[go: up one dir, main page]

0% found this document useful (0 votes)
39 views16 pages

HR - แบบใบลาไปศึกษาฝึกอบรมดูงาน ณ ต่างประเทศ

Uploaded by

dungka.si129
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
39 views16 pages

HR - แบบใบลาไปศึกษาฝึกอบรมดูงาน ณ ต่างประเทศ

Uploaded by

dungka.si129
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 16

rruuluar}J#nur /finorru I {t{lu si eirqdr;mr

rSuud.....""..".."..

rior mor#[fiarlrjtnur lfinsun / E{lrr..

a,
nuu

{.ttrdr**,-.- -..n.....i,..r.r..........,....-.( *u,,urt lrnqarilunrvdlnquir l

ort1..-.......11.....*..lfou iurrcnrrdludurrRrrra6ourrriq.ix........".--...?L-.-.*...-*-,......d.ru
iuc.........-...-"."...rfio,

r:urarit'runlt..-..'..*^-----.ll ldiun-urdsur
-
4L......."--...-,-..---.-*.-...-uft1 $arurlr;nqdr*roarlilfinu"r l

dwrnruilmrluriNrJrctrrrlfiiualb{r&*nur lf,m:rru I
tnlldrd: d{rniqdoiuro{ra{.........-..
nrilfisSr:u z p IwdTxuatloonriunrrLJrJr;urfliud-.-."_..__.-.,nuu.,*...,........--.....?r.f,...........-.....-....

{rnrtrl#iunrruraiiuunrrnrtlilnur lilnouru / q{ru nr riu:Jrgmrfttl{rrrrarrnrE?rrr{


rrrrrrarqrud: rmnrrl$riisurxfiuud.rndrrlnura jlain

{rntdr$f iqnrumq roi n*griblddr { :usdu ln drxr{u#u jr ind{rx$rnroa r LIfi nr r r


iaauru r gorud wriurJrcluinirrrirrrnrrfia-.-

nrrr'ruriudrniynrrf;nrr {rnrdrtououh{"

'uautnlnrrudufro

.t
( a{to )-.-

$r'rp{l'et filrtnrrdtooqrifiarldf;outrasilnsuru u. eirflJrrurmrdetrhrftyrp


riunrududrrin nua; s 1n
[a;wdmlrlr:Iufirurdlthuunnlttfiutrurnro{fii'l:iqn#uricr?ounslrjrrucrufi:fiurhrinuu
n.*. riauoonrfiunr.:
arurafion
uu ulu iu rs l tla'r$ilfr'rrity, du#u q rirr dr notnf orfi u, rrir i

sJ
Itux11

rluu..

floil....-.,-._."........

ar1rJ*nrr/f,neulu/s{1fi1u"ioffsr,,ruth#grrau$udr;Iu:nirrriluuR.."'............-..-

:,,-......*---_.
dio;nur / finouru / 0{ru rltfcnfirurdrwh{rl$riftruh?nrqfiuirrd{rrimrrffldarllfnur
lilnouru / 0*u
uu*du{'t'uo'''{dldtr*r1iil}farhJf;nurin lilnaurl l guuu#r
tr}irhn:rurfiunrulunrrilsrhrrrnrr nto
rrndrd*$rntr drlgr[Ar rmrrraqrrj:unmrrd

rrausnrn:rlriudo

.l
( 6{110 )._.......

r{t rulxE {an:rulndhjfior*rrhffindr


.l
tra{,,.,

{rur(r.."."................. .......d1uniq.."..

..... r{r ir.r r r tr rr rdu fud" -..---


tr] - -
lfirrr{u$io1l 1 as._-_..-"-.. .*-*.--*....u"ru $nrrrlrjrstr1tiqr1d.......

{tu(rwiurolimurlfrrfinrurg{duxtorrro r.r"orrrrurunrr Ljiou.r / fr nouru l


t{tlr / nforlsfi nui{uqndr I nr r

lorrnn':n:rr,#ufio

t uodo 1.........

mrllrfix{:fijdulB:n

( a{ro
)
).

( rlruurir ).................
-J
?u11........-.J...-.-..../

d"h

t )orlEro 11}ioqqra

( a{,to
)
r,1{u,HaQ?'.ra.rdrli!urrnzla:-cnr:uEarrs,u.r..run'oynn-uaJ1:Jflu-6:rznr:

1. riarazoofr:ltrnr:

1.1

1.2

1.3 lil O ilnouru irilriar

z. t r ar'arryir r-r:rrnr:rid
1 ) firrolna''u,rrJfruGt^rTnrrro'[d'[oh:uriaurnfiuniaru,.,rnlr
dl::rfi.rnr:r,frrifi
:r "r n r :r a lfn r: a r6n r*r fi n o u : u ui :i r fi dr.:
a :J
fr :.r-6 n r o-u r 6 a rj si,l u
i l fiiui:.r:rsnr:rijudr:rrnr:6oqian'ullr#r rilur,:ar,tdriarnir.r
il u--ufir
iurilauqaanrGumr.r

