B CNG AN ------ CNG HA X HI CH NGHA VIT NAM cdo - Hnh phc --------------- S: 81/2011/TT-BCA H Ni, ngy 15thng 12 nm 2011 THNG T QUY NH VBIU MU C S DNG TRONG NG K, QUN L C TR------------------------- Cn c Lut C tr ngy 29/11/2006; Cn c Ns 107/2007/N-CP ngy 25/6/2007 quy nh chi tit v hng dn thi hnh mt s iu ca Lut56/2010/N-CP ngy 24/5/2010; Cn c Ngh nh s 77/9/N-CP ngy 15/9/2009 quy nh v chc nng, nhim v, quyn hn v c cu t chc ca B Cmargin-top: 6pt; ">B Cng an quy nh v biu mu c s dng trong ng k, qun l cle="margin-top: 6pt; ">Chng 1. NHNG QUY NH CHUNG iu 1. Phm vi iu chnh Thng t ny quy nh c th v biu mu, yu cu, cch ghi biu mu v qun lr. iu 2. i tng p dng 1. C quan, ngi lm cng tc ng k, qun l c tr. iu 3. Cc biu mu c s dng trong ng k, qun l c trargin-top: 6pt; ">Cc biu mu c s dng trong ng k, qun l c tr (sau y vit gn l1. Bn khai nhn khu (k hiu l HK01) c dng k khai nhtr, ng k tm tr. 2. Phiu bo thay i h khu, nhn khdng thng bo khi c s thay i v h khu, nhn khu nh: ng k thng tr, ng k tthay i ni ng k thng tr, tm tr, xa ng k thng tr, xa ng k tm tr, tchxc nhn trc y ng k thng tr 3. Phiu xc minh3) c s dng xc minh nhng h, nhn khu c nhng thng tin cha r, cha thng nht t; ">4. Phiu thng tin thay i v h khu, nhn khu (k hiu l HK04) c c quan ng ktin khi c s thay i v h khu, nhn khu. 5. Phiu khai(k hiu l HK05) c s dng cho ngi phi khai bo tm vng khai bo vi Cng an x, ph="margin-top: 6pt; ">6. Phiu theo di h s h khu (k hiu l HK06) c c quan Cng an hph thuc tnh lp phc v vic theo di, tra cu h s h khu. 11. S ng k thng tr (k hiu l HKtr s dng ghi chp kt qu ng k thng tr; iu chnh nhng thay i trong s h khtheo thn, xm, lng, p, bn, bun, phum, sc, ng ph, t dn ph hoc theo nh tp thg thay i thng tin ca tng nhn khu trong h, c quan Cng an lp s phi tin hnh iuS ng k thng tr c lu gi v khai thc lu di. 12) c Cng an x, phng, th trn s dng ghi kt qu ng k tm tr; iu chnh nhngtr; i, cp li s tm tr cho cng dn. 13. S tip nhn3) c Cng an x, phng, th trn s dng theo di vic tip nhn thng bo lu tr the"margin-top: 6pt; ">14. Ti h s h khu (k hiu l HK14) c Cng an huyn, qun, th x,tr h s h khu. Mi h ng k thng tr lp mt ti h s h khu ring. iu 4. Q 1. Cng an cc a phng t chc in, pht hnh tt cHK08 v mu HK09 do B Cng an in. Khi in, Cng an cc n v, a phng khng c thay qun l vic in, cp pht, s dng biu mu v c s sch theo di. Mu HK08 (20 trang bao gm c ba) v HK09 (12 trang bao gm c ba) in theo m s ca tph trc thuc Trung ng quy nh ti Ph lc s 01 v Ph lc s 02 ban hnh km theo Thnrn kh giy 120 mm x 165 mm, in mu, c hoa vn, mt hiu bo v v c ng s sn. 3. Mu HK05 v HK07 c ng thnh quyn, gm 02 phn c ni dung nh nhau, mt phn cpvng hoc cp giy chuyn h khu, mt phn lu ti c quan Cng an c thm quyn. 4. Biu mu v ng k, qun l c tr c ng ti trn Cng thng tin in t B Cng">Chng 2. CCH GHI BIU MU iu 5. Yu cu ghi biu mu 1. Ghi chnh xc nhng ni dung trong tng biu mu, ch vit phi r rng, vit cng mt loi mc, k="margin-top: 6pt; ">2. Ngi n lm th tc ng k c tr khng bit ch hoc khng th to li khai ca mnh. Ngi k khai h phi k khai trung thc, k, ghi r h tn v chu trc3. Cc s phi c vit lin tc theo th t tng trang, khngrng cc ni dung ba v cc trang ca s. 4. Cc ct, mcphi c ghi theo ng ch thch hng dn trong cc biu mu (nu c) v quy nh ti Thnp: 6pt; ">5. Nghim cm vic t ty xa, sa cha, b sung lm sai lch ni dung ghi trotyle="margin-top: 6pt; ">iu 6. Thng tin chung trong biu mu 1. Thng tin chung trong cc loi biu mu bao gm: Thng tin v c nhn, v n c thm quyn ng k, qun l c tr. 2. Cch ghi thng tKhi ghi thng tin v c nhn phi cn c vo giy khai sinh vtch khc. Nu khng c cc giy t trn th ghi theo s h khu, chng minh nhn dn, h chic quan c thm quyn cp. a) Mc H v tn: Ghi bng chb) Mc Ngy, thng, nm sinh: Xc nh theo ngy, thng, nmch s cho ngy sinh, 02 ch s cho cc thng sinh l thng 01 v thng 02, 04 ch s cho nmtyle="margin-top: 6pt; ">c) Mc CMND s v mc H chiu s: Ghi y s CMND v s h cp style="margin-top: 6pt; ">d) Mc Gii tnh: Nu gii tnh Nam th ghi l Nam, nu gii t/p> ) Mc Ni sinh: Ghi ni sinh theo giy khai sinh; e) Mc Qu qun: Ghi qu qun theo giy khai sinh. Nu giy khai sc mc ny th ghi theo qu qun ca cha hoc qu qun ca m theo tp qun hoc theo tha tn ngoi gi th, nu khng c quyt nh cng nhn cha cho con th qu qun ca con c xcdanh hnh chnh cp x, cp huyn, cp tnh. Trng hp a danh hnh chnh c thay i th/p> g) Mc Quc tch: Ghi quc tch Vit Nam, quc tch khc (h) Mc Dn tc v Tn gio: Ghi dn tc, tn gio theo giyhng c giy khai sinh th ghi theo s h khu, chng minh nhn dn hoc giy t khc do c q> i) Mc Ngh nghip, ni lm vic: Ghi r hin nay lm ngh gt chc, a ch ni lm vic. 3. Cch ghi thng tin v astyle="margin-top: 6pt; ">Ghi c th, y s nh, ph, ng ph; t, thn, xm, lng, p,th trn; huyn, qun, th x, thnh ph thuc tnh; tnh, thnh ph trc thuc Trung ng. Tr a ch c tr nc ngoi (ghi r tn nc phin m bng ting Vit). D ng tg an cp trn trc tip, d ng di ghi tn c quan Cng an c thm quyn ng k, qun l cop: 6pt; ">iu 7. Cch ghi Bn khai nhn khu 1. Mcrnh hc vn: Ghi r trnh hc vn cao nht (Tin s, Thc s, i hc, Cao ng, Trunhip ph thng c s; nu khng bit ch th ghi r khng bit ch); 3. Mc Trnh ngoi ng: Ghi r tn vn bng, chng ch caoB hoc Php A, Php B hoc Nga A, Nga B ); 4. Mc Tm tthn (t 14 tui tr ln n nay u, lm g): Ghi r tng khong thi gian (t thng, n, ni lm vic). 