![](data:image/png;base64,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)
…..1……
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CỘNG HÒA XÃ HỘI CHỦ NGHĨA VIỆT NAM
Độc lập - Tự do - Hạnh phúc
------------------------
……2…….., ngày.... tháng... năm 20....
THÔNG BÁO ĐĂNG KÝ HOẠT ĐỘNG
CỦA CƠ SỞ DỊCH VỤ THẨM MỸ
Kính gửi: 3......................................................
I. THÔNG TIN CHUNG VỀ CƠ SỞ:
1. Tên cơ sở: .......................................................................................................................
2. Địa chỉ: .............................................................................................................................
3. Điện thoại: ............................... Số Fax: ............................... Email:................................
II. NHÂN SỰ CỦA CƠ SỞ:
STT Họ và tên
Cơ sở cấp chứng nhận,
chứng chỉ hành nghề xăm,
phun, thêu 4
Cơ sở chứng nhận đã được tập
huấn về phòng, chống lây nhiễm
các bệnh qua đường máu, dịch
sinh học 5
1
2
...
III. THIẾT BỊ CỦA CƠ SỞ:
STT Tên thiết bị Ký hiệu thiết bị
(MODEL)
Nguồn gốc
xuất xứ Số lượng Tình trạng sử
dụng
1
2
IV. THỜI GIAN BẮT ĐẦU HOẠT ĐỘNG: ngày ……… tháng ……… năm ………
V. PHẠM VI HOẠT ĐỘNG ĐĂNG KÝ: ......................................6................................
NGƯỜI ĐỨNG ĐẦU CƠ SỞ