1 1 rfunarnatrJfr rifi urirfi :rrnr:ufr


( ; rfurroaal'rJfruGurirfinrrn:ud:: ueirJfruhrrum:u-.:trinu r iIloufl.]ri'crfiarr*,irr[Ju
a rix fi r fi a :lfirir:r srn:trJ fi n :cr ee$Irgezu
1 ; fi n rr uinr:sr air.rrj:: r n afi e:l.f'lunr;fi nur'lsi'el-r il fi n.yr. druuo
6a

1 1'lil o ri::Hirr n n,ri,; n::2J nr:ec u a.r *nr.ri fu ui a1 nfl al n 6 ar rui

z.z taili:ar-ir
nr:l:-j o 6nur c irnau;r ,ua,rrir:-r:rni:-qidlilri.l1firfiu:rrn.r:
iyr:r:a-;fi
firJ fr uG ; r u fi l.:.,,r a l
r rj ul-a.l ..,ii.:
fo ; r d I f.: r yi zu
r
t:
I

I
3. ru q ri a e ?'r ru,ir lfl ufi'l ilil'tzlrr, rr.:'hj 6 n :*16.1 no ur ar
!L

' u i-'u
.(e?r,t:1Tn1lt31 frn na)

fiErrrliirrfluffa;1#rir:r"rn'r:Li Ofint'', C flnarrr.i im rrr qir{:J::iyrs r}\:.rrrfluid,r


'/rflrnryn....
A ' o
,.:
....(fl.luf1rn-t:[d1flnno) darnr:lrrn
v v a

a.t nr:"lrj O 6n*r C ?lnrurar zao'ir:r rntthd aaaa#a.rfu#a g za.::rrfiuu


airrinurunioetusrS"iici'rarnr:'l#riT :rrn, :'hlfinur ?lnau'iar rjfirifinr:i{a uerq{11.}
r* siroC:crnc, yr.6[. zs+g 6o

( I hifi nr:fi nr*ritrdluil::rrerlr u


r d a ,Jq r H tt aa rl r a
( ) il nl :fl n ]j't',.^ x1 1l [l+tl:r t?1fl [n u trql ut tJoruru.tilt rrr ur wa
-da^Jq
( ) finr:finutimfiiuil:r,yrftlru uEihis.:y{a 1.l

r.e nr:'hlilnwtfilnau:ilua+fr:ranrrr?fi'
g rflr+'tilsrrairj:sn'rrr n.g.sr. ir4fi rg
Ud
nrnfl'leE! 2550 onu
g.Z. 1'd a n n ia s ffu uu z n 2 1 N A ot u a s u n fr Ft 1 st a { n t s y1amttl * m d
O un',r'riei u'l l, fi :lgofi n ua: #.: n I uyilm fi aril fi 1 0 fl fl . zssa-2ss4
.

-aou
(:1Unsrauo9tuttilu) il)a
O uuun r, I n fsi'i r+i n ur sr se {un : r vr nIuI n fi uvi lrr 6 : 1;r uo : rE u o o-J ul{u )
3 .2.2 daa F, n a d't f,a {u o,t d t us t r n t:
io i, titt u.rra' l rri u q n mr aof nr:riiTeu ur rirrrrnr: )
A
fl0""'."""'

a Av u
z 3 a'lz't7ainSa Nan a,a zfiiiTtarrr :- [rJ O 6nro', O ?tnrr*,
i ; ariu auunl : fl a H ir i z a.: eil u..' r r nI r ( ) -1
un : r 5 u o rr-.t * uu ;

1 l rilunr:ai-,.:a.rdnrrarflurjfir:rijurJ::lurrfsiariru:uri1r ()-ruE:rSuori+uuu)

1 1 rilun'::fi r ii.: ctr'* 1:r u r, :rd I e o"; ilriu 1

( ) fi r.r n si a rr1 J?i \l rr p{ 1{1,", o :-r dr #.r n',r 1:'i I a: i6 ust a;{ rr."tu )
'r

In :'r n r :ra3 fl i:
4. o uEr uo r u fi e ii'zi1r :r r n
,.,
: n fi'rr -r
ru rJ fr rifr' :-l u n

nlunlR-.ro-.rntr:rtnr:{ddrrEorrr: Ofin*.., O flnor.l:l o:trinn".uurrirurl.rfi


4 o
f.:fi'o..........
-u#r.. fi: n:r
fi rr iu r-ior au ria;iih rg ai:.nu 6o

1ei':u:irni:r-i, fi'.rn"o1 Tnurilfi+fi-ra':rriirrfluiu,rr?u flnLrsaqnd:.;errr,il:;nrfl


n.?.e,. rlfli
ur"'ru.:rufliaTn:rni:fi0:1r,Ifn:rrr'rrnd'umilfl:.r-.fi:rrnr:er;Lfii-r*urilu,rf,:

