LAY BAN THUONG VIT QUOC HOT CQNG HOA xA I WI CI NGHIA NTIF,T NAM Bloc Tv do - 114n11 philc

SiS: 321 /HD-UBTVQHI4 Ha 1Voi, ngzv 02

HIYONG DAN" MOt so not dung ye to chin lAy phiL tin-n41444'11—

t4i HOi ding nhiln dfin cac cap nhiem ky 2016 - 2021

Can ctr quy dinh dia Lujt TO cht'rc QuOc hOi, Lujt TO chirc chinh gu,Ten dia

phtrong, Lujt Hoat cling giam sat dm QuOc hOi va Hqi ding nhan dan, Nghi quyet

so 85/2014/QH13 ctla QuOc hoi, t..,Ty ban Thtron.z v i Qu6c hOi hung dan met se)

not dung ve viec to chirc la'yphiL tin nhi'm tad HOi ding nhan dan cac cap nhiem

kY 2016-2021 nhtr sau: . A

1. Doi ttripg lay plum tin nhiem

Can cir quy dinh tai Dieu 88 Lujt To chirc chinh quyen dia phtrang.., Dieu 63

cUa Lujt Hoat ding giarn sat cila QuOc hoi va HOi ding nhan dan thi HOi ding

nhan dan lay phieu tin nhiem dOi vbi nhang ngtr&i giCr cac chirc \T2i sau day:

a) ChU tich Hoi ding nhan dan, Pho Chii tich ELc)i th.)ng nhan dan, Truang

Ban cua HOi ding nhan dan; Chanh Van phong HOi ding nhan dan dOi vii HOi

dOng nhan dan cap tinlr,

b) Chu tich Uy ban nhan dan, Ph6 ChU tich Uy ban nhan dan, Uy vien Uv

ban nhan dan.

Theo quy dinh tai khoan 5 va khoan 6 Dieu 1 Nghi quyet so

85/2014/QH13 cUa QuOc hoi, truing hop mot ngtral ding thoi gii7r nhieu chirc vu

neu tren thl viec lay phieu tin nhiem ducfc th\rc hien m)t lan dOi chirc vu

cao nhat. KhOng lay phieu tin nhiem doi vii ngubi giu chirc vu quy dinh tai

diem a va diem b roue nay c6 the4 gian dam nhiem chirc vu lien tuc chtra du 09

thang, tinh den ngay khai mac 1(7 hop to chirc 1ay phieu tin nhiem cUa Hoi dOng

nhan dan. .0 A . A 2. ThOi h4n, filed dim to chive lay phieu tin nhiem

Dieu 7 Nghi quyet sO`"),/2(.)1,11QE-I13 hOi quy dinh: "Ouoc

Hoi gong nhan dein to ch(tr ,-.7.72(die tin nhiVin inOt Ion trong moi nhi(?:in ky vao

hpp. thadrng le cuji nain thin ba nhiVin ,17-1)" Theo do, tronc, 2016-

2021, HOi dOng nhan dan cac cap to chirc lay phieu tin nhiem met Ian vao hop

thuong le cuOi nam 2018.

3. Quy trinh lay phieu tin nhi411 va tnich nhiem cua ngtrai lay phieu tin nhi@n

a) Quy trinh lay phieu tin nhiem tai HOi dOng nhan dan thuc hien theo quy dinh tai khoan 2 Dieu 63 cua Luat Moat dOng giam sat cua QuOc hei va HOi dOng nhan dan va Dieu 9 cua. Nghi quest so 85/2014/QH13. Rieng dOi vOi HOi dOng nhan dan cap xa do khong thanh lap TO dai bieu HOi dOng nhan dan thi tru6.c

khi tien hanh lay phieu tin nhiem, Thuang tnrc HOi clOng nhan dan cap xa guy& Binh viec phan chia thanh cac TO de ode dai bieu Hoi dOng nhan dan trao doi, thao luan ve cac vAn de lien quan den viec lay phieu tin nhiem.

b) Natrei &lac lay phieu phieu tin nhiem c6 trach nhiem sau day:

Cham nhat la 30 ngay truck ngay khai mac kr h9p HOi ding nhan clan, ngu&i ducre Fay phieu tin nhiem c6 bac, dm bang van bin gi:ri den Thuong, true HOi dOng nhan dan (theo miiu gin kern).

+ Thai gian bao cao: tinh tir thoi diem (lilac HOi ding nhan dan bau.

+ Bao cao cua ngued duqc lay phieu tin nhiem can be sung nOi dung to danh gia, kiem diem ve viec c6 hay khong nhirng bieu hien suy thoai ve to Wong chinh tri, dao dire lOi song, "tu dien bien", "tu chuyen hoa" trong nei bo then Nghi. quyet HOi nghi Lan thir 4 Ban Chap hanh Trung trang Ding (kh6a XII); to danh gia, kiem diem ve viec thuc hien viec sap xep bO may, tinh gian bien the 6. co quan, to chirc, don vi minh theo Nghi quyet HOi nghi lan thir

Ban Chap hanh Trung uong Bang (Ich6a XII) va Nghi quyet so 56/2017/QH14 ngay 24/11/2017 cua QuOc hOi ve viec tiep tic cal each to chirc bO may hanh chinh nha nude tinh gpn, hoat deng hi'eu lire, hieu qua.

+ Bao cao c6 dq dai to 4 — 5 trang, danh may va in tren giay MI6' A4, khOng kern theo phv bjc.

+ Ke khai tai san, thu nhap cua nguari duce lay phieu tin nhiem: theo quy dinh tai diem a khoan 1 Dieu 17 Nghi dinh 78/2013/ND-CP ngay 17/7/2013 cua Chinh pha ve minh bath tai san, thu nhap va ThOng tu so 08/2013/TT-TTCP ngay 31/10/2013 cua Thanh tra Chinh plait hung an thi hanh cac quy dinh ve minh bath tai san, thu nhap (theo mau gl'ri kern).

71-1 ,;rfc ngay lay phieu tin nhiem, n'eu e _a Hc)1 nhan clan có yeu cau thi nguoi &Jac lay phieu tin nhiem c6 trS i nhiem tea tai bang van ban girl

3

ThuOng trtrc FIOi dung nhan dan, dai bieu.ElOi deng nhan có yeu (th.f-c

quy dinh tai Dieu 9 Nghi quyet so 85/2014/QH13).

4. He qua dOi nguiri dirge IAy phieti tin nhiem

He qua dOi vai ngtrai dirge lay phieu tin nhiem thirc hien theo quy dinh

tai khoan 3 Dieu 63 Luet Hoet dOng giam sat cita Quoc hoi va HOi dena nh':Ln

dan, Dieu 10 NEN quyat so 85/2014/QH13 cua QuO'c

5. Ket qua 1Ay phieu tin nhiem

- Viec xac clinh ket qua lAy phieu tin nhiem, tong s6 dai bieu Hqi &')'ng

nhan dan dtro'c six dung lam can cir de tinh tST le phieu, nghi quyet xac nhan ket

qua lay phiL tin nhiem duov thgc hien theo quy dinh t i cac khoen 1, 3 va

Dieu 17 Nghi quyet so 85/2014/QH13 citaQu'ac A

- Viec ban hank Nghi quyet xac nhen ket qua lay phieu tin nhiem thuc

hien theo quy dinh tai Dieu 86 Luet To chirc chinh quyen dia. phtrang,

6. De limn tat cong tac lay phieu tin nhiem, Thtrong trtyc Hei don2

nhan d5u can quan tam lanh (14o, chi d4o mot s6 viec sau

(1). Quan triet sau sac, day du de tirng dai bieu HOi deng nhan clan nam

chic muc dich, yeu cau, not dung, trinh tu, thu tic duos quy dinh tai Nghi quyet

cua QuOc hoi va bao dam de dai bieu nhan thire sal). sac trach nhiem that'

nhan dan dia phuong thirc hien quyen giam sat, d6.nh gia tin nhiem dei v&i cac

dtrov HOi deng nhan dan bt'iu mot each that dan chU, then trong, khach quan,

cong, tam va chinh xac.

