nim giu

ti

10% d6n du6i 20% sO c6 ph6n c6 quydn bi€u quyt5t trong thdi hqn li6n
tuc it nhAt 6 (s6u) th6ng dugc dd cu mQt thrinh vi6n; ti 20% d5n du6i 30% duqc dd
cu hai thdnh vi6n; tir 30% d€n duli 50% duqc dC cir ba thdnh vi€n; tir 50% d6n
dudi 65% dugc dO cri b6n thdnh vi0n vd n6u tir 65%o trb 16n dugc tl€ cu dn si5 rmg
'.,1
vlen ban Klem
soat.

III. H6 so cI6 c[r, ri'ng cir thirnh vi6n HDQT, BKS
BQ h6 so g6m:
1. Don

xin dd cir, rmg cu tham gia HDQT, BKS (theo miu);

2. So yilu lj llch do irng cri vi€n Qr khai (theo m6u); ho{c Phi6u
ph6p cho ngudi kh6ng c6 qu5c tich ViQt Nam.

lf

lich tu

3. Birn sao c6c gi6y td sau: Chimg minh nhAn ddrVhQ chit5u, th6 cin cu6c
c6ng dAn, hQ khAu thudng tru, cdc bing c6p chimg nh4n trinh d6 vdn h6a vA trinh
dQ

chuy6n m6n;


CQNG HOA XA HQI CHU NGHiA VIPT NAM
DQc I{p - Tg do - H4nh phric

es
C6NG TY

c0'enfi

--oOoDON UNG CII
GIA BAN KIEM SOAT NHIEM Ki 2OI7 _2021
CONG TY Co PHAN O T6 TMT

C0ng ty c6 phAn 0 tO TMT

Tdi t6n ld:...................

CMTND/ H0 chi6u s5:............................Ngiy c6p:..................Noi c6p:.......
Eia chi thucrng tru:.................
Dia chi 1i6n 1ac:..........

Trinh d0 hoc

v6n:.........

.Chuy€n ngdnh:............

HiQn dang sd htu:.................c6 phAn @dng chir:

.....


6

tO

fUf

2017 -2021.

,^

Ndu duoc c6c c6 d6ng tin nhiQm bdu ldm thdnh vi€n Ban ki6m so6t, t6i xin dem h6t
ndng lgc vir tdm huy5t cria b6n th6n d6 d6ng g6p cho sy phrit tri6n cria C6ng ty.

Xin trAn trong cim on./.
..., ngdy.....th6ng.....ndm 20 17

CO D6NG
(Kit vd ghi rd hp tAn)


CQNG HOA XA HOI CHU NGHIA VIET NAM
DQc lflp - Tq do - H4nh phric

@*s
:.: \9

TY
07 C6NG
',Y.'t"


n*,.................c6 phAn @dng

chir:.....

................... . .)

i^

Tuong ung voi t6ng mQnh giri ld (d6ng):.......
D6 nghi Ban T6 chirc D4i hQi cd d6ng C6ng ty c6 O

tO.tVt

cho tdi dugc dd cri:

Ong (tsa):.......

CMTND/ H0 chii5u s,i:..............................Ngdy c6p:..................Noi c6p:..................
Dia chi thuong tru:.................
Dia chi li6n lac:..........

Trinh

dO

hgc

v6n:.........


DQc lfp - Tq do - Hlnh phric

es

-oOo-

TY
-^"
Al CONG
^- \:
'co'PnAt't

DON DE

6rO

G

#9

CII

CUVIENTHAM GIABANKIEM SOAT
NHrEM

cONc rY

rci

ZOtt -ZOZ\

,].

DC nehi Ban t6 chric

Ong

Dai h6i c6 d6ng C6ng ty c6 phen 6

(Bd):.......

flr4t

tO

cho t6i dugc dA cu:

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

CMTND/ H0 chi6u s5:..............................Ngdy c6p,..................Noi c6p:.................
Dia chi thudng tru:.................
Dia chi li6n lac:........