,A
'luti,'18l{il

'r'lairln:.lr:-,:xi.rr!.l.i,-rn.::;ntl..r.rdrrl,)i: rnf
dqqrrar:fi ..............-../

fr'tyqr oqqrerl#dr :r r nr :'hjf; nur ?l nou:runiorJfr ffi nr :i f,a eu rir,:il : crfl n

yy
v
flruruliluuuynl,u
@ 46 A
Eu duaArr.:r

.4--. -!-tt t!- or tf rr j


t:un?t t:xdryiur r.lr0uul ri'u u-turu.l{/ul,rfl..t?...... ...........froaqa..............-..
-e^--e- g j a
rnaflo?ulr............--....rrr-ou................................1r.ft.................orq .............fl iu:rynr:r{lu{r:ryn ri
4-.Y

t9 J

6tla/rtt:1. ..-rirmolgrn ............-{'.:nirr


d.:riolrJluri'qq rfi rE an.jr " frl#a'tyqr " 6n ol.'r,nu*.i

Inufiff}i'd'rgqrrilu{kiiuorlryrntrn{ird'qrgrhi^1ilf;nyr flnou:u niorJfi':iernr:


tnu u nr.:rj:vrvrs 6:u{uil:rmr.............
il t d o u
.....nu:srfierufifnuraniguuer5ir6:unr:lri
s a. g q,

r?r : rryn i: 1:J fi nu r ?ln or : u :J fr rifi nr :i{'uua ; qrru or si r.r :J : x Lnf, vt.f,. zs4s

{d'ag EU r ld'n na.r fi'u fi {an':ru d.r ri o 1ild


{a r {iuti'ryqror1tyrn1rfl{hi'flruqr1rJfinsr flnou:u rlfrrlfinr:i{u u eixil:snns

q-.---<-+-g9r c! 4 a q:,9c9v
a. rasa
lun:ilvt{:udruru1oqrum til41fi dEuaJTJulu5ru; r:arnrdnur BnoI :u niorjfl rin
nr:ii'tt RI ritlil:srmg fli":ornn:udruunnr:ouannnr!?rr*nr*u {l#ri'ryqrnna.:fiorrirdiytgr
nuHtudtuqllu l1'lx lrl0 txn:0unqil:vuut?atfrl6iuorllidltiturur:ararfrnur Tlno:.1:u u5o
.A UA 4@
:Jflrin'nr:if,u ar sit.:il:vtra
'
usirrn'lri1dfinr:f,rrrir#tytgrdutxil '[ri'jrsi:oruqlnfrnru l#fi0'ii
v
s @ <d AVlt-
-ln e6q, o t
dq q ra uuuu H an : 0 r a q x r s u s r? a r fr il 0 q fn lrfr u r u n'{ n
9
ri r r 6a u

I
llto 2"'
-,, .

{o z lu:cl'f'jrrnorfiffl#ri'qiur16'iuouqlrnl#l:Jf;nur
tl flnou:u nfo:.Jqila^nr:ifi-u
ih|.! I v i-y-. - , o',---"" o - - ,) 4 o J,
4 t?lfltusu113n0{:flu1?uuttaeil:sflqnil0Uerarilrstuuurou{auro{{trlTnt:Hiontd{T't.i:tunt:

1a{{:udqEultlatlo{d0lufiRutttoflnr:lufiflhiticurur Hnur dnou:u Hioilfluant:-{u flnonru


:vrfluudirinutunigilunE'jrd:unr:1#.ilr:runr:lilf;nurflnou:il uaifl{ru il rirril:;mn ?{.fl.2s 49
doillnu nrd.:du 1 fr rfrotrlu{r:rrnr:"lrjdnur]lnouuJ xso
Itau'vltln t1tv{ut9llJuasnaHuru:sruotr
as j .4
lasa 3r-.- I a d I Il td dt ra@a aq J ja,y
ilAUnnl:?ttrttavtnu?flunt:lrutluta-ou:eilil{ai-[:]frnur ]lnal:u uSoilflrinnr:ii'u vr'1fr'[do en
e t q / |
45lv ,t
16ri.rn'logjuiirluiurfir#qqrfi ua;finyoonlffiti'usiohlJprornirnisr uasl#60'jrnqrruru :urfi uu
!--ot-y-.. y i.s, -.--i 4t t j - - :
xor.: nu r ra--.-o.
R'l f, { fl { n a 1 ? u u r! il ff ? u 14 u.t I 0 { fl ry ry m tIu !
{h?d'qiUrocdo.tlilil:cuqn^nulurr.:r{lurJfrilndsionr:finur flnou:u rierjg^rionr :
ifloua;tvr{.rltf;nur flnor:uriorJfr:in'nr:ii'ud'runaruiiur qnain; rfieh?drrf rnr:f,nur flnou: u
- A ta6 ae S d
Hroilaxnnl:?0u teturs?