(2). Huang an, yeti cau cac vi dtrgc 15y phieu tin nhiem chtian bi bao cao

de giti den tong dai bleu HOi dOng nhan dan; Uwe hien viec cong khai Ban

khai tai san, thu nhep theo quy dinh, clang th&i tra lei day du, nghiem tue cac van

de ma dai bieu HOi deng nhan dan neu ra.

(3). Viec Pay phieu tin nhiem can dug° to ehtire chat che, theo dung nOi

dung, trinh hx, thit tuc; bao dam de dai bieu HOi deng nhan có du th&i gian can

nhc, suy nghi than trpng fru& khi ghi phieu danh gia tin nhiem dOi voi ngubi dtrgc lay phieu tin nhiem; .kiem soat tot tinh hinh tie's) nhan thong tin, khen2 sir

dung thong tin chtra dirge kiem

(4). Thueyng true HOi deng nhan dan ode can can 01c biet quan tam, lanh

thjo, chi cla.o de viec 1av phieu tin nhiem det duce rnyc cau dat ra.

(5), Thmsyncr., trvc clOng clan thanh pho khan throng tong

hop ket qua lay phieu tin nhim c:aa I-101 dcutg nhan &in cac cap (tinh, huyn, :ca) ngay sau khi hoan thanh viec phieu tin niiiem, kip thai bao cao ket qua giri 1,,e fIy ban ThuCrng vu QuOc hg-p bao cao BO Chinh tri, Ban Bi

thu theo quy Binh. 0.t

Teen day la huO-ng dan nhiem tcd1-1Oi dOng nhan cian cac chirc thijc hien neu CO vuong tinh, thania pho trgc thuOc trung ucilg

(l, /,,,a Ban Cong tac biZzO d

viec to chirc lay phieu tin

2016 - 2021. Trong qua trinh to to nghi 1-FOi dong nhan clan cac

b(3o cao Uy ban Thu&ncr. v11 QuOc

4o, hung

IVo,i 11110n: - TTHDND tinh, IP (de to chirc thvc hien); - BO Chinh trj, Ban BI thu (eta b/c); - Chu tich Qu¢c h¢i (de b/c); - Cac Ph6 Chu tich QuOc h¢i (,11 b/c); - vien UBTVQH; - ThO Mang Chinh - UBTIATIVITTQ Viet Nam; - Ban Thu-&-ng vi tinh, thanh - Ban cong tac dpi bieu; - Van phong Chinh phit, B¢ N¢i - LLru HC, C PUB: B-pas:

BAN 1-111IONG VT) QUOC HOT. KT. CHU TICH PH6 CHU ITCH

HQI DONG MAN DAN

C NG HOA x. HO' CHU NGHTA NAM (1) DQc lap — Tir do —1-4nh pink

S6: /CV-HDND

V/v giri bdo cao vg, ke khai ta4.§.4n,. thu nhap phvc V1,1 lay phieu tin nhiem

tai ky hop thir HDND

... (2) ..., ;?gay thcng njin 2

Kinh Dang chi

Can ctir Luat To chirc chinh guyan dia phuong, Luat hoot dang Ltiam sat ctla Quac, h6i vg, !Jong nhan dan; can ctr Nghi quyet so 85/2014/QH13 can Quac hOi ve lay phieu tin nhiemdel nguai giachirc vu do Quac hOi, HOi 'long nhan dan bau hoac phe chuAn, Thuang trtrc H6i (long nhan dan tran trong, de righi ecng chi chuAn bi cdc not dung sau day:

1. Bao cao dia nguai &roc Ely phial.' tin nhiem

- Thai gian bao cao: tinh tir thai diem ctugc Hqi clang nhan dan bau. - Nai dung bdo cao: clay da, site tich ve cac not dung theo quy dinh tai Dieu

5 ciaa Nghi quyet 85/2014/QH13 (mein dinh ken); co do ciai tir 4 — 5 tram_, ctLah may vg, in tren giay kilo A4.

Bao cao dia nguai clugc lay phieu tin nhiem can ba sung not dung, ttr clanh gid, kiern diem ye viec c6 hay khong nhiing bieu hien suy thoai ve ttr tuang chinh tri, dao dire lai sang, "ttr din bian", "ttr chuyan hod" trong not ba theo Nghi quyet Hai ndil Ian thir 4 Ban Chap hanh Trung trong Davy (khoa XII); ttr danh gid, kiem diem ve viec thtrc hien viec sap xep b6 may, tinh gidn bien the co. quail, cip:rc, don vi minh theo Nghi quyet H6i nghl lan dila. 6 Ban Chap hanh Trung 'rang a:tn2 (khoa XII) va Nghi quyet so 56/2017/QH14 ngay 24/11/2017 dia Quac hC,)i ve viec tiep ttic cai each to chirc b6 may hanh chinh nha ntrac tinh g9n, hoot cl6ng hien ltrc, hieu qua.

2. Ke khai tai sari, thu nhap: theo quy Binh tai diem a, khoan 1, Dieu 17 Nghi dinh 78/2013/ND-CP ngay 17/7/2013 dia. Chinh phu ye minh batch tai sari, thu nhap vg, ThOng ttr so 08/2013/TT-IICP ngay 31/10/2013 dm Thanh Ira Chinn phu huong an thi hanh cdc quy dinh ve minh back tai san, thu nhap (thoo miTa Binh kern).

Tran trgng de nghi 'Tang chi hoan thanh cdc van ban neu tren vg, giri ve Thueng trtrc HOi clang nhan dan trwit ngay .../.../2018 de kip tong hop, giri t6i dai bieu Hai clang nhan dan theo quy dinh.

TM. THIYONG TT-WC HDND CHU TTCH

- Nho kinh girl; - Lou HC;

GM clan (1) Cap don vi hanh chinh vg, ten dia plilrang. (2) Ten dia dank.

3

CONG TIOA HOI CE] 1,11::-T NAM

Dec 1 Ip — Tir do —Hpth. phile

... (1) , ngay thOng

BAO CAO CtjA NGVOI DU VC LAY PHIEU TIN NHIEII

`llji kti-hcp ang nhan khoa... nhiem 1:" 2016-2021

Kirsh Cac vi dpi biLt Hei deing nhan dan

- Tel la: (3)

- Chic vu: (4)

- Don vi cong tac.

