Hayot faoliyati sohasini baholash
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Ijtimoiy qo‘llab-quvvatlash bo‘yicha komissiya xulosalari
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I. Sog‘lig‘ining holatini baholash
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II. O‘zgalar parvarishiga muhtojligini baholash
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III. Uy-joy-maishiy sharoitlarini baholash
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IV. Ijtimoiy muhofaza choralari bilan ta’minlanganligini baholash
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V. Huquqiy jihatdan himoyalanganligini baholash
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VI. Keksa va nogironligi bo‘lgan shaxsning muloqot va dam olish sohasini baholash
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Ijtimoiy qo‘llab-quvvatlash bo‘yicha komissiya xulosasi: ____________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
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___________________________________________________________________________
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Fuqarolarning o‘zini o‘zi boshqarish
organi raisi
______________________________
(F.I.O.)
20___ yil “______” __________
M.O‘.
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Davolash-profilaktika muassasasi
rahbari ________________________________
(F.I.O.)
20___ yil “______” __________
M.O‘. ?
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