{o g 1un:fi riolu n: dfi {iuii'qry r


fi fl1#f,rg qr:.I : vn q6fi nfiqtgrd.r nrirrlu{o z
fitr:s{rr#uirr{1#d'rgqrhiortdrrSonr:f;nur flnou:lrio,aEodrn',:ilfrffinr:ii'u 'ld'nrolu:v os
t':atvtnruusrnru{o t uionr:frnlr
.---i-o- ,t .a a .q 4 raoa
f,nou:ll uEorJg'ffinr:ir'uto.r{h?frtgtyrfro.rq6alrTrurl:;n r:
1n 1rio{i:rdqqrlilaqqrnh?{h?frqqrf;nur flnou:u niorJfrf6'nr:ii'ohi.jrn:fi1o 1 niefi
nrrudrrfludo.r riunflr{drgqurndrlrr.lflrT6uulunrirfi:rrnr:
fl:-rd'qqrfifinr'rfinoounr:oIrUra
r,r!drgErfi16'fiufirtacfifrvrt':siud.rrluuaruioriu16ou ,.rn'o,iudnrs:rrynr:iirodrorua'ouSo
ri u rn'l adu ln rr n r fll#dq q r r u do.r :J n'fin'd.r fi
3.1 :tu.ttu6":na'ur{r:Jqrief:rsnr:r{luurildorio{iudqtgrvio{ri.rriuricgurfu6'u
h9o @ a
10.r{ lHdrurulYtull

3.2 r{rrlflrin':rvnr:1un:1.. ...,..........R:uyl:?it...........


ilion:cYl:'l{ YtlJ?rt nruduntufi#ir.r#rgqrrrasd:u:rrynrruoufi,fior{o.rrfiuaunr:ri'ufirflu:susl?n 1
foAa
rvirti'u : ; ov r?arfi fr nu r fl n or:rriorJ fr rio nr: ii'o sl eir{il: y ryrf,
3.3 lun:fiiifr1rid'cgqrrnul6':-uorlryrnhil:lf;nur flnor:u niorJq-ffinr:io-uriofi
o s i u ,6a,a
fr'ul;4nr[ufiorriolrJ6'n-6:rrnr:rynldnrlf,qtyrduuavf,lrJfr:ifi:rrnr:ryrr1d'6in:u:uBsr?arnr:.r
frryqrrfunr::Jq'fn':rtnr:snldnrrAruturfil#riud'uriud'.ruei;ulirJ5to':1ryn1:rflldn:rrirvuar?nl
nrldErgir6rude
n:urfruuruln 1 dutd'olrurtrnnr:fifr}ffiqrhirJq^:in'nrr{a 3.i 3.2 unu 3.3
r$1ri#ry q r u' u uo l iu n' er r u 1 #ri'o fi u

rdo +...
-3-

+
ru'o{lr{ftyryrtaiwriorirrionr:ffnurflnou:rnr6o:lg-rirfnr:if,u d.rdlri.i..ro ,
do
ddodd
raitriotitritnr:frnur flnol:t llio:Jg^rin^nr:i{onrolu:suyr?atatr{o r uiell
{l#d'qiurtcdo.l
nf,iutJq'rin':rrnr:1un:il............... -..............n:sr:?{........ ........rEa
lun:vvr:':r nrrN nruo'u nun'flirdrgqrunrrirrr,rn,rroufirfiu2{0,:ulualnr:luyTufi rflu:s
e,c

marrvirtYu:vasr:arfi 1dlun i:f, nur fl nar:r uio:J nr:if,a ar sir{il:srr q


frrIn
lun:or' iiflt,i;rgru.rrnuldiuoqtgrnl#tilf;nsr Tlnou:u rJfrrin^nr:i{'un:'ofir{ur=
----y-.1---lr- rao6.---^-----q-, v A @ ra6 v
^.rr,.
Hn?IrrnYn0{il0un5lant:rnlfntud'tgtyro-uuavfr.r:Jgffi:rrnr:rn1#1iln:u:yurr.:arnlrdryqrriu
nr::Jq'ffi:rvnuvnl#nudtgqrdl#Gu6'urird'.ruriiufi:Jg^r!6:rvnr:yn1dn:rrirHilnr?a.rnr,dqryr
ay
tnlJtta?

{o s 1un:d;i,i't#,vrgru,'findrgqr1u{o g.z riodo + nioflr?diyryr'hindrurrlqu-fr


:ry nr :'[ri'ir d: uril q 1 n fflrtdq do.: ynr #riu : r sn r :
ry r o v 1 u rivr r r

5.1 n :fi r!'l#d'iu q r'lrJfi nur fl no u: u nio:Jq'ffr n r:it'ad: oquil :vrnvr 1 ( n )