Can ctir vac Nahi quyet se 85/2014/QH13 naay 28/11/2014 cUa Quec 1-16:1 viec lay phieiu tin nhiem, be phiL tin nhiem del vol nzuc'fi gift chirc, vv. do Quoc. hei, Hei dung nhan dan bau ho.jc phe chuL, toi xin bao cad nhu sau:

, 1. -\7' kL qua thvc hien nhim theo quy dinh claa phap luat del voi cac chirc vu do Hei d'ong nhan dan b'au (qi clung bao coo 67'4' (VI viec t1-2u.c

hien nhiein quyen hczn theo quy Binh ctia phap loot cof voi cac ChilV v11 do HOZ:

gong nhcin clan bau).

2. TV danh gia ve cac nei dung to dtrong pham chat chinh tri, clajo dire, 15i song

3. Giai trinh day n cac nei dung ma 4.1 bleu Hei dena nhan dan yeu cau (nLi co)

4. Giai trin_h ve y ki6n, kien nghi cua cu tri do fly ban Wt tran To quec chuyL d6'n (nett co)

Ngtrari bao ea° (KY) ver ghi 7-5 179 ten)

Ghi len dia danh.

(2) Ghi HDND tinh, huyen hay xd nao. (3) Ghi rei hp va ten. (4) CA ,7:chirc HPi (long nhan dan bau h0c, phe chuL.

KE EILAI 1 SAN, THU NHAP (Ban hanh kern 'ilea Thong tis 08/2013/TT-TTCP ngay 31/10/2013 czia Thahl: tr.a C7:[nh

I. THONG TIN CHIJNG 1. Ngtreri ke khai tai san, thu

- Ho va ten: Ndm sinh: - Chirc vg/ chit° danh cong tac: - Cu quan! don 1,71 cong tac: - HO khau thtrgng - Cho & hien tai: 2. Vg hoc claong cua ngugi kC khai tai san thu nh'ap

- Ho va ten: Nam sinh: - Chirc viI chirc danh cong tac: - Co quan/ din vi cong, tac: - HO khau thuong - Ch 3 & hien tai:

3. Con chua thanh nien (con de, con nuoi theo quy dinh ceLa phap IttJt) a) Con thir nhat: -Ho va ten. - Ngay thing nam sinh: - HO khAu thuerng trir - Ch6 & hien tai: b) Con thir hai (tref len): (7(e khai ?lint' con th(r nhat) (Con cla thanh nien khong phcii khai) H. THONG TIN MO TA YE TAI SAN

1. Nha &, cong trinh xay (Argireti ke khai tze mó to cac loch nha, cong xay dg khac do ban than, vo' hoc chong, con chzta thanh nien so. him hoc s6' hIhi mot phcrn).

a) Nha &: Nha thir 1: (Dia chi tai:

+ Loai nha: Cap cong trinh: + Dien filch xay dung: + tri: + Giay chirng nha.'n 5uye'n s& + Thong tin khac (neu có)• - Nha thir 2 (trer len): Kê khai treang tke nhte nha thi'r nhat.

b) COng trinh xay dung khac: - Cong trinh thir 1: (Dia chi tai: + Loai cong trInh: Cap cong trinh: + Dien tic:i xay • + Gia tri: + Giay seY + Thong tin khac (lieu e(5)•

Nqu.ari nhan: 1 N21r"..-ri

1

- COnr2, trinh thir 2 (tra• len): Ke khai ticcrng ttc nlzzr song trinh thz'r nhc1t.

• uyen sir dung dat: (Ngithi ke khai tGC rno to ccic !oei Coat do ban thdn chong. con chica thenh nien co quyen st'e dung toei: i0 hoJrc tn5t phan).

a) Dat - Manh thir nhat: (Ghi then tirng 10, khoanh, Onion vier:). + Dia chi: + Dien tIch: - Gia tri: - Giay chit-rig nhan 9uyen sir dung: +

Thong tin khac (neu có)•

- Manh thir 2: (MO to nine Manh this nhat).

b) Cac loai datkhac: (Ghi thee tzl-ng 10, khoanh, kh2Con vien) - Manh thir nhat: (Ghi then t!'17'7 7, 16, khocin12, khuoi7 vien). + Dia chi: + Dien tich: + Gia tri: + Giay chimg nhan 9uyen sir dung: + ThOng tin kHz (neu c(5)• - Manh thir 2: (A/TO to nine manh thin nhcit).

3. Tien (tian V*. Nam, ngoai tie) gam tin mat, tien cho vay, tian giri cac ca nhan, to chirc trong ntr&c, ntro.c ngoai tai Vi4 Nam ma tong gia tri quy dOi to 50 trieu d8ng tr& len.

4. O to, me to, xe gAn may, xe may (may ill, may x6c, cac loaf xe may Lilac), tau tilt:1y, tau bay, thuyan va nhang dOng san khac ma Nha mroc quan ly (thee quy dinh dia phap luat phai ,dang ki sir dung va dtrcic cap giay clang hi) có tang_si gia tri m6i fir 50 trieu (tong trO. len. - to -MOte - Xe gan may - Xe may (may ill, may xiic, sac. loaf xe may khac) - Tau thiiy - Tau bay - Thuyen - Nhang Ong san khac maNhant.rdrc quanVi (thee- quy dinh cUa phap luat phai , , dang ky sir dung va dugs cap giay gang k3'7)

5. Kiln loai quy, da 94, c8 phiL, von gap vao rAc so. kinh doanh, cac loaf giay tar có gia tri chuyen niaugr, r: gia tri quy dais mai loai tir 50 trieu clang tro' len. - Kim loai quy

nh.11-L: 2 Ncrirai

- quy , - CO phieu - Von gop vao cac co so kink doanh - Cac loci giay to có gia tri chuyen nhugng khac

6. Cac loci tai san khac ma có gia tri quy dOi moi 10 i tir 50 trieu long trO' (nhir cay ccinh, b:c5 ban ghe, cinh, cho m9 nghe va cac scan khoc).

7. Tai san, tai khoan a nugc ngoai gom tat ca tai san quy dinh tir Khoan 1 Khoan 6 not tren nam ngoai lanh tho Viet Nam.

8. Cac khoan ng Cac khoan phai tra, gia tri cac tai san qaan he, Eifr 110 có tong gia tri tir 50 trieu dOng tr& len

9. Tjgic..z, thu nhap trong nam quy dOi thank tien Viet Nam gam cac khoan 1uona, phi cap, trg,cap, thu&ng, lao, cho, tang, bieu, thUa ke, thu nhap huon2-, lgi tir cac khoan dau tu, pliat sinh, sang che, cac khoan thu nhap khac.

