CNG HO X HI CH NGHA VIT NAM

c lp - T do - Hnh phc MU NG K NGI PH THUC GIM TR GIA CNH Chnh thc: [ ] B sung: [ X ] Ln: [ 1 ]
1. H v tn c nhn c thu nhp: PHAN BN THIN

Mu s: 16/K-TNCN (Ban hnh km theo Thng t s 84/2008/TT-BTC ngy 30/9/2008 ca B Ti chnh)

2. M s thu:

3. Tn ca t chc, c nhn tr thu nhp: Cng ty Th nghim in Min Trung

4. M s thu: Stt 1 H v tn Phan on Bo Hn

0 Ngy sinh 03/07/2011

6 Thi im kt thc gim tr (thng/nm)

M s thu

S CMND/ h chiu

Quan h vi TNT Con

Thi im tnh gim tr (thng/nm) 03/07/2011

Tng cng: 01 NGI Ti cam oan nhng ni dung k khai l ng v chu trch nhim trc php lut v nhng ni dung khai./. Nng, ngy 15 thng 09 nm 2011. C NHN C THU NHP (K v ghi r h tn)

Phan Bn Thin