| | |
______________________________________________________ ga (FHDY organi nomi)
|
| | |
_________________________________________________________
(ariza beruvchining familiyasi, ismi, ota ismi)
|
| | |
_________________________________________________________
(yashash manzili)
|
| | |
_________________________________________________________ (pasport seriyasi, raqami, qachon, kim tomonidan berilgan)
|
ARIZA
|
Mening erim (xotinim) ________________________________________________________________________
|
| | |
(familiyasi, ismi, otasining ismi)
|
______________________________________ sudining _______ yil “___” __________________ dagi hukmiga asosan _______ yilga ozodlikdan mahrum qilingan va hozirgi kunda ____________________________________
___________________________________________________________________________ da jazoni o‘tamoqda.
|
(jazoni ijro etish muassasasining aniq manzilgohi)
| | |
Nikohdan ajralgandan so‘ng, quyidagi familiyada bo‘lishni xohlayman:
Er (xotin): ____________________________________________
Ilova: ______________________ sudining qonuniy kuchga kirgan hukmi
|
| |
__________
imzo
| |
_______ yil “___” ______________
|
| |
Nikohdan ajralishni qayd etish ______ yil _______ oyi ______ kuniga tayinlandi.
|
| |
____________________________________________________________________
(arizani qabul qilgan FHDY organi xodimining familiyasi va imzosi)
|
|