III. GL 2I SIX BIEN SONG CUA TAI SAN, THU N11213

Loai tai san Tang/ghim NOi dung g-hii trinh nguon gC)c tai sin, thu nhap tanc them

1. Nha ar, cong trinh xay di,rng (tang, gam Ve so lucrng, dien tich hoc thay dal ye cap nha, cong trinh so yen * ke khai truOc do): a) Nha er: b) CON trinh xay dung khac: 2. Quyen sir dung dat (tang, giam v'e s6 lucing, dien tich, thay dOi loai d'dt so v6i kY ke khai truac do): a) Dat 0: b) Cac loai dat khac 3. Tin (tien Viet Nam, ngoai tld) go' m tien m4, tien cho vay, tien giri ca nhan, to chirc trong nude, to chirc nuac ngodi tai Viet Nam ma tong gia tri quy doi tir 50 trieu (long tr& len

3 NgtrOi nhnn:

' 4. Cac loai.(1'-,na, s','12: - 6 to - MO to

Xe gap may - Xe may (may id, may xile, cac loai xe may khe,c) - Tau they - Tau bay - Thu -en - NhtIng dOng san khac ma. I\Tna ntrk quan ly (the() quy Binh cUa phap lu5,t ph5.i ding 1(,",' sir clung va cltro.c cap giay done)

•

5. Cac loai tai san: - Kim loo i quY - Da guy:, - CO phieu - Von gop vao cac co' so. kin_. cioanit - Cac loci a.idy to. có c_ria '-', chuyLe) nhtrgricz, kladc co tang Qia tr'-': ti _ ,:-..f ,•:);_ n-:6i loai tir 50 trieu (long- tr& len

1

6. Cac loai, tai san Ichac (nhic cav canh, b0 ban ghe, tranh, anh, c-16 ,o :ugh' va cac loaf tai san khcic) ma gia tri quy doi In6i loai tir 50 triu dong tr& len _ 7. Tai san, tai khoan & nuarc ngoai gom tat

CO tai sari quy Binh tir Khoan 1 c.in Khoan

6 not tren nam ng_oai Laub thO Viet Nam.

8. Cac khoan no. g6m: cac kboan phai irk

gia tri cac tai san quanb'ih(15, gii7r1V-;') co tong

2idtri quy 61 nil. 50 triti d6na tr&le'n.

9. T6ng thu nhap trong njilia quy d6i

thanh tin Viet Nam

kiwi tic xcic dinh cac locri tai san king, giam trong kl)k.e khai va gild trinh szt tc1=70-giYun cOa tai san thitOc sOr hieu ci%a ban than, vo' hock chlmg, con chita thanh

Ngay nhan ban k-e khai tai san, th2.1 nhap ngay than a nam

Nproi nh4n ban ke Ural (K)), ghi rd hp ten, chzic v2,ilchirc dank)

Ngay hoan thanh ban ke• khai tat san, tin‘ Whop ............, ngay thcing na'm .......

Ngu'hi ke khai tai san, thu nh4p (Icy, ghi rä hQ ten)

. nh,:,th ban Ice khai tc‘71 sthn, t,"77.1 phthi ,en tbng trang Cu

;`11 san, thu nh(ip. ki, (5?-7 `77:7, ;thong (Argc ho trong.

nMn: 4

TM. T:J' 17 BAN THTfONG VU QUOC HOI KT. CITO TICH

y1 Y VIEN

n Vdn Ttly

THUtiNG VV QUOC HQI

S6: 322 iLTBTVQH14-CTDB

i-I.Q1 CIiU NGHIA VIET NAM IN1c lap — Tiy do —Hqnli pluic

Hd N<: c, ngay 02 ththng 10 nam 2018 Tai Uti tham khao thvc. hin

viec lay phieu tin nhi''m doi vbi ngutri giu chirc vu do HDND b'du

Kinh Thuang trgc HOi (fang nhan dfin cac tinh, thfinh pho trgc th4c Trung ucrng,

Thgc. hien Nghi quyat se) 85/2014/QH13 cia a Qua'c hoi ve viec lay phieu

tin nhim, be, phieu tin nhiem ct6i vii nguai giu chirc vg do Quac hOi, HOi eng

nhan dan bfiu hoa.c phe chufin. Tren co so' de nghi cua Thuang trgc H"c)i dOng

nhan dan mot s6 dia phuong, Uy ban Thuang vu Quoc hoi xin giri den Thuang

trgc 1-16 dc'ing nhan dan cac tinh, thanh phO b(5 tai lieu Om cac van ban iien

quan den viec to chgc lfiy phieu tin nhiem a cac dia phuang co ca so' tham khao

trong qua trinh trien khai thgc

(Xin cac van ban kem theo).

11h tin: - Nhu. frEn; - UBTVQH (bao cao); - Lu-u: HC, CTDB; - E-pas: 76662

7.1

j,~ tx J :i .

HOI DOING MAN DAN CQNG HOA XA HQI CHU NGHIA VIFE NAM .(1) p Ty do - Hanh pink

...(2)..., ngay ihang flan? 2018

NQI DUNG CHU YEU Phien hcp lAy phieu tin nh4m then Nghi quyet,sO 85/2014/QH13

(Tai 19) h9p thzi- HDND ...(1)... nhim kj) 2016-2021)

1. Chia tich FLOi Bong nhan dan phat bleu mot so van de lien quan trong viec lay phieu tin nhiem;

2. Thuong tnrc HOi dong nhan dan trinh HQi dong nhan dan quyet Binh danh sach nhang nguai ducYc lay phieu tin nhiem tai KY h9p thir dOng nhan dan nhiem kY 2016-2021 theo Nghi quyet so 85/2014/QH13 (bie'u quyk;

3. Dai bieu Hoi dong nhan da'n thao Juan tai TO. Rieng doi vci HQi &Ong nhan dan cap xa do khong thanh lap TO dai bieu Hoi dOng nhan dan thi truck khi tier hanh laY phieu tin nhiem, Thuong trgc cieng nhan dan cap xa quyet dinh viec phan chia thanh cac TO de cac dai bieu HQi dOng nhan dan trao doi, thao Juan ve cac van de lien quan den viec lay phieu tin nhiem.

Cdc TO dai bieu Hoi dong nhan dan giri Bien ban ket qua than Juan ve ThuOng true Hoi dong nhan dan;

,4. Thuong true HOi dOng nhan dan nghe Bao cao ding hop ket qua thao Juan

tai To;

5. Thuong trgc HOi dong nhan dan Bac cao tuft HOi ciOng nhan dan ket qua

thao luan tai To dai bleu;

6. Thuong trgc HOi dong nhan dan trinh bay Ta• trinh ve dy ki'en danh sach Ban Kiem phieu;

7. Dai bleu HOi dong nhan dan bleu quye't thong qua danh sach Ban Kiem phieu;

8. Tru&ng Ban kiem phieu phO bieu the le va each thgc ghi phieu tin nhiem;

9. Dai bieu Hqi dOng nhan dan tien hanh ghi phieu, bo phieu;

10. Twang Ban Kiem phieu cong b6 ket qua kiern phieu;

11. Thu 14 kY h9p trinh bay dg thao Nghi quyet xac nhan ket qua lay phieu tin nhiem;

12. HOi dOng nhan dan biJu quy6t thong qua Nghi quy6t.

Ghi chu: (1) Cap don vi hanh chinh va ten dia phuang. (2) Ten clia danh.

HQI BONG NIIAN CQNG HOA. XA HQI CHU NGHIA VIET NAM (1) D(ic lip - Tir do - 14n11 pink

S6: /TTr-HDND ngay flaw 2018

TRiNH Ve danh saeh nhirng ngtroi (lave lAy phieu tin nhqm

theo Nghi quyet so 85/2014/QH13 cua Quik hoi tai Icy hop thin thing nhan dan .....(1)... nhi'm 1(5, 2016-2021

Kinh Cac vi c1 i bi6u Hii ding nhan dan,

Can cir DiOu 88 Luat TO chirc chinh quyLl dia phuang va Dieu 63 Luat

Hot cling giam sat ciaa QuOc hoi va Hii ding nhan dan; Can cir Nghl quyet so

85/2014/QH13 cUa QuOc hid ve tiled diOm lay phi6u tin nhiem dOi \rod ngded gid

chirc v11 do QuOc hqi, HQi ding nhan dan h'a'u ho4c phe chuAn quy dinh Hii

ding nhan dan1dy phiL tin nhiem dai voi nhang ngued gid cac chirc vu sau:

a) ChU tich HQi ding nhan dan, Pho Chu tich Hid ding nhan dan, Truing

Ban cUa Hoi ding nhan dan; Chanh Van phOng HQi ding nhan dan doi vai Hii

ding nhan dan cap tinh.

b) Chit tich TiTy ban nhan dan, Pho Chu tich 1:1Y ban nhan dan, Uy vien Uy

ban nhan dan.