5. Mc Tin n, tin s: Ghi r ti danh,bn n s, ngy, thng, nm ca T a n; c xa n tch hay cha hoc ang trong giai ochp hnh hnh pht; b kt n pht t c hng n treo; hnh pht b sung; hoc ang bg bin php gio dc ti x, phng, th trn, a vo c s gio dc, c s cha bnh, trnstyle="margin-top: 6pt; ">iu 8. Cch ghi Phiu bo thay i h khu, nhn khu"margin-top: 6pt; ">1. Mc H v tn ch h v Quan h vi ch h ghi nh sau: a) Trng hp ng k thng tr hoc ng k tm tr vo ch hp php, c cp s hhoc ng k tm tr, mc quan h vi ch h ghi l ch h. nhp vo s h khu hoc s tm tr th h v tn ch h ghi h, tn ch h ng cho nhp vquan h thc t vi ch h . c) Trng hp iu chnh nhhu, s tm tr; xa ng k thng tr, xa ng k tm tr; tch s h khu; i, cp li sh h, quan h vi ch h theo s h khu, s tm tr. 2. Mh khu, nhn khu: Ghi tm tt ni dung thay i h khu, nhn khu. V d: ng k thngh s h khu; iu chnh nhng thay i trong s h khu 3i r kin ca ch h l ng cho ng k thng tr, ng k tm tr hoc ng cho tchp style="margin-top: 6pt; ">4. Mc Xc nhn ca Cng an ghi nh sau: a) Trng hp xc nhn vic trc y ng k thng tr th c quan Cng an c thquy nh ti Khon 3 iu 13 Thng t s 52/2010/TT-BCA ngy 30/11/2010 ca B trng B Cnghnh mt s iu ca Lut C tr, Ngh nh s 107/2007/N-CP ngy 25/6/2007 v Ngh nh sc tr (sau y vit gn l Thng t s 52). b) Trng hp cth Cng an x, phng, th trn ni ng k thng tr xc nhn vic b mt . 1. Mc Knhc quan nhn phiu xc minh h khu, nhn khu v cp trn trc tip ca c quan . TrngCng an cp x ngoi phm vi a gii hnh chnh cp tnh, thnh ph trc thuc trung ng thx (x, huyn, tnh). 2. Phn yu cu xc minh (mt tryle="margin-top: 6pt; ">a) Mc Ni dung xc minh: Ghi tm tt, r ni dung cn xc minh vnhn khu km theo (nu c); b) Mc Kt qu xc minh gi vn ni lp phiu xc minh v cp trn trc tip ca c quan . Trng hp c quan Cng an cpvi tnh, thnh ph trc thuc trung ng th phi ghi y a gii hnh chnh ca Cng anmargin-top: 6pt; ">c) Mc Trng Cng an: : Trng Cng an ni gi phiu xc minh phi k,i vi Cng an qun, huyn, th x ca thnh ph trc thuc trung ng v Cng an th x, tqun l hnh chnh v trt t x hi k phiu xc minh trong phm vi cp huyn, ngoi phm viuyn k phiu xc minh. 3. Phn tr li xc minh (mt sau):a) Mc Kt qu xc minh: Tr li y kt qu xc minh theo ch. Trng hp khng c i tng xc minh hoc thng tin v i tng khng chnh xc cng php: 6pt; ">b) Mc Trng Cng an: : Trng Cng an ni gi tr li xc minh phi k, ghi rtyle="margin-top: 6pt; ">iu 10. Cch ghi Phiu thng tin thay i v h khu, nhn khu1. Mc Knh gi: Ghi tn c quan ng k, qun l c tr ni nhnc quan . Trng hp thng bo v vic ng k thng tr phi gi trc tip cho c quanhng tr. Nu c quan Cng an ni cp giy chuyn h khu (ni ng k thng tr c) l cca Cng an x (x, huyn, tnh). 2. Mc Ni dung thayhng ni dung thay i nh: ng k thng tr, iu chnh nhng thay i trong s h khu, xtr th c quan Cng an ni chuyn n phi ghi y cc thng tin sau: H v tn, ngy, thhuyn n, h v tn cc nhn khu km theo cng ng k thng tr, giy chuyn h khu (s,argin-top: 6pt; ">3. Mc xut, kin ngh: Ghi c th kin xut, kin ngh (nu c).hi ngh c quan Cng an ni cp giy chuyn h khu lm th tc ng k thng tr. iu 11. Cch ghi Phiu khai bo tm vng 1. Mc Nitm tr: Nu ghi ni thng tr th gch ni tm tr v ngc li. 3. Phn phiu cp cho cngg an x, phng, th trn ni cp phiu khai bo tm vng phi k, ghi r h, tn v ng durn v ngi khai bo ch cn k, ghi r h, tn. iu 12theo di h s h khu 1. Mt trc a) Mc H s h khu s: Ghi theo s h s h khu trong tng th h s h khu;4. Cc trang iu chnh thay i: Ghi r ni dung iu chnh nh thay i ch h; thay inh; thay i a gii hnh chnh C quan c thm quyn iu chnh thay i trong s h khu5. Cn b ng k phi k, ghi r h, tn ti cc trang ch h,v iu chnh thay i (nu c). Th trng c quan c thm quyn ng k thng tr phi krang ch h, tng trang nhn khu c trong s v trang iu chnh thay i (nu c). 6. Mi s h khu c dng cho 01 h. Trng hp s nhn khu trong h nhiu hn smt trong trang ba trc l Quyn s 01 v c thnh lp Quyn s 2, Quyn s 3, v.v,ang ba trc ghi r l Quyn s 2, Quyn s 3, v.v v ng du treo, trang ch h ghi ginli ghi nhn khu tip theo. 7. Trng hp chuyn n c h,khu mi, c quan ng k, qun l c tr ni chuyn n thu s h khu c v ng du Hytr, lu vo tng th. Trng hp chuyn mt ngi hoc mt s ngi trong h th ghi r vi, thi gian cp giy chuyn h khu, a ch ni n. tm tr Cch ghi cc thng tin trong s tm tr ging cs h khu v cn ch mt s im sau y: 1. Mc S ngtr. 2. Mc L do xa ng k tm tr: Ghi r l do nh:tr ti ni ng k tm tr qu 6 thng hoc ng k thng tr iu 16. CS theo di gii quyt h khu 1. Mc Ni dung yu cuhi tm tt, y ni dung yu cu gii quyt. 2. Mc H sxc, cc loi giy t c trong h s tip nhn. 3. Mc Nnhn nhiu h s trong ngy th ch cn ghi h, tn ngi nhn, ngy, thng, nm ti d ng tinhiu h s th ch cn ghi ngy, thng, nm nhn h s ti d ng tip nhn h s u tin. an (ngy, thng, nm) s phi tr kt qu. 4. Mc Tr kt qg, nm v kt qu gii quyt (ng k thng tr; iu chnh nhng thay i; i, cp li shng gii quyt ng k thng tr ). iu 17. Cch ghip> 1. Phn Mc lc: Ghi y cc