4 t . -ryGl-Yaa I otrt a a 6 j U d q
1{:o{uil:utRYl l(n) 4ltidcgryttspiolrn'lf4un-urn-ou _
uayrJufrvn{5tsRt:01ury?ulilno [u
. 4 taoa a
6v A.qy .rtv 4lgqrtq q9
trH?l{flnsl tlnox:u uso:Jfl:rnnr:i{u - 9
frulfiuri{fuii'igsgruonlrnfi{h{d'ruqiordo.rvnlf
l{u0RtluluYu{ltvlllJo.li'lu?1JUut.:ut6ou rrnstiufrytt'r:lrnt:trory:orufrofi'.:nrirr'hirilu
9
4 tu r d 9)
ruuil5l.tlrnrr{: rrynr: ondru
s.2 n:fi{1#d'qrgr'lr.lf;nur flnou:l ilio:Jq'fnnr:if,ud:u4uil:;mn t(n)
999e I q9o a a j t . 4 ct r 4 at
ttnct.:ufr yn{:1ryn'l:iirori:onta-oIu:;r'ir.:frnur
d
E tHflqql0tFloilxfl t'ft{ilt+iou
-
flnou:unEo
tAs6 Ao 4 a-y rrru .r ^__-!yo r, 9 qr4 I o i t
uAiln n152nu nil tiltlnrJtlJtituqt uon0rnil6hfd'tgtgrrv6o.:tnlfrfuEn,ilru'lumfr{ryirro.l
dru'lut1u ltu16ou uactiufimrr:rtnr:rirud?orrdad{nrirrlt1rflu ds:Jiluriflrirrrar}'lr6ndra
druitarufi rfluriuurd}i;utr{rnldrflurduilfu:rurrr^ounrildru?udnrrnrrrnr:ndruay
, rrudu In oldrru d n : rrirldiirufi
dtrin.rru n.n. rirmundrnfr{hJf;nur fl nou:r niorJfrrin-nlriUu Br rir.ril:;rua
4J
rljutnilcn

5.3
n:fir{1##rgq"'irlf;orlflnor:u uiorJq'ri6nr:iilo dru4urJ:rmil 2 {1}i'
dryqrordo'rsnldliut6ou uavlSrd t,rorrryr.rr:iirudaurua'olu:sr.rdr.r finur flnor:u nio
f6uA 6s A q-y..-t-rrg/ ct qrr6
ilAr n n l : 20 u nu tfi ttn { 5 :L tiq ql- u o n- r r nu
{yqy*
{ lt{ ii'q rg r n
1r
t do.: ro lf rf u dd n oru au u frI l rri rn o.r
.il
!

,o- 3
- 4 - ! 4 _3 d r e . q ydl : ta r d 9
n1u?u t{ulq0u tlastilullmt{r:lsnt:rtur':r,rildoFtqnarrlf rllurnurjiurrrimx:trnr:dndro

llun:fi...
-4-
1un:fidrflr{dtyqrndrrdrrJg'rifi:rvni:rir.rusihin:u:susr?o'rfirnrir:iu{o l.z uf e
,r- e-.-i qg;l ! tv A y y . Afryor v
10 4 t{lJvlttYn lTnuuaStuuil:un]u?::a1,tu{,[]{nutgnqa {nlilf,?uI0.i:euut?a]il9.t ll,tdaJillna 1
, taoa
11,TUAiln:1TR't:
9 o i qYA : te I ila 9u I . q ?) t9@ v
10 6- t.i'IJYrtuua ^
iryflurraur{urlJ8il:uFllx,t,o 5 4 lfi f,Euru]n3n0{m:y t14iln$:udiuqJt
.?t- q o s s rc ih rs q gq gv
- -
tun:Un?ufl]u Iunlilua:Yurt?al30 (drildrJ) iu I
u:Luniuvr-lflilrrr {r'rnfls!druiur HrnE l1.ldqeur
9e

It to e o
[uv]:3R'lu tun11{ua:uusr?alff{Ra]?y:a5'l:u t:Jft:u0?u
u I a . h r ,,
yt{il
l -'
ts]gron:ruauuoutol#ilii'urur
{so
4-.h-!< I o i^ sq u rar a
H:0 tunnlr- l{-lgt o Joatrgo
t tl.lfltuEultuno{s'r:3ftoflruuHnufl luaflTl5oua3 7.5 nal"l 10{1]u?ur{uilu{u tfl$1:u
I

u tv . s I t o I
uutrn?uft:u nlilun:ruet?a'ln{fl a'l?n1J n?ttI.r1:&n:u6?u
rio z 1un:fifi{^l#d'rgEUrhiaur:onfrurdrrJfl'rifi:runr:ui0ndutdr:jgrTn':runr:
'liln:lriruun:sust?nrnrrldo 3.2 u6o{a 4 ril:r&n'.:urin?1!nru?riorn6uuoru:rynr:rIl#dararr
09
t

