3. QUA TRINH CONG TAC:3.1. Qua trinh cong tac (tu nam 18 tuoi): Ngh^ nghiep, chuc vu, noi cong tac tu

nam 18 tudi den nay (dam bao tinh lien tuc vk mat thdi gian)

Bang capThdi gian hocChuyen nganh hocDia chi trudngTen trudng

l.VE BAN THAN:Anh^diifa

-Ho va ten khai sinh:Gidi tinh:

-Ho va ten thudng goi:

-Bi danh:

-Ngay thang nam sinh:

-Noi sinh:

-Quoc tich (cac quoc tich hien co):

-Bia chi thudng tru theo ho khau:

chi thudng tru theo CMNB:

chi cu tru hien tai:

-So chung minh thu nhan dan (hoac ho chieu/giay td chung thuc ca nhan hop phaptuong duong khac):

Ngay thang nam va nod cap chung minh thu nhan dan (hoac ho chieu/giay td chungthuc ca nhan hop phap tuong duong khac):

-Ten, dia chi va so, ngay cap giay chung nhan dang ky doanh nghiep cua phap nhanma minh dai dien, ty le von gop duac dai dien (trudng hop la ngudi dai dien phanvon gop ciia co dong hoac thanh vien gop von la phap nhan):

2. TRINH DQ HQC VAN:-Giao due pho thong:

-Hoc ham, hoc vi (neu ro ten, dia chi trudng, chuyen nganh hoc, thdi gian hoc, bangc^p (liet ke dhy du cac bang cap):

QNG HOA XA HOI CHU NGHIA VIET NAMDoc lap - Tu do - Hanh phiic

—0O0—

SOYEULYLICH

Xac nhan cua Uy ban nhan dan cap co tham quyen ve viec nguod khai dang ky hokhau thudng tru tai dia ban hoac xac nhan cua nguol dai dien theo phap luat cuato chirc tin dung/ngan hang me cua chi nhanh ngan hang nude ngoai ve viec ngiroikhai dang lam viec d to chirc tin dung do hoac chirng thuc chir ky cua ngiroi khai.

5. CAM KET TRtfdC PHAP LUAT:-Toi xin cam kit se khdng vi pham cac quy dinh cua phap luat, cua Ngan hang Nha

nude va Dieu le to chuc va hoat dong cua to chuc tin dung.

-Toi xin cam ket nhung ldi khai tren la dung su that. Toi xin chiu hoan toan trachnhiem trudc phap luat doi vdi toan bo thong tin tai ban khai nay.

-Toi cam ket se thong bao cho Ngan hang Nha nude ve bit ky thay ddi nao lien quandin noi dung ban khai tren phat sinh trong thdi gian Ngan hang Nha nude dang xem

xet de nghi cua Eximbank.

Tp.HCM, ngdythdngnamNgudi khai

(ky va ghi ro hg ten)

Noidhien nay

Don vicong tac

Chirc vuNghenghiep

Quequan

Namsinh

Quanhe

Ho ten

4. QUAN HE GIA DINH: gom vg, chong, cha, me, con, anh, chi, em va vg chong cuanhung ngudi nay (neu ro hg va ten, quan he, nam sinh, que quan, nghe nghiep, chucvu, don vi cong tac, nod d hien nay):

3.3. Khen thirdng - Ky luat (neu co):

3.2. Chirc vu hien nay dang niim giu tai Eximbank, tai cac to chirc tin dung, chinhanh Ngan hang nirdc ngoai khac, Van phdng dai dien cua TCTD nirdcngoai tai Viet Nam va cac doanh nghiep khac.

Noi cong tacChirc vuNghe nghiepThoi gian