thng tin theo mu. 2. Phn ni dung: Mi trang ca s dng ghi thng tin v mt h ng kd ng tip theo ghi ln lt cc nhn khu c trong h. a) MGhi theo s h s h khu lu ti tng th h s h khu; b)k: Ch huy i Cnh st qun l hnh chnh v trt t x hi, Trng Cng an x, th trn cmt ln cho nhiu ngi th ngi c thm quyn ch cn k, ghi r h, tn hng ghi nhn khn-top: 6pt; ">c) Mc Ni dung iu chnh, thay i: Ghi r ni dung nh: thay i ch h, t, nm sinh; thay i a gii hnh chnh; xa ng k thng tr (ngy, thng, nm xa ng k(ngy, thng, nm cp giy chuyn h khu, ni chuyn n); i, cp li s h khu; iu 18. C/b> 1. Mc Ni tm tr: Ghi r s nh, ng ph, t, thnphum, sc; 2. Mc H v tn cn b ng k: Nu ng k cghi r h, tn cn b ng k hng ghi nhn khu cui cng; iu 19. Cch ghi S tip nhn lu tr Mc L do lu tr: Ghi r l do nh cha bnh, thm thn, du lch; 4. Mc Ghi ch: Cn b tip nhn lu trghi vn, trng hp cn thit do yu cu m bo an ninh, trt t th phi bo co ngay v Ctyle="margin-top: 6pt; ">iu 20. Cch ghi ti h s h khu Mc Np lu ngy: Ghi theo ngy, thng, nm a h s h khu vo lu ti tng th hp: 6pt; ">iu 21. Cch ghi Thng k h khu, nhn khu Mc Nhn khunhn khu hin ang c tr ti cc qun, phng v th trn. a) Mc i ngoi tnh: Thng k s h, ng chuyn i tnh, thnh ph trc thuc trung ng khc; b) Myn trong tnh: Thng k s h, nhn khu ng k thng tr nhng chuyn i huyn, qun,, thnh ph trc thuc trung ng; c) Mc i ngoi x trongk s h, nhn khu ng k thng tr nhng chuyn i phng, x, th trn khc trong cn; d) Mc Ngoi tnh n: Thng k s h, nhn khu t tnhung ng khc n ng k tm tr; ) Mc Ngoi huyn trongt huyn, qun, th x, thnh ph khc trong cng phm vi tnh, thnh ph trc thuc trung le="margin-top: 6pt; ">e) Mc Ngoi x trong huyn n: Thng k s h, nhn khu t phngphm vi huyn, qun, th x, thnh ph thuc tnh n ng k tm tr. Mc Ngoi tnh n:thnh ph trc thuc trung ng khc chuyn n ng k thng tr. iu 22. Cch tnh tng s h, nhn khu hp> (Tng s h hin ang c tr gi l X; Tng s nhn khu hinp> 1. i vi c quan Cng an cp tnh a) X = Tng s h ng k thng tr - Tng s h khng c tr ti ni ng k thp> b) Y = Tng s nhn khu ng k thng tr - Tng s nhn khthng tr i ngoi tnh + Tng s nhn khu ng k tm tr ngoi tnh n. a) X = Tng s h ng k thng tr tr ti ni ng k thng tr i ngoi tnh + Tng s h khng c tr ti ni ng ktnh n + Tng s h ng k tm tr ngoi huyn trong tnh n). 3. i vi Cng an cp x a) X = Tng s h ng k thng tr - (Tng s h khng c tr ti ni ng k thng tgoi huyn trong tnh + Tng s h khng c tr ti ni ng k thng tr i ngoi x troTng s h ng k tm tr ngoi huyn trong tnh n + Tng s h ng k tm tr ngoi x top: 6pt; ">b) Y = Tng s nhn khu ng k thng tr - (Tng s nhn khu khng c tr tihn khu khng c tr ti ni ng k thng tr i ngoi huyn trong tnh + Tng s nhnhuyn) + (Tng s nhn khu ng k tm tr ngoi tnh n + Tng s nhn khu ng k tm tk tm tr ngoi x trong huyn n). 4. Tng s nhn khu tn; nhn khu t 14 tui tr ln hin ang c tr thc hin nh cch tnh nh tng s nhn ktyle="margin-top: 6pt; ">5. Ct i tng qun l: Ch cn ghi tng s i tng thuc dinst qun l hnh chnh v trt t x hi. Chng 3.T CHC THC HIN iu 23. Hiu lci hnh 1. Thng t ny c hiu lc thi hnh k t ngy 0v thay th Quyt nh s 698/2007/Q-BCA-C11 ngy 01/07/2007 ca B trng B Cng an v vitrong ng k, qun l c tr. 2. Cc biu mu in theo qu698/2007/Q-BCA-C11 th c s dng cho n ht. iu 24hi hnh 1. Tng cc Cnh st Qun l hnh chnh v trthi c trch nhim hng dn, theo di, n c, kim tra vic thc hin Thng t ny. 2. Tng cc trng cc Tng cc, Th trng cc n v trc thuc B trong phm vi chc nnphi hp thc hin Thng t ny. 3 Gim c Cng an cc tnhuc trung ng, Gim c S Cnh st ph ng chy v cha chy, cc t chc, c nhn c lin q Trong qu trnh thc hin Thng t ny, nu c vng mc nkp thi v B Cng an (qua Tng cc Cnh st qun l hnh chnh v trt t, an ton x hi)argin-top: 6pt; "> Ni nhn: - Cc ng ch Th trng ( ch o); - Cc Tng cc, n v trc thuc B ( thcS Cnh st PCCC ( thc hin); - Cng bo; - Lu: VT, C61 (C64). le="padding-top: 0in; padding-right: 5.4pt; padding-bottom: 0in; padding-left: 5.4pt; width: 221.4pt; "> B TRNG Thng tng Trn i Quang y> PH LC S 01 S S H KHU CA CCTNH, THNH PH TRC THUC TRUNG NG (Ban hnh km theo Thng t s 81/2011/TT-BCA ngnm 2011 ca B Cng an quy nh v biu mu c s dng trong ng k, qun l c tr)3. CMND s:. 4. H chiu s:.................................argin-top: 6pt; ">5. Ni thng tr:.................................................................................................................... 6. a ch ch hin nay:......................................................................................................... ..S in thoi lin h:....................................t; ">II. Thng tin v ngi c thay i h khu, nhn khu 6. CMND................................. 8. Ni sinh:.............................................................................................................................. 9. Qu qun:............................................................................................................................ 10. Ngh nghip, ni lm vic:.................................................................................................. 