snv.quangbinh.gov.vn cu nam 2016... · 8`2 (' +,- ,*. #!" & #!" $!%%& '...

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'. H(H BONG BAu crr QUOC GIA sa: A£.f fHBBCQG-PL V/v b6 sung, chinh Iy ffiQ! sf, miu van b:'m - ph1,1cV\l cengtae-b:1u cu ElBQH, ElBHElND CONG HOA xA. H(H CHU NGHiA VIJ):T 1\ \ \ 1 DQC I~p - TV do - H\lnh phllC Ha NiJi, ngayO'3thdng 4 nam 2016 .4>'4Kinh giri: Uy ban biu cu cac tinh, thanh ph6 trvc thuQc trung uang, y HQi dang biu cu qu6c gia nh?il duQ'cy IdSn cua mQt s6 co quan, t6 chuc va dia phucmg kiSn nghi ve mQts6 nQi dung lien quan dSn cac bi€u m~u, tai li~u {;'tI (I. ~c suuvrrg-trong c~ng tac biu cu d~i bi€u Qu6c hQikMa XN va ~\libi~u HQi ~"(.6P~' ~ng nhan dan cac ~ap nhi~m ~ 201?-2021. Tren c,! sa ra s,oat, doi chieu vai o_~ ql;lydi~ cua LU,~tbau cu d~i bieu Qu6c hQiva d\li bieu ~Qi dong nha,nd~, Hji ;;n r'~ dong bau cu quoc gia dil t6 chUc r;ghi~n cUu chinh Iy, bO sung mQt so bieu mau dil ban harm kem theo Nghi quyet s6 41/NQ-HBBCQG ngay 29/0112016 cua HQid6ng d€ pM hQp han vai yeu ciu, dieu ki~n thvc tS. Cv th€ nhu sau: ~\.l,~ 1. BB sung 06 mliu van ban lien quan dSn vi~c xac nh?il tITcach d~i bi€u Qu5c hQi, d\li bi€u HQi d6ng nhan dan va d.p Gi&ychUng nh?il d~i bi€u Qu6e hQi, d~i bi€u Hi?i d6ng nhan dan (g6m Miiu s6 33/BCBBQH va 33AJBCBBQR. Miiu 34/BCBBBBND va 34'jVBt'E>8HBND, Miiu s6 35/BCBBQH va M~u s6 36/BCBBHBND). ,~/ /';;;!::,- :;:~:~, '<. 2. Thay th~ M~~rk9!BCJ)BHDND b&ng04 miu mai, g6m cac m~u s6 29, 29A, 29B va 29,c~~JtQH&B<?BBHBND d€ h;r6ng d~n, xac dinh cv thi: nQidung baa cao, so 1i~~ng hQ'Pket qua So' bQva ket qua chinh thuc cua cUQc " ~, ".. z..,,, ,,, " bau cu d~i bieu Qu6c hQi;d\li bieu HQi dong nhan dan gui den HQi d6ng bau ell qu6c gia va cac co' quan, t6 chuc co lien quan. 3. Ra soat, chlnh Iy v~ m~t kY thu~t va bB sung ngi dung htr6'ng dlin C\l th~ hO'ndai v6'i mi}t sa mliu van ban sau day: - Miu the Cll tri va gi&y xac nh~n di bo phiSu ncri khac, g6m M~u Sf 11/BCBBQH&BCBBHBND, Miu s6 12/BCBBQH&BCBBHBND va Miiu S( 13/BCBBQH&BCBBHBND; - Cac miiu lien quan dSn vi~c ki~m phi@u,xac dinh k~t qua biu eir o~i biS!. Qu6c h9i khoa XIV, g6m Miu s6 20/BCBBQH, Miu s6 21/BCBBQH va Miil: s6 22/BCDBQH; - Cae miu lien quan d~n vi~c kiSm phi@u,xac dinh k~t qua biu CU: o\libi~' HQid6ng nhan dan nhi~m leY2016-2021, g6m Miu s6 25/BCDBHBND, Miiu s', 26/BCBBHBND va Miu s6 27/BCBBHBND;

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'.H(H BONG BAu crr QUOC GIA

sa: A£.f fHBBCQG-PLV/v b6 sung, chinh Iy ffiQ! sf, miu van b:'m

- ph1,1cV\l cengtae-b:1u cu ElBQH, ElBHElND

CONG HOA xA. H(H CHU NGHiA VIJ):T 1\ \ \ 1DQC I~p - TV do - H\lnh phllC

Ha NiJi, ngayO'3thdng 4 nam 2016

.4>'4f Kinh giri: Uy ban biu cu cac tinh, thanh ph6 trvc thuQc trung uang,/w yHQi dang biu cu qu6c gia nh?il duQ'cy IdSn cua mQt s6 co quan, t6 chuc

va dia phucmg kiSn nghi ve mQt s6 nQi dung lien quan dSn cac bi€u m~u, tai li~u{;'tI (I. ~c suuvrrg-trong c~ng tac biu cu d~i bi€u Qu6c hQi kMa XN va ~\li bi~u HQi~"(.6P~'~ng nhan dan cac ~ap nhi~m ~ 201?-2021. Tren c,! sa ra s,oat, doi chieu vaio _~it ql;lydi~ cua LU,~tbau cu d~i bieu Qu6c hQi va d\li bieu ~Qi dong nha,n d~, Hji

;;nr'~dong bau cu quoc gia dil t6 chUc r;ghi~n cUu chinh Iy, bO sung mQt so bieu mau/ ,i dil ban harm kem theo Nghi quyet s6 41/NQ-HBBCQG ngay 29/0112016 cua

.? V HQi d6ng d€ pM hQp han vai yeu ciu, dieu ki~n thvc tS. Cv th€ nhu sau:

~\.l,~ 1. BB sung 06 mliu van ban lien quan dSn vi~c xac nh?il tITcach d~i bi€u&fu ~v Qu5c hQi, d\li bi€u HQi d6ng nhan dan va d.p Gi&y chUng nh?il d~i bi€u Qu6ehQi, d~i bi€u Hi?i d6ng nhan dan (g6m Miiu s6 33/BCBBQH va 33AJBCBBQR.Miiu 34/BCBBBBND va 34'jVBt'E>8HBND, Miiu s6 35/BCBBQH va M~u s636/BCBBHBND). ,~/ /';;;!::,- :;:~:~,'<.

2. Thay th~ M~~rk9!BCJ)BHDND b&ng04 miu mai, g6m cac m~u s629, 29A, 29B va 29,c~~JtQH&B<?BBHBND d€ h;r6ng d~n, xac dinh cv thi:nQi dung baa cao, so 1i~~ng hQ'Pket qua So' bQva ket qua chinh thuc cua cUQc" ~, ".. z..,,, ,,, "bau cu d~i bieu Qu6c hQi;d\li bieu HQi dong nhan dan gui den HQi d6ng bau ellqu6c gia va cac co' quan, t6 chuc co lien quan.

3. Ra soat, chlnh Iy v~ m~t kY thu~t va bB sung ngi dung htr6'ng dlinC\l th~ hO'n dai v6'i mi}t sa mliu van ban sau day:

- Miu the Cll tri va gi&y xac nh~n di bo phiSu ncri khac, g6m M~u Sf11/BCBBQH&BCBBHBND, Miu s6 12/BCBBQH&BCBBHBND va Miiu S(

13/BCBBQH&BCBBHBND;

- Cac miiu lien quan dSn vi~c ki~m phi@u,xac dinh k~t qua biu eir o~i biS!.Qu6c h9i khoa XIV, g6m Miu s6 20/BCBBQH, Miu s6 21/BCBBQH va Miil:s6 22/BCDBQH;

- Cae miu lien quan d~n vi~c kiSm phi@u,xac dinh k~t qua biu CU: o\li bi~'HQi d6ng nhan dan nhi~m leY2016-2021, g6m Miu s6 25/BCDBHBND, Miiu s' ,26/BCBBHBND va Miu s6 27/BCBBHBND;

2

-' '- Mau lien quan den l~p danh sikh cll't1'iva bien ban kiSm ke vi~c su dl,lngphi~u b~u CU, g6rn M~u s6 30IBCDBQH&BCDBHDND va M~u s631IBCDBQH&BCDBI-IDND.

(Kem theo C6ng van nay la cck mau van ban aa au'(J'cchinh If;, b6 sung adthay thi cho cac mau tuong ung trong van bem da g~'rikem Nghi quyit s6 41/NQ-HDBCQG truo'c ddy. Cac co' quan, t6 chLlc, aia phuong co thd truy c{tp va Stl'dl,mgbemai?n til'cua cac mau noi tren t(;dTrang tin ai?n tti'cua Hi?i a6ng briucu'qu6c gia, dia chi http://quochoi,vn/hdbc/Pages/Home,aspx)

HQi d6ng b~u cu qu6c gia d€ nghi Uy ban b~u cu cac tinh, thanh ph6 tr~l'cth1;1Qctrung uang t1'ongph\irn vi nhi~rn VII, quy€n h\in clla rniOOti~p Wc huangd~ va khful.t1'uong t6 chil'c t1'i@nkhai thl,l'chi~n th6ng OO5.tvi~c l~p va su dl,lngcac bi@urn~u, tai li~u noi t1'ent\ii dja phuang.

..1.

Nui nlz{in:- Nhu tren;- Thanh vien HDBCQG;- Van phOngHDBCQG;- Bi) Ni)i V\l (d~ ph5i hgp huang d~n);- UBND, S6 N(>iVl,1 tinh, thanh pM tnlCthui)c trung uang;- Lun: HC, PL, VPHElBCQG.E-pas: J3:tA£

.~

.-"

~~, DANH MUC cAc MAu VAN BAN TRONG NGHI QUYET

SO 41INQ-HDBCQG CllA HOI DONG BAu cir QUOC GIAmrQ'c sirA DOl, BO SUNG

(Kem theo Cong van 86 128/HDBCQG-PL ngay 09 thimg 4 nam 2016eua Hr5i a6ng b6.u cit qu6e gia)

1. Miiu s6 11/BCElBQH&BCDBlIDND v~ The cu trio

2. Miiu s6 12/ BCElBQH&BCDBHDND ve Gi~y chU'ng nh~n dS ell'tri thamgia bo phi~u a nO'ikhac.

3. Miiu s6 13/BCDBQH&BCDBI-l8ND ve Gi~y chUng nh~ cu tri 103.quannhan tharn gia b6 phi~u O. nO'icu tru.

4. Miiu s6 20/BCElBQH v~ Bien bim k€t qua ki6m phi~u bku cu d<:J.ibi6uQu6c hQi kh6a XIV cua T6 bku cu.

5. Miiu s6 21/BCElBQH ve Bien ban xae djJili k~t qua bku cu d<:J.ibi€u Qu6chQikh6a XIV cua Ban bku cu.

6. Miiu s6 22/BCElBQH v~ Bien ban xac dinh k~t qua bku cu d<:J.ibi€u Qu6chQikh6a XIV cua Uy ban bau ClL

7. Miiu s6 2S/BCElBlIDND v~ Bien ban k~t qua ki6m phi~u bku cu d<:J.ibi6uHQi dang nhan dan cua T6 bku cu.

8. Miiu s6 26/BCElBlIDND ve Bien ban xac dinh k~t qua ki€m phi€u bku ClId<:J.ibi6u HQi dang nhan dan cua Ban bku cu.

9. Miiu s6 27/BCDBlIDND ve Bien ban t6ng k~t cUQcbku cu d<:J.ibi6u HQidang lilian dan cua -oy bar1bku cu.

10. Miiu s6 29/BCDBQH&BCDBHDND ve t6ng hqp k~t qua sO'bQbau Cll'cl<:J.ibi6u Qu6c hQi va d<:J.ibi6u H9i clang nhan diin.

11. Miiu s6 29A/BCDBQH&BCDBlID1\TD v~ bi€u th6ng ke SO'b9 k~t quabku cu' d<:J.ibi6u Qu6c hQi va d<:J.ibi6u HQi dang nhan dan.

12. Miiu s6 29B/BCDBQH&BCDBI-IDND v~ t6ng hqp k~t qua chinh thucbku cu cl<:J.ibi6u Qu6c hQi va cl<:J.ibi6u HQi cl6ng nhan dan.

13. Miiu s6 29C/BCDBQH&BCElBHElND ve bi6u th6ng ke chinh tht'rc k€tqua bku cu' d<:J.ibi6u Qu6c hQi va d<:J.ibi6u HQi cl6ng nhiin dan.

14. Miiu s6 30/BCElBQH&BCDBHDND ve Danh saeh cu.tri.

15. Miiu s6 31/BCDBQH&BC8BHElND ve Bien ban ki6m ke vi~c 8ll'dVngphi~u bku cu' cl<:J.ibi6u Qu6c hQiva d1,\ibi6u HQi d6ng nhan dan.

16. Miiu s6 33/BCDBQH ve Nghi quy~t xac nh~n tu cach d1,\ibi6u Qu6c hQi.

2

~17. M~u s6 33A1BCDBQH v~ Danh sach nhUng nguo'i dugc xac nh~n du tu

cach d~i bi~u Qu6c hQi.

18. M~u s6 34/BCDBHDND v~ Nghj quySt xac nh~n tu each d~i bi~u HQidang n113ndan.

19. M~u s6 34AJBCDBHDND v~ Danh sach nhiIng ngu6'i dugc xac nh~n dutu each d~i bi~u HQi dang nhan dan.

20. M~u s6 35/BCDBQH v~ Gi~y chtmg nh~n d~i bi~u Qu6c hQi.

21. M~u s6 36 BCDBHDND v~ Gi~y chtmg J1h~nd~i bi~u HQi dang nMndan.

,.'& ,

"'" ~.A.~'

\~

fry BAN NHAN DAN........ (1) .

Mdu s6 II/BCDBQH&BCDI3HDND

C<)NGHOAxAHOICIIlJNGHIA vn);rNAMDgc I~p - T\" do - H~nh phuc

THECDTRlBAD CD DM BlED QUOC HOI KHOA XIV

vA BAU Clf D•••.I BlEU HOI DONG NHAN DAN cAc cApNHIJ);M Ki' 2016 -2021

H9 va ten: .Ngay, thang, narn sinh:(2) , , .Gi6i tfnh: .Noi dang kYtlurcmgtru: (3) ..............•.•..........•.••..•........•...•.••.•..•••...•.....•.•..•......•.•.....•••

No'i& hi~nnay: (4) ..•.......................................•..•....................•.....•..••••.•.........•..........

so THE Clf TRI:(S) .KHUVlfC BO !,IllED SO:.... . .XaJphuimgIthj tran: .Huyen/qu(in/thi xalthimh ph5 thuQc tinh:

Tillh/thfmh ph6 ave thuQc hung uong:

Ngily Ihal1g l1am 2016TM. fry BAN NHAN DAN

crm TTCW6)

(Ky lel1 va dOl1g d6u)Ghi r5 h9 va ten

Ghi c!lll:Kich thu6c The Cll tri b~ng mQt trang giAyA6 (l4,8cm x lO,5cm)

(I) Ghi ten xii, phuimg, thi trAn; dbi vm huy\)n khong co do'11vi hilllh chinh xii, thi trAnthi ghi te',huy\)n.

