Dalolatnoma yozuviga o‘zgartirish, tuzatish va qo‘shimchalar kiritish haqida
ARIZA
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_____________________ haqidagi dalolatnoma yozuvining _______________________ __________________________ ustunlariga quyidagi ___________________________ ______________________________________________________________________________________ o‘zgartirish, tuzatish, qo‘shimchalarni kiritishingizni so‘rayman:
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Dalolatnoma yozuvi ______________________________________________________ da
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(FHDY organi yoki QFY nomi)
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_________ yil ______________ oyi ______ kunida ______-son bilan qayd etilgan.
O‘zgartirish, tuzatish va qo‘shimcha kiritishning sabablari ___________________ ________________________________________________________________________
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O‘zim haqimda quyidagilarni ma’lum qilaman:
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1. Familiya, ism, ota ismi __________________________________________________
_______________________________________________________________________
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2. Tug‘ilgan vaqti _________________________________________________________
3. Tug‘ilgan joyi _________________________________________________________
4. Millati ______________________________________________________________
5. Oilaviy ahvoli ________________________________________________________ _______________________________________________________________________
6. Voyaga yetmagan farzandlari to‘g‘risida ma’lumot ______________________________ _______________________________________________________________________
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(qaysi d/yo bilan qayd etilgan)
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________________________________________________________________________
7. Shaxsini tasdiqlovchi hujjati ____________________________________________ _______________________________________________________________________
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Arizaga ilova qilaman:
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1._______________________
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2._______________________
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3._______________________
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_______ yil “____” ______________
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_____________
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(imzo)
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