11. Ni thng tr:.................................................................................................................. 12. a ch ch hin nay:........................................................................................................ .............................. 13. H v tn ch h: ............................ 15. Ni dung thay i hkhu, nhn khu(2):............................................................................... ............................................................................................................................................... 16.Nhng ngi cng thay i: TT H v tn Ngy, thng, nm sinh Gii tnh Ni sinh Ngh nghip Dn tc Quc tch CMND s (hoc H chiu s) Quan h vi ngi c thay i .ngythngnm. KIN CA CH H (3)v k, ghi r h tn) .ngythngnm. NGI VIT PHIU BO (K, ghi r h tn) . CNG HA X HI CH NGHA VIT NAM c lpHnh phc --------------- Mu HK03 ban hnh theo TT s 81/2011/TT-BCA ngy 15/12/2011 PHIU XC MINH H KHU, NHN KHU Knh gi: . . < 1. H v tn(1):......................................................................................................................... 2. H v tn gi khc (nu c):................................................................................................. 3. Ngy, thng, nm sinh: ././. 4. Gii t.................................. 5. Ni sinh:.............................................................................................................................. 6. Qu qun:............................................................................................................................ 7. Dn tc:. 8. Tn gio: 9. Quc tch:................... 16. Ni thng tr:.................................................................................................................. ............................................................................................................................................... 17. a ch ch hin nay:........................................................................................................ ............................................................................................................................................... 18. Ngh nghip, ni lm vic:.................................................................................................. ............................................................................................................................................... NI DUNG XC MINH (2) ............................................................................................................................................... ............................................................................................................................................... ............................................................................................................................................... ............................................................................................................................................... ............................................................................................................................................... ............................................................................................................................................... Kt qu xc minh gi v:.......................................................................................................... .......................................................................................... trc ngythng.nm. CN B LP PHIU (K, ghi r h tn) . ngythngnm.... TRNG CNG AN. (K, gp> .style="margin-top: 6pt; ">. CNG HAX HI CH NGHA VIT NAM c lp - T do - Hnh phc --------------- ="157" valign="top" style="width: 117.75pt; padding-top: 0in; padding-right: 5.4pt; padding-bottom: 0in; padding-left: 5.4pt; "> Mu HK04 ban hnh theo TT s 81/2011/TT-BCA ngy 15/12/2011 PHIU THNG TIN THAY I V H KHU, NHN KHU Knh gi: . . (1):.............................................................................................. 2. H v tn gi khc (nu c:.................................................................................................. 3. Ngy, thng, nm sinh: ././............................................... 5. Ni sinh:.............................................................................................................................. 6. Qu qun:............................................................................................................................ 7. Dn tc:. 8. Tn gio: 9. Quc tch:.............10. CMND s:. 11. H chiu s:..................................................argin-top: 6pt; ">12. H s h khu s: ... 13. S h khu s:......................... 