person.ddc.moph.go.thperson.ddc.moph.go.th/eval/form/p9_1.pdf · created date: 6/17/2011 1:14:59 pm

4
(rr:rr t) vq v YV o 6 uu{da ltd n,Q ts mu'l?uil n? alfuilr ruuq n nu a n LflflUYI rnr ,"o1", r UIV'ltql ..\z/ hr...r r.d L l{rartnm i J {irL:Jrurry I I vrurrnotur4ufirflar.r{nr #, t na I e--fri-t........... .... airuurj.r d'rd'prnot I drrinlru... n?ll ............. n?yil?e.: [ ] rirurr-lerrunil t.nr.r. 1d0unv.......... (3) rrvr [ ] rdrLra{erartrrir r.nr.:.1. rdouny .....(3) rlvl i ,i^ , 4, i " ormo/mn.... ,{'ru{n...... ...... nl'atrln*niri.. ..........Tvra. tunerilrirnr4rfir*rinrrrrunra urnrirvrr4'rtrjr^vrrarvr{fifivrisytd'fli-iilruufiqornvrorr (Ln? arfiuion?ar uny ^!y florrlrrprrfrtol6'ran5urra) nrrrrnm +e rernruflr LrnylJ'rFr?r 49 rnirvrrymmiryr;6rirur,lfiodrurr;flmrtnm 1 .A. 2494 rrnvfirurittrfittfit rtnvlrner sB rrenruflr LLavlJrnrl GO uvi.lyrryerrfrycgGnorlrurirrurioriru.rrg {rmlnra il.Fl. 2539 frrvrt4rrouapr'rrnnurerld'r{irdruufiqnnuoprlpraufiidoarird,jr {tu6't-leymni-hXoiraRu o6 l_11 t1,4uq nnilo n ttnilF] Frn ?.ltl , v 4 4 r ! 'd .......... (4) au n.xx.t3lfl ToFt0 Ltlu 1. ........ (s)foqjffnrn1ot6'rnrf.......... 2. ........... (5)foqjffnoiot6'rnsf.............. ._ ! ,i^ t u' f, ._.i,.j^ t4v -i 4. ........... ... (s)foqjfForrjotd'unrf.... ._ ! ,i^ t uv i _.d ,i^ tu, i ,-. d ,a^ t qv i 7. ........ ....... (5) froejfrherpjo'lpr'unrifr. to

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Page 1: person.ddc.moph.go.thperson.ddc.moph.go.th/eval/form/p9_1.pdf · Created Date: 6/17/2011 1:14:59 PM

(rr:rr t)

vq v YV o 6uu{da ltd n,Q ts mu'l?uil n? alfuilr ruuq n nu a n

LflflUYI

rnr ,"o1", rUIV'ltql ..\z/ hr...r r.d L l{rartnm i J {irL:JrurryI I vrurrnotur4ufirflar.r{nr #, t na I e--fri-t........... .... airuurj.r

d'rd'prnot I drrinlru... n?ll ............. n?yil?e.:

[ ] rirurr-lerrunil t.nr.r. 1d0unv.......... (3) rrvr [ ] rdrLra{erartrrir r.nr.:.1. rdouny .....(3) rlvli ,i^ , 4, i

"

ormo/mn.... ,{'ru{n...... ...... nl'atrln*niri.. ..........Tvra.

tunerilrirnr4rfir*rinrrrrunra urnrirvrr4'rtrjr^vrrarvr{fifivrisytd'fli-iilruufiqornvrorr (Ln? arfiuion?ar uny^!yflorrlrrprrfrtol6'ran5urra) nrrrrnm +e rernruflr LrnylJ'rFr?r 49 rnirvrrymmiryr;6rirur,lfiodrurr;flmrtnm1 .A. 2494 rrnvfirurittrfittfit rtnvlrner sB rrenruflr LLavlJrnrl GO uvi.lyrryerrfrycgGnorlrurirrurioriru.rrg

{rmlnra il.Fl. 2539 frrvrt4rrouapr'rrnnurerld'r{irdruufiqnnuoprlpraufiidoarird,jr {tu6't-leymni-hXoiraRuo6

l_11 t1,4uq nnilo n ttnilF] Frn ?.ltl, v 4 4 r !

'd.......... (4) au n.xx.t3lfl ToFt0 Ltlu

1. ........ (s)foqjffnrn1ot6'rnrf..........

2. ........... (5)foqjffnoiot6'rnsf..............

._ ! ,i^ t u' f,

._.i,.j^ t4v -i4. ........... ... (s)foqjfForrjotd'unrf....

