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		<h1>Mẫu ĐƠN XIN XÁC NHẬN HẠNH KIỂM</h1>
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			<li>Thứ ba - 07/05/2024 00:20</li>
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			ĐƠN XIN XÁC NHẬN HẠNH KIỂMKính gửi:	Công an Phường (Xã): .Quận (Huyện): .Tôi tên là: .Ngày, tháng, năm sinh:.Nơi sinh:.Nguyên quán: . Dân tộc: .  
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			<span style="font-size:11pt"><span style="background:white"><span style="line-height:normal"><span style="font-family:Arial,sans-serif"><b><span style="font-size:14.0pt"><span style="font-family:&#039;Times New Roman&#039;,serif">CỘNG HÒA XÃ HỘI CHỦ NGHĨA VIỆT NAM</span></span></b><br />
<u><span style="font-size:13.0pt"><span style="font-family:&#039;Times New Roman&#039;,serif">Độc lập – Tự do – Hạnh phúc</span></span></u></span></span></span></span><br />
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<span style="font-size:11pt"><span style="background:white"><span style="line-height:normal"><span style="font-family:Arial,sans-serif"><b><span style="font-size:20.0pt"><span style="font-family:&#039;Times New Roman&#039;,serif">ĐƠN XIN XÁC NHẬN HẠNH KIỂM</span></span></b> </span></span></span></span><br />
&nbsp;
<table class="MsoTableGrid" style="width:15.0cm; margin-left:38px; border-collapse:collapse; border:none" width="567">
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			<td rowspan="2" style="width:94px; padding:0cm 7px 0cm 7px" valign="top"><span style="font-size:11pt"><span style="line-height:150%"><span style="font-family:Arial,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:&#039;Times New Roman&#039;,serif">Kính gửi:</span></span></span></b></span></span></span></td>
			<td style="width:473px; padding:0cm 7px 0cm 7px" valign="top"><span style="font-size:11pt"><span style="background:white"><span style="line-height:150%"><span style="tab-stops:dotted 321.0pt"><span style="font-family:Arial,sans-serif"><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:&#039;Times New Roman&#039;,serif">Công an Phường (Xã): ...................................................................... </span></span></span></span></span></span></span></span></td>
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			<td style="width:473px; padding:0cm 7px 0cm 7px" valign="top"><span style="font-size:11pt"><span style="line-height:150%"><span style="tab-stops:dotted 335.2pt"><span style="font-family:Arial,sans-serif"><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:&#039;Times New Roman&#039;,serif">Quận (Huyện): ...................................................................................... </span></span></span></span></span></span></span></td>
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<span style="font-size:11pt"><span style="background:white"><span style="line-height:150%"><span style="tab-stops:dotted 451.3pt"><span style="font-family:Arial,sans-serif"><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:&#039;Times New Roman&#039;,serif">Tôi tên là: .................................................................................................................................... </span></span></span></span></span></span></span></span><br />
<span style="font-size:11pt"><span style="background:white"><span style="line-height:150%"><span style="tab-stops:dotted 451.3pt"><span style="font-family:Arial,sans-serif"><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:&#039;Times New Roman&#039;,serif">Ngày, tháng, năm sinh:................................................................................................................. </span></span></span></span></span></span></span></span><br />
<span style="font-size:11pt"><span style="background:white"><span style="line-height:150%"><span style="tab-stops:dotted 451.3pt"><span style="font-family:Arial,sans-serif"><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:&#039;Times New Roman&#039;,serif">Nơi sinh:....................................................................................................................................... </span></span></span></span></span></span></span></span><br />
<span style="font-size:11pt"><span style="background:white"><span style="line-height:150%"><span style="tab-stops:dotted 451.3pt"><span style="font-family:Arial,sans-serif"><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:&#039;Times New Roman&#039;,serif">Nguyên quán: .............................................. Dân tộc: ................................................................ &nbsp;</span></span></span></span></span></span></span></span><br />
<span style="font-size:11pt"><span style="background:white"><span style="line-height:150%"><span style="tab-stops:dotted 451.3pt"><span style="font-family:Arial,sans-serif"><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:&#039;Times New Roman&#039;,serif">Địa chỉ thường trú: ...................................................................................................................... </span></span></span></span></span></span></span></span><br />