14. H v tn ch h:.15. Quan h vi ch> 16. Ni thng tr:.................................................................................................................. ............................................................................................................................................... NI DUNG THAY I (2) ............................................................................................................................................... ............................................................................................................................................... ............................................................................................................................................... ............................................................................................................................................... ............................................................................................................................................... ............................................................................................................................................... ............................................................................................................................................... XUT, KINNGH (nu c) ............................................................................................................................................... ............................................................................................................................................... ............................................................................................................................................... ............................................................................................................................................... ............................................................................................................................................... CN B LP PHIU (K, ghi r h tn) .ngythngnm.... TRNG CNG AN.. (K, ghi r ____________ (1) Vit ch in hoa du (2) Ghi y , r rng nhng thng tin thay i nh: ng k thng tr; iu chnh nhng thaybo v vic ng k thng tr th Cng an ni n phi ghi y cc thng tin sau: hhuyn n; h v tn cc nhn khu km theo cng ng k thng tr; giy chuyn h khu (s,e="margin-top: 6pt; "> . n="center" style="margin-top: 6pt; text-align: center; ">S:  /TV CNG HA X HI CH NGHA VIT NAM c lp - T do - Hnh phc ---------------< Mu HK05 ban hnh theo TT s 81/2011/TT-BCAngy 15/12/2011 PHIU KHAI BOTM VNG (Phn cp cho ngi tm vng) 1. H v tn/sup>:........................................................................................................................ 2. Ngy, thng, nm sinh: //.... 3. Gii tnh: 4. Quc tch:........................p style="margin-top: 6pt; ">5. CMND s:.. 6. H chiu s:.............................. 7. Ni thng tr/tm tr (2):..................................................................................................... ............................................................................................................................................... 8. Tm vng t ngy, thng, nm: ././ n ngy // 9. L do tm vng v ni n (3): ............................................................................................................................................... .. ngy.thng.nm. TRNG Cghi r h tn v ng du) ngythng.nm. NGI KHAI BO (K, ghi r h tn) ble> ____________ (1) Vit ch in hoa du. (2) Nu ghi ni thng tr th gch ni tm tr v ngc li (g, p, bn, bun, phum, sc; x/phng/th trn; qun/huyn; tnh/thnh ph. . . S:  /TV CNG HA X HI CH NGHA VITNAM c lp - T do - Hnh phc --------------- Mu HK05 ban hnh theo TT s 81/2011/TT-BCA ngy 15/12/2011 PHIU KHAI BO TM VNG (Phn lu ti Can x, phng, th trn) 1. H v tn (1):...................................................................................................................... 2. Ngy, thng, nmsinh: //... 3. Gii tnh: 4. Quc tch:.................................... 5. CMND s:.. 6. H chiu s:...................................> 7. Ni thng tr/tm tr (2):...................................................................................................... ................................................................................................................................................ 