TRNG I HC Y KHOA PHM NGC THCH M S H S (do HTS quy nh, th sinh khng ghi): ... H S XT TUYN I HC, CAO NG NM 20. H V TN TH SINH (vit in hoa):............................................... .............................................Ngy thng nm sinh: ........................................................................ Phi: Nam N S bo danh: ......................................... M s phiu im: ........................ S chng minh nhn dn: .................................................... H khu thng tr: ........................................................................... .. ..............................................Khu vc tuyn sinh: .................................... i tng u tin:........................................................in thoi di ng: ................................... in thoi bn: .................................... im thi: Ton: .................... Ha: .................. Sinh: ................. Tng im: ...................... im u tin (nu c): .......................... Tng im xt tuyn: ................................................ im Ngoi ng: ..................................... H s gm 1. Bn sao y h khu (khng qu 6 thng) 2. Bn sao y hc b THPT (khng qu 6 thng) 3. Phiu ng k xt tuyn:Nguyn vng 1: .......................Nguyn vng 2: ....................... Nguyn vng 3: ....................... Nguyn vng 4: ....................... 4. Bn gc Giy chng nhn kt qu thi THPT Quc gia (Xt tuyn nguyn vng I) 5. 01 phong b dn tem, c ghi r h v tn, a ch, s in thoi lin lc 6. Phiu ng k u tin xt tuyn 7. Giy chng nhn ot gii k thi chn hc sinh gii quc gia THPT; Giy chng nhn ot gii Cuc thi khoa hc k thut quc gia 8. Giy chng nhn i tng u tin Tng cng: ............. mc Xt nghim y hc:E K thut hnh nh y hc: F Khc x nhn khoa: G Cao ng H sinh: H Y a khoa: A Rng Hm Mt: B Y t cng cng: C iu dng:D