MÉu PC 3
| Céng hoµ x· héi chñ nghÜa viÖt nam
§éc lËp - Tù do - H¹nh phóc
| Biªn b¶n kiÓm tra
(1) ............................................................................................................................
Håi........giê ....... ngµy....... th¸ng....... n¨m 20....,t¹i
§Þa chØ.......................................................................................................................
Chóng t«i gåm: ....................................................................................................
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§· tiÕn hµnh kiÓm tra
®èi víi.. ................. .............................................................................................................
T×nh h×nh vµ kÕt qu¶ kiÓm tra nh sau:
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Biªn b¶n ®îc lËp xong håi …....giê …....ngµy ... th¸ng ......n¨m. gåm….. trang ®îc lËp thµnh …..b¶n, mçi bªn liªn quan gi÷ 01 b¶n, ®· ®äc l¹i cho mäi ngêi cïng nghe, c«ng nhËn ®óng vµ nhÊt trÝ ký tªn díi ®©y.
®¹i diÖn
c¬ së
(Ký tªn, ®ãng dÊu)
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§¹i diÖn
®¬n vÞ liªn quan
(Ký tªn, ®ãng dÊu)
|
®¹i diÖn
®oµn kiÓm tra
(Ký tªn, ®ãng dÊu)
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(1) Ghi néi dung kiÓm tra vÒ vÊ ®Ò g×.
(2) Ghi phÇn tr×nh bµy cña c¬ së, phÇn kiÓm tra hå s¬, phÇn kiÓm tra thùc tÕ, néi dông kiÓm tra cña tõng vÊn ®Ò, xÐt ®¸nh gi¸ vµ kiÕn nghÞ kÕt luËn.
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MÉuPC 4
Bé C«ng an céng hoµ x· héi chñ nghÜa viÖt nam
§éc lËp - Tù do - H¹nh phóc
Sè: ….. /§K-PCCC(…)
giÊy chøng nhËn
§ñ ®iÒu kiÖn vÒ phßng ch¸y ch÷a ch¸y
- C¨n cø LuËt Phßng ch¸y vµ ch÷a ch¸y ngµy 2th¸ng n¨m/2001;
- C¨n cø NghÞ ®Þnh sè 35/2003/N§-CP ngµy 04 th¸ng 4 n¨m2003 cña ChÝnh phñ quy ®Þnh chi tiÕt thi hµnh mét sè ®iÒu cña LuËt Phßng ch¸y vµ ch÷a ch¸y;
- C¨n cø Th«ng t sè 04/2004/TT-BCA ngµy 31th¸ng 3 n¨m 2004 cña Bé C«ng an;
XÐt hå s¬ ®Ò nghÞ cÊp “GiÊy chøng nhËn ®ñ ®iÒu kiÖn vÒ PCCC”
cña («ng, bµ): .................. Chøc vô: ............................................................................
®¹i diÖn cho: ...................................................................................................................
vµ biªn b¶n kiÓm tra c¸c ®iÒu kiÖn vÒ phßng ch¸y vµ ch÷a ch¸y cña...
................................................................. lËp ngµy ...... th¸ng...... n¨m.....
(1)..............................................................................
chøng nhËn:
(2) ..............................................................................
Thuéc ..............................................................................
§Þa chØ ..............................................................................
T¹i thêi ®iÓm cÊp GiÊy chøng nhËn nµy cã ®ñ ®iÒu kiÖn vÒ phßng ch¸y vµ ch÷a ch¸y theo quy ®Þnh cña ph¸p luËt ®Ó: .................................................................
.......................................................................................................................................................
§ång thêi «ng/bµ ................................................................... cã tr¸ch nhiÖm duy tr× liªn tôc ®iÒu kiÖn vÒ PCCC ®· chøng nhËn cña ..................................................
trong suèt qu¸ tr×nh ho¹t ®éng.
ngµy... th¸ng.... n¨m...
(3) ..........................................................
(Ký tªn, ®ãng dÊu)
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(1) Tªn c¬ quan C¶nh s¸t PCCC cÊp giÊy
(2) Tªn c¬ së hoÆc ph¬ng tiÖn giao th«ng c¬ giíi
(3) Chøc danh ngêi ký giÊy
MÉu PC 5
Céng hoµ x· héi chñ nghÜa ViÖt Nam
§éc lËp - Tù do - H¹nh phóc
---------------
§¬n ®Ò nghÞ cÊp giÊy chøng nhËn
®ñ ®iÒu kiÖn vÒ phßng ch¸y ch÷a ch¸y
KÝnh göi: ...........................................................................
T«i lµ :......................................Chøc vô:............................................
CMND/hé chiÕu sè................…do: :............................................cÊp ngµy
...../ ......./ ...........lµ ®¹i diÖn cho ........................................................................
§Þa chØ: ..................................................................................................................
§iÖn tho¹i:..................................................Fax:.................................
QuyÕt ®Þnh thµnh lËp doanh nghiÖp sè...............
ngµy. th¸ngn¨m§¨ng ký kinh doanh sè. .....ngµy.....th¸ng.....n¨m .....t¹i.............................................................................................................
Sè tµi kho¶n. ................................t¹i ng©n hµng............................ .............
§Ò nghÞ Quý c¬ quan xem xÐt cÊp “GiÊy chøng nhËn ®ñ ®iÒu kiÖn vÒ phßng ch¸y ch÷a ch¸y”
Cho.............................................................................................................................
§Þa chØ:.....................................................................................................................
§Ó:.............................................................................................................................
T«i cam kÕt thùc hiÖn, b¶o ®¶m vµ duy tr× liªn tôc c¸c ®iÒu kiÖn ®¶m b¶o an toµn phßng ch¸y vµ ch÷a ch¸y theo quy ®Þnh nh ®· ®îc c¬ quan C¶nh s¸t phßng ch¸y ch÷a ch¸y x¸c nhËn; ®ång thêi cã tr¸ch nhiÖm th«ng b¸o kÞp thêi cho Quý c¬ quan biÕt vÒ nh÷ng thay ®æi cã liªn quan ®Õn ®iÒu kiÖn vÒ phßng ch¸y vµ ch÷a ch¸y ®· ®îc x¸c nhËn.
...., ngµy...... th¸ng ... n¨m......
.......................
(Ký tªn, ®ãng dÊu)
MÉu PC 6
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