hido r :-r fi n n ru n? rillu {os r :: nu fi { yio r : : n ao.: ud.: r rsi n : 6


'[u : s il'i t : sur t?4 fi frl#ri'rytg r ldiu o IEU r nl#hJfi nu r fl n ou : u uio:J fl rTn n r: ?flo
nia 1u:c1l'jx:ravna.dfl,it uq'.,n,ilr,,ilr,lqri'r'r;.;;r'.,riu ,., uio{o + rflrflri'ri'qtgtJ:rvrqG
e-yv et. - - d 4t . o
^---:- -i ' d o ,) , l!
fifi{:1JfliUtultUu0lu?ut{u?l{ltuf,H5oasasnruriaur.furdurti'u{o I )rte o
S vr'.ril riuuei{ildilqlras
R:uYl:?{n1:nn'ifinr:urrfiu'jrfituqHaduaunrrdrllriAqqrhjdel:-un^arfl:'lEQnrrl:runr:'kioo n
Ar
1.t:0 tl6no0n
1u n:fifi {l#dtg ru rlddru'r:0 ndu uhilfl'ria^: runr:rionfi:L rritJ flffi:rynr:
lln:lrirnua:suir'latnludo r.z rio{o 4 n'r:'ru0nfol#uunorn:rrnr:}rioaroonrujororn
tilrho 4r{ilanry{ tflunu'lYnrrudun:0 rflu:trnnninarBsruioinflurflau hiau:J:;nou {hi
,i'qrul hido.riufinnrunrrulu{o s r::nru*q uio'r::naorudrusin:6 r,rit'otdrritr?dnrnlrl:hir
j -
q -' ,
,-,^o^^rd^.rfl
crudulu:cfl'jr{:vuctrnr 9) t, raoa o--- a*,
2 (do.l) il -u-...-r^9--^'i-rq-y^.1- -
riuusiiud,flrfA,UuJ',rydoqnfriu?rrlg-rin':rrfl'r:r.r:o?u1rH r1.r

f,rgqrld'ooRnrntrrnr: uio aroond:uurq6'sndn{r.rdu


{'l{'ii'Eururfi{n{do{iurl'errynldn^uuavrde,
I - y ,
u:until ro 5 ?::nyu-{ Hio -l::ndo{ rrd:rrrin:fr
-r!. -^4- ,-4^ <

r,, q-.---ei.rav*
i,-y-.-.9 0 a qr' tvv v u ! ,rorr-
10 8 tunsaivt4lt{dtyqrfu,t'utrdar'8t:sn-u'hiud{ildtyqrnrlfgqrfi r[l##qqr
oou}{{iudn;qrri'ntiurJrrufitfrurq uaytrioriuo"ulerfi{h{frtgqrr;u'.r16':-rrrnvrror",rnrlnou
raldliufifl1#drgtgrdoriufintounruan;qrd16' dod rlnurrdrrun:suurar.fir:vufiurrud:yuli
1ur?o o udrudmx:rvnr:ftu'lpld'.r,i',u,irr:.,,nfit f rurq uavmian'uolulnfiinrir;#;;{r--*;
9q9o e , u a qelo a e j
^.d-_-__q.^_4a J o e, I
tl'ldEUqrnsn0':rur'lfisel tflurfrutocnonrilunflrinfrrfrnfiuluoflrl:ounv r ar r
4 7.5 n0il runltruo{1u11
yr r.r :lyn r E rl' nrlnrir liu d'q n cirr rynt#H d
{o g luiuli rd'a;qrfi {ti'iyrgqr ld',i'nti'.
ri r #q ru r ri 1 il : r fi'u nr : :J q':ifi ua vn rrr ir fi n n r u drg iu r u' r o { {1 #dry ry r 6': u dr u

l'lun:fi
-5-

1u n : fi {rii:J : v fiu fi .r u ri n : ru nr u u i o q n ar n fi rl r d.r l #fi ri'n dvr fu di6 n t r n n i o fi


drn'nrnuil#duavnru rfo{irdqtyrr#ualn'r:l#f,l#d;ryr,:.liuu{rji,rrri, g,,iu**..1osd'o.:iln
r,
l#fir{'riIJ:rfi'u:rulril!rr4rii'rgqiri'r:l:vti'uuvrunrulurimun(duf;u) i1r rir4eiiufiryr{rr1:rfi'r 30
odta
tqud'lttrin:tlnruuFoqnarafirird':n^frndvrfir&finusruiofiriifivrrnurl#dlasaro rioiuli6i+
#qqrld'iuu{.rnrn{irti'qqrl#rilf,t u{rirrJ:griuud:uein:fi ii'r{'l#dqryifiiarur:ni'rr1ifi{fi'r
:J:;tiu:rglurjurrirdqtyrrir:J:rfi'uurunraluriiuuer':ard'rnril r,lfrdnrrurfif;vrf;rfinnounr:
qso
)
oIqlnn'luti'tUEUrfi1{t riuuri{frii'rg,glri*o*rnrruo.,rdrn: ?idouud,:rfiu:'idhflfiarrurrflurti
f,nunruq.:tr-.rlunr:f;n!I tuoqfifil#{l#f,rgqrf;nui ilno:r:ry:orJ0uflnr:ifi'u1nu'lu fi
Y! r u dxr,
flnlu:snun tn

JJ
dty q r fi ri r t' u a o l a ril fi do n r r l g ndo r n :.r fi u dq q r'1 6'd ru uny r{r h rio n r ur l u
n'
v
dtgqifiInsa;t6ssnaonttdt ir'lda.rarou'ofiolirfludrrTqeionrirvraruuavqr]d'n;nlreir.rdErn'o1{
ilisnynflr

CI{ry0

99J
1tfltn1 ri
l-'
uuuoulf
a9
... ........rirfnrurnriufi1d
oo

i ilqY a
a{to. { t?lfl?11IUUU0lJ
H

(........
n{50 1,{U-lu

(........ , .. ..)
4
a{so.... ......i.,......l'tulu
(.. ......... ....... .. ..)
9 9 s t I rd r at r lt
rilt r'f, rt o ir : o.ri rhifi {au : a (riJu I f, s /ti fl x: d n r snr dr ) lu tar vfi fi rdtyqr fi
Ia :o nr --r,ri a ur+r n r:6 n ur ri= a? nau :ar nr oir o il :: ryr R

( ) :J:;nrsfiurin: rrsrirr....