8. Tm vng t ngy, thng, nm: ./// 9. L do tm vng v ni n (3):. ......................................................................................................................................... .. ngy.thng.nm. TRNG CNG AN (K, ghiwidth="293" valign="top" style="width: 219.5pt; padding-top: 0in; padding-right:5.4pt; padding-bottom: 0in; padding-left: 5.4pt; height: 21.8pt; "> ngythng.nm. NGI KH(K, ghi r h tn) ____________ (1) Vit ch in hoa du. (2) Nu ghi nithng tr th gch ni tm tr v ngc li (3) Ghi r s nh, ng ph, t, thn, xm, ln/huyn; tnh/thnh ph. PHIU THEO DI H S H KHU HSHK s: ............................................... S K thng trs: ....................... T s:.......... H v tn ch.................................................................................................................. Ni thng tr:..................................................................................................................... ............................................................................................................................................ DANH SCH NHNG NGI TRONG H TT H v tn Nm sinh Gii tnh Quan h vi ch h i tng Ngy i Mu HK06 ban hnh theo TT s 81/2011/TT-BCAngy 15/12/2011 (Mt sau) TT H v tn Nm sinh Gii tnh Quan h vi ch h i tng Ngy i . . S: /td> CNG HA X HI CH NGHA VIT NAM c lo - Hnh phc --------------- Mu HK07 ban hnh theo TT s 81/2011/TT-BCA ngy 15/12/2011 GIY CHUYN H KHU (Phn cp cho ngi chuyn h khstyle="margin-top: 6pt; ">1. H v tn (1):........................................................................................................................ 2. Tn gi khc (nu c):.......................................................................................................... 3. Ngy, thng, nm sinh: ././. 4. Gii tn................................. 5. Ni sinh:.............................................................................................................................. 6. Qu qun:............................................................................................................................ 7. Dn tc:. 8. Tn gio: 9. Quc tch:................... ............................................................................................................................................... 11. H v tn ch h ni i: 12. Quan h vi ch h:.................... ............................................................................................................................................... 14. Ni chuyn n:................................................................................................................. ............................................................................................................................................... 15. Nhng ngi trong h cng chuyn h khu (2): TT H v tn Ngy,thng, nm sinh Gii tnh Qu qun Dn tc Quc tch CMND s (hoc H chiu s) Quan h (3) .. ngy. thng.nm. TRNG CNG ANtn v ng du) ____________ (1) Vit ch in hoa du; (2) Ghi theo s ng k thng tr, s h khu cc thng tin ca ngi tr (3) Ghi mi quan h vi ngi chuyn h khu ti Mc Ghi ch: Lp 02 bn, mt bn cp cho cng dn np timt bn lu ti ni cp giy. .style="margin-top: 6pt; ">. S: /GCHK CNG HA X HI CH NGHA VIT NAM c lp - T do - Hnh phc --------------- Mu HK07 ban hnh theo TT s 81/2011/TT-BCA ngy 15/12/2011 GIY CHUYN H KHU (Phn lu tiquan cp giy) 1. H v tn (1):...................................................................................................................... 2. Tn gi khc (nu c):........................................................................................................ 3. Ngy, thng, nm sinh: ././............................................ 5. Ni sinh:............................................................................................................................ 6. Qu qun:.......................................................................................................................... 7. Dn tc:. 8. Tn gio: 9. Quc tch:................. ............................................................................................................................................. 11. H v tn ch h ni i: 12. Quan h vi ch h:.................. ............................................................................................................................................. 14. Ni chuyn n:............................................................................................................... ............................................................................................................................................. 15. Nhng ngi trong h cng chuyn h khu (2): TT H v tn Ngy, thng, nm sinh Gii tnh Qu qun Dn tc Quc tch CMND s (hoc H chiu s) Quan h (3) .. ngy.thng.nm. TRNG CNG AN (K, ghir> ____________ (1) Vit ch in hoa du; (2)Ghi theo s ng k thng tr, s h khu cc thng tin ca ngi trong h cng chuyn h khn-top: 6pt; ">(3) Ghi mi quan h vi ngi chuyn h khu ti Mc 1. Ghi ch: Lp 02 bn, mt bn cp cho cng dn np ti ni ng k thng tr, CNG HA X HI CH NGHA VIT NAM c lp h phc ----------------- S TM TR CNG AN TNH/TP................ S TM TR S: H v tn ch h:............................................................................ ..................................................................................................... Ni tm tr:.................