(2) Ghi thea ngay, thang, nam sinh trong danh sach Cllh'i.(3) Chi ghi trang hu'ong hop Cllh'i dang leyb6 phi6u t<:tinoi thu6'11gtro.

(4) GI1.inoi dang Ie)'t(un tru ho~c noi dang Ie)'bo phi6u trong truang hop Cllhi khong dang ky b"pl1.i6ua noi thu6'11gtll1.

Dbi vm Clltri Ia quan nharl tham gia bo phi6u t:;tidon vi vil trang nharl darl thi ghi ten dmI vi hanhchinh cApxii noi don vi vil h'ang dong quan; a. noi khong co dmI vi hanh chinh xii, thi trAnthi ghi tb,huy\)n.

Dbi vai Cllh'i la ngueri dang bi t:;tmgiani, t:;tmgift, nguai dang chAphilnh bi\)n pMp dua vaa ca S,)

giao d,lc b~t bUQc,ca so' cai nghi\)n b~t bUQcthi gill ten tr:;tit'!-lngiam, ca quan cong an dang tlure hi(n"i\)c t:;tmgift, ca sa giao d,lc b~t bUQc,co sa cai nghi\)n b~t bUQc.

(5) sb the Clltri dugc gl1.ithea sb thu tv tUOllgung trong danh sach cil' hi.

(6) D5i vm huy\)n lehOngco do'n vi himh cl1.inhxii, thi trAntIll CM t[ch Uy ban nhan dan huy\)n k\ten va dong d~u.

Tnrollg hop cApphD ky thay Chil t[ch Uy ban nhiln da.ntill hirl.h bay nhu sau:TM. fry BAN NHA1\' DAN

KT.CHUTfCHPHOCHUT]CH

(*) Khi elrtri bo phi6u xong, T5 bAu Cil dcing dAu "Do b6phiifu" vao m~t tmac The eir tl.

______________________________________ -., . i,

iN BAN NIlAN DAN........(1)......

2Ivfdll s6 12/BCDBQH&BCDBHDND

'O)NG HoAxAHOI CHUNGHIAVIl);TNAMDQc I~p - TV' do - H~nh phuc

Ngay thang nam 2016TM, iN BAN NHAN DAN

CHU TJCIt12)(Ky ten va dong dt1!~

Ghi 1'5 h9 ten

GIAy'CB:lJNG~DE CU TRI TRAM GIA BO PRIED (jNOI KHAC

Ho va ten cli tti: , .N gay, thang, nrun sinh: .S6 CMNDIHQ chi~ulThe dill cuac cong cliiniChilng minh sy quan: .Ncri cu tlli d11gill tren The cli tri: (2) :............•....................................................................

Ncri a hi~n nay (3) ' .

E)- d hi A 'd" 'I ' . ( < TI' , . (4) ) h A kh b' hi' '(»)a ugc g ten vaa atul sac 1 cu t11 sa le cu tn t uoc u V\fC a p eu so: .~, h ' g/ hi ' (6) I A~" An/th. ~'I.'.-''' I' th A 'nh (7) ix"'p uan t . trat1: , mYylllqu" ! x",tl"-lUl pl0 UOCtt : I

,.t"h'nh h' h A (8) • . N d- k'b' I" t' ~/I ' ".tlluut a p a tl1TCt uoc tJ.ung uang: ,.................................. ay ang yap neu ?l x",p mcmg 1,'1 '

tJ.'ful:(;1 , huy~n/qu~Jlthi xaJth~nh ph6 thuQc tlnh: (10) , tinlJlthanb .tJ.1,I'CthuQc tJ.ung uang(11) .

E)., hiU' b .V dA ~/I ' g/h'tI'- (9) . b' tA' tJ.' , d Ieng. y at1tlllatl an x",p mona t ! .atl: a sung en cu ~ vaa 'El

sach eli tti d~ tham gia bo phi~u t"i dia phuang. .

G/zi dill:Kfch thuac Gitl.y chling nll~ o~ cli tri .tnam gia bo phi~ll a nO'i khac b~ng mQt trang gitl.y A'

(21 cm x 14,8cm)(I) Ghi ten Uy ban t111andan dp x11nO'i 011ctl.p The cli tJ.'i;obi voi huy~n khong co oml vi hlmb

chinh x11,thi trful thl ghi ten huy~n.(2) Gill oia chi tImbng tJ.'uha~c t?ln tru 011ghi tren The ciTtrio(3) Ghi nai mOi chuy~n d~n cu tr(t, ngu khac vOi oia chi a tJ.'en.(4) Ghi sb The cli tri d11ougc ctl.p.' .(5) Ghi sb KIm V\fCb6 phigu 011ougc gIll tiang The ciTtri d11duo'C dp.(6),(7),(8) Ghi ten dan vi hlli111chitili 011du(;l'cxac djnh ti'ong The cli tti 011dugc ctl.p.(9), (10), (11) Ghi ten dan vi Mt111cbinh ma Cll tIl dfu1g kY chuy~n dgn bo phigu.(12) Dbi voi huy~n khong co dml vi hilnhehit111 x11,thi trtl.n till ChIt tich Uy ban nhiin dal1 huye;;

kY ten va dong dtl.u. .'f Truong hop dp pM ky thay Chll tich Uy ban nllan dan thi tJ.'lnhbay nhu sau:

TM. i'JY BAN l\'HAN DAN

1<1', CHlJTjCHPHO cHi'! TlCR

. (*) KIll dp Gitl.y chlmg t111~11,Uy bat1t111an dan ctl.p x11phai gill ngay vao ml,lC"Ghi Chll" trordanh sach ciT tJ.'it"i khu \",fC b6 pillgu thuQc dia phuong mitili qlm tit "Bo phiiu a nm kh6c" tUOl'~ung val dong co ho ten cua CLttri Qugc cilp Giily chlmg nh(\l1.

....•... (1) .

251\16u s6 13/BCDBQH&BCDBHDND

CQNG RoAxARQr CIIUNGHIA VIJ)ITNAM

Dgc I(ip-TI,l'do- H(lI1hphiic

GrAy CHUNG NIL;\NCU Tlli LA QDAN NHAN TRAM. GIA BO PRIED (] NO! CU TRU

1-10 va ten Cll tri: .Ngay, t!lang, nffin sinh: .S5 CMNDIHe:> chi~u/TM cful wac cong dfuJlChiing minh sy quan: .

~~q~:g~~~~~~~~~:~~;:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::.:.... ",- k hi" danh . 1 " . ( , TI' " . (3) ) 1 - kh b" hi' '(4)Da uugc g ten vao sac 1 cu ti'l so le cu tn t lUoc UVlfC 0 P eu so:~I 1 ' n/thi ' (5) 1 • , I 'nlt!' ~'tIt'_1 I' tl - t"nh (6)x"'p mm1O' . tran: ,lUY,?luqua II X'" illill P 10 lUOC I : .".I.lh'.1 h' h - (7) I' 'k 'k' - N k- k'b' l'tl1ilut aIill P 0 1:r\Xct UOCtnmg uong: a nm uon VI uong qUaIl. ay uang y 0 p l'eLi. ~II ' n/thi ' (8) 1 -ni "..11' ~Ith'-L. h'tl - ti'.L. (9)tal x"'pmonO' . tran: , lUY'? ql1<;twtllx", illillP 0 lUoC lill: .

" hi 1 . nh h' tIt - (10) I' ." ti' k- k' th' t'tm tla p otl1!c' uoctiunguong: anO'lcu 'luang -y uong ru.",' hi U" b nl - d- ~I 1 " nl hi ' (8) b' t-"" d Ive ng. y all 1aIl all x",p monO' t . tran: , .. .. .. .. .. .. .. . .. .. 0 sung en cu ti'l vao 2,1:

sach cu tii a~ tItaJU gia bo phi~u tai aia phuong.Ngay (hang nam 2016

cHi. HUY TRtr6NG(Ky len va tl6ng dt5u)

Ghi r5 hQ ten

.,Ghi chll:

Kich thuo-c Gi1ly chung nll(in Cll tri Ia quill nllan thaJU gia bo phi~u a nai cu trll bing me:>.trang gi1ly AS (21 cm x 14,8cm)

(1) GIll ten aon vi vii trang nhill dan.

(2) Ghi aia chi thuang trii theo nai afulg kY h9 kh&u.

(3) GIll s5 The Cll tri ail augc dp (n~u co).

(4) Ghi s5 KIlU Vl,ICbo phi~u ail dugc ghi trang danll Sikh CIl'tri hoi:\c The Cll tri ail auqc dp.

(5),(6),(7) Ghi ten aO'll vi hanh Chillll augc xac dillll trang danll sach CII tri hoi:\c The cit tri ail aua,cap.

(8),(9), (10) GIll ten don vi hroll chinh ma Cll tii dang ky tItuong tni

(*) Kill dp Gi1ly chung nh(in, dml vi vil trang nhiln dill nm co clr tli la quan nhill phili ghi nga \vao nwc "GIll chii" trong danh sach CII tri ti'ong don vi vi1 trang nhan dill c,un tlr "Eo phiiu O'I1CJiell(ru" tumlg iing vo-i dong co ho ten Clla cll'tri au-gc dp Gi1ly chung nh(in.

,

TillhlThimh phil: .HlIy~Il/Qu(i.n/Thi xaIThitnh phil thllQc tinh:

XalPlmimgfrhi td.n: .

Mdu 56 20/BCDBQIc

CONG HOA xA HOI CHU NGHlA VIl~T '\IA\ 1DQCI~p - TV' do - H~nh plnlc

BIEN BAN KET QUA .KIEM PHrEU BAU CD DAI BlEU Quoe HOI KHOA XIVeVA TO BAU eD

KIm V1!Cbo phi€u s6: xaJplmimglthi tr~n: .80n vi bilu ell"dlli bi6u Qu6c hQis6: .

" (I)Gam .Ngay thang nam2016, T6 bilu Cll"g6m co:1. OnglBa T6 truimg2. OnglBa Thu kY3. OngIBa -oy vien4. OngIBa -oy vien5. OnglBa -oy vien6. OnglBa -oy vien........................... " .8a I19P tlli phOng bO phi6u cua khu \'\l'C bo phi6u s6: xaJphuimg/thi tr~n

.................................... thllQCdon vi bilu Clr dlli bi6u Qu6c hQi s6: d6 ti€Jh<inhvi~c ki6m phi611bilu Clrdlli bi611Q1l6ch(Jikhoa XIV.

8' ., h' (2), I' - 2016 '1-1-.' I h" " b. ung glO' P ut ,ngay tlang nam ,truuc \111tl1lC lyn VlyC l

phi6u, dlli di~n T6 bilu Clrda ki6m tra hom phi6u vai S\I chung ki6n cua hai Cll"tri la:1. OngIBiL Nai a hi~n nay: .2. OngIBa Nai a hi~n nay: .Sau do, T6 bilu Clrda Idloa va niem phong hom phi6u, mO'iClrtri b~t dau bOphi6u8 ' . , I 't(3). tl . - 20 16 1'" t . T" b" . t 'ung gIa pm, ngay lang nam ,0 ruang a au CU'uyel.

b6 k6t thuc cUQcbau Clrva ti6n himh ki6m phi6u ngay tlli phong bo phi6u.Tmac khi ma hom phi6u, T6 truang T6 bau Clrda mO'ihai Clrtri khOng phiIi la ngU'o;

(rng Clrchung ki6n vi~c ki6m phi6u g6m:1. OngIBiI Nai 6"hi~n nay: .2. OnglBa Nai O'hi~n nay: .Tmac khi ma hom phi6u, T6 bau cu' cIati6n hiInh ki~m ke va I?p bien Mn v~ viec Sl

d\1llgphi6u bilu cu' dlli bi~u Qu6c hQi.K,,h qua cUQCbiiu elI uhu' sau:- S~ dlli ~i.~~Qu~c hQi dugc ~n dinh cho cIonvi bau cu' la: ngu6i- So nguOi Ullg cu: nguOiT" "". kh b' h'" , . (4)- ?ng so cu. tn eu~ u vve ~ p l~Ll:. ngu'~'l

- So lugng cu tn da tham gla bo ph leu: nguO'l• A • • ~ ...::. ,.::" ::... 0- Ty ly cu tn da tham gJa bo phIeu so VOltong so cu tIT Yo

S" h'" h' I ."- a p leu p at ra P lieu" ." , I."- So phleu thu vao p lieu::..::." .;., r,,, ,.;:' ::. h'':'' , . ()- So phleu hOl) Ie: plueu. fy Ie so VOltong so p JeU tIm vao Yo

- S6 phi6u khong hgp I~: phi€u. Ty I~so ~ait6ng s6 phi6u tIm vao: %- s6 phi6u bilu cho m6i nguo'i (rng Cll"nhu sau(»):

2,

1. ?ngIBa dugc phi~u/ phi~u hgp I~ •2. ?ngIBa dugc phi~ul phi~u hgp Ie3. ?nglBa dU9'C phi~ul phi~u h~p I~4. ?nglBa dU9'C phi~ul phi~u h~p I~5. OnglBa dugc phi~ul phi~u hQp I~Trang ngay b~u cli: va thai gian ki~m phi~u, da xay 1'a su viec hoac khi~u nai t6 ca~. ~ . .. . ,

sau day: ......... .... ....... .... . ............. . . . . . . . . ... . ... . ... ........ .... .. . . . . .. . .. . . ... . . . . . .......... . . . ... ... ....

............................................................................................................................................

............................................................................................................................................

.... . . . . . . .. ..... . . . . . . . . ... .. ....

............................................................................................................................................B" b' . d h' h'nl ' h" " 1 ' (8), 1 ' - 2016 'len annay ugc oant a lvao OI .... glO'.... pmt ,ngay ..... tlang .... nam va

dugc I~p thanh 03 ban gl'ri d~n Ban b~u cli: di;li bi~u Qn5c hQi, Uy ban nhan dan vii Banthuong t1VcUy ban M(it tT~nTil qu5c Vi~t Nam c~p xa.(9)

Crr Till nruNHAT. CHUNG KIEN VIJ);C KIEM PHIEU

(Ky, ghi 1'5h9 va ten)

TM. TO BAU crrTOTRtrONG

(Ky ten va dong d~u)Ghi 1'5h9 va ten

THtrKYTOBAUCU

(Ky, ghi 1'5h9 va ten)

Crr Till THU HAlCHlJNG KIEN VIJ);C IGEM PHIEU

(Ky, ghi r5 h9 va ten)

Ghi cllll: Nhat thuft khOng a£I'(J'c tay xoa Min bien ban 11l1Y.

(1) Ghi ten cac dan vi hilnh chinh c~p huy~n thuOc dan vi b~u cir di;libi@uQu5c hOi.

(2) Ghi thai di@mb~t d~u vi~c b6 phi~u.(3) Ghi thai di@mk~t thuc vi~c b6 phi~u.(4) S5 cir t1'it1'ong danh sach cir tri ti;likIm v,rc b6 phi~u (c~p nh~t dfn thai difm b~t b~u b6

phifu).(5) Ghi theo danh sach t1'enphifu b~u clf d<;tibifu Qu5c hOi.(6) T6m t~t nhfrng s,r vi~c xay 1'ahO(lckhifu n<;ti,t5 cao vii cach giai quyft CllaT6 b~u Cll.(7) Ghi 1'5v~n d~, khifu n<;ti,t5 cao chua dugc giai quyft vii kifnnghi.(8) Ghi thai di~m k~t thuc vi(\c ki~m phi~u.(9) Vi(\c glri bien bim dugc th,rc hi(\n cham nh~t Iii 03 ngily sau ngily bflu cir.

