Familiya, ism, ota ismini o‘zgartirganlik haqida
MA’LUMOTNOMA
_____-son
Fuqaro _____________________________________________________________________________________
|
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(familiyasi, ismi, otasining ismi)
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_______ yil _____________ oyi _____ kunida ____________________________________________________ __________________________________________________________________________________da tug‘ilgan,
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(tug‘ilgan joyi)
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familiyasi, ismi, ota ismini (keraklisining tagiga chizilsin) ________________________________________ ________________________________________________________________________________ga o‘zgartirdi.
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Bu haqda _____ yil _______ oyi ___ kunida ______________________________________________________da
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(FHDY organi nomi)
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_______-son bilan qayd etilgan ____________________________________________________________ haqida
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(tug‘ilganlik, nikoh tuzilganligi, nikohdan ajralganlik)
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dalolatnoma yozuviga o‘zgartirish kiritilib, __________________________________-sonli guvohnoma berildi.
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| | |
(seriya, raqami)
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Asos: ___________________________________________________ ning _______ yil “___” ___________ dagi
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(FHDY organi nomi)
| | | |
____________-son xulosasi (xabarnomasi).
| |
��
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FHDY organi rahbari
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________________
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_____________________________________________
|
| |
(imzo)
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(familiya)
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M.O‘.
| | | | | | |
