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Mu 02 - Ph lc 03

(Ban hnh km theo Thng t s 02/2006/TT-BBCVT ngy 24/4/2006 ca


B Bu chnh, Vin thng)
(Tn doanh nghip)

CNG HA X HI CH NGHA VIT NAM


c lp - T do - Hnh phc

S:..............
...., ngy.... thng..... nm 200....

N NGH CP PHP NHP KHU


THIT B PHT, THU-PHT SNG V TUYN IN
Knh gi :

(C quan cp php)

1. Tn t chc, c nhn ngh cp php:


Thuc (C quan ch qun ):
2. a ch:
in thoi:
Fax:
3. Sn phm nhp khu ngh cp php:
Tn cc loi sn phm:
K hiu:
S lng:
Cng sut:
Bng tn hoc tn s lm vic:
(Nu sn phm nhiu loi c th km danh mc ring)
4. Hnh thc nhp khu:
5. Mc ch nhp khu:
6. Thi gian d kin nhp khu:
7. a im nhp khu:
8. H s km theo:
Chng ti cam kt thc hin ng, y cc quy nh ca Nh nc v ca B Bu
chnh, Vin thng v nhp khu sn phm vin thng.
T chc, c nhn ngh cp php
( k tn ng du )

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