:,y. '-

Md" s6 2 JlBCfJBQf-l

BANBAU err DAI BlED Qu6e HOI.. DONVlBAucrrs6...... .

C()NG HOA xA H(H cmJ NGHiA VIJ):T NAM:Di)cl~p - T\!' do - H~nh phuc

o

BlENBANtic DlNHKET QUABAUclf D~ BlEu QUoc H(HKHOA XlV

6BONVI. BAuclf s6 .G6m (I) •••••••••••••••••••••••• : ••.•••••••••••••••••••••••••••••••••••••••

Vao h6i gicy phUt, ngay : th{mg nam 2016, Ban b~u Cll'dai bit'u. Qu5c ~Qi g6m c6: ,

1. Ong/Ba .' : ;' , TruOng ban2. Ong/Ba... , Ph6 TruOl1g ban3. Ong/Ba... , Ph6 Truong ban4. Ong/Ba... : , Dy vien5. Ong/Ba , Dy vien6. Ong/Ba , Dy vien7. Ong/Ba , Dy vi en8. Ong/Ba , Dy vien9. Ong/Ba... , Dy vien10. Ong/Ba... ! ,Dy vien11. Ong/Ba... , Dy vien12. Ong/Ba... , Dy vien13. Ong/Ba , Dy vien14. Ong/Ba , Dy vien.. '" ~ ~ ~ . '"b. Ong/Ba ., , Dy VlenBil hop ~i ,:.: : .

o~ l~p bien ban xac dinh le€t qua b~u CIT'o\li bit'u Qu5c hQi lehoa XIV t\li cac khu "'I'C be''~h';" ~ ~+ . b;'" ~ A- • b';' Q ;. h~' ;., ~ , (1)p leu cua uan V! au cu u::U leu uoc 01 so gom .thuQc tlnb/thanh ph5 : .

i Theo Nghi quy€t s5 INQ-HBBCQG ngay thang nam cua HQi d6ng bAu Cll" . thJ '" . b' .;. '" b' (2) '" • b';' Q "h"quoc gta. uon Vj au cu so uUQ'C au ual leu uOc 01.

Theo Nghi quy€t s5 INQ-I-IDBCQG ngay thang nam cua HQi d6ng bAuCITqu5c gia thl dan vi bAu CITs5 'c6 (3) ..•.•.....••.. ngucyi (rug Cll'o\li bi€u Qu5c hOi.

. Sau!chi lei€m tra v~ t5nghgp leih qua!tll Bien ban le€t qua lei€m phi€u bAu CITGai bi€l!Qu5c hQi do cac T5 bAu CITchuy€n o@n,ilett qua bAu CITGai bi€u Qu5c hQi (; Gan vi bAI;ell s5 nhu sau:

- T5ng s5 cu' tri cua dan vi bAUCIT: ; ngU'('J.i

- S5 luong Cll'tri dil tham gia bo phi@u:' nguo:

- T)' l~ Cll tri dil tham gia bo phi€u so v6i t5ng s5 CITtri cua don vi bAu cu':.. %

- S5 phi€u phat ra: phi€u

- S5 phi€u thu vao: phi€u_S5 phi@uhop l~: phi€u. Ty l~ so v6i t5ng s5 phi€u thu vao: ..0/,

- S5 phi@u khOng hop l~: phi@u. TY 1~so v6i t5ng s6 phi€u thu vao: .

------- --_ .._-

4

so PRIEU BAu CHO MOl NGlf61 UNG CIT (4)•>

Ten huy~n/qu~nl thi Sa kIm v\J'e bo S6 phi~u S6 phi~u S6 phi~u S6 phi~u S6 phi~u Ghi ehii'xii/thimh ph6 thuQe phi~u eua m5i bAu eho b~u cho bAu cho bfiu cho bAu eho

I ,Hoh trong ph?m vi huy~n, qu~n, ong/ba oug/ba ong/ba ong/ba ong/baoO'n vj bftu cu' thi xa, thanh ............. ............. ............. ............. .............

ph6 thuoe tinh

T6necone:i T)'l~% so vo'i sa ........ 0/0 ............% ............% ••••••••••• % .............%..

phi~u hQ'pl~

Can err vao k&tqua ghi tren day, Ban b~u ci'rd~i bi&1iQu5e hQi k&tlu~n:a) s6 eu tri di'ltham gia b6 phi~u d~t ....."" .... % so v6i t6ng s6 eu tri eua dOllvi b~u eu.(5) ......................................................................................................................................b) Cae onglba e6 ten sau day nh~n duge qua nua s6 phi~u hllP Ie va e6 nhibu phi~u h011,

di'ltrung eu d~ibi~u Qu6e hQikh6a XIV(6):1 0, g/B' " h'" d 0/ ,." "h'" 1 I'. n a so p leu: ~t: /0 so VO'ltong so p leu lQ']J<e.2 0, g/B' " h'" d 0/""" h'" h I'. n a So'P leu: ~t: /0 so vo"!tong so p leu 9P <e.3 0, g/B' " I'" d 0/""" h'" h I'. n a so p neu: ~t: /0 so VOltong so p leu 9P <e.e) Thea an djnh eua HQi d6ng b~u eu qu6e gia thi s6 d~i bi6u Qu6e hQi dUQ"eb~u 6 dOll

vj b~u eu s6: .la d~i bi~u, nay di'lb~u dUQ"e d?i bi6u, eon thi~u d~i bi6u.(7) .. ........... ... ... . . ....... . . .. . ............. ... ... . .... .. ... . .. ..... .... . ...... . . .. . . .. .. . .... . ... ... .. .......... ......... . .. ......... . .. ... . .. . ..... ...... . . .. ...... . . . . ... . ... . . . . ... ....... . ... . .. . . . ..T' t:'t n1 - . A • (8)am a mng Vl<eexay ra : .

............................................. .

..............................................................................................................................................NhiIng khi~u n~i, t6 eao trong qua trinh b~u eu do eae T6 b~u eu dil giai quy~t(9):..................................................................... ......................................................................... ..Nhfrng Idli~u n~i, t6 eao trong qua trinh b~u eu do Ban b~u eu' di'lgiai quy~t, eaeh giai

quy~t (10):

.................................................................................................................................................Nhfrng khi~u n~i, t6 eao ehuy6n d~n Dy ban b~u eu tinhlthanh ph6 live thuQe hung

u011g,HQid6ng b~u eu qu6e gia(l1):

.............................................................. ....... ............................................................................Bien ban xae dinh Idt qua b~u eu' d~i bi~u Qu6e hQi kh6a XIV a don vi b~u eu

s6..... duge I~p thanh 03 ban va duge gui d~n HQi d6ng b~u ell qu6e gia, -eJyban b~u eutinh/thanh ph6 tf\l'e thuQe trung uung, Dy ban M~t tr~n T6 qu6e Vi~t Nam eap tinh (12)

C' "I" I' h (13)ae tm I<eU (em t eo :........................................................................................................................................................... .. .. .. .. .

TM. BAN BAD CUTRUONG BAN

(Ky ten va dong d~u)Ohi 1'6 ho va ten

cAc PHO TRUONG BAN(K)", ghi r5 119va ten)

5

Ghi cllll: Nhat thiit khong dll't/e tfly xoa tren bien Mn /lilY.

(I) Ghi ten cac aml vi hfulh chinh c~p huy~n thuQc aan vi b~u cu al).ibi~u Qubc hQi.

(2) Ghi r6 sb hX9ng Ql).ibi~u Qubc hQi aUQ"cb~u tl).iaall vi b~u cll' thea Nghi quy~t cua HQi o6ngb~u cu qubc gia.

(3) Glli r6 sb Im;mg ngueri (rng cu ol).ibi~u Qubc hQi theo danh sach chinh thU"cdo HQi a6ng b~l1cu qubc gia cong bb.

(4) X€p cac cQt hQ va ten ngueri (rng cu b~t o~u ttr trai sang phai thea thu tv trong danh sachchinh thuc do HQi a6ng b~u cu qubc gia cong bb.

(5) Truang hop sb cu tri oi bo phi€u chua al).t qua mQt nll'a tbng sb cu tri cua 00'll vi b~u Cll thivi€t: "Vi s6 eu: tri tli bt5phiiu clum d(lt qua I!l{jt /!lI"O. dJng s6 CLI'tri cLla tlO'lLvi bau CLI,nencu{jc bau cu- tI(li bdu Qu6c h{ji t(li tlo'n vi bau CLl's6 .... khong ca gia trioD€ nghi Uy ban ballcll' tinh/thanh ph6 baa cao H{ji d8ng bau eu- qu6e gia xem xet, quyfittI.;n1Lvi{!c bau cu'l(li t(li do'lLvi bau CLI'''.(6) X€p ten ngueri trung cu thea thu tv tlr ngueri nhiSu phi€u d€n ngmJi it phi€u,

(7) Truang hQ'jJkhong co ngueri ung cu nao augc qua Il1xasb phi€u hQ'jJI~ hoi;ic sb nguai trung Cllit hO'll56 dl).ibiSu dugc b~u (; dml vi b~u cu thl ghi r6 56 lUQUgcon thi€u va vi€t "Vi s6 ngLro'it/'llng cu- d(li bi€u Qu6e h{ji clum dLIs6 lu"(mg a(Libdu afL'f/ebau ali an dinh eho aO'n vi ballcu- nen tI€ nghi Oy ban bau CLI'tinhltlulnh ph6 , btio C(lOH{ji d8ng bAu CII'qu6c gioxem xet, quyit tlinh vi{!e bau CLI'them t(li tim, vi bau Cu''',

(8) Ghi r6 nhilng viec b~t thuang aa xay ra; n~u khong co vi~c gi xay ra th1 ghi "Khong c6"

('), (10), (II) Ghi r6 cac dOll tim, nQi dung khi€u nl).i,t6 cao do T6 b~u cu chuy~n d€n; n€u khong ce.thl ghi "Khong c6",

(12) Bien ban phai dUQ'Cglri a€n cac CO"quan co ten tren ch~m nh~t la 05 ngay sau ngay b~u Cll.

(13) Vi d1,lrum cac dall khi€u nl).i,t6 cao hay ter trlwl, baa cao cua T6 b~u cu.

Vi{!cxae dinh kit qU(! trong bau eu'l(Li, bau cii'them dU"(J'eBan bau ell' a(Libi€u Qu6e 1L{)il{il'thanh bien biin rieng va'! cac n{Ji dung thed Mau s621IBCDBQH.

UY BAN BAU CUTiNHJTHANH PHO

6

Mdlt s6 22/BCDBOf!CQNG HOA xA HQI clm NGHIA VIJ);T NAM ~

Di,JcI~p - T\!' do - H\lnh phtic

.,

BrENBANxAe f)"!NHKET QUABAD eu f)~ BlEU Quoe HOI KHOA XIV

oTINHfI'HANH [PlIO .

;Vao h6i gia phtit, ngay .; : th<lng nihn 2016, Uy ban bftu cu tinh/thaohpho gom co:

1. Ong/Ba , Chil tjch2. Ong/Ba ; , PhOCM tich3. Ong/Ba , Ph6 CM tich4. Ong/Ba , Uy,vien5. Ong/Ba , Uy vien6. Ong/Ba , Uyvien7. Ong/Ba... , Uy vien8. Ong/Ba... , Uy vien9. Ong/Ba , Uy vien10. OnglBa , Uy vienII. Ong/Bft , Uy vien

88: hQp t\li db l~p bien ban xac dinh k€t qua bftu cu d(li bibuQu6c hQikhoa XN a tinhJthanh ph6 .

Theo Nghi quy€t 56 INQ-I-IDBCQG ngay thang nam cila HQi d60i'b' . " . tho 'nhJ l'nh I" d b' (I) d . b'"au cll' quoc gla I tl t 1a p 10 ll'Q'c au (II lellQu6c hQi.

Theo Nghi quy€t 56 INQ-H8BCQG ngay thang nam cila HQi d6ngbftu cu qu6c gia thi tinh/thanh ph6 c6 (2) ogll'ai un"cu d(li bibu Qu6c hQi.

Sau khi kibm tra Bien ban xac dinh:k€t qua cUQcbftu cu d(li bibu Qu6c hQi Clla calBan bftu Cll d<;1ibibu Qu6c hQi va giai quy€t khi€u n<;1i,t6 cao (n€u c6), Uy ban bAuCll'x,k"d"'0111<"t a' ba' ,'v d . b'" Q " 1 " . t' h!th'nh ho"! e qu u Cu <;11leu uoc 191a In . a p .nhu sau:

1. S6 Im;>,ngao'n vi biiu ci'r, tang 56 cu' tri, 56 cu' tri tham gia bil phi€u t(li al"jPhu'o'ng nhu' san:

T6ng s6 T6lig s6 Ty l~ CU-tri Phigu 1191'I~ Phi~u khongSIT Bon vj bftu ell' CIl'tri eua cu' ti'i ,1i'i dli tham gia hQ1'l~ Cli

dOll vi th.arh g}a b6 pl!igu s?T)' I~ S6 l.' III

biiu cu- b6 phii'u v6i tOng so S6 T)' I~

cil'tri phigu 0/0 so phigu °/0 sovoi "oitOng t61~gs8 s6

phi~u phiantIm thu

: vao vao I

I Ii

7

I. fl?'ll vi bau Clf so ... ,Gom (3).................. ... . .. . ....... . . . . . .

2. flO11vi bliu Cl~1's8 ...G6m (3) ....................................

"~.

.....................C(\llg:

2. Cac dOllvj b~u CU:co s5 elr tri di be phi@uchua d(lt qua mi;\t nlIa t6ng s5 CU:tri ella donV) b~u cU: ho(ic co vi ph(lm phap lUQ,tnghiem tr9ng, phai t6 chuc b~u CU:l(li g6m(4L

...................................................................................................................................K@tqua ClItri tham gia be phi@ub~u cU:l(li rum sau:

T6ng so T6ngs5 Ty l~ cu' Phi~n Illtp I~ Phiau Idlong

SIT flo'll vi hliu cu' ell'tri eua cu'tri dii tri da hQl' I~ Ghi chud?ll vi tham gia tham g!a

56 T5'1~ % So TYI~ %(ngay t6

ban cil' bOphi~u b6phieu chu'cso voi phi~u so voi phi~n so voi bliu cu't6ng s5 t6ng s5 t6ng.s5 I').i)I .< phieuell'tri I' nen

tim vao tllu vao

1. flO11vi ban Clf s5 ...A (JjGam .......

......................2, .....................

3. S5 phiBu bflu eho m6i ngU'i'ri u'ng elr o\li bi&u Qu5e hQi(5):

fl011vi bliu cu' IIQ va ten ngU'oi u:ng ell' 55 phi~u T5' I~ ~o GhiflBQH(G) bliu so v61 tong cho

s5 phi~nhOll Ie

flOll vi ban cu's5 ... 1.~ (3) 2,Gam ...............

