CQNG HOAXAHQT CHU NGHIA VrET NAM
DQclSp - Tg do - H4nh phrlc
**********

,ngdy

tfuing...-.ndm201j

GIAY xAC NHAN
Tham drl D4i hQic6 tt6ngthudng ni6n nlm 2013
cria C6ngty c6 phin PVI (PVD
Kfnh gfri: C6ngty c6 phAnPVI
Tdnc6nhdr/t6chrlc:..............
CMND/HO
chi6u/cPDKKD
st):.......................c6p
ngdy......

tai.............................

Diachi:............
DiQnthoai:
^ :

7

, :

, , -

S0cdphansohiru:............................c6