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... Ngy .. thng .. nm . TRNG CNG AN .. (K, ghi r h t/tr> S ng k tm tr s: .. T s: ......... Mu HK09 ban hnh theo TT s 81/2011/TT-BCA ngy 15/12/2011 NHNG IU CN CH 1- S tm tr c cp cho h gia nh hoc c nhn ng k tm tr, c gi trp> 2- S tm tr b h hng th c cp i, b mt th c cop: 6pt; ">3- S tm tr do B Cng an in v pht hnh s dng thng nht trong ton quc.in-top: 6pt; ">4- Khi c nhng thay i trong s tm tr, ch h hoc ngi trong h phi nthay i theo quy nh. 5- Ch h hoc ngi trong h c trrnh s tm tr khi c quan, ngi c thm quyn yu cu. Ch h c trch nhim to iu kintr c s dng s gii quyt cc cng vic theo quy nh. 7- Cng dn cn kim tra k cc thng tin ng k, iu chnh trc kr> IU CHNH THAY I Ni dung: p: 6pt; ">. style="border-collapse: collapse; border-top-style: none; border-right-style: none; border-bottom-style: none; border-left-style: none; border-width: initial; border-color: initial; "> CN B NG K (K, ghi r h tn) Ngy .. thng .. nm . TRNG CNG AN (K, ghi r h tn v ng d> CH H H v tn:.................................................................................. H v tn gi khc (nu c):....................................................... Ngy, thng, nm sinh: .//...................... Qu qun:.................................................................................. Dn tc: .. Quc tch:........................................... CMND s: .. H chiu s:........................................style="margin-top: 6pt; ">Ngh nghip, ni lm vic:.......................................................... ................................................................................................. Ni thng tr:.......................................................................... ................................................................................................. CN B NG K (K, ghi r h tn) Ngy thng .. nm TRNG CNG AN (K, ghi r h tn vr> IU CHNH THAY I Ni dung: .. CN B NG K (K, ghi r h tn) Ngy .. thng .. nm . TRNG CNG ANghi r h tn v ng du) /p> L do xa ng k tm tr: > CN B NG K (K, ghi r h Ngy .. thng . nm (K, ghi r h tn v ng du) QUAN H VI CHH: ............. H v tn:...................................................................................... H v tn gi khc (nu c):........................................................... Ngy, thng, nm sinh: .//.. Gi.................... Qu qun:...................................................................................... Dn tc: .. Quc tch:...........................................CMND s: .. H chiu s:..................................... Ngh nghip, ni lm vic:.............................................................. ..................................................................................................... Ni thng tr:.............................................................................. ..................................................................................................... CN B NG K (K, ghi r h tn) Ngy thng .. nm TRNG CNG AN h tn v ng du) IU CHNH THAY I Ni dung: .. ng="0" cellpadding="0" style="margin-left: 0.25pt; border-collapse: collapse; border-top-style: none; border-right-style: none; border-bottom-style: none; border-left-style: none; border-width: initial; border-color: initial; "> CN B NG K (K, ghi r h tn) Ngy .. thng .. nm . TRNG CNG AN (K, IU CHNH THAY I Ni dung: .. ellpadding="0" style="margin-left: 0.25pt; border-collapse: collapse; border-top-style: none; border-right-style: none; border-bottom-style: none; border-left-style: none; border-width: initial; border-color: initial; "> CNB NG K (K, ghi r h tn) Ngy .. thng .. nm . TRNG CNG AN (K, ghi rd> L do xa ng k tm tr: CN B NG K (K, ghi r h tn) Ngy .. thng . nm TRNG CNG AN (Ki> QUAN H VI CH H: ............. H v tn:..................................................................................... H v tn gi khc (nu c):........................................................... Ngy, thng, nm sinh: .//.. Gii tnh:........................ Dn tc: .. Quc tch:...................................... CMND s: .. H chiu s:..................................... Ngh nghip, ni lm vic:.............................................................. ..................................................................................................... Ni thng tr:.............................................................................. ..................................................................................................... CN B NG K (K, ghi r h tn) Ngy thng .. nm TRCNG AN (K, ghi r h tn v ng du) QUAN H VI CH H:............. H v tn:...................................................................................... H v tn gi khc (nu c):........................................................... Ngy, thng, nm sinh: .