"~,

Don vi ban ell' s5 ... 1.;.. (3) 2.Gam ...............

3,

4. Danh saeh nhu'nl!: lll!:u'oi trung elr oai bi&u Qu5e hQi theo tlrng oo'n vj b~n cir:

,<

8

DOll vi b~u cu' 119 va ten ngU'Oi trlulg ell' S5 phi&u Tyl~ % ChiDBQH(7) b~u so voi tBng chI'

s5 phi&uhon Ie

D . b' ," 1.?TI 6) au Cll'SO ••••••Gom ........................ 2............................... 3.

-

Don vi bau cu's5 ..... 1.).. (3)Gom ........... . . . . . .. . . . . . 2.

"-................... . .. . . . . - ..... 3... .

5. Cac U011 vi b~u Cll'co s6 ngucri trung Cll it hon s6 u(li bi~u Qu6c hi)i Gugc b~u do H(liu6ng b~u Cll'qu6c gia fu1 ujnh, phili t6 chu'c bAu Cll'them g6m(8):

.. . . ...... .. . . . ... . . ... .. . .. .. . . . ... . . . . . . . . . . . . . . . . ...... . .. . . . . ...... . ... . .. . . . . . . . .

.. - -., .Ket OUllbau cu' them nlm sau:

DOll vi bh cu' HQ va ten ngu'i'd ll'ng cu' S5 phi&u T)'I~% ChiDBQH(6) bAu so v6i tBng chIt

s5 philh,hon Ie

Don vi bau cu' s5 ... 1.A (3)Gom ............... 2.

0J.

Danh sach nhu'ng ngU'(ritrlmg cu' sau ld,i bftu cu' them nlm sau:Don vi b~u cu' HQ va ten ngll'oi trung S5 phi&u Tyl~ % Chi

cu'DBQH(7) bh so voi tang ch"s5 phi&uhon Ie

.-D?11 vi bau cu's5 ...... 1Gom (3) ................ 2

0--

J

Don vj bau cu's5 ......--

IG6m (3) ....... ........ 2

6.Nhiing lilli6u n~i, t5 do doT6 bftu cu',Ban bflu cu' ali giiii quy6t:............................................................................................................................................................................................................................................................

7. Nhii'ng vi~c quail trQng ali xiiy.-a va each giiii quyk

--- _._-----

9

8. Nhii'Ilg khi6u n~i, t6 cao do Dy ban b~u cu' ali giili quy~t:

•••,

..............................................................................................................................

B;€~"'b~~"~.~~..'di~i~"'I~~~'"~~~.. 'bi~'"~~...d~;"'b';~~'"Q~6~"'h~i"'6:"~i.~.h;~h~~.I~.ph6....•......... ; ougc I~p thanh 04 ban va OU9'Cgll'i o€n Hoi o6ng b~u cll'quO? gia, Uy ban thu?'ng;'\l Qu6c hoi, Uy bap trung Uffi1gM~t t]'~n T5 qu6c Vii;\t Namva Uy ban M~t tr~n To quoc Vii;\tNam cilng cap(9)

Cac tai lii;\ukem thea, g6m(lO):1. . .2 .

TM. iN BAN BAD CrrClIUTICH

(Ky ten va o6ng d5.u)Ghi 1'5h9 va ten

CACPHO cnU TJCH(Ky, ghi r6 h9 va ten)

Chi cllIl: Nhtlt thiet khOng du'(/c tay xoa tren bien ban /lay.(1) Ghi 1'5s5 lugng d<tibi~u Qu5c hQi ougc b~u t<titinh, tMnh ph6 tr\Ic thuQc trung Uffi1gtheaNghi quy€t cua HQi dilng b~u cu' qu5c gia.(2) Ghi r5 s5 hXQ'llgnguai ung ClYd<tibi~u Qu5c hQi t<tidan vi b~u Cll d<tibi~u Qu5c hQi 6 tinh,tMnh ph5 tr\Ic thuQc tTUnguang thea danh sach chinh thuc do HQi d6ng b~u Cll qu5c gia dIngb5.(3) Ghi ten cac huy~n, qu~n, thi xa, thanh ph5 thuQc tinh hgp thanh dan vi b~u cu.(4) N€u khong co dan vi nao pMi b~u cu l<tithi ghi "K11ongc6" va khong di~n nQi dung trangbang k€t qua kern thea(5) Ghi k€t qua phi€u b~u cho mbi nguai ung cu d<tibi~u Qu5c l19i thea bang kem thea. Trucmghqp dan vj b~u Cllphai b~u cu l<tithi ghi k€t qua b~u ClYl<ti.(6) Ghi thea danh sach tren phi€u b~u Clld<tibi~u Qu5c hQi.(7) X€p thea thu tv tu nguai nhi~u phi€u d€n nguai it phi€u.(8) N€u khong co dffil vi nllOphai b~u cu them thi ghi "KhOng c6".(9)Bien ban pMi ougc glYio€n cac co quan co ten tren ch~l11nh5.tla 07 ngay sau ngay b~u Cll.(10) Vi dunhu cac oan k11i€UIWi,t6 cao hay ta trin11,baa CaDCllaT6 bau cu, Ban bau clY.

•, Mdll sJ 25/BCDBHDNC

Tinh IThimh phil: .Huy~n/Qu~nIThi xaIThill1hphil thuQc tinh:

CONC HOA xA H(:n CHi) NCHiA vn);T NAMDQC l~p - 1'1}.'do - H~nh phUc

..........................................................XiilPhucmgIThi tr~n: .

BIEN BAN KET QUA KlEM PRIEUBAU eu DM BIEU HOI DONG NHAN DAN(l) .

KHOA NHIEM KY 2016-2021eVA TO BA.U eu

Kim \f\ICb6 phi€u s6: xalphucmglthi trfin: ..). , .." ,.). ,,(I) ,8011v[ bau cu d(lt bleu HQIdong nhan dan so: .

). (2)Gam .Ngay thang nam 2016, T6 b&uelI g6m co:1. OnglBa T6 truo-ng2. OnglBa Thu kY3. OngIBa Uy vien4. OngIBa Uy vien5. OnglBa Uy vien6. OnglBa Uy vien........ . . .. .. . . . . . . . . . . . .... . ... . .. . . . ... . .... . .. ..... . . ..... . . .. . ....... . . . .. . . ..... . . .. ... . . . . . .8a hQp t~i phong b6 phi€u cua khu VUCb6 phi€u s6 xalphuo-nglthi trfin

h'" . b). ,,,. b.7- IeI" ,,). ,1-.' d' ,.................................... t UQCu011V[ au cu u~1 leu ClQIuong Illlan an so ."J. ., h'-1-. " k.7- h" b). ,,,. b.7- I--I" ,,). nh' d' (I)ue tJen 'LUll VI~C lem p leu au cu u(ll leu QI uong an an .kh6a nhi~m ky 2016-2021.

D' .. h' (3) 0 h' - ?016 . kh' h h" .. bvung gw P ut ,ngay tang nam ~ , tJ'uac It vc l~n VI~C ,phi€u, d(li di~n T6 b&uclI da ki6m tra hom phi6u vo-iS,I chung ki€n cua hai cu tri la:

1. OngIBa Nai a hi~n nay: .2. OngIBa No'i 0-hi~n nay: .Sau d6, T6 b&ucu' da 1d16ava niem phong hom phi€u, mai cu' tri b~t d&ub6 phi€u.D' '0 l't(4) 0 I' - 2016T7- , T7-b). - •vung gw P 1U ,ngay t1ang nam ,0 truang a au Clftuye'

b6 k€t thUc cUQcb&ucu' va ti6n hanh ki6m phi6u ngay t(li phong b6 phi6u.Tnro-c khi m6' hOm phi€u, T6 truo-ng T6 b&ucu' da mai hai cu tri kh6ng phili la nguc .

(rng cu chung ki€n vi~c ki6m phi6u g6m:1. OngIBa Nai 0-hi~n nay: .2. OngIBa Nai 0-hi~n nay: .Truo-c khi ma hom phi€u, T6 b&ucu dITti€n halili ki6m ke va I~p bien ban v~ vi~c s

d\lng phi6u b&uClId(li bi6u HQi d6ng nhan dan.ldt qua cUQC b5.n cU'nlm san:_ s6 d(li bi6u HQi d6ng nhan dan dUQ'can dinh cho dan vi b5.u cu la: nguai- s6 nguai lrng cu: nguiJiTJ... ::.. ~ • ? 1'1-. b' I';' , .(5_ ong so cu tn cua (uU V\IC 0 P lIeu: ngu01

, s6 lugng clI tri da tham gia b6 phi6u: nguai_Ty l~ cu' tri da tham gia b6 phi6u so vo-itbng 56 cu tri %- s6 phi€u phat ra: phi6u

S' h" h . 1 .,_ 0 p leu t u vao: p lIeu_ s6 phi€u hop I~: phi~u.Ty I~ so v6i tbng 56 phi6u thu vao: %

2~-

- s4 phi~u lcJ:ong hQ'pl~: phi~u. TY I~ so v6'i t6ng s6 phi~u thu vao:........ % ;- So phieu biiu cho moi nguai ung cli nhu sau: (6)

1. ?nglBa duQ'c phi~u/ phi~u hgp I~2. ?ngIBa duQ'c phi~u/ phi~u hgp I~3. ?ngIBa duQ'c phi~u/ phi~u hgp I~4. ?nglBa dugc phi~u/ phi~u hgp I~5. ?ngIBa dUQ'c phi~u/ phi~u hgp I~6. OnglBa dUDC phi~u/ phi~u hop Ie7. ?nglBa dUQ'c phi~u/ phi~u h~ I~8. OnglBa duQ'c phi~u/ phi~u hgp I~Trang ngay bau cli va thai gian ki6m phi~u, dll xay ra su viec hoac khi~u nai t5 cao

au dii . (7). . .. . ,s y. . .

. ........... .. ......... . .... . . . ...... . . ... .. .. . .... . .. . . .... . ....... .......... . . .. ... ...... .. ... .... ...

...... ......... .. . . . . ...... . .... ................ . .. . . . . ... ... . . ...... . .......... ......... . .. . ... .......Nhfrng vfrn d~ hoi:ic khi~u n<;ti,t6 cao ma T6 bau Cll' chua giai quy~t dugc va ki~n

nghi:(8)........................................................................................................................................................ ................ .B., b' , d h' h'nh 'h>' " h't(9), th' '2016'len annay UQ'C oant a vao OI .... glO.... p u ,ngay ..... ang .... nam va

I~p thanh 03 ban glii d~n Ban bau cli d<;ti bi6u H(li d6ng nhan dan (I)

............................... , Uy ban nhiin dan, Ban thuong tn,rc Uy ban Mi:it tr~n T6 qu6cVi~t Nam c~p xll(10)

CU Till THU NHA TI CHUNG KIEN VIl);C KIEM PRIEU

(Ky, ghi r6 hQ va ten)

CU Till THU HAlCHUNG KIEN VIl);C KIEM PRIEU

(Ky, ghi r6 hQ va ten)

TM.TOBAucuTO TRUONG

(Ky ten va d6ng d~u)Ohi r6 hQ va ten

THUKYTOBAucu

(Ky, ghi r6 hQ va ten)

Ghi dill: Nhfu thitt khfJng auriC thy xoa Min bien him nay.

(l) Ohi ten dan vi himh chinh d.p t6 ChllCb~ll ClI d?i bi~ll HQi d6ng nhan dan (vi d\l Tinh A,Thanh ph6 B, Hlly~n C, Xli D ... ).(2) Ohi ten cac don vi himh chinh c~p du6i ho~c th6n, t6 dan ph6, ... hgp thimh don vi bin Clld?i bi@uI-IQid6ng nhan dan tUmlg ling IT mBi c~p.(3) Ohi thai di@mb~t dall vi~c bo phi~ll.(4) Ohi thai di~m k~t thllC vi~c bo phi~ll.(5) S6 Cll'tri trong danh sach Cll'tri t<;tiId1UV\ICbo phi~ll (c~p nMt d~n thai di~m b~t b~u bophi~ll).(6) Ohi thea danh sach t1'enphi~u b~u Clld<;tibi~u HQi d6ng nhan dan tU011gung.(7) T6m t~t nhfmg S\l vi~c xay ra hoi:ickhi~u n<;ti,t6 cao va cach giai quy~t clla T6 b~u Cll'.

""

.,

'.~ (8) Ghi ro v~n d~, khi@un~i, td cao chua dugc giai quy@tva ki@nnghj.(9) Ghi thai dibm k@tthuc vi~c kibm phi@u..(i 0) Vi~c gui bien ban dugc tl11fchi~n ch~ni l;h~t la 03 ngay sau ngay b~u cu. ;.

., r, T6 b~u cu l~p 03 bien ban thea miiu nay db thb hi~n k@tqua kibm phi@u b~u cu d~i bi@uHQid6ng nhan dan a tUng c~p, C\lthb nlm sau:_ Bien ban k@tqua kibm phi@Ub~u cu d~i bibu HQi d6ng nMn dan tlnh/thanh phd tn,rc thuoctmng uong. Bien bim nay dugc glxi d@nBan b~u cu d~i bibu HQi d6ng nMn dan cftp tinh va Uyban nhan dan, Ban thuang tn,rc Uy ban Mi.\ttr~n T6 qu6c cftp xa 11O'ico T6 b~u cu;

_ Bien ban k~t qua kibm phi@ub~u clr d~i bl&uHQi d6ng nhan dan huy~n/qu~n/thi xaJthanh phdthuQc tinll. Bien bim nay dugc gui d~n Ban bilu elr d~i bibu HQi d6ng nhan dan cftp huyen va Uyban nllan dan, Ban thuang tqrc Uy ban Mi.\tti'(in T6 qudc c~p xa noi co T6 bilu cu;

_ Bien ban k~t qua klbm phi~u b~u cu d~i bi&u HQi d6ng nMn dan xa/phuang/thj trfrn.Bien bannay dugc gui d~n Ban b~u cu d"i bi&u H'Qi d6ng nhan dan c~p xa va Uy ban nhan dan, Banthuang tn,rc Uy ban Mi.\t tr~n T6 qudc ciip xanoi co T6 b~u Clf.

4,

Mil" s6 26IBC£JBHDNf)

BAN BAu eu B~ BlEU HOI BONG NIlAN DAN........................... (1) .

BON V) BAu cus6 .eONG HOA xA HOI elm NGHiA VIl):T NA"I;

D{lc l~p - T\}.'do - H~nh phllC

BIEN BAN XAC f)lNH KET QUA BAU CDD~I BlED HOI DONG NIlAN DAN (1). .

, (2) 6 DON Vl BAU CD s6 .Com .

Vao h6i gicr. phUt, ngay th{ll1g nam 2016, Ban b~u Cll'dai bi~uHoi d6ng nhan dan (I) g6m co:

I. OnglBa , Tru6"ng Ban2. OnglBa , PhO Trm'mg ban3. OnglBa , PhO Tm6"ng ban4. OnglBa , Oy vi en5. OngIBa , Oy vien6. OnglBa , -oy vien7. OnglBa , -oy vien8. OnglBa , -oy vien9. OnglBa , Oy vi enDa hQp t\li d~ I~p bien bi'm xac djnh k~1

qua biu Clr dai bi~u Hoi d6ng nhan dan(l) .khoa nhi~m ky 2016-2021 tai cac khu Vl,l"Cb6 phi~u cua don vi b~u cu' d\li bi~u Hoid6ng nhan dan s6 g6m (2) ..•...............................•...............................

