| | |
____________________________________ ga
|
| | |
(FHDY organi nomi)
|
| | |
_________________________________
|
| |
(ariza beruvchining familiyasi, ismi, ota ismi)
|
| | |
_________________________________
|
| | |
(yashash manzili)
|
| | |
_________________________________
(pasport seriyasi, raqami)
|
A R I Z A
|
Mening (o‘g‘lim, qizim) ___________________________________________________________
|
__________________________________________________________________________ning
|
(familiyasi, ismi, otasining ismi)
|
tug‘ilganlik haqidagi guvohnoma (si) ________________________________________________
|
_____________________________________________ sababli, menga _______________ yilda
|
tug‘ilganligi (m) haqida takroriy guvohnoma berishingizni (yuborishingizni) so‘rayman.
|
Tug‘ilganlik haqida dalolatnoma yozuvi _______ yil ____________ oyi _____________ kunida ___________________________________________ da _________-son bilan qayd etilgan.
|
(FHDY organi, QFY nomi)
| | | |
Ota-ona haqida ma’lumotlar:
|
Ota __________________________________________________________________________
|
(F.I.O. va millati)
|
Ona __________________________________________________________________________
|
(F.I.O. va millati)
|
_______ yil “____” ____________
|
__________
|
___________________
|
| | |
(imzo)
|
(familiya)
|
|