<span style="font-size:11pt"><span style="background:white"><span style="line-height:150%"><span style="tab-stops:dotted 451.3pt"><span style="font-family:Arial,sans-serif"><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:&#039;Times New Roman&#039;,serif">...................................................................................................................................................... </span></span></span></span></span></span></span></span><br />
<span style="font-size:11pt"><span style="background:white"><span style="line-height:150%"><span style="tab-stops:dotted 451.3pt"><span style="font-family:Arial,sans-serif"><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:&#039;Times New Roman&#039;,serif">Địa chỉ tạm trú: ........................................................................................................................... </span></span></span></span></span></span></span></span><br />
<span style="font-size:11pt"><span style="background:white"><span style="line-height:150%"><span style="tab-stops:dotted 451.3pt"><span style="font-family:Arial,sans-serif"><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:&#039;Times New Roman&#039;,serif">...................................................................................................................................................... </span></span></span></span></span></span></span></span><br />
<span style="font-size:11pt"><span style="background:white"><span style="line-height:150%"><span style="font-family:Arial,sans-serif"><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:&#039;Times New Roman&#039;,serif">Số CCCD/CMND/Hộ chiếu: ................................. Cấp ngày: ...../...../........ Tại: ....................... </span></span></span></span></span></span></span><br />
<span style="font-size:11pt"><span style="background:white"><span style="line-height:150%"><span style="font-family:Arial,sans-serif"><span style="font-size:13.0pt"><span style="line-height:150%"><span style="font-family:&#039;Times New Roman&#039;,serif">Kính mong Công an phường (xã) xác nhận về hạnh kiểm của tôi: từ trước đến nay bản thân tôi không có vi phạm pháp luật, không có tiền án tiền sự, cũng như không có vi phạm về an ninh trật tự tại địa phương. </span></span></span></span></span></span></span><br />
<span style="font-size:11pt"><span style="background:white"><span style="line-height:150%"><span style="tab-stops:dotted 451.3pt"><span style="font-family:Arial,sans-serif"><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:&#039;Times New Roman&#039;,serif">Lý do để bổ túc hồ sơ:.................................................................................................................. </span></span></span></span></span></span></span></span><br />
<span style="font-size:11pt"><span style="background:white"><span style="line-height:150%"><span style="tab-stops:dotted 451.3pt"><span style="font-family:Arial,sans-serif"><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:&#039;Times New Roman&#039;,serif">...................................................................................................................................................... </span></span></span></span></span></span></span></span><br />
<span style="font-size:11pt"><span style="background:white"><span style="line-height:normal"><span style="tab-stops:dotted 451.3pt"><span style="font-family:Arial,sans-serif"><span style="font-size:12.0pt"><span style="font-family:&#039;Times New Roman&#039;,serif">Kính mong quý Ban xác nhận.&nbsp; Chân thành cảm ơn</span></span></span></span></span></span></span>

<table class="MsoTableGrid" style="width:650px; border-collapse:collapse; border:none" width="650">
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			<td style="width:350px; padding:0cm 7px 0cm 7px" valign="top"><span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Arial,sans-serif"><b><span style="font-size:14.0pt"><span style="font-family:&#039;Times New Roman&#039;,serif">Xác nhận của công an</span></span></b><br />
			<span style="font-family:&#039;Times New Roman&#039;,serif">Phường (Xã): ..................Quận (Huyện): .....................</span></span></span></span></td>
			<td style="width:301px; padding:0cm 7px 0cm 7px" valign="top"><span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Arial,sans-serif"><i><span style="font-size:12.0pt"><span style="font-family:&#039;Times New Roman&#039;,serif">................., ngày......tháng.....năm202...</span></span></i></span></span></span><br />
			<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Arial,sans-serif"><b><span style="font-size:14.0pt"><span style="font-family:&#039;Times New Roman&#039;,serif">Người làm đơn</span></span></b></span></span></span></td>
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