Thea Nghi quy~1 56 INQ-UBBC ng,'ty thang nllin cua -oy ban b~u Cl:

(1) 1hi d . b' ,!- d b' (3) '" • b' A HA" 'IA." , ,.... on V! au Cll'so ll'Q"c au , u\ll leu QI(on~nhiin dan(I) .

Thea Nghi quy~t 56 INQ-UBBC ng,'ty thang nfun cua -oy ban b~u Cl:(I) 1hi 0 . b" '.!- • (4) ."" 0 . b'A 11-:............................... on V! au cu so co nguO'I ung cll' \II leu-o06ng nhan dan.

Sau khi ki~m tra va t6ng hQ"pk&t qua tll Bien ban k~t qua ki6m phi~u b~u Clr do CalT6 b~u CITchuy6n o~n, k€t qua b~u CITdai bi~u Hoi 06ng nhan dan (I), coO'n vi b~u Clr 56 nhll' sau:

- T~ng 56 clr,tri cu~ 00'11vi b~u ,cu: :::: ngL1(J

- So Ill'qng cll' In oa tham gla bo phleu: l1guo,:- Ty I~ ~~ tri ~atham gia b6 phi~u so va) 16ng 56 cu lri cua oO'n vj bau cu.: '1,- So phleu phat ra: phleu- S6 phi~u thu V{IO: phi~u- S6 phi~u hQ"pl~: phi~u. Ty I~ so vai t6ng 56 phi~u thu vao: . oft

- S6 phi~u kh6ng hQ"pI~: phi~u. Ty I~ so v6'i ding 56 phi€u lhu vao: '1,- S6 phi~u b~u cho m6i ngll'ai lIng Cll'nhll' sau: . .1. OnglBa oll'Q"c phieu! phieu hop I,2. OnglBa oll'Q"c phi~u! phi~u IWp I,o - • .!- h'!-J. OnglBa oll'Q'c phleu! p leu lWp I,4. OnglBa oUQ'c , phi~u! phi~u hop h5. OnglBa oll'Q'c phi~u! phi~u hop I,

5,",'

6. ?ng/Bil uUQ'c phi~u/ phi~u hQ'p l~ ~7. Ong/Bil uuac phi~u/ phi~u hop Ie8. Ong/Bil uU'</c phi~u/ phi€u hgp I~Can cu' vao k~t qua ghi trell uay, Ball bflu ell: dai bi@u Hoi dBng IIhan dan

(I) , , .,.............................. ket IU\ln:a) S5 Cll tri uil tham gia b6 phi€u U(lt % So'vo-i t5ng s5 cll'tri cua uaD vi bflu ell'.~ ........................ . . .. .b) Cac ang/bit co ten sau uay nh~n Uli'qc qua nu.a s5 phi€u hQ'P I~ va co l1hi~uphi~u haD,

u-. 'u . b" H""" ]' d' (I)a tllll1g Cli' (11 leu 91 uang 111an an .khoa , nhi~m k"5'2016-2021(6):

1 0, g/B' , h" .• 0/"" h" h I'. na a So'P leu: u(lt: /0 So'VO'!tang So'p leu QP ~.20' g/B' 'I" At 0/ ,., 'h" hi'. n a So'P lIeu: u(l : /0 so' VO'!tang so' p leu 9'P~.3 0, g/B' , h" .• 0/ ,.' 'h" 1 l'. n a so P leu: u(lt: /0 so VO'!tang so P leu 19'P ~.4 0, g/B' , I" .• 0/"" h" h ]'. n a So'P ueu: u(lt: /0 So'vO'!tang so p leu 9'P ~.5 0, g/B' , I" .• 0/" t' 'h" h ]'. n a so p ueu: u(lt: /0 so val ong so p leu 9'P ~.) Th ' "'00 ' U' b b" '(I) th' ' .•. b" H"c eo an u! cua Y an au Cli' , I so u(ll leu 91

.•" nh' d' (I) .• b"'" . b" " I' .•. b"uong an an uli'Q'C au a uOll V! au Cli'So' a u(ll leu,nay uil bflu uUQ'c u(li bi~u, con thi~u u(li bi~u

(7) .............................................................................................................

.............................................................................................................

T . t~tnh- ., , (8)am a UDgVI~Cxay ra : ................................................................................. ................................................................................................................................................

Nhfrng khi€u ni;li, t5 cao trang qua trinh biu Cll do cac T5 bflu cu' uil giili quy~t(9):..................................................................................................................................Nhfrng khi€u n(li, t5 cao trong qua trinh bflu Cll'do Ban bflu Cll' uil giai quy~t, cach giai, (10).quyet .

- ., .,. ' .•" b b" , (II)Nhli'ng khleu n(ll, to' cao chuyen uen Uy an au cu : ............................................................... .., , . . , ," , .., " .•" h' d' (I) '.BIen ban xac o!nh ket qua bau Cli'U(llb1eu HQI uong n an an a

uan vi bflu Cll s5 uuQ'c I~p thilnh 04 ban va uUQ'cgu'i o€n 0y ban bflu cu, Thli'011gtr\Ic HQi u6ng nhiin dan, 0y ban nhiin dan, Ban thuo-ng tl'\!C 0y ban M~t tr~n T5 qu5cVi~t Nam (I) (12)

Cac tili li~u kem theo(13):I .2 .

TM. BAN BAu CUTRUONG BAN

(Ky ten va uong d~u)Ghi ro ho va ten

cAe PHO TRUONG BAN(Ky, ghi r5 h9 va ten)

6

Ghi C!Ul:Nhtit thuft khong itu'(J'ctBy xoa tren bUinMn nay.

(I) Ghi ten dml vi himh chinh ci\p t6 chuc bftu Cll'd1).ibi@uHi?i d6ng nhan dan.j

(2) .Ghi ten cac dan vi himh chinh ci\p duai hoi;icthan, t6 dan ph6 ... hgp thanh dffil vi bftu Cll'd"ibieu Hi?i d6ngnhiln dan tUffilg {mg a mili dp.(3) Ghi 1'0 s6 IUQTIgd"i bi@uHi?i d6ng nhan dan duqc bftu t"i, dan vi bftu cu theo Nghi quy~t ClWOy ban bau cu d"i bi@uHi?i d6ng nhan dan a ci\p d6,

(4) Ghi 1'0 s6 IUqllg nguai {mg Cll'd"i bi@uHi?i d6ng nhiln dan theo danh sach chinh th{rc do 0\ban bau cu d"i bi@uHi?i d6ng nhan dan a tip d6 cong b6, ~

(5) Truang hgp s6 cu tri di bo phi~u chua d"t qua mi?t nua t6ng s6 Clf tri Clla don vi b&u Clfthlvi~t: "Vi sa cU' tri iti biJ phufu c!um it(It qua l1l{jtntl'a ding sa cli' tri clla itO'ft vi bau CIl',nencu{jc bim CU'it(Ii bdu H{ji d8ng nhan dan (I) •••••• t(Ii do'n vi bau cel'sa .... khong co gia tri, Di;nghi Uy ban bau CIl'(I) ., ••••••••• xel1l xit, quyit dinh vi?c him CICl(Ii t(Ii ito'n vi bitu cu'''.

(6) X@pten nguai trung cu theo th{r tl,rttl' nguai nhi@uphi@ud~n nguai it phi~u.

(7) TruOng hgp !<hong c6 nguai trng cu nao cluqc qua ntra s6 .phi~u hgp I~"hoi;ic s6 nguai tfung Cllit hml s6 d",i bi@uduqc b&u a dml vi bau eu thl ghi 1'0 s6 hrQTIgcon thi@uva vi@t:"Vi sa ngwJ'it/"ling CICit(Ii bdu H;;i it8ng nhan dan c!Ul'(litll sa Iw;mgtl(Ii bdu itll"9'Cbau ita an itin" clUJdo'n vi bau CIl'Tlen itii nghi Uy ban bau CIl'(I), , ,..xem xit, quyit din" vi?c bau ci:rt"el1lt(Ii do'ft vi hiiu Cll'''.(8) Ghi ro nhfrng vi~c bit tlmang dil xity ra; li@ukhong c6 vi~c gi xay ra thi ghi "Kl16ng c6".

(9), (10), (II) Ghi 1'0 cac dan thu, ni?i dung khi~u nai, t6 cao do T6 bftu Clfchuy@nd@n;n@u!<hong ccthi ghi lIKh6ng COil.

(12) Bien ban phai duqc glfi d~n cac CO' quaIl 'c6 ten tren ch(\m nhit la 05 ngay sau ngay bftu cu

(13) Vi d1,lnhu cac dan khi~u n",i, t6 caD hay to trinh, bao cao CllaT6 bftu cu.

Vi?c xac dinh kit qua trong bitu CIl'l(Ii, bitu cU' thiJl1l du'(J'cBan bitu cli' dfli biiiu H{ji dangnhan dan l{ip thanh bien biin rieng va'i cac' n{ji dung theoMtiu sa 26/BCDBHDND.

7-,

MJlI s6 27IBCDBH{)NL'

(I)iN BAN BAu CD'

.................................................CONG HoA xA HOI CHiJ NGHIA VIJ!:T NAM

Bi)c I~p - T\!' do - H~nh phlic

BIEN BAN TONG KET evOe BAv elf;: - "- ..•....•. (1) •DM BIEV HQI DONG NHAN DAN .

KHOA NHI$M KY 2016-2021

.,. '. •• • _ • ,. (IVao hal g1O' phut; ngay thang nam 2016, Uy ban bau Cll....................................... gom co:

1. OnglBa , Chu tich2. OngIBa , PhO Chll tich

l ~~~~....................ii: ~r:r:I,ch~:g~:~::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::g~:;:~9. OnglBa Uy vien............................................... - .

Ii.11\1

8li hQp t~i d~ l~p bien ban tling k6t cUQc b~u ClI d~i bi~u Hed6ng nhan dan (1) khoa nhi~m IcY2016-2021.

Th d. I . L' , h' 1. I ' d' h thi (1)eo quy )n 1 cua u~t to C uc c 11n1 quyen ja p liang . .. .'(0) ., .,dliQ'Cbau - d~i bieu HQi dong nhiin dan. Thea Nghi quyet so .lNQ-UBB(

. th. - . U. b b' . (1) • t' ,(3)ngay..... ang nam cua y an au eli , co ong cQng .nguo'i lmg Cll' d~i bi~u HQi d6ng nhiin diin(I) kh6a nhi~l11 k2016.2021.

Sau khi ki~m tra Bien ban xae dinh k6t qua cUQc b~u CU cua cac Ban b~u cu va gi;quy6t khi6u n~i, t6 cao (n6u co), Uy ban b~u cli xae nh~n k6t qua b~u cli d~i bi~u Hed6ng nhan dfin (I) khoa nhi~m k)' 2016-2021 nhu sau

1. sa IU'<?,ngao'n vi bftu ell', t6ng sa ell' tri, sa cll' tl'i tham gia bi) phi€u t~i O!"hDhll'o'ne: n u'sau:

Tang s6 cu'.~

Phi~u h91' 1(\ Phigu khongTong s6 Ty 1(\ cu'SIT Doonvi b~u cu' tri Clla doon cu' tri dii tri dii hQ'PI? G

yi b~u cu' tham g!n tham C

b6 phieu gia bii S6 T)' 1(\ % S6 T)'l? % I

Iphi~u so phi~u so vOi phi~u so v6i

,,?i ~Bn~ tBng,s6 tong so

I so ell'tnphieu phi~uthn "ao tIm v~\o

11. BOll vi bau Ct~l'so ..., (4)Gam .... ...........

. . . .. .. . .. . . . . . . . .. .2. BOll vi bEn ell' s6 ...

, (4jGam ..... . ............ ........... - -

8

3. I .Ci)ng:

2. Cac dOllvi bftu Cll' co s6 cu' tri di b6 phi~u chua d~t qua mot nu'a t6ng s6 ClI tri cuadon vi bftu Cll hoiiicco vi ph~m phap lu~t nghiem trQng,phai ti~n h.:ml1bilu Cll I~ig6m(S):

................................................................................................................................K~t qua Cll' tri tham gia b6 phi~u bftucu' l~i nhu sau:

Tang 56 Tang 56 Ty l~ cil' Phi~u ]H1PI~ Phi~u ldlongSTT Don vi ball cu' cIl'tri ell' tri dli tri dii hQl' ]~ Ghi eh"

eua don tham gia thalli (nga)' tavi bftn bii phi~u gia bii So T5']~ % So T5,1~% chil'C

ell' I ,< phi~u so vo; phi~u so voi bftn cli-p lie,! so • < . "vo; tang tong,so tong.so l~i)s6 ell'tri phieu phieu

tIm vao thn van

1. Don vi ball ell' so ..., (4)Gam ........

... ... . .. - ..............2. Don vi bAu cu' 56...

, (4)Gam .................. .. .... .........

3. s6 phiBu bfiu eho m6i ngu'i'rill'l1gell' d~i bi~u HQi d6ng nhan dau(6):

Don vi bAn ell' I1Q va ten nguoi s6 phil\u Tyl~% so vo; tang Ghi ehuu'ng ell' bAu 56 phil\u hQ1'l~

DBIIDND(J)DOll vi bau cu' 56 ... I

, (4) 2Gam ........................................... 3

Don vi ba u cu' 56 .... I, (4j 2Gam ...... , ...................

, .................. ,j

4. Dauh sueh uhu'ug IlgU'Ol trullg ell' d~i bi~u HQi. d6ng nhan dan(I) •••••••••••••••••••• kh6a Ilhi~m k)' 2016-2021 theo tirng do'n vi bau ell' ulm sau:

DO'n vi bAu ell: I1Q va ten ngm)i s6 phil\u Ty l~ eyoso vo'i t6ng s6 Ghitrllllg Cl?l' bAu [lhi~u hQ'p l~ ehu

HBlIDND(8)DOll vi bau ell'SO 1, (4) ••.•••

2Gam .. , .. , ...... ' ........................... , .................DOll vi bAll cil's6 ..... I, (4j

2Gam ........................• • r • • • • • • • • • • • • • • • • • • • • • - • • • • • • • •

.........

9.,

~ 5. Cac don vi bilu Cll:co s5 nguai trung Cll'it hon s5 d:;tibi~u HQi d6ng nhful diln dU'Q"ebilu do Uy ban bilu ell' iin dinh, phai t6 cll\l~ bilu ClI:them g6m (9):

..•...•••••••••.........•••••..•........•••................•• , •.....•.••••......••.....•...••••.....•••••••••.••.....•....•.....

................................................................................................................................K€t qua bilu ell' them nhu sau:

Bon vi bAn ell' II? va ten S6 [lhi&n T)' l~% ~ov6i tang s6 Ghi chiingU'oi u'ng Cli' ban [lhien h?'[ll~DBHDND(7)

D ' b" ." 1<tIl ''1 au cu'so ...G6m(4) ........ . . . . . . .. . . . 2.................. . ......... 0

0..............