Theo quy dinh tai khoan 5 va khoan 6 Dieu 1 Nighi quyet so 85/2014/QI-113

cUa Quic hii, true:mg hop mit ngued gong thed gid nhiOu chirc vu tin viec lay

phiL tin nhiem throe thgc hien mot IAn doi yeti chdc vu cao nhAt. Kheng lay

phieu tin nhim d6i veri nguefi gia chile viz quy dinh tai di'm a va diem b nen

tren co tiled gian darn nhiem chirc vu lien tttc chua da 09 thong, tinh den ngay

khai mac ky hop to chirc lay phiL tin nhiem cua HQi ding nhan dan.

Nu co trtrong hgp cu th"J can giai thick thi boo cao, giai trinh r5

H.6i clang nhan dan).

Thuiyng trgc Hoi gong nhan dan xin trinh danh sach nhimg nguei dug° lay

phieu tin nhiem tai hop tlair ding nhan dan ...(1).... nhiem Icy 2016-

2021 nhu sau:

1. Ong (ba) Chu tich HOi ding nhan dan;

2. Ong (ba) PlaO Chu tich Hei cling nhan dan;

3. Ong (ba) TruOng Ban ... cf.7.a HOi dOng nhan dan;

4. Ong (ba) Chanh Van phong HO1 dOng nhan dan

(cap tinh);

5. Ong (ba) Chu tich Uy ban nhan dan;

6. Ong (ba) PhO Chit tich 0Y ban nhan dan;

7. Ong (ba) Uy vien Uy ban nhan dan;

Kinh trinh H'91. (fang nhan dan xem xet, quy6t dinh Danh sach nhang ngued

dugs 1ay phiL tin nhiem tai ky hop thir HOi dOng nhan dan ...(1)... nlam k-S7

2016-2021. TM. THVONG TRTIC HDND

CHU TICH

nhijn: - Nhtr tren; - Cac 8ng (ba) dtrgc HD/ND

lay phieu tin nhin.-r, - Ltru VT.

Ghi (1) Cap don vi hanh chink va ten dia phtrong. (2) Ten dia danh nal dOng try so..

HOT BONG NHAN r;ONG HOA XA HQI CHU NGHIA vii T NAM (1) Di;ic tap - Ttr do - H4nh pink

So: /Tfr-liDND (2)..., ngay thong nain 2018

Td TRINH Ve danh sach Ban kiem phieu lAy tin nhirn dOi vOi ngtroi giir chirc 1/9

do 1191 dOng nhan dan !Au tai ky h9p tht'r nhi'01 icy 2016-2021

Kinh thwa cac vi bi -Juff:Oi gong nhan dan,

Theo quy Binh tai Dieu 9 Nghi quyet so 85/2014/QH13 ve viec lay phieu tin nhiem, be phieu tin nhiem dOi vdi nguoi gicr chdc vu do Quac hei, Hei, clang nhan. dan bau hoc phe chuan va Dieu 63 LuOt hoot dung giam sat caa Quec hei va Hei clang nhan dan. Tai ky hop nay, Hei clang nhan dan dO bieu quyet thong qua danh sach nhang nguei clugc la(_y phieu tin nhiem. De CO claire viec thy phieu tin nhiem b•LIg be phieu kin, xin trinh Hei clang nhan don clr kien Danh sach Ban kiem phieu gam cac cang, ba có ten sau day:

1. Ong (ba) , doi bieu Hei clang nhan dan To ....; Truong Ban kiem p hien.

2. Ong (ba).. dai bieu Hei clang nhan dan TO ...., Uy vial

3. 'Ong (ba).. dai bleu Hei clang nhan dan To ...., Uy vien

4. Ong (ba).. doi bieu Hei clang nhan clan TO ...., Uy vien

5. Ong (ba).. dai bieu Hei clang nhan clan To Uy vien

6. Ong (ba).. dai bieu Hei dung nhan dan TO ...., Uy vien

Xin trinh Hei clang nhan clan xem xet, quyet

TM. THEYONG TR1VC BIDND CHU TICH

-Nhu ten; - Ltru VT.

Ghi chti: (1) Cs.p don vj hanh chink va ten dja phuang. (2) Ten dja danh.

I II 11.. au...Own( Jai. IIDNINYlliCII.)1.1110..11,0411,,IlhAN /.1.1 P.IIE). Joe

HOT DONG NHAN DAN HOA L75. HOI CHU NGHTA Mr NAM

-(1) Di)e. 141) - 1 do - Htnh phut

BAN 1,ai,'-'1‘1 PHIEU jaggy thang nam 2018

PHAT BIEU CUA TRU'I'NG BAN KIEM PHIEU

Kinh diva chaff toa phien hQp,

Thay mat Ban kiem phieu, Vol xin bdo cdo voi He?'i dOng nhan dan viec tien hanh lay phieu tin nhiem nguad git chirc vu do Hei dung nhan dan bau theo Nghi quyet so 85/2014/QH13 cUa Qu'Oc hei tai ky hpp thir HOi d('3.ng nhan dan ...(1)... nhiem kS/ 2016-2021 nhu sau:

1. Ve Phieu tin nhim

- Phieu tin nhiem duqc chuan bi thanh loai theo ding eh-ix vu hoac nhOm chirc vv. ma H.p'i 0ng nhan dan ...(1)... nhiem kS7 2016-2021 da bku. Moi phieu in tren giAy có m'au khac nhau. Tren tirng phieu cid ghi ro hp ten, chirc vu cUa ngtriN dupe lay phieu kern theo cat o tuong ung voi ba mitt dP' tin nhiem

(tin nhiem cao, tin nhiem, tin nhiem thAp), cu the nhu sau:

1- Phieu tin nhiem doff voi Chit tich Hoi demg nhan dan;

2- Phieu tin nhiem d6i voi cat Pho Chu tich HEN clung nhan dan; Truong cat Ban Gila 11(5i dong nhan dan; Chanh Van phang HQi dOng nhan dan (cap

tinh);

3- Phieu tin nhiem c#oi voi Chu tich Uy ban nhan dan;

4- Phiu tin nhiem dui voi cat Pho ChU tich, Uy vien Uy ban nhan dan;

- Phia tren, ben trai claa moi phieu clugc dOng dau HOi dOng nhan dan.

2. Truo.ng hcrp phieu sau day la khOng hcfp

a) Phieu khong theo mau do Ban kiern phieu phut ra;

b) Phieu khong xac dinh mire do tin nhim ho4c hja ch9n nhi'eu hon mot

mirc do tin nhiem;

Truong hcp phieu ghi ten 2 ttr ngtrefi tr& len ma phn the hien mirc coo tin nhiem dui voi mOt ngued khong hpp le thi chi xac dinh khong hop le d6i voi nguai do; ket qua the hien mire do tin nhiem dui voi nhtimg nguai can lai trong danh such van hop le.

