ࡱ> <>;k D2bjbj88 .4xRbxRb         8X d fpppppppp<>>>>>>$/~b! pppppb  ppp p p<p<p:1j(0ccc pppppppbbpppppppcppppppppp  : CNG HO X HI CH NGH(A VIT NAM c lp-T do-Hnh phc & & (1), ngy& .. thng & & nm& & . N KHI KIN v vic ..... Knh gi: To n nhn dn (2).............................................................................................................. H v tn ngi khi kin: (3)............................................................................................................. a ch: (4) .......................................................................................................................................... H v tn ngi c quyn v li ch c bo v (nu c) (5) ........................................................... a ch: (6) ........................................................................................................................................... H v tn ngi b kin: (7) ................................................................................................................ a ch: (8) .......................................................................................................................................... H v tn ngi c quyn li, ngh)a v lin quan (nu c) (9)........................................................... a ch: (10) ....................................................................................................................................... NI DUNG KHI KIN Yu cu To n gii quyt nhng vn  sau y i vi b n, ngi c quyn li, ngh)a v lin quan (11)....................................................................................................................................................... H v tn ngi lm chng (nu c) (12)........................................................................................... a ch: (13) ....................................................................................................................................... Nhng ti liu, chng km theo n khi kin gm c: (14) 1........................................................................................................................................................... 2........................................................................................................................................................... (Cc thng tin khc m ngi khi kin xt thy cn thit cho vic gii quyt v n) (15) ......................FP R l p \ 2"2$2(2*2.2024262:2<2B2D2ͽͥ͝ޝޝޝjh;Uh;CJaJUh;0JB*CJaJphh;B*CJaJmH*phsH*h2@2B2D2d$\$a$\$$h\$a$..................................................................................................................................... Ngi khi kin (16) Hng dn s dng mu (1) Ghi a im lm n khi kin (v d: Thnh ph H Ch Minh, ngy& .. thng & .. nm& & ). (2) Ghi tn To n c thm quyn gii quyt v n; nu l To n nhn dn cp huyn, th cn ghi r To n nhn dn huyn g thuc tnh, thnh ph trc thuc trung ng no (v d: To n nhn dn huyn A thuc tnh B), nu l To n nhn dn cp tnh, th ghi r To n nhn dn tnh (thnh ph) no (v d: To n nhn dn tnh Hng Yn) v a ch ca To n . (3) Nu ngi khi kin l c nhn, th ghi h v tn; nu ngi khi kin l c quan, t chc, th ghi tn c quan, t chc v ghi h, tn ca ngi i in hp php ca c quan, t chc khi kin . (4) Nu ngi khi kin l c nhn, th ghi y  a ch ni c tr (v d: Nguyn Vn A, tr ti thn B, x C, huyn M, tnh H); nu ngi khi kin l c quan, t chc, th ghi a ch tr s chnh ca c quan, t chc  (v d: Cng ty TNHH Hin Sen c tr s: S 20 ph LTK, qun HK, thnh ph H). (5), (7) v (9) Ghi tng t nh hng dn ti im (3). (6), (8) v (10) Ghi tng t nh hng dn ti im (4). (11) Nu c th tng vn  yu cu To n gii quyt i vi b n, ngi c quyn v ngh)a v lin quan. (12) v (13) Ghi h v tn, a ch ni ngi lm chng c tr (thn, x, huyn, tnh), nu l ni lm vic, th ghi a ch ni ngi  lm vic (v d: Nguyn Vn A, cng tc ti Cng ty B, tr s lm vic ti s & ph& qun& TP H Ni). (14) Ghi r tn cc ti liu km theo n khi kin gm c nhng ti liu g v phi nh s th t (v d: cc ti liu km theo n gm c: bn sao hp ng mua bn nh, bn sao giy chng nhn quyn s dng t, & ) (15) Ghi nhng thng tin m ngi khi kin xt thy cn thit cho vic gii quyt v n (v d: Ngi khi kin thng bo cho To n bit khi xy ra tranh chp mt trong cc ng s  i nc ngoi cha bnh& ). 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