Danh slich nhu'ng ngu'(ri trung ci'1'dl;li bi&lIH(ii dang nhan dan sau 1illi bilu ci'1'them nhu sau:

Don vj ban ell' II? va ten ilgU'oi 86 [l,hi&u TY 1~% ~o voi t6ng 56 Ghitrung ell' bilu [lhieu h?'[ll~ chil

DBHDND(8)

DOll vi ball elI's6 ..... 1, (4)Gam ......... .............. 2 ,.

.................................... 0,.

0 ,

DOll vi ban cil'sa ..... 1, (4)Gam ......... .............. 2

.. . ................................ 00

6. Nhfrng vi~c quan tl'Qng dli xay ra va k(\t qua giai quy(\t:............................................................................................................................................................................................................................................................7. Nhfrng khi(\u nl;li, t6 cao do Dy ban b~u CIT dli giai quy(\t:.......................................................................................................................................................................................... .Bien ban t6ng k~t cUQc bilu cll'. dai bi~u HQi

lilloa nhi~111 ky 2016-2021 duQ'c l~p thanh(10)...........................................

TM. iJy BAN BAu crYCHlJTlCH

(Ky ten, d6;lg d:lu)Ghi 1'5 119 va ten

d" hA dA (I)ong n an an .06 ban va duQ'c gui d~11

CACPRO CHi! nCB(Ky, ghi 1'6 h9 va ten)

10

Glti c!1l1:Nltat tlziit khOng tlu'(J'ctay xoa tr(in bien bun nay,

(I) Ghi ten dan vi hill1hchinh dp t6 chuc bAuClld(ii bi~u HQi d6ng nhfuJ dan.

(~)Ghi rO,s5lm;mg d~i bi~u I~Qid6ng nhiin dal~dugc bAu t(ii don vi bAuCll theo Nghi quy~t cuaUy ban bau Clld(ii bieu HQi dong nhiin dan a cap do.

(3) Ghi 1'0 s5 lugng ngll'iYiung Cll d(ii bi~u HQi d6ng nhan dan o' c~p minh theo Danh sach chinhthlrc rna Uy ban bAuCllda cong b5.

(4) G~i ten cac dan vi hilnh chinh c~p ~ll'oi, thOn, t5 dan ph5, ... 11910thanh dan vi bAuCll d(l;bi~uHQidong nhan dan tuang ung a moi cap.(5) N&u!<hongco dan vi nao phai bilu Cll l(ii thi ghi "Khong co" va khOng dibn nQi dung trangbang k&tqua kern theo.

(6) Ghi k&tqua phi&ubAucho m6i ngll'o'i ung Clld(ii bi~u HQi d6ng nhiin diin dp minh theo bilngkern theo, TruiYnghgp dan vi bilu Cllphili bilu Cll l(ii thi ghi k&tqua bAuCll l(ii.

(7) Ghi theo danh sach tren phi&u bilu Clld(ii bi~u HQid6ng nhiin dan.

(8) X&ptheo thu t,I til ngll'iYinhibu phi&ud&nngll'iYiit phi&u.

(9) N&u!<hongco dan vi nao phili bilu Cllthem thi ghi "Khong co".

(10) D5i voi Bien ban t6ng k&tcUQcbAucil d(ii bi~u HQi d6ng nhan dan c~p hUYen,d.p xa thi ghiglli d&n"H{ii dang nhfin dun, Uy ban nhfin dun, Uy ban Mij.t trl)n riJ quac Vi~t Nam ciing clipva clip tren tr(l'c tiflp".

D5i voi Bien ban t6ng k&tcUQcbilu Cll d(ii bi~u H9i d6ng nhan dan c~p tinh thi ghi giri d&n"H{ii dang nltfin dun, Uy ban nhfin dun, Uy ban Mij.t trl)n riJ quac Vi~t Nam cLing citp, Uy'WI1 tfrrrn'110 lJ1/ n"Ar It!'; rhrnh nhi!, ilu hnl1 truTH! U'O'l1f! Mift frfin Th rruhe Viet t,ltUll".

11{...

M~s63WBCDBQH&BCDBHDND

UY BAN NI-rAN DANxAJPHUONGrfFq TRAN(*) .

CQNG HOA xA HQI CHU NGHlA VIJ)'.TNAiWI>Qcl~p - T\l' do - H~nh phiic

DANE[ sAcH CU TIDBAV CU D~I BlEU QUOC HQI KI-IOA XIV

VA BAU cu DM BlEU HQI DONG NHAN DAN cAc cAp NHIJ):M KY 2016 -2021VI b' hi" "(") I - -/ 1 .' g/'I' ."1\J.1U"'IC 0 P eu so t1UQCxa p1Uon t1] tran ,

huy~n/qu~.n/t11i xalthimh ph5 tinh/thanh ph5 .......................

Bfin ell'

STT HQ va tell Ngay, thang,Naill Ntl' Dan tQc

Ngh~ No'io' Bfin ell' oaihiflu HDND Chi chI.nam sinh nghi?p hi~nnay DBQH Tinh Hny?n xn

(1) (2) (3) (4) (5) (6) (7) (8) . (9) (10) Ttl) (12)

1 ,... _ .,.- .,.. . - .- .,'

2 - . . . .

T6ng so

T5ng s5 Cll tr'i Clla ld1UV\ICb6 phi~u la: nguiYi; trong d6 co: Nam;ell tTi thrun gia bilu CllBBQH: nglliYi;ell: t1'itham gia bilu Cll d':li bi~u I-lf)ND dip tinh nglliYi;ell tri tham gia bilu Cll d':li bi~u I-lf)ND ctltphuy~n ngu6i;ell tr'i thanl gia bilu Cll d':li bi~u I-lf)ND ctltpxa.. ngu6i;Danh sikh nay dugc l~p t':li ngay tl1ang nam 2016

NO:.

TM. UY BAN'NHAN DAN (''')CHUTICI-I

(Ky ten va C!6ngdilu)Obi 10 hQ va ten

12

'Jlti cllll;:*) D6i voi huy~n lehong co dan vi him.h chinh xii, thi tr~n thi ghi ten UBND huyen.

:**) Ghi s6 thu tt,rClmlelmV1,rcb6 phieu.Viec ghi thong tin vao dc cgt rlu'Q'c th\fc hien nhu sau::::i)t (1) I-I9 va ten etr tri xep theo hi) gia dinh ho~c theo t6 chlrc, dan vi nai cu (Tidang ley tham gia b6 plueu (vi d\l b~nh vien, nM an duang, CITsa giaoluc b~( blli)C, dan vi Veltrang nhan dan, ... ). Tnrang 119Pdanh sach I~p theo hi) gia dinh!hi ten Chll hi) xep len dilu;cac hi) xep theo thlr tt,rtil' dilu xom:ten cu6i xom (a nang (han), tit dilu ph6 den cu6i ph6 (a thimh thi) ho~c theo mgt thu tl,rthfch hQ"pvai d~c di€m Clmdia phuang.:::i)t (2) dn ghi dily dll ngay, thang, nam sinh. D6i vai Cll tri sinh ill nam 1997 (Tavb truac, neu lehOngxac d[nh dUQ"cchinh xac ngay sinh, thimg sinh thi

)hi citn glu nfun sinh.:::ac ci)t (3), (4) danh dilu (X) theo gim tinh etm clr trio:::i)t(5) Ghi r6: K1nh, ray, Nimg, ...:::i)( (6) Glu r6: can bi), cong chlrc, vien chlrc, giao vien, l\lc lUang viI trang, cong nhan, nang dan, ni)i trq, huu (TL..

:::i)t (7) Ghi dia chi (thuimg trll ho~c (;;1mtrill nai Clt (ri dang kY b6 plueu._Tnrang hQ"pClt tri dang ky b6 p1ueu a nm t9-ffitru thi ghi chil vao ci)t (12) thm gian b~t dilu dang ley t;;1mtru._Tnril11g h9P cit tri la quan nhan dang leyb6 plueu t;;Jidan vi viI trang nhan dan tlll glu ten dan vi hilnh chinh cilp xa nm dan vi dong quan._ Truong hQ"pCll (ri la d6i tUQ"ngquy dinh t;;JiDibu 34 cua Lu~t bilu CllDBQI--Iva d;;Jibibll J-If)ND, Cll hi dang ley b6 phieu tlleo t6 chuc, dan vi(benh vien, 1111aan duang, ca sa giao dvc, doanh nghiep ... ) thi ghi ten va dia chi cua t6 chuc, dan vi nai t6 ChllCdfulg ky I~p danh sach ClTtrio .

Cilc ci)t (8), (9), (10), (II) tlwc hi~n danh d~unhu sau:_ CIl hi dfulg ky b6 phiell a nai thuong trll ho~c nm t\Un hil co tho'j gian dang kY t\Un trll tiT 12 thang tra lell tin1l d€nngay bilu Clr thi danh dilu(X) vao ca 4 ci)t (8), (9), (10), (11)._ CIl tri dfulg .1<1' b6 plueu t;;1inm t9-ffitrll rna thm gian ~fulg ley t;;1mtru chua du 12 thang tinh den ngay bilu etr, Cll tri la quan nhan (lI,rclUang viItrang) b6 plueu (;;1idan vi Veltrang nhan dan tlll danh dau (X) vao cQt (8), (9), (10)._ Cite Cll tli con 1;;1idanh dilu (X) vao ci)t (8) va (9).- Dan1l dilu (0) vim cac a conl;;1i.

C(\t (12) Ghi chll C\I th€ vb cac ni)i dlU1gsau day:_D6i vai etl tri la nguai t;;1mtr(1dang ley b6 phi€u t;;1idja phucyng tlll ghi thai gian b~t dAu dang ky t9-ffitrl! t;;1idja phucyng (b~t dAutam trll tir nam

2014 tra vb h'uae thi chi ciln ghi nam; til nam2015 den nay thi ghi r6 tl1ang va nam). ._ ClTtri thui)c d6i tUQ"ngquy dinh t;;1ildloan 5 Di~u 29 Clla Luiit bAu cit ElBQH va d;;1ibi~u HElND thi ghi "Nglrai dang bi t';lm giam", "Nguai

dang bi t9-J-llgift" ''Ngu'ai dang chap hanh bien phap ... ".•

••

13

- elT hi da dugc cAp GiAy ch{mg nh(1n dS di b6 phi~u & nm khac till gill "B6 phi~u & nai ldlac"; ClTtri la quan nhiin da xin cAp giAy ch{mg nh(in dStham gia b6 phi~u & nai ClTtrll thi ghi "B6 phi~u & n01 cu tnl".

- ell' tri dugc b6 SLll1gvao danh sach ClTtri thea quy dinh t\li Di6u 34 clm Lu(1tbAu Cll DBQI-I va d\li bi~u HDND thi gbi "Cll tri lehong Cll trll &dia phtrollg".

- Vi~c xoa ten trong danh sach ClTtri thea quy djnh t\li cac lmoim 3, 4 va 5 Di6u 30 Clla Lu(1t biiu CllDBQI-I va d\li biSu I-IDND(***) Dbi veri buy~n ldlong co dan vj himb chinh xa, thi tTAnthi Chll tich Uy ban nhan dan huyen ley ten va dong dAu Truong hgp cAp pho ley

thay Chll tjch Uy ban nhan dan thi h1nh bay nlm sau:TM. iJY BAN NHAN DAN

KT.CHUT!CH

PH6cHUnCH

,,'..

;.

15

TOBAUCUMd~, s631IBCDBQH&BCDBHfJND

CQNG HOA xA HQI CI-rUNGIDA VIJ!;TNAMD(lc liip - TI)' do - H~nh plUlc

BIEN BAN KIEM KE VIEC srrDUNG PIUEU BAU crrD,;\I BlEU Quac HOI KHOA XIV vA D,;\I iUEU HOI DONG NHAN DAN

cAC CAP NHIJJ;MKY 2016-2021

Khu vvc b6 phifu s6 ,"XaJphucrng/thj tran Hlly~nlqu~n/thj xaJ tMn.h ph6 .TinhltMnh ph6 " '" ' _ ".".

Vi!a h6i gio- , ngi!y thang nam 2016, Td truang 'I'd bAlcu tuyen b6 kft thtic CllQCbAu cu a(li bi€u Qu6c hQi kh6a XIV vi! a(li bi€u HQi d6ng IlhiiJdan cac ci\p nhi~m ky 2016-2021.

Truac khi ma hOm phieu, Td bAu cu aa tifn Mnh ki€m ke vii I(ip bien biin v~ viec S1.d\-!ngphieu bAu duai S\-!'ch(rng kifn cua hai cu tri khong ra (rng cu' Ii!:

Ong/Bi! NO'i a hi~n nay """ ........, ,Ong/Bi! Na.j a hien nay ' .

Kft qua ki€m ke vi~c suod\-!ng phieu bAll Cll'nhll' sau:1- s6 phieu 1'd bAu cu' aa nh~n v~ Iii: _ Phifu

Trang d6: Phifu bAu cu d(li bi€u QU6c hQi Ii!: ' phieuPhieu b~u cu' d(li bi€u HDND ci\p tinh Ii!: '" phifuPhifu b~u Cll'd(li bi€u HDND ci\p hUYen Ii!: " phifuPh'; , , ..; ND; - l' .;leu bau cu d;;u bleu HD cap xa a: phlell2- s6 phifu pMt ra Iii : ". phifu

Trang d6 : Phifu b~u Cll'd(li bi€u Qu6c hQi Ii! : '" phifuPhifu b~u Cll'd(li bi€u HDND ci\p tinh Ii!: '" phifuPhifu b~u Cll'd(li bi€u HDND cilp hUYen Ii!: phifuPhifu bAu Cll'd(li bi€ll HDND cap xa Ii! : '" phifu

3- s6 phifu CLl'tri ddi dO'g(lch hOng Iii : phifuT d' .; , , .. ; ;'" .;rang a: Phleu bau cu' d(ll bIeu Quac hOI Ia : '" phlell) .; b' , - .. ; T;', .;

I hleu au Cll' d(ll bleu HDND cap tmh Ia: phIeuPhifu b~u cu' d(li bi€u HDND ci\p hUYen Iii: ' phifuPhifu b~u cu' d(li bi€u HDND ci\p xa Iii: '" phifu

4- s6 phifu con I(li khOng Sll' d\lng dfn Iii : phifu

Trang d6 : Phieu bAu Cll' d(li bi€u Quac hQi Iii : phifllPhieu b~u cu' d(li bi€u HDND ci\p tinh Iii: phifuPhifll b~u cU' d(li bi€lI HDND ci\p hUYen Iii: '" phieuPhifu bAu cu' d(li bi€lI HDND ci\p xa Iii: phifu

Sau khi ki€m ke, 1'6 bAu cU' da niem phang (aiin bQ s6 phieu chua sU' d\lng Vii'phifu Cll' tri ddi dO'g(lch hOng.