._ ! ,i^ t uv i

_.d ,i^ tu, i

,-. d ,a^ t qv i7. ........ ....... (5) froejfrherpjo'lpr'unrifr.

to

Page 2: person.ddc.moph.go.thperson.ddc.moph.go.th/eval/form/p9_1.pdf · Created Date: 6/17/2011 1:14:59 PM

2

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. i ,!^ t u, i11. ........ 1s)froqjfrfrnrnotd'rnrfr..

._. i ,i^ t A, i12...... (s)fr0qjfrFnn1016rnrfr........

.-. i '!^ , u' i13............ (s;froqjfrfrorrlotdunlf........

. f, 'i^ , u, i14...... (s)froqlfrFnrnlotd'unrf........

15. .......... (s)fioqjfifiprrjotfrnrf......

u4 Xur. & 4,vf{6o*6pr{tsrturf idvrriu z af! fr{onrrlqnfr'o.irr?.ifu rfilt{fi{uarxrqFrur 1 orir 6nqflufl.idrtrJffirt6fiarlnrlurfrr:Jrv6F dt,lfu{furdar,l{nrrirurryrfirt{fidru:rrnrar4rd'rri'nffrflnrdar,rinnirurrg

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t I tnra ... (z){mrrn.ral{fliriaui'orriru.rrp

t I lerfl (z) {iuold'uily arxllrlilfiorolduuy- -Aolt1_.ln.i,luyt

t6'rit,lrirfi o ud Bx rq n ur rfi rt{rilur,a6'n q'rurufrr*o

^{Bo ............. ......(e) u{rufirfi( . .. ...)

nr ttltlt.ird 4ll,lvt ........... LFtou ........,............... 1\. F1

/uxrrflLuFr ..

Page 3: person.ddc.moph.go.thperson.ddc.moph.go.th/eval/form/p9_1.pdf · Created Date: 6/17/2011 1:14:59 PM

aJ

uil,.lettuFl

1 . nlt?FtnL dpre.ir u?onmuritluldauuLilntodxduluufidouaorrqnuraul oi',:(ilrirrufiqnnyoprqv 4 4j o v uutl4n.inrfliloxonln! Le

2. hl'ldrnSoq.rr.rrL / "[urio.r t ] dtm

s4 e rv o 6Fl'r0fi L'rfl n1?n?on $!:t1ru.id0 116 n{ Lq Flu1?y1_lFt'] {ful't riltqnnuopt

(r ) hXarq{u rdou fl duaro,uru.r;qnr-r{furlrnrfisnnilon

(z) hXrrr; dtitrrir du u^ru',unqn rol {ua nx rn mur

(s) 1#r;:.;riuudou drurrya'rilrYL x.Fr.L. ra?order,rirrmrd'r t.nr.r. fitfrflrLoqlaruvdun^o,uru.,

(+) l#lrq,iruru{fi fi vr6fu :ir uufisanilon

(s) l#rrq d tirurir do rnyul tr d n n rLol (fi q n rvq d'rl#1fl u{fu ri r rufin mnuo Br

(6) nerflr;r1d'r{f,iilrrufionnuonrt{rrnn,jrr,afl.rnru hirirr.runrdrufisyfifryr6t6'iL'l#d'prrsud',r€r

ruiu urfl n. tritA'fu r dru ur.:nrr r. l#Lri'ir r airu urnvffinr,afrr nr. Itll"dfuz dru uflufr'u

(z) l#ar1 dtilarir 6o un yur I dn n sa.l ff un prr rq nur r.6o {il rol duyry

(e) firufirairuartnrrvi6ot{trrirfifirrflufrmrtnre"Lud'rri'nrfiri'nr.arirdruilxnlrila!ilil.rg

Page 4: person.ddc.moph.go.thperson.ddc.moph.go.th/eval/form/p9_1.pdf · Created Date: 6/17/2011 1:14:59 PM

lur.roudurns

aitflfluyt .........

v1 4euyl.......rfi0u . ?\.d.............

ri.rvu4'r rflut l{rerrnral JfffrLilrurry,,[ ] uurrnolutgufirl'ar,a{or {u I aa I :xdu........... druraul

9nuu............ nrLn/ttflr.1... ...ormo/rsn

so:ro:.Lduvryt#.................. j

ari'at:1rrsniti..................lil?............... rfluffdrrfiunmdur.nirfiourrnr*renurarqd'r{i:.Lriru,rfinnnvronr'r v u4 =i y e yq:i:rn.i1uyr... ...1ittu1lx]1il5arurl uuu{rnl{r

uil1et[uFl

1 . l#nuldr rurrin.a:-lav'ird'rrlavttturor{rorduvrrunvffir-riloLd'uvryvliorririraotdrrulnnfr'o{defl- 4 r 6 v 4 - A \,^,2. Ltatfr:iutl{doqrirdarru'[{ri'rufidounpxrqnulry!Fl"rfiflL:jr rufiqmnuonrfifiut{riodrur{n1T9!