2 Tlu*ng hip có ghi them ten ciaa ngued ng: &Ilk!, scli O nom;

phieu do Ban kiem phiL r c.t ra thl phAn ghi them do khong co giaqua the hien mdc (-18 tics nhiem%7Oi nhang nguari con lai trong danh s611. van h•-r;

3. Ve danh dAu phieu va bo phieu

Sau khi nhian phieu, dai bieu the hien chinh kien ve mire c10 tin nhiem cna

mush bang each danh dAu (X) vao mOt trong 3 8 IA "tin nhiem cao" hoc "tin

nhiem" hoc "tin nhiem thAp" duo:c in san tren phieu; neu can, dai bieu dOi lai phieu vcn Ban kiem phieu.

BAN ICIEM PHIEU

Ghi elni: (1) Cap dan vi ha.nh chinh va ten dia. phirong. (2) Ten dia danh nai dOng trim

HQ! BONG NHAN DAN ..(1)....

NHIV.,,M KY 2016 - 2021

CQNG HOA X11 HOI CHU NGHTA VIVI' NAM Doc - Tv do - 1-14nh ph&

(2) ..., ngay thcing nain 2018 H9P

(Bong d au clic! HDND)

PHIEU TIN NHItM DOi v&i Chii tich 110i dOng nhan dan

(Dai bleu the hien y kien cua minh bang each danh clau x vao mot trong ba 6 mire c16 tin nhiem)

STT He va ten

Chuc vu do Milling nhan clan

'Au

Mire do tin nhiem

Tin nhiem

cao

Tin nhiem

Tin nhiem thap

Ghi chu: (1) Cap dan vi hanh chiral va ten dia phuang. (2) Ten dia danh.

HQI BONG NIIAN DAN

2016 - 2021

CQNG HOA XA HQI CH-(1 NGHJA Val' NAM Ncl5p - TIT - ikn4

(2)..., ngay thang nam 2018 Ki/H9P THIT

(Doug dau ciia HDND)

PHIEU TIN NHItM Doi vol Pho Chii tich Hqi dOng nhan din, Truerng Ban cila HQi dOng nh5n

Chanh Van phOng Hpi dOng nhan, din (dOi voi cap tinh) (Dgi bieu the hien kien aria minh bang cdch danh dau x

vao 7110t trong ba o =iv ctri tin nhi em)

STT - HQ va ten

Chire vv do ILA (long nhan dart

bau

Mire dO tin nhi,em

Tin nhqm

cao

Tin nhqm

Tin phial thfp

1 (3) (4)

7

3

4

....

Ghi chu: (1) Cap don vj hanh chinh va ten dja phuKrng. (2) Ten dja danh. (3) Ghi ro hp va ten. (4) Cac chin vkl turn-14 ang vai pham vi nhCrng ngubi gia chirc vu do HOi ctOng nhan dan bau

tren ten phieu.

2

HQ! DONG NHAN DAN ..(1). -

NIfitM ICI' 2016 - 2021

CQNG HOA XA HO CHU NGHIA VItT NAM frcic la:`p - Tyr do - Hanh phtic

(2) ..., ngay thang neim 2018 Ki7 HOP

(Dong ddu cita HDND)

PHIEU TIN NHIEM DOi voi Chit tich Uy ban nhan dan

(Dgi bieu the hien Y kien cua minh bang cach danh dclu x vao mot trong ba 6 mire d6 tin nhiem)

STT 119 va ten

Chin vudo 1-1.f)i dOng nh5n dan

b5n

Mire do tin nhiem

Tin nhiem

cao

Tin nhiem

Tin nhiem thap

Ghi (1) Ck3 don hanh chinh va ten dja phtrang. (2) Ten dja danh.

3

HOI DONG NHAN DAN 41)—

NHIT.111 KY 2016 - 2021

C1(2N t.; HO A HQI CHU NGHIA VIFT NAM D6c !i:, - Tur do - Wanh phtic

(2) ..., ngay thang n am 2018 HyP THIS

(DOng dau czkr HDND)

PHIEU TIN NHItM DOi Pho Clift tick Uy ban nhan dan, Uy vien Uy ban nhan dan

(Dal' bieu the hien f) k-ien cua minh bang cach danh dciu x vao mot h-ong ba o ndrc dO tin nhiem)

STT 119 VA ten

Ch tic vu do HO dOng nhan din

bau

Min 4 tin nhim

Tin nhqm

cao

Tin nhiem nhiem

Tin nhiem th a p

1 (3 ) (4)

7

3

4

Ghi chin (1) Cap don vi harsh chink va ten dia phIrcrng. (2) Ten dja danh. (3) Ghi rO hco va ten. (4) Cac chuc vu tucrng ang vdi ph4rn vi nhang ngiroi gid chirc lip do HOi ciOng nhan dan btni

phi tren ten phieu.

4

HQI DONG NHAN DAN (1)

BAN KIEM PHIEU

cry `TG HOA XA HQI CHU NGH1A MT NAM 11)("c1jp - Tv do -1-1#nh phtic

...(2).., ngay thcing ?lam 2018

BIEN BAN KIEIVI PHI il;U Ket qua 14 phieu tin nhi?In dai voi ngtroi giir chtk vii

do Hai dting nhan din bAu

NO.), thang n'am 2018, Ban kiem phieu chimg tai gam:

, 1. Ong (ba)..., dai bleu Hai clang nhan dan T phieu.

2. Ong (ba)..., dai bleu Hai ding nhan clan TO .. 3. Ong (ba.)..., dal bieu Hai ding nhan clan TO .. 4. Ong (ba)..., dai bieu Hai clang nhan dan TO .. 5. Ong (ba)..., dai bleu Hai ding nhan dan To .. 6. Ong (ba)..., dai bieu Hai ding nhan dan TO ..

6 ....; Truing Ban kiem

f▪ iy vien f▪ .1y vien

..,1:Jy vien ▪ Uy vien

f.Jy vien

Ba ten harsh kiem phieu va lap Bien ban xac dinh.ket qua lay phieu tin nhiem

dOi nguiyi giu chdc vu do Hai ding nhan dan b.au. Cu the nhu sau:

- Tang so dai Neu Hai cling nhan dan :

- S6 dal bieu Hai clang nhan dan có mat:

KET QUA CV THIS

1. Ong (ba) Chu tich Hai ding nhan clan

+ SO phieu hgp + SO phieu khong hop 1e :

+ S6 phieu tin nhi'em cao : phieu (chiem ...% tang s6 dai bieu I-4)ND).

+ S6 phieu tin nhiem : phieu (chiem ...% tong s6 dai bleu HDND).

+ S6 phieu tin nhiem thAp : phieu (chiem ...% tang so dai bleu HDND).

2. Ong (ba) Pho Chu tich Hai ding nhan dan

+ SO phieu hap le + SO phieu khong hap 1e :

+ S6 phieu tin nhiem cao : phieu (chiem ...% tong s6 dai Neu HDND).

+ S6 phieu tin nhiem : phieu (chiem ...% tang s6 dai bieu HDND).

+ S6 phieu tin nhiem thap : phieu (chiem ...% tong s6 dai bieu Hf)ND).