Bien ban ki€m ke viec Sll'd\lng phifu bAu duo'c l~p (hi!nh 06 ban vi! du'qc gu'j dfll :

16

, - Ban, b~u Cll o(li bi~u Qu5c h9i, oo'n vi b~u Cll 55 (kem theo 55 phi~u biu Cll"o(li bieu Quac h9i ail ougc niem phong) ;, - Ban b~u Cll o(li bi~u H9i oilng nhan dan tinh/thimh ph5 , dan vi

bau Cll 55 (kem theo 55 phi~u biu Cll d(li bi~u H9i dilng nhan dan dip Hnh ail dug~niem phon g) ;

-l?an b~u Cll o(li bi~u H9i dilng nMn dan huyen/qu~n/thi xalthimh ph5 ,dan vj bau Cll"55 (kem theo 55 phi~u b~u Cll' d(li bi~u H9i dilng nhan dan dphuyen da ougc niem phong) ;

- Ban biu Cll d(li bi~u H9i oilng nhan dan xalphucmg/thi t1'~n ,oo'n vi b~u Cll 55 (kem theo 55 phi~u b~u Cll o(li bi~u H9i dilng nhan dan cfip xilail augc niem phong) ;

._ Dy ban nMn dan, Ban thucmg tn,rc Uy ban M~t t1'~n T6 qu5c Viet Nam clingcap.

cO' TRI TInJ NHATClIUNG KIEN VIl);CIGEM PHIEU

(K:\', ghi 1'5119va ten)

cO' TRI TIro HAlCHUNG IGEN VIl);CKIEM PHIEU

(Ky, ghi l"5h9 va ten)

Ghi clUl :

TM. TO BAu cO'ToTRlfoNG

(Ky ten, d6ng d~u)(Ghi r5 h9 va ten)

..... , ngay .... thang ..... nam 2016THlfKY

TO BAu cO'(Ky, ghi r5 119va ten)

S6 phi~u b~u d\li bi~u Qu6c hQi,d(libi~u HQid6ng nhan dan ttrng cap chua 5ll"dung ho~c Cll"tri dbido g\lchhong dUQ'cx~p thanh timg 10(liva niem phong VaGcac bi 1'ieng,ben ngoai gill 1'0thong tinv~Tb b~u CU, don vi hanh crunh cap xa nai co Tb bfrucu va dong chil:

_Phi~u b~u d(libi~u Qu6c h9i chua Sl1'dung ho~c g\lch hong.ho~c:

_Pill~u bfrud\li bi~u HQid6ng nhan dan Hnh/thanh ph6 .... chua Sl1'd\ll1ghol:\c~\lchhong._Phi~u bfrud\l.ibi~u Qu6c h9i HQid6ng nMn dan huyen/qu~.n/thi xaltMnh phDthuQc

Hnh chua su d\l11gho\ic g\lch hong._Phi~u b~u d\li bi~u HQid6ng nhiin dan xalphu6ng/thi t1'~n chua Slrd\ll1g

hol:\cg\lch hong. ,d~ glll kem theo bien bim d~n nrng Ban bau Clftuong (mg.

UY BAN BAu ClfTINHrrHANH PHO

s6: IBC-UBBC

(Mdu s6 29IBCDBQH&BCDBHDND

CONG HOA xA HOI CHU NGHIA VIJ1:TNAMDQc l~p - TV' do - H~nh phiic

........ , ngay ..... thang ... nam 2016

BAOCAOTinh hinh va k&t qua so' bQ cUQCbh cu' d~i bi~u Quac hQi khoa XIV

va d~i bi~u HQi dang nhan dan cac dp nhi~m ky 2016 - 2021

Kinh gui: HQi d6ng b~u cu qu6c gia,1. KHAI QUAT TINH HINH THVC HI~N TRONG NGAY BAu Clf1. Vi~c t6 chuc khai m<;lcb~u cu.2. Di@nbi~n cUQcb~u Cll';ti~n dQcu tri tham gia bo phi~u.3. Khong lilli ngay b~u Cll',du lu~n trang Nhan dan vS cUQcb~u cu' va nhu'D,

nguai ung cu.4. Nhilng thu~n IQ'i,kh6 khan vS giaa thOng, thong tin lien l<;lc,tho"i ti~t an

huong d~n vi~c b~u cu.5. Tinh hinh an ninh chinh tri va tr~t tv, an taan xii h9i trong qua trinh diSn r.

cUQcb~ucu.6. Cae diSu ki~n cO'so'v~t chit - ky thu~t phl,lcV1,1cha cUQcb~u cu.7. Nhilng thm hu6ng phat sinh dn xin y ki~n chi d<;lagiai quy~t (nfu c6).II. KET QUA sa BO cuOc BAU clf1. Kft qua b~u cu d<;libi@uQu6c h9i vS s6 IUQ'ng,CO'ciu thanh ph~n, trinh 0,

clia nguo'i trung cu.2. K~t qua b~u cu d<;libi@uHQi d6ng nhan dan cac cip vS s6 IUQl1g,cO'cil

thanh ph~n, trinh dQ cua nguai trung cu.3. S6 dan vi b~u cU:,lillu Vl,lCbo phi~u pMi ti~n hffim b~u cu l<;lidO'co duai 50~

cu tri di b~u; s6 dan vi b~u cu, lillu Vl,lCbo phi~u pMi tifn halm b~u cu them (dO' b~khong du s6 IUQngd<;libi@uduQ'cin dinh).

4. S6 don vi b~u cu', khu vgc bo phi~u bi hUy kft qua b~u Cll'dO'vi plWmphaplu~t nghiem trQng.

Tren day la baa caa tinh hinh va k~t qua sO'bQcua cUQcb~u cu d<;libiguQubc h(kh6a XIV va d<;libi@uHQi d6ng nhan dan cae cip nhi~m ky 2016 - 2021 (co kem themiu th6ng ke so' b6 kit quri bdu CLI), Uy ban b~u cu tinh/thalm ph6 tran trQngba,caa HQid6ng b~u cu qu6c gia.

iVai n/zijn:- Nlnr tn,n', " ,- Van phong HQi dong bau ell' quoe gia;- B(\ N(\i Y\I;

. . . . . . . . . . . . ,- Luu: VT.

TM. UY BAN BAu crrCHUnCH

(Ky ten va dong driu)Ghi r6 hQva ten

uYBANBAucuTINHrrHANH PHO ....

CONG HoA xA HOI CHU NGI-IIAVIJ):TNAMBQc l{ip - T\l' do - H~nh phiic

......., ngay thang nam 2016

BlED THONG KE SO BO KET QuA euoe BAv eu D.MBlEU Quae HOI KHOA XIV,H~I BlED HOI DONG NIlAN DAN cAe cAp NHIJj:M KY 2016-2021

1.I<ET QuA cuoc BAu Clr D,;\l BlEU QUOC HOI, D~ BlEU HOI DONGNIlAN DAN

Mdu s6 29A/J)CJJBQH

.:

ell'tri Bo'n V! bftu eir Khu v~'e bO phH~u Phial! bftu etl'

S6 ,TY I~ DuM Bi Du'(Yj Bi sa sa

Tong 56 ell' sa sa S6 saTT s6 elf cu'tri 50% hilY 50% cu' huy KY KY Tyl~S6 Ty I~

cf.p tri Ui C6l BY BY T~6g kBt ban phieu phi/ill phial! phi~utri Ui b6 cii' tri kBt tri ([j bflu phi6ubIlu ci'r b6 KYBP bftu bilu th€m pill\! tim T.vilOlP.ra H.wr.vilO(trang phi~t1 (!j b6 qua b6 qua la; hQ'P I~DS) phi~u (%) phi8u BC l~i them ph;~u BC ra vao (%) ex))

.. ~l'

1 BAlEIEUQUOC HOI

11 D~l BIEUHOI DONG NHAN DAN

1 cip t.nh

2 cf.p huy~n

3 C5p xaTang cQng

II. CO CAU,THANHPHANNGUOI TRUNG CU DM BlEU Quae HOISoDE so Nu' Dan Tre Ngoai T~li Ton T~' Trinh il(l eh uyen Trinh G(l 15' Co' Chinh UBMT Toa an Vi~n Quan oOi, Co'auVe ngu'i'ri tQc . (I) Diing ell' giao t'rng ell' mon ltl~n chinh quan quyBn va TC nhan ki~msat C6ngan quail,tuoi~n trlll1g thi~lI trj (1i1ng thanh dan Ilhfin dfin (1ml vj(I!nh ell' s6 Dll'O.j n~i San Trung Cao vicn ella khac

a~i lH)c a~i c5p cflp MTTQhoc hoc

2

Nu' Dan Igc Tre luil?) Ngnai Tai cl': (Iy I~so TOn gillo T\" ung ell' T.-inh d(\ Trinh dQ

S6S6

thi@u s6 Dang v6'i s6 ngtroichuyen mon Iy luan ch[nh tri

BB S6 DBtrim ell')

tV I~ (Yo (i" Ie %) .

TT c5p (111'Q'c trung

ball etr fin eu: S6 Ty S6 Ty S6 Ty s6 Ty s6 Tyl~ S6 Ty S6 Ty Dm)'i Dl)i San Trung Cao

(Ng) Ie (Ng) Ie (Ng) Ie (Ng) Ie (Ng) (%) (Ng) Ie (Ng) Ie fi(li hQc ul)i cfip cfip

djnh ('i,) ('i.) ('i.) I ('i.) ('i.) I'i.) hoc hoc

1 Cflp tinh

2 Cflp huy~n

3 cfip xu

[ll. CO CAU NGUc:'n TRUNG CU D~I BlEU HOI DONG NHAN DAN

TM. UY BAN BA.U CUCI-rUT1CH

(Ky ten va dong d6u)Ghi r5 h9 va ten

Chi ehlt:(I) D(li bidu Qu6c h(Ji dW7i 40 lu6i(2) Dqi bidu H(Ji c16ng nhan dan duai 35 1U6i.

IV. THANH PHAN NGU'c:'nTRUNG Clf D~I BlEU HOI DONG NHAN DAN

CO' quaD ~)nng Chinh quy@n UBMT v,, TC lMnh Ton an nhan dan Vi~n laBm sat Quan uQi, Co' quan, dOll vi

S6S6 DB

vien cila MTTOnhfin dan Cong an 1<11I\c

TT clip b5u ell'tr(mg s6 Ty I~ S6 Tyl~ S6 Ty I~ S6 Tyl~ s6 Ty I~ S6 TY I~ S6 Ty I~

etr(Ng) ('y.) (Ng) (%) (Ng) (%) (Ng) (0;,,) (Ng) (%) (Ng) (%) (Ng) (%)

I cfip tinh

2 cfip huy~n

3 clip xu

,.3

..•.

i)y BAN BAU clfTINH/THANH PHO

S5: !Be-UBBC

(Mdu s6 29B/BCDBQH&BCfJBHDND)

CONG HOA xA HOI CHi) NGI-IIA VIJ):T NAMDQc l~p - TV' do - H~llh plnIc

............. , ngay..... thang ..... nam 20 J 6

BAOCAOTang kgt cu{lc bh ell' d~i bi&u Qu5c h,?i kh6a XIV

va d~i bi&u H{li dang nhan dan cac dp nhi~m ky 2016 - 2021

Kinh giri: H9i d6ng b~u cu qu6c gia,

I. TiNH HiNH TRIEN KHAI VA TO CHUC THlfC HI~N

1. Vi~c ban h8.lIDcac van ban chi a~lO,huang din.2. Vi~c thanh I~p cac t6 chtrc ph\! trach b~u cil', xac dinh va ~n dinh s6 a0'l1\

b~u cu, s6 d:;ti biSu dugc b~u O'm6i dan vi b~u cu d:;tibiSu Qu6c h9i va d:;tibiS.H9i d6ng nhan dan cac dp.

3. Vi~c tuyen truySn, v~n d9ng trong Nhan dan vS CU9Cb~u cu; thl,lchi~n ch,'a9 thong tin, bao cao d6i vai cU9Cb~u cu; cong tac hi~p thuang; vi~c t~p hU~l.nghi~p V\lcong tac t6 chtl'Cb~u cu cho cac th8.lIDvien t6 chuc ph\! trach b~u cu.

4. Vi~c I~p va niem ySt danh sach cu tri, danh sach nguo'i ung cu, t6 chilC tiS,xuc clr tri, v~n d9ng b~u cu cua nh(l'ng nguo'i ling cu d:;tibiSu Qu6c h9i va d:;tibi€H9i d6ng nhan dan cac c~p.

5. Cong tac giam sat, giai quySt khiSu n:;ti,t6 cao co lien quan dSn CU9Cb~u CLl'.

6. Cong tac bao dam an ninh chinh tri va tr~t t\!.,an toan xa h9i.

7. VS kinh phi va CO'so' v~t ch:it - ky thu~t cho CU9Cb~u cu.

8. Nhfrng vi~c quan trQng xay ra va kSt qua giai quySt.II. KET QUA cuQc BAU cuI. KSt qua b~u cu d:;tibiSu Qu6c h9i vS s6 llrQ'ng,co du, thanh ph~n, trinh d

clia ngueri trung cu.

2. KSt qua b~u cu d:;tibiSu H9i d6ng nhan dan cac c:ip vS s6 IUQ'ng,co dlthanh ph~n, trinh d9 cua nguo'i trung cu.

3. S6 dan vi b~u cu', khu vllc b6 phi@u ph:ii tiSn hanh b~u cu l:;tido co dw50% cu' tri di b~u; s6 dan vi b~u CLl',khu V\l'Cbo phiSu phai ti@nhanh b~u CLI'the](do b~u khOng au s6 IUQ'ngd:;tibiSu dugc:in dinh).

4. S6 dan vi b~u cu', khu V\l'Cb6 phi@ubi huy kSt qua b~u cu do vi ph\llTIpharlu~t nghiem trQng.

III. DA.NH GIA. CHUNG

1. Vu di~m va k€t qua d~t duqc.

2. T6n t~i, h~n ch€ va nguyen nhan.IV. DE XUA.T, KIEN NGHJ

1. Dhu~t.

2. Ki€n nghj.

Tren day 1a Bao cao t6ng k€t th\J'Chi~n cong tac biu cu' d~i biSu Qu6c h9ikh6a XIV va d~i bi~u HQi d6ng nMn dan cac dp nhi~m ky 2016 - 2021 (co kemthea Biiu th6ng ke chinh thu'c kit qua b6u cu), Uy ban biu cu' tinh/thanh ph6 ... trantr9ngbao caoHQid6ng biu Cll qu6c gia.

f

No'i nhr.n:- Nhu tren;- Van phOng H\)i d6ng b5.u clf qu6c gia;- B\) N\)i v\l;

........... "

• T .IT11' VT

TM. UY BAN BAu errCHUTICH

(Ky ten va i16ng dim)

Ghi r6 h9 va ten

JVjll'U SU .!.':JL'/DL,'LJD!::!,rl<XJ::H VnrlLJiVU

UY BAN BAU ell'TINHrrHANH PHO ....

eONG HoA xA HOI eHU NGHIA VIl):T NAMBQCl~p ,~,TIl' do - H\lnh phl(C

......., ngiiy thang nam 2016

.-,

j

BlED THONG KE eHiNH THue KET QuA euOc BAU cu f)~ BrEUQu6c H(n KHOA XIV,D~I BlED H<)IBONGNIlAN DAN cAe CAPNHIJ):M KY 2016-2021

I. ImT QUA cuoc BAu cl'r f)~ BlEU Quac HOI, D~ BlEU HOI DONG NHANDAN

Clr Iri Do"n vj bftu eli: KIm v\rc bOphillu Phi~u bflu Cll'

86 DlrO'i BI sa S6KVT6ng S6 clr Ty l~ Du"6'i BI S6 S6 S6 50% huy KV bAu S6 TYl~ Ty I~

TT 55 cir tri iiiCU" tri Col 50% hi'ty DV DV DV T6ng cil"tri kllt bf\u them S6 phillu phiBu phi6u S6 phi6u

c\p tri bi> Oihi> KVBP clr tri kt\t bflu bflu bftu 56 Oihi> qua ItJi ph at ra thll T,vao/P.ra phi~u H.wr.VilObftu cl'1' (trong phi~u

phit~ll Oibi> qua I~i themthi~u phiBu BC VilO (%)

hQ-Pl~ ('X, )DS) ('X,) phiBu BC (I)• .. .

