ban giao cho dp uy khoa mcS-i luu trfr theo quy dinh.

TIM BOAN CHU T!CH (Kj va ghi ro h9 ten)

TO TRuONG TO KIEM PHIEU (k:j; viz ghi ro h9 ten)

" . !

(M~u s6 7)

:D~I HQI (H()i ngh!) ............. . DANG C(>NG SAN Vl~T NAM

• - ••••••••••••••••••• 0 • 0 •• 0 ••• 0 •••• ~ ••••••••••

(Dong diiu cdp uy) .. ....... ... , ngay ... ... thang ...... nam 20 ..... .

DANH SA.CH TRiCH NGANG

~~--H-Q-v:ten-TN-ga;:-~l N~:i lti~; -~-Q-.~ I I ' · · ~----.. -ij--·-------·-·-. -~·-·-··----~H -~-. -~------~ +----~~---==E·. . -'I

4 1

1 -=±------~- · ........ ---------l_ 5 I _______ --- _..____· ~- -- -

------Ngay

Trinh do quan Hqc van Chuyen Ly lu~ vao Dang

mon chinh t - --------- -

I I ·--·

-·

------·

~hu·c ~~f--chi ~hu ___ l

t no·i cong tac

--··--·----r·-----·---····--··----·---~ -··- ------·---·-----··.,--- ··----------·-----1 -+--· --------------·---1

. ---1---·-.. "··--··------·1 =:£-.

-. -·---·---.. ·-----·---.. ---~=-=J ---- .. _ ..

Ghi chu:

- H9 va ten ghi nlm gifty khai sinh.

- Ngay sinh: ghi ngay, thang, nam sinh.

- Que quan : ghi xa, Iiuy~n va tinh ..

- Ngay vao Dfu1g: ghi ngay vao Dang chinh thuc.

-Trinh dq hQc vAn: ghi trinh dQ hQc. vAn cao nhAt (ti~u h9c/ trung hQc co· s6'/ trunghQc phb thOng h~ 10/10, M 12/12).

-Trinh dq chuyen m6n : ghi trinh dq chuyen m6n cao nhAt(sa cAp/trung cAp chuyen nghi~p/cao d~ng/cu nhan/th9-c si/ti~n si).

-Trinh ct<) lflu~n chinh tri: ghi trinh d<) ly lu~ chinh tr! cao nhAt (so cAp/trung dp/cao c~p/cu nhan).

- Chirc Vl,l, no·i cong Ute : ghi ch(rc V\1 dang, chinh quy@n cao nhAt va nO'i dang cong tac.

··i

·'.

'. (M§u s6 sr~·

B~I HOI (H9i nghj) .............................. . BANG C0NG SAN VI:eT NAM

(dong ddu cdp uy)

BIEN BAN BAU cu H~ ' th' -om nay, ngay..... ang ..... nam.......... , , I"\ • h~· (h~· hi) d:- ·~ h'nh b~ ' v<?-1 91 91 ng . .... ..... ... . . ... .... ........ .. .... a tren a au cu ...... ········· ........... .

1. :8€ll h9i (h9i nghi) cia bi~u quy€t thong qua danh sach b~u cu g6m ........... ct6ng chi c6 ten sau day (ten x€p thea thu tv A, B, C ... ): .

i STT I HQ va ten 1

I : I 2 I I

2. D€il h9i (h9i nghi) da bieu quyet thong qua Ban ki@m phi~u g6m .......... ct6ng chi, do a6ng chi .... : ............................. lam Tru6ng'ban, qrth~ nhu sau:

I STT i H9 va ten 1

1 I 2

3. Biiii bieu Diiii hQi (hC)i nghi) : - T6ng s6 d~ bi~u (t6ng s6 dang vien) dugc tri~u t?,p : ...... ct6ng chi. - T6ng s6 d~ bi~u d~,r dliti hC)i (hC)i nghi) diiii bi~u (ttSng s6 dang vien dl,I diiii hC)i ho~c h9i

ngh! dang vi en) : ...... ct6ng chi. · - s6 dq.i bi~u (dang vien) bi Me tu each dl,IE>iiiihC)i(hC)i nghi) : ...... ct6ng chi. - s6 c~p uy vien c~p tri~u t?,p B?i h9i (h9i nghi) vfuig mi[tt su6t thOi gian :8?-i hQi (h9i nghi) :

...... dang chi. - s6 d<;J.i bi~u. chinh th-(rc vling mi[tt khong c6 d<;J.i bi~u d~,r khuyet thay the : ...... a6ng chi .

. - T6ng s6 d?i bi~u (hoi[tc t6ng s6 dang vien d\1" D:;ti h9i dang vi en) d\1" D?i h()i (h9i nghi) c6 mi[tt khi bftu : ...... a6ng chi. .

4. K~t qua ki~m phi~u : a) v~ phi~u b~u : - s6 phi€u phat ra : ........... ; s6 phi~u thu v~ : ............. . - s6 phi€u hgp 1~ : ....................... .

. . + s6 phi~u bftu au s6 luQng :. + SfJ phi~u bftu thi~u SO VOi sf> 1UQ11g cftn bftu: (thi~u 1, thi~u 2, thi@u 3 ... ).

- s6 phi~u khong hgp 1~ : .............. (ly do). . .. b) K~t qua ki~m phi6u qr th~ nhu sau (x~p thu tt;r nhu trong phi~u bftu, ti lf % so vQ-i t6ng

s6 d:;ti bi~u hoi[tc dang vi en dugc tri~u t?,p) : . I SIT I HQ va ten So phieu Ti 1~ %

1 2 : : I l

' ----.---------r-1 c) Can cu ket qua kiem phieu va so lu911g can bau cia dugc B[:ll hC)i (hC)i nghi) bieu quyet

1 ~ nh- _.tA h' ' . ~ _.tA - ' ' J. ' t 1ong qua, ung uong c 1 co ten sau uay cia tnmg cu .................................................. (xep thu W thea ~6 phi~u tu cao xu6ng th~p, ti 1~ % so v&i t6ng s6 d?-i_ bi~u ho1c dang vien d:u9·c tri~u t?..E2__: -,

i STT / H9 va ten I So phieu Ti I~ ~ i 1 . i '-' I 2 .

-~---------- .. ------------~ Bien bi'm nay duqc l?,p thanh 3 ban va thOng qua D?-i hQi (h9i nghi) hJ.c ...... gicr ...... ngay

than g .......... nam ....... . TIM DOAN CHU TlCH TRUONG BAN KIEM PHIEU

(Ky vc't ghi ri5 hq ten) (kj vc1 ghi ri5 he;; ten)

.......! :.