3. Ong (1)11) „ Tru.&;:fi kinh to va ngfin sach, Hai dOng

+ So phieu hop le + S8 phieu khong hop le : + S6 phieu tin nhiem cao : (chiem ...% tOng so dal bieu HDN.1)). + S6 phieu tin nhiem : phieu (chiem ...% tong so dai bieu HDND). + SO phieu tin nhiem thAp : phieu (chiem ...% tong so dai bleu HDND).

4. Ong (ba) Tru'&ng Ban van haa — x'a hOi, Hai ding nhan dan

+ So phieu hop lie + SO phieu kh8ng hop le : + S8 phieu tin nhiem cao phieu (chiem ...% tang se dal bieu HDND). + S8 phieu tin nhiem phieu (chiem ...% tOng se) dal bieu HDND). + S6' phieu tin nhiem th'Ap : phieu (chiem ...% tOng so dai bieu HDND).

5. Ong (ba) Trtrfrng Ban phap ch,11(;ii dOng nhan dan

• Se) phieu hop le

+ SO phieu kh8ng hcrp le : + SO phieu tin nhiem cao phieu (chiem ...% tOng so dai bleu HDND). + S8 phieu tin nhiem : phieu (chiem ...% tOng se dai bieu HDND). + S6 phieu tin nhiem thAp phieu (chiem ...% tOng s6 dal bieu HDND).

6. Ong (ba) Truirng Ban dan tOc, Hoi dling nhan dan

+ So phieu hop le + S6 phieu khong hop le : + S8 phieu tin nhiem cao : phieu (chiem ...% tOng s6 dal bleu HDND). + SO) phieu tin nhie'm : phieu (chiem ...% tong s8 dal bieu + S8 phieu tin nhiem thdp : phieu (chiem ...% tOng so dai bleu HDND).

7. Ong (ba) Chanh Van phong 14(ii ding nhan dan (cAp tinh)

+ SO phieu hop le + SO phieu khong hop + SO phieu tin nhiem cao : phieu (chiem ...% tong so dai 'bleu HDND). + SO phieu tin nhiem : phieu (chiem ...% tang so dai bieu HDND). + So phieu tin nhiem thAp phieu (chiem ...% tOng s6 dai bleu HDND).

8. Ong (ba) Chit tich Uy ban nhan dan

+ SO phieu hop le + SO phieu khong hop le : + S8 phieu tin nhiem cao : phieu (chiem ...% tong s6 dal bieu HDND). + Se) phieu tin nhim : phieu (chiem ...% tong se) dal bleu HDND). + So phieu tin nhiem tladp : phieu (chiem ...% tOng s6 dai bieu HDND).

9. Ong (ha) Ph6 Chii tich fly ban nhiin dlati

+ SO phieu hop le

+ So ph;fu k'n-3ng h + SO phieu tin nhiem cao phieu (chiem tong bleu IHDND). + SO phieu tin nhiem : phieu (chiam ...% tong so cl#i bleu HDND). + SO phieu tin nhiem tha'p : phieu (chiem _0/0 tong so d4i bieu HDND).

10. Ong (ba) iTy vien Uy ban nbin din

+ S6 phieu hop le

+ SO phieu khong hop + SO phieu tin nhiem cao : phieu (chiem ...% tong so dai bieu + SO phieu tin nhiem phieu (chiem ...% tong so dai bieu HDND). + SO phieu tin nhiem th.ap : phieu (chiem ...% tang so dai bieu E1DND).

Bien ban nay clugc lap thanh 03 ban vac gier cang ngay va d thong qua cac thanh vien trong Ban kiern phieu.

TM. BAN MEM PH1EU

TRIXONG BAN

Ghi chi!:

(1) C".p don vi hanh chinh va ten dja phucrng.

(2) Ten dja dank nai (Jong trki

3

HOI DONG NHAN DAN C:ONG VOA XA HQI CHIT NGHTA Viti:T NAM (1) p Tkr do -1-11.mh pluic

.S6: /2018/NQ/HDND

Tinh hang 1

NGHI QUYET XAC NII):0110ET QUA LAY PHAU TIN NHIVVI DOI Val NUUbl

GIV 0110'C VI). DO HQI DONG NHAN DAN BAU

HQI BONG NHAN DAN (1) KS7h9p tiin nhqm kS72016-2021

Can cir Luat T6 chdc chinh quyn clia phuo'ng s6 77/2015/QH13;

Can cir Lug Hog cc3ng giam sat dra QuOc 11C)i va 141,1 clOng nhan dan so 87/2015/QH13;

Can cir ,Nghl quyet s6 85/2014/QH13 ciaa QuOc ,ve viec phieu tin nhiem, bO phieu tin nhiem v&i ngueri gift chirc vg do Quoc hOsi, Hai dong nhan dan b'au ho'c phe chu'an;

Can cir Bien ban kiem phieu lay phieu tin nhiem dOi vii ngtrei giu chirc vu do Hqi clOng nhan dan bAu ngay thang nam 2018,

QUYET NGHI: , Dieu 1. KY hop thir ..., H91 ding nhan dan (1) nhiem kY 2016-2021 cia'

tin hanh lay phieu tin nhiem dOi vii ngtrei giL chirc vv do Ho:i clOng nhan dan bau (cianh gia tong tac chuan bj, vic girt bao cao, tai track nhiOn giai trinh).

Dieu 2. Xac nh'4'n ket qua l'Ay phieu tin nhiem nhu sau:

1. Ong (ba) Chu tich HOi ditng nhin thin

± S6 phieu tin nhiem cao : phieu (chiem ...% tong s6 dai bieu HDND). + So phieu tin nhiem : phieu (chiem ...% tong so dai bieu + SO phieu tin nhiem thk) : phieu (chiem ...% tong s6 dai biL HDND).

2. Ong (bA) PhO Chu tich Hoi ding ninin dan

+ SO phieu tin nhiem cao : phieu (chiem ...% tong so dai bieu HDND). + S6 phieu tin nhiem phieu (chiem ...% tong so dai bieu

+ SO phieu tin nhiem thAp : phi6u (chiem ...% tong so dai bieu HDND).

3. Ong (ba) TruOlig Ban ..... • So phieu tin nhiem cao : phieu (chiem ...% tong so dai 'Dieu HDND). + SO phial tin nhiem : phieu (chiem ...% tong s6 dal bleu HDND).

So phial tin nhiem thap : phieu (chiem ...% tong s6 dai bieu HDND).

1,1,1 l 7llEU KY HOP 6 QH I1 :018lba cht..16 dan IfEJADOAA' CUO/,':c2 ph. 01S1,1.11 lei q(1,1 thi

LO

4. Ong (ba) Triromz Ban ..... + SO phieu tin (chiem + S(';' phieu tin nhiem : phieu (chiem . + S6 phieu tin nhiem thk-; (chi6m .

5. Ong (ba) Tru-o-ng Ban..... + SO phieu tin nhiem cao : phieu (chiem + SO phieu tin nhiem : phieu (chiem . + SO phieu tin nhiem th6p : phieu (chiem .

6. Ong (ba) Chanh Van phong Hoi thing + SO phieu tin nhiem cao : phieu (chiem + S6 phieu tin nhiem : phieu (chiem . + SO phieu tin nhiem thap : phieu (chiem .