."

I DAIBIEUQU6CHOI

II DAI BlEU H(H DONG NHAN DAN

1 cAp tinh

2 cAp huy~n

3 C5p xa

T5ng ci)ngII. CO"CAU, THANH PHAN NGUOI TRUNG Cll' DAI BlEU Quac HOI

S6 So NU- Dan Tre Ngoiti Tai Ton T9' Trlnh dg chuyen Trinh dg ly Co' Chfnh UBMT T6a an Vi~n Quail u{)i, Co'

DB ngu'cri Ii)c lu6i(2) Dang ell' ghlo ung ctr man lu~n chinh tr! quan quyBn vitTC nhan ki€m sat Cong an quan,

(illVc trllllg thi~t1 (lang thanh dan nhall dan oO'n

jn eii' s6 Du"O'i f)~i Sau Trung Cao vicll eua vi

dinh o~i hQc a~i dlp ci\p MTTQ khac

f--hoc hQc

L'----- -- --,-

TM. UY BAN BAD ClfCRUnCH

(ICy ten va r16ng d6.u)

IV. nIANH pHAN NGU'OI TRUNG cD' :D~I BlEU HQI BONG NHAN DANIV. THANH pHAN NGU'OI TRUNG C

CO'quan dang Chinh quy6n UBMT va TC thimh Toa an nhan dfin Vi~nki~ms~'it Quan di)i, Co' quan, oo'n vi

S6S6DB

vien cua MTTOnhan dan Cong an khae

TT Cllp bfiu ci'1'trling

S6 Ty I~ S6 Tyl~ S6 Ty I~ S6 Tyl~ S6 Tyl~ S6 S6

ell'

1'y I~ Ty I~

(Ng) (%) (Ng) (%) (Ng) (%) (Ng) (%) (Ng) (%) (Ng) (%) (Ng) (%)

I cfip Hnh

2 C~p hny~n

3 cfip xa

m. CO CAU NGVOI TRUNG CD B~I BlED HOI :DONGNHAN DAN

Nfl' Dan tgc Tro tulii(3) Ngoai Tai cu'(tY I~so Ton giao Tt;t'lmg ell' Trinh ttl) Trinh dQ

S6S6 S6DB

thi~us6 Dang vo; sa ngu'cri chuycn mon 15' luan chfnh tri

- trun clr)'tv Ie 'A, (tv Ie 'y" \ '

TTDB

cfip b~u cu' {1UQ'C trungS6 S6 S6 S6 S6 S6 S6

Clr Ty Ty Ty Ty Tyl~ Ty Ty Dlr6'i D~i San Tr~ng Cao

an (Ng) Ie (Ng) Ie (Ng) Ie (Ng) lC (Ng) (%) (Ng) Ie (Ng) Ie d<)i hQc d<)l dip dip

djnh ('i.) ('i.,) ('i.) ('Y.\ ('i.) ('i.\ hQc hQc

1 olp Hnh

2 cfip hlly~n

3 Cftp xa

Ghi r5 h9 va ten

Clti cllll:(1) Don vi belu thdu Ii] aon vi belu CLI'agi bi€u Qu6c h(ji co s6 nlJ'-l'cJ'itrung CLI'chua tftl s6 hWng agi bi€u Qu6c h(ji arwc belu {m ainh cho aon vi belu cu'do ho(ic aon vibelu de tlgi bi€u H(ji a6ng nhan dan co s6 nlJ'-l'oi{rung CLI'chua au 2/3 s6 lu<!ng agi bi€u H(ji a6ng nhdn dan aLWc belu tin ainh cho aon vi b6u CLI'ao.

(2) Dqi bi€u Qu6c h(Ji duo'i 40 {u6i(3) D,,; bi€u H(Ji (1(ing nhiin dan duo'i 35 ludi ..

~

..•. 8•

.,•.•

HOI BONG BAU elf Quae GIA

S6: ... /NQ-J-IDBCQG

Mdu s6 331BCDBQH

eONG I-IOA xA HOI eIfO NGHIA VII):T NAMDQc l~p - Tl,l' do - H?nh phuc

Ha N(ji, ngay ... thimg ... nam 2011,

NGHlQUYETXae nh~n tu' each ol;)ibi&uQu6e hQi khoa XIV

HQI DONG BAu eu' Quae CIACan eu Lu~t bau eu d;;tibi~u Qu6e h(\i va d;;tibi~u H(\i d6ng nhan dan s6

85/2015/QH13;Can eu k~t qua t6ng k~t bau eD:d;;tibi~u Qu6e hQi va k~t qua giai quy~t

khi~u n;;ti,t6 eaa lien quan d~n nguai trlmg eD:o;;tibi~u Qu6e hQi;

QUYETNGHl:

Xae nh~n (1) ..... ,ong, ba (eo danh saeh kern thea(2)) da trung Cll d;;tibi~uQU6e h(\i khoa XIV, nhi~rn ky 2016-2021 eo OU tu eaeh d~ thve hi~n nhi~rnV\!, quy~n h;;tneua o;;tibi~u Qu6e hQithea quy o)nh eua phap lu~t.

No'inh~n:- Cae cng, ba co ten trong danh saeh;- Uy ban tlnrcl'llg Y\l Q1l6e h9i;- Chinh phu;- UBTWMTTQVN;- LUll: HC, ....

TM, HOI BONG BAU elf QUOC GIAeH'UTJCH

(K)' ten va dong ddu)Ghi 1'5 hQ va ten

Ghi ehlt:

(1) Ghi t6ng s6 nguiri aUQcxac nh(\n aLltu cach a~ibi~u Qu6c hQi,

(2) Danh sach nhling nguiri auQ'c xae nh(\n dLItll' cach d~i bi~u Qu6c hQi du<;J'cl(\p theoMiiu 33A1BCDBQH.

'"

r..-

HQI DONG BAu eu Quae GIA(I)

2

Mdu s6 33AJBCDBQHeQNG HOA xA HQI eHU NGHIA VIJ!;TNAM

Di,lc l~p - n.r do - H~nh phuc

DANH sAcH NHUNG NGV'OI DV'OC xAc NHANDU TV' CACH D~I BlEU Quac HQI KHOA xiv

(Ban hanh kem thea Nght quyit se5.... ngay ... thang. ... nam 2016 cua H9i d6ngbdu cit' que5c gia v~ vi?c xac nhq.n lu' cach ac;Iibdu Qu6c h9i khOa XIV)

• .. • (2)1. TINH/THANH PHO .....D . bA • ~ 1(3) (GA )o'n V! au cu' so om .

1. Bi NguySn Thj A(4) ..

2. bng NguySn Van B....

n. TiNHITHANH PHO .Do'n vi bau cu' s51 (G6m )

Ghi c111i;

(1) D6ng dftu trea Clla Hili d6ng b~u CLrqu6c gia va dftu giap lai giua cac trang cua danh sach

(2) Ten tinh, thanh ph6 dugc x~p thea thtr l\f A.B.C

(3) Dan vi b~u Cll'dugc x~p thea s6 thtl'l\f.

(4) Ten nguiri dugc xac nh?l1 dll tu cach d?i bi@uQu6c hQi dugc x~p thea thtl'tl,r A.B.C.

..,~

- 3

iN BANBAu CU(1) .

86: ... INQ-UBBC

Mdu s6 34/BCDBHDND

CONG HOA xA HOI CHi! NGHIA VI~T NAMDQc l~p - n.r do - H~nh phllC

(1) , ngay thang nam 2016

NGHlQUYETX:k nh~n hI' each al.li bi~u HQi dang nhan dan nhi~m ky 2016-2021

'0 • y"r(l)UY BAN BAU Cu' """"" " .. ",, .

Can cu Lu?t b~u Cll d~i bi€u Qu6c hQi va d~i bi€u HQi d6ng nhan dan s685/20 15/QH13;

Can cu k6t qua t6ng k6t b~u Cll d~i bi€u HQi d6ng nhan dan va k~t qua giaiquy6t khi6u n~i, t6 cao lien quan d6n ngucri trtmg cu d~i bi€u HQi d6ng nhandan;

QUYETNGHl:

Xac nh?n (2)" ..... ong, b3. (co danh sach kem theo(3)) da trung Cll d~i biSuH,. dA h' d' (I) ),'-' (4) I" k' 201620'/1 .91 ong n an an . . . . . . . . . . . . . . . . . Vloa , n llym y - _ codu tu cach dS th\l"c hi~n nhi~m V\l, quy~n h~n cua d~i biSu HQi d6ng nhan dantheo quy djnh cua phap lu?t.

Noi Ilh~ll:

- Cae ong ba co ten trong danh sach;- Tlm-cm" true HDND(l).b . ,

- Uy ban nhan danCI);

- UBMTTQVN(I);- Luu: VT, ...

TM. iN BANBAu cuCHi! TJCH .

(Ky ten va Clangddu)Ghi 1'0 h9 va ten

Chi ell/I:(1) Ghi ten 0011 vi hanh chinh ella (; y ban b~ll cu; ,(2) Ghi t6ng s6 nguoi ougc xae nh?n Oil tu eaeh o",i bi@llHQi ~ong nhill: dill.(3) Danh saeh nhung nguai ouge xae nh?n au tu eaeh o",i bieu HQi oong nhan dan ouae laptheo Milu 34A!BCBBI-ID:ND.(4) Ghi kh6a eua HQi o6ng nhan dan.

'.

.'

~\-

UY BAN BAu Clj(l)(2) .

4

Mdu sci 34A/BCDBHDND

CQNG HOA XA HQI CHU NGHIA VIl):T NAIVlDQc I~p - TV' dO'- H?nh phuc

I

DANH SA.CH NHUNG NGUOl DUOC XA.CNHAN..,. '" _ _,.. A. A (2) •

DU TU CACH D~I BlEU HQI DONG NHAN DAN .• (3) .•KHOA NHI~M KY 2016-2021

(Ban hemh kem thea Nghj quyt2t s6 ... ngay ... thang. ... nam 2016 eua Uy banb -' . (2) -' oA • J' . h '" . b .~ H" '"-' h .au eu: ve Vl(?exae n tqn tu:cae uql leu 91 uang n an

dan nhi?in ky 2016-2021)

Da'n vi bf!u cii' s6 1(4) (G6m(5) ..... )

1. Bi Nguy~n Thj A(6) .

2. Ong Nguy~n Van B .

Bo'n vi bh Cll' s6 2 (G6m ..... )

I. .

2 .

Glli dill:

(l) Bong dilu trea CllaUy ban b~u Cll'va dilu giap lai gifra cac trang Clta danh sach.(2) Ghi ten aon vi hanh chfnh etta Uy ball b~u Cll'.(3) Ghi lehOaCltaH9i abng nhan dan.(4) Ban vi b~u cu auQ'c x~p thea s6 thu tV.(5) Ten cac aan vi hanh chinh cilp du6'i hai,ic th6n, t6 dan ph6 ... hQ'pthanh a011vi b~u cu.(6) Ten nguai auQ'c xac nh~n all tu cach a::ti bieu H9i abng nhan dan auQ'c x~p thea thit tvA.B.C.

•.••- .. ~

5

HOI DONG BAu CU QUOC GIA

S5: ... IHDBCQG

Mall s6 35/13CDIJQH

CONG HOA xA HOI CHU NGHIA vrJ);T NAl\JDQc I~p - 1'1)' do - H\lnh pIllic

Ha N(ji, ngay ... thang ... nam ...

GIAY cm:JNG NH~ND'.li bi~u Qu5c hQikh6a XlV

HOI BONGBAu CD Quae GIA

Can cu Lu~t bftu CLI' d~i biSu Qu6c hQi va d~i biSu HQi d6ng nhan dan 8685/20 15/QI-Il3;

Can Cll' Nght quy&t 86... ngay ... thang ... nam ... ella HQi d6ng bftu CLI' qu6cgia v~ vi~c xac nh~n tll' each d~i biSu Qu6c hQi kh6a XIV;

eHUNGN~N

OnglEa .

Sinh ngay thang nam .

La d~i biSu Qu6c hQi leMa XIV, nhi~m IcY2016-2021, trung cu t':lidO'nvtbftu cu 86 thuQc (ten tinh/thanh ph6 tn,l'c thuQc trung uung nO'id~i biSu ung cu)

TM. HOI DONG BAu CU QUOC GIACHUTICH

(K)J ten va t16ng dim)Ghi 1'6 h9 va ten

Glti dill:

• Kich tlnro-c milu Gi5.y cherng nh(ln o?i bi~u Qu6c hi)i kh6a XIV b~ng 111i)ttrang gi5.y A4 (29,7clll x21c111).

"

(1) ...UYBANBAuCD

6

M6u s6 36/BCDBI-IDND

CONG HOA xA HOI CHU NGH1A VIJ):TNAl\!DQc l~p - T\!' do - H?nh phllC

s6: ... /UBBC (1) , ngay thang nom .

GIAy CHUNG NH~Nf)~i bigu HQi dang nhan dan (1). .

kh6a (2) nhi~m ky 2016-2021

iN BAN BAv elf (1) .

Can Cll'Lu(it b~u Cll'di:libi6u Qu6e hQi va di:libi6u H9i dang nhan dan s685/2015/QH13;

Can cu Nghj quy~t s6... ngay... thing... nam... cua Uy ban b~u,(I) ;. '" • nl' , h d . b'" H" d). h' dAeli ve VlyCxae wn ill cac i:ll leu 91 ong n an an

nhi~m ky 2016-2021;

eHUNGNH~

Ong (Ba) .

Sinh ngay thang nam .

La di:li bi6u H9i d6ng nhan dan(!) kh6a(2) , nlli~m k)'2016 2021 .. ' '.' d' . b). ," (3)- , tr ung Cli ti:ll on V! au Cli so .

TM. UY BAN BAu CDCHUTICH

(Kf; ten va il6ng ddu)Ghi riS 119va ten

G/zi dill:Kich thuo.c m~u Gifty ch(rng nh~.n d~i bi€u HQi d6ng nhan dan b~ng mot trang giiy A4 (29,7Cl11 A21em).

\ (1) Ghi ten dO'Jlvi himh ehlnh etla Uy ban bilu GtL

(2) Gh, khoa ella H9i dbng nhan dan.

(3) Ghl s6 thlr W ella d011vi bilu etL

\