Trinh

dQ

hgc

v5n:.........


vd ghi 16 hq t6n)

hQi


CQNG HOAXA HOI CHU NGHIA VIET NAM
DQc lip - Tg do - H4nh phric

ffiTN

(w

-oOo-

CONG TY

cd

pnA't't

?#q.

DONDE CTI
THAM GrA HQr DONG QUAN TRI NHrEM Ky 2Ot7 -2021
cONG rY cO PHAN O rO rMr

Kinh giri: Ban T6 chric D4i hQi ddng cO dO,rg thulng ni6n ndm 2017
C6ng ty c6 phAn O tO fN,tf
Chirng t6i ld cO d6ng cira C6ng ty c6 phin


.,,. (dong):.......
;
.)
^ , grd
I uong ung vor tong mqnh
la

HiQn dang sd hiru:.................c6 phan @dng

.............c0 phani
..................d6n9.

Ldm irng cu vi6n tham gia HQi d6ng quAn tri C6ng ty cO 0 tO TMT trong
hQi c6 d6ng nhiem

k) Dai

kj, 2Ol7 -2021.

Xin tr6n trong cdm on./.
..., ngdy.....thrin g.....nim 2017

DAr DTENNHOM CO OoNC
(Kit vd ghi rd hp t€n)


CQNG HOAXA HQI CHU NGHIA VIPT NAM
DQc Iflp - Tg do - H4nh phric

-o0o-

di6n cdc nh6rn c6 dong kdm theo).

E€ nghi Ban TO chuc D4i hQi d0ng c6 d6ng COng ty

tol durrc

-:

Cle

cO

phan

0

tO

ffrAf

cho chirng

^

cu:

Ong (Bd):.......

CMTND/ H0i chi6u s5,..............................Ngdy c6p:..................Noi c6p:................
Dia chi thudng tni:.................


Xin trdn trong c6m crn./.
..., ngiry.....th6ng.....nim 20 17

DAI DIENNHOM CO EONG
(K! vd ghi rd hp t€n)


gsk\

ceNG noaxA Hor cHU Ncnia vrpr NAM
DQc l{p - Tq do - H4nh phric

-oOo-

rv\i\
6r,rc rv
m,c6uo
prA't't \cd
c deraru
"i[
*\

BITNBANHQPNH6M
o rcVIEN THAM GIA HoI EoNG QUANTRI VA BANKIEM
?JPIg ArrNG
NruEu KV 2017 - 2021 cONG ry co IHAN 6 ro

ruf
\x#eY


KP
r\7
o/
Cirng nhAt tri d6 cu:

.il

co li
C0

*\6

w


6 tO TMT trong kj,Dai hOi
"O
c: ;a C6ng ty ngdy.....th6ng.....ndm2017

Ldm ring cir vi6n tham gia Ban ki6m so6t C6ng ty
,;.
,).
I -^
dong ddng c6 d6ng
nhiQm

k!

2017 -2021

cu vdo HQi d6ng quan tri vd Ban ki6m so6t cria HQi tl6ng qu6n

tr!nhiQm ky 2017 _ ZOZI COngty cri phan
Bi6n b6n ndy dugc

lfp

6

tO

rUt.

vdo hic.....gid, ngiry .....1.....12017tai......................
..., ngdy.....thrin g.....ndm 2017

DAIDIPNNHOMCODO
(Kt vd ghi rd he ftn)

'ffk*\
TYY\
G

enA'ru

\-

16 iI

MT

Li6n

noi cdp.

Mobile:

hQ:

2. Trinh tI6 hoc vin
Thdi

Trudng/Noi dio tqo

Bang c6p

gian

3. Kinh nghif m c6ng viQc
Thdi

Chrirc vu

T6n t6 chric

gian

4. Siiluqngc6phintlugctl4idiQnho{cs&hiru........................c6phAn
-*:
(Bdng chu:....
... . ......... )

...,

ngdy thdng ndm 2017
NGIIdI KHAI
(Kit vd ghi rd hp tAn)

t6i