Céng hoµ x· héi chñ nghÜa viÖt nam
§éc lËp – Tù do – H¹nh phóc
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§¬n xin x¸c nhËn
KÝnh göi: - Ng©n hµng CSXH huyÖn Hoµi §øc
- UBND x· §øc Giang
Tªn t«i lµ:...............................................................sinh n¨m
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Sè CMTND:..........................Ngµy cÊp.................N¬i cÊp
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T«i xin tr×nh bµy hoµn c¶nh gia ®×nh nh sau:
HiÖn nay gia ®×nh t«i ®ang gÆp khã kh¨n vÒ kinh tÕ:
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VËy t«i lµm ®¬n nµy ®Ò nghÞ UBND x· §øc Giang, Ng©n hµng CSXH
huyÖn Hoµi §øc gióp ®ì cho t«i vay vèn ch¬ng tr×nh häc sinh sinh viªn
®Ó ®ãng häc phÝ, mua s¾m ®å dïng häc tËp cho con t«i, ®Ó cho con t«i
tiÕp tôc theo häc.
T«i xin høa sÏ thùc hiÖn tr¶ nî gèc vµ l·i ®ång thêi tiÒn tiÕt kiÖm ®óng
quy ®Þnh.
T«i xin ch©n thµnh c¶m ¬n!
§øc Giang, ngµy.... th¸ng ..... n¨m 2010.
X¸c nhËn cña UBND x· X¸c nhËn cña Trëng th«n Ngêi lµm ®¬n