phieu yeu cau trich luc

2
. COÄNG HOØA XAÕ HOÄI CHUÛ NGHÓA VIEÄT NAM Ñoäc laäp – Töï do – Haïnh phuùc Maãu soá 01/TTÑÑ Quaän 6, ngaøy thaùng naêm 2015 PHIEÁU YEÂU CAÀU TRÍCH LUÏC Kính göûi: Vaên phoøng ñaêng kyù quyeàn söû duïng ñaát Quaän 6 1. Ngöôøi yeâu caàu trích luïc :........... Naêm sinh........... 2. Ñòa chæ thöôøng truù :....................................... 3. Noäi dung thoâng tin yeâu caàu trích luïc :.................. Veà vieäc : ................................................. .............................................................. .............................................................. .............................................................. .............................................................. .............................................................. .............................................................. .............................................................. Taïi caên nhaø soá ñöôøng.................phöôøng.......quaän 6 ............................................................... ............................................................... ............................................................... ............................................................... ............................................................... ............................................................... ............................................................... ............................................................... ............................................................... Ngöôøi yeâu caàu trích luïc

Upload: nguyenminh

Post on 04-Oct-2015

215 views

Category:

Documents


1 download

DESCRIPTION

Phieu Yeu Cau Trich Luc

TRANSCRIPT

CONG HOA XA HOI CHU NGHA VIET NAM

.CONG HOA XA HOI CHU NGHA VIET NAM

oc lap T do Hanh phuc Mau so 01/TT Quan 6, ngay thang nam 2015PHIEU YEU CAU TRCH LUC

Knh gi: Van phong ang ky quyen s dung at Quan 6

1. Ngi yeu cau trch luc : Nam sinh

2. a ch thng tru :

3. Noi dung thong tin yeu cau trch luc :

Ve viec :

Tai can nha so ngphng

quan 6

Ngi yeu cau trch luc

(Ky va ghi ro ho ten)