7. Ong (ba) Chti tich Uy ban nhan dan + S6 phieu tin nhiem cao : phieu (chiem + S6 phieu tin nhiem : phieu (chiem . + SO phieu tin nhiem thlAp phieu (chiem .

8. Ong (ba) PhO Chti tich Uy ban nhan + S6 phieu tin nhiem cao phieu (chiem + SO phieu tin nhiem : phieu (chiem + SO phieu tin nhiem thAp : phieu (chiem

9. Ong (ba) ..., fly vien Uy ban nhan d5n

.% tang so dai bieu HDND),

..% tang so dai bieu HBND).

..% tang so dai HDND).

.% tang so dai bieu HDND).

..% tang so dai bieu HDND).

..% tong so dai bieu HDND). nhan dan (cAp tinh)

.% tong so dai bieu HDND).

..% tang so dai bieu BDND).

..% tang so dai bieu

.% tong so dai bieu HDND).

..% tang so dai bieu HDND).

..% tang so dal bieu HDND). dan % tong so dgi bieu HDND). .% tang so dai bieu HDND). .% tong so d4i bieu HDND).

Nghi quyet nay da Ave k-f) Op HOi cOng nhan dan ...(1)... 11WM

2016-2021 thong qua ngay thang ... 11 Oin 2018.

CHU TICH

Ghi (1) d.p clan vi hanh chinh va ten dia. plarcnig.

HOT DONG NHAN DAN CONG HO), NA HOT CHU NGHIA MT NAM • • .(1 )- • • - • • Di)c 14p - Tir tin Hoih pink

S6: /20181.Z.,1Q/11DND

Tinh hung 2

NGHT QUYET XAC NHAN KET QUA LAY PHIEU TIN NIFITM DOI VOI NGIRYI

Gig CHtC VV DO HOI DONG NHAN DAN BAU

HOT BONG NHAN DAN ...(1)... ICS7 hcp thfr nhi@n IcY 2016-2021

Can cu Luat TO chdc chinh quyn dia phuong so 77/2015/QH13;

Can cu Luat Hoat dOng giarn sat cita Qu6c hOi va H9i c-16ng nhan dan so 87/2015/QH13;

Can cu Nghi quyet so 85/2014/QH13 cua Quac hOi v'e viec lay phieu tin nhiem, 1)6 phieu tin nhiern dOi v6i ngueri gift chirc vu do QuOc hOi, Hoi clang nhan dan bau ho-ac phe chuan;

Can cu Bien ban kiem phieu ldy phieu tin nhiern d6i vai nguoi gilt chdc vii do H9i et6ng nhan dan bdu ngay thang nun 2018,

QUYET NGHT:

Ditu 1. KY hop thd H9i d6ng nhan dan ...(1)... nhiem ky 2016-2021 da tien hanh lay phieu tin nhiem 9/6i nguOi gift chirc vu do H9i dOng nhan dan btu

(cicinh gia tong tac chuthi 1)1, vi"& gui bao cao, tai Wtt, trach nhigm gi«i trinh). X ac

nhan vet qua lay phieu tin nhiem nhu sau:

1. Ong (ba) tich Hoi dug nhan dan

+ SO phieu tin nhiem cao : phiL (chi6m ...% tong s6 dai bleu FEDND).

+ S6 phieu tin nhiem : phieu (chiem ...% tang s6 dai bieu HDND).

+ S6 phieu tin nhiem thdp : phieu (chiem ...% tong so d4i bleu HDND).

2. Ong (ba) Pho Chu tich 110i dOng nhan dan

+ S;e., phieu tin nhiem cao : phieu (chiem ...% tang s6 dai bieu F1DND).

+ So phieu tin nhiem phie'u (chiem ...% tang s6 dai bi6u FEDND).

+ So phial tin nhiem thap : phieu (chiem ...% tong s6 d4i bieu HDND).

11 V.1) I') 1 11,1) 71A. Imer416iimal Jon 11ADADVIAN CLIGAAV ph. c.huuw le quo 1111 4%.4.7 frial. 110i

/1

4. Ong (ba) ..., Trtro'ng

+ So phieu tin nhiem cao : phieu ...% tong so dai bieu HDND).

+ SO phieu tin nhiem „. phieu (chitin ...% tOng so dai. bieu FIDND).

+ SO phieu tin nhiem thap : phieu (chiem ...% tOng se dai bieu HDND).

5. Ong (ba) Trtr&rig Ban .....

+ Si phieu tin nhiem cao : phieu (chiem ...% tong se dai bieu HDND).

SO phieu tin nhiem : phi6u.(chi6m ...% tang se dai bieu HDND).

+ Se phieu tin nhiem thAp : phieu (chiem ...% tOng se) dai bieu HDND).

6. Ong (ba) ChAnh V5n phong ITO dOng nhan clan

+ Se phieu tin nhiem cao : phieu (chiem ...% tOng so dai bieu HDND).

+ SO phieu tin nhiem phieu (chiam ...% tOng se) dai. bieu HDND).

+ So phieu tin nhiem thap : phieu (chiem ...% tOng se dai bieu HDND).

7. Ong (ba) Chu tich Uy ban nhan .dan

+ Se phieu tin nhiem ca.o : phieu (chiem ...% tOng so dai bieu H)ND).

+ Se) phieu tin nhiem phieu (chiem ...% ding so dai bieu HDND).

+ SO phieu tin nhiem thap : phieu (chiem ...% tOng so dai bieu HDND).

8. Ong (ba) Pho Chu tich Uy ban nhan dan

+ SO phieu tin nhiem cao : phieu (chiem ...% tOng so dai bieu HDND).

+ Se phieu tin nhiem : phieu (chiem ...% tong sod i bieu HDND).

+ SO phieu tin nhiem thAp : phieu (chiem ...% tOng so dai bieu

9. Ong (ba) Uy vien Uy ban nhan dan

Dieu 2 (ne'u co tru6ng hop co qua ni'ca tong so clgi bleu HOi cl Ong nhan dan clai-712 gia "tin 11hill1 thcip')

Nhirng nguai. sau clay co qua nira tang so dai bieu Hc3i clang nh3n dan dank gia "tin nhiem thap":

1. Ong (ba)

2. Ong (ba)

3. Ong (ba)

bieu 3 (niu co tru.Ong hop co quci hai pha'n ba tong so dai biZu Hoi d'Ong nhan dan Llc.c77.1z gla "tin nlziein thap")

de ILA PI/IOU 771," ',WILY 1:Y 1/OP 6 (211 1110!£L, chum, bi 1 /411reeNT n 1/010) 0,• CLIDItArc2 phe chuarr qua lm Ithicrrt (7712).drc

To chic bo phiL tin . 7)ng (ba) tai kS7h9p thir HOi clang nhan ddn ...(1)... , nhi:em IcS7 2011-2016 vi cu t-.rn ba tong so dai bieu E11c3i clOng nhan dan clanh gia "tin nhi'm thAp".

Nglii quyk nay da cluvv 1c))139p this 1101 clang nhan dan (1)... nhirn 2016-2021, thong qua ngay thang nan2 2018.

CHU TICH

Ghi chit: (1) Cap don vi hanh chinh va ten dia phuong.

p;),,. PhiEU ' /:Y HUP E QH 2012r4.0 chmcui bIliluaug clan liDivZY.5":N CU01,31.4:! phr chouv, kur quo au ulUal (T112).d.),

3