( ) rJiryrurln rrrrirr
; rlSryrurran arzrizr

e-mail address...
-2-
Yu ^ A t s1 vr
fiur-t qz a u [T 8., Ft 1 L'114l.'n

2.1Li C 6nur C ?Jnou':l airurru.--.-..

z.z .JXiu?.p5auf:a.:fiuri-i.dsj^,u 1ro,l^n;n:rf,1rJfinuraloilnau:ttoi'runudeuo-: raiavruil:rtnzr


z

z tv ;
A
'au11 6a.... -----.....-..agu1utn1fl'

14rJ'l iJtnrlil:srrlr{.................

3. Te:o nr:u5o tt%? nr i6 nurrn6a?l ft au5$1

3.1 ( I itrlfiar
ld'rlnau:lt
( )
rr,il6nu1 O' :J3q;q''rei C rJSqryrlrr O rJirgrprran

O :J:;nrfi fi uriq:l':efi riqr:...


irr............
;aaa'
ru....-'.-'...-.. -"(fiaenruftnurH5aElnau:il)
4'
Ao 4
il::rna...-.. ...ilflruuo--.-...'..-:J.."""""'1oau"""""?u
druuaiaanr6unrtiud..,..........rGau..-.--'.-...--...'...'.-....'.".v{'€1"""""""'
g.z 1 fl :-r nr:r.ti a rtur nr :6 n r*tai ail n a u:r, fi :r un ; t5 u o d'1f,
At X o -) A at.-..---
)
-d
n a u: u : tuanrltr /t; a { }14 : t'i n 0 u : xJ.. - -.. ...

; finrsr : un"nsn:
$
tfirnrdnur.. . ........-iJ

: n-rluru;n'l:fiuunr:aou O course work O *rii''


A A v . v --y--. u.....
: a n -* rw tti a urltr
^ t nu1nu 1t u1-i111'1 9l',l -
tt it

flrgqrdrrJrudu
(drgruroqryrolfi{r:T tnr:ltJflnur f, nouu r,rtorJfi tlhnrti{s ru rirrdrctrs)

drgrgrratd... .,.......t............
c.l
yl1?i ...........,......,.;..........,.,.

iud .,....., 6ou .,.......,......,..,.......lr.rt.,..,......


. n1!d............... "flrif,ryrgr'
.........,,Crd41t[u#rgrgrdrlundr
kiiuorlrgrno'rn ........,......,..:...................d$iohfluilrururdriun'ir "{iuflrgrgr"lrilrJfinrn
- r-B
f,nou:r rlfrtfinr:id'u ru
gdv
U:urmn J
....,.. nrudqrglrarfl ..........
n{irfr.....,.....,...........drrJ:rn1o1uon61:uuuriradryrgr drdoltlludrgrgdrtundr 'drgrgrorpgro" tfu
trvrt{T ......... .......o'rq .........,.......f,

tl J

dlrJ:rngotrdrrutirrn}:udrd'ril:umiuru-n:rJ:c,irflnrfiufirfiodJ uuufirudrgrgrdC$ioltnudrgrurd
tiunrh :{drrJ:sfi'u"nna.tftdrgrgrdrrJ:sfi'u1fitiuri{fudrgryr oTq!{onrrreiahJd
do o {fT r.t:cniuus!flna.r6nn-uour{rnsrurufiu{1rfdrgrurgio{fuflrgrgr nrillFa
hAvltrgcyAy
rififinf,rgrgrorlrgrnlri'ir,ila1n{oyfirrTruu:vnr:tn1 unsfr'o$,n1{riu1fiuri{iuflcgrUr
lt! r v - - r .tl , r . .lnuo e u 9 e .J rr
^ ^
tnlU:vnuuuuorlg'1:ullu lrrflun?1d'turur{ufi{ llrilruruletB{Sutinf,1rltogn{uil:uq l,i [uarUrlJl
orlrgrnn'rnrirrriulfiuri{Yudrurur nrtrluxriudrr.t:cflu'truru................:.-..,....,.........:....,,...u'ryr
(.................... #
...........,....) uau{drrJ:vrfurvfuilrrrrudrgryrf,oun'jrorfinr:
-c------l-u. , d A . c . ,v
3X, td. & d ,
dl:cuiifliounontf,u[acir#larltu (rirr,ttnf,) A:ur6ra1u?u yt{tu muunulntuun:ilel1r.tu:yil?a
n4lturour{luaynrritd rlel:1 bdb ?:tnflo.r t::nf,1r uar/ulor::od fifioU5rfanruduvlrirgr$fi
g- tcYl-
ntlnnl?n1ilunun?Bnn:il
L9 v < c JUI -r^^-J
4:UA rUru',lrc r: un [x6n'l il:cn-ud1:gudi ri0ufi14 tir fl ou on nri tl 6r n t:fi nrinr ar
o-yu. t o d9
flfid'qr11mrl! n.:tn1u:3nUilt9t
{iu drg rx rlfirr u r u rr a''r a 1 fl n u1 fi n o u :r uta
lu n : tid fl #flrg ry rl6'r"u o I ru'r n o r n

