8. Tvs ining kimga tegishliligi
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Birinchi TV
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Ikkinchi TV
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Uchinchi TV