//.. Gii.................. Qu qun:...................................................................................... Dn tc: .. Quc tch:.............................................p style="margin-top: 6pt; ">CMND s: .. H chiu s:..................................... Ngh nghip, ni lm vic:.............................................................. ..................................................................................................... Ni thng tr:.............................................................................. ..................................................................................................... CN B NG K (K, ghi r h tn) Ngy thng .. nm TRNG CNG AN L do xa ng k tmtr: . (2) .. QUYN S: .. - Bt u ngy: .. - Kt thc ngy: . (1) Cng an qun/huyn/th x/ TP thuc tnh. (2) Thn/p/bn MC LC S TT H V TN CH H T S STT H V TN CH H T S S TT H V TN CH H TS 1 2 3 1 2 3 1 2 3 H V TN CH H: Nng="0" width="877" style="width: 657.6pt; border-collapse: collapse; border-topstyle: none; border-right-style: none; border-bottom-style: none; border-left-style: none; border-width: initial; border-color: initial; "> TT H V TN QUAN H VI CH H NGY, THNG, NM SINH GII TNH NI SINH QU QUN CMND S HOC H CHIU S DN TC QUC TCH 1 2 3 4 5 6 7 8 9 10 . H S H KHUlpadding="0" style="border-collapse: collapse; border-top-style: none; border-right-style: none; border-bottom-style: none; border-left-style: none; border-width: initial; border-color: initial; "> NGH NGHIP, NI LM VIC NI THNG TR TRC KHI CHUYN N(1) (ghh, ng ph, t, thn, xm, lng, p, bn, bun, phum, sc; x/phng/th trn; qun/huyn;d width="82" valign="top" style="width: 61.35pt; border-top-style: solid; border-right-style: solid; border-bottom-style: solid; border-top-color: windowtext; border-right-color: windowtext; border-bottom-color: windowtext; border-top-width: 1pt; border-right-width: 1pt; border-bottom-width: 1pt; border-left-style: none; border-left-width: initial; border-left-color: initial; padding-top: 0in; padding-right: 5.4pt; padding-bottom: 0in; padding-left: 5.4pt; "> NG K NGY, THNG, NM NGI C THM QUYN NG K (k, gtn) NI DUNG IU CHNH, THAY I (2) GHI CH 11 12 13 14 15 16 T S: .. Trng hp khng c ni thng tr th ghi ni tm tr - Bt u ngy: ..- Kt thc ngy: . (2)k tm tr TT H V TN NGI TM TR NGY, THNG,NM SINH GII TNH QU QUN DN TC QUC TCH CMND S HOC H CHIU S NGH NGHIP, NI LM VIC 1 2 3 4 5 6 7 8 9 NI THNG TR (1) (ghir s nh, ng ph, t, thn, xm, lng, p, bn, bun, phum, sc; x/phng/th trn; qun NG K, NGY, THNG, NM NI TM TR (ghi r s nh, ph, t, thn, xm, lng, p, bn, bun, phum, sc) H V TN CN B NG K NI DUNG IU CHNH, THAY I (ghi r ni dung v ngy, thhnh) 10 11 12 13 14 (1) Trng hp khng c ni thngh ghi ni tm tr trc khi chuyn n CNG AN TNH/TP n="center" style="margin-top: 6pt; text-align: center; ">(1) .gn="top" style="width: 150.75pt; padding-top: 0in; padding-right: 5.4pt; padding-bottom: 0in; padding-left: 5.4pt; "> Mu HK13 ban hnh theo TT s 81/2011/TT-BCA ngy 15/12/2011 S TIP NHN LU TR X/ PHNG/ TH TRN (2) .. QUYN S: .. - Kn-top: 6pt; ">(1) Cng an qun/huyn/th x/ TP thuc tnh (2) im tip nhn lu tr TT H V TN NGY, THNG, NM SINH GII TNH CMND S HOC H CHIU S NGH NGHIP, NI LM VIC DN TC QUC TCH NI THNG TR HOC TM TR (1) 1 2 3 4 5 6 7 8 9 (1) Ghi r s nh, ng ph, t, thn, xm, lng, p, bn, bun, phurn; qun/huyn; tnh/thnh ph ni thng tr. Trng hp khng c ni thng tr th ghi n L DO LU TR THI GIAN LU TR A CH LU TR (2) (ghi r s nh, ng ph, t, thn, xm, lng, p, bn, bun, phum, sc) rowspan="2" style="width: 132pt; border-top-style: solid; border-right-style: solid; border-bottom-style: solid; border-top-color: windowtext; border-right-color: windowtext; border-bottom-color: windowtext; border-top-width: 1pt; border-right-width: 1pt; border-bottom-width: 1pt; border-left-style: none; border-left-width: initial; border-left-color: initial; padding-top: 0in; padding-right: 5.4pt; padding-bottom: 0in; padding-left: 5.4pt; "> HNH THC, THI GIAN THNG BO H V TN CN B TIP NHN GHI CH n ngy i ngy 10 11 12 13 14 15 16 (2) Nu l c s cho thu lu tr th ghi r s ph ng, tng, tn c/div> CNG HA X HI CH NGHA VIT NAM c lp - T do - Hnh phc ----> Mu HK14 banhnh theo TT s 81/2011/TT-BCA ngy 15/12/2011 CNG AN TNH/TP. (*).. H S H KHU S:.. H v tn ch h:................................................................................................................... ................................................................................................................. Giitnh:............ Ngy, thng, nm sinh:............................................................... S h khu s:..................... Ni thng tr:..................................................................................................................... ............................................................................................................................................ ............................................................................................................................................ S ng k thng tr s:.. Tp style="margin-top: 6pt; ">Np lu ngy: //.. Bo qun vnh vin (*) Cng an qun/huyn/th x/thnh ph thuc tnh CNG AN....................... ..................... THNG K H KHU, NHN KHU.. (T ngy .// n ngy .//.)