rJfr'ffinr:i6'ariorirurluraiariudutnfintr rfnr:r0rtrrrardorfuqcrflun''r:riliiuuuilarartrit'r
o-a
:cdunr:frnutvisf,nruilnurhJmnrfil unu{fudrgrgrliu{r1fi{dtJ:yffuvr:ruu$r l#fio'ir
{rirrJ:vrTunna.rir:r0u{drrJ:un-u{bif,ryrgroiolil6nnnon:cucnaridflri{rurudfuuT urraro{flnur
flnou:uutorJfrrjfinr:i{ucisd'.:n6ir?dru usililfiu:uuur?aflun1:riauu'fiirJ:"dunrudrit,runlflu
do a m.r flrgrgrriru:r n-ud
utu nr : dr : r r,r dn rl drg rg t
{o u 1u n : fi d {lu aq q r ri o u rr arui o si o u'trur u ri

or1rgrnlfi'uri{hidrlJrUr1nuloiud.rl#{drU:gf,uyr:'ruuau{nril:uriuldnna.:0uuollunr:eiounnr
-ic-t.!!r.uorv/,udKr{.r.
14IOil0U01U2Ur{Ulun1:t11g14UUU lUnO?1 {n1U:UnUOnn{!tunDlolnllr.louL?a1U:O}IOU$1U?Ul{U
lunr:{r:uudn-rneirrrtluruqrJaorrl{o!n?rrlfuan{o.r{#rrJ:vrluuacnsiuilnlugrur{rirrrvn'u
ntrfrgrgrdnnsntiloun'iloufinrrdr:vr,rdniounonrduuncrilrflun, u (ri'ri) n:utfiuriT uru
do r {fiil:c.YutouflnrildnvrYyrtid.rrflunr:rfiyrdros{#rrJ:vriu unvrJnanmnnr:c
6nrfuln1 d'urirtf,vrindBurirrdouhrdorfrur,rdngrulunr:ntrr]:uffu1{io{iuftururdid
J-
?tru

r.rdnyrYut[6u
or)

:1rrril:cu1ru uru (............ ..,........)

- ila" {i;J#;ffi;ffil.;il; t; l,rdir'r;onr:y4nnul,l tuvrindnu


to.r{CtrJ:vrYuntrfr:vqlfludo , naan:ruvrrnrd#rgrgr#irJ:urYuoriudd.rn.rfiHaqnn-u{drrJ:ufiuoqj
r{u ucir al6'iu nr ru 0u umil f, o s r n {iudq rgrri au
Eo r rfi

fro c :uactrarlunr:rioradrirti:crYu rilof.:usiiud{tridrgrurlirdryrgroqrgrsrhl'tr.t


flnnr /f,nou:r / rJfrrIfrnT:tf,u rudr{ud...........rdau.................,..........il.n. .... uau{#rtJ:vfiu
ouhirfi nnounr:drrJ:cf,un1a1u:sucnardrirraun
vE
{r{rrJ:vrYlldejruuacr{dotonmuludcgrgrou"rfo''udr 6ilfr'n.raraf,odol{rfludrdrg
oiouriruuru
uonaT :rJ:snaunr:artrjfi nur .

- uuu'luarfinur 3 qrr
itr

- uuud'rgrgrolcgrnlfitr:rrnr:arfinur 3qn
ruuu#rgrgrr{ril:vriu 3In
ro nar:il:s n ou nr:lir dry ryr

t. orn:niuanurl q5 u'ryr rdofiorlua'rgrgrrirrJ:vfi'u 3 qor qnav 15 uru


z. fn:rJ:vrrru uio ,fn:{t:rrnr: , tuuvrfiuutru ror {Lridrgrul 3 qn
u
3. rin:d:vtrru raio ifn:dr:rtnr: ,luuurfiuuriru tql {ritJ:vfru 3 rlor
- ,)d a ,ruo t v v d d d oy]
4. (tiuu
urr'{ raio firirrj:vfi'u firfrarfr raio n::u1'[rlrfiu vdnrrufn:U:vsrru
"' uavluuvrfiuurjru
uaY'Luuvrfiuuailt'6i oeir.:av 3 qn

14u1un4 el 1. ro na1:$uuvi,r udrgrgr4nlu r6udiu:0.:dturq noiol 4noriu

..,,,' 2. uuu'lu flu.]. uav nu.z r6udo {riuu rlrririri'ru.um qnuaiu


'Luriruto.r#rgrgrrirrJ:vriu ifiu. 3 r6uddo
{riuu uav {ritJ:vri'u (iorr:/ur:nr)
,yt
ilil41{9l1U?J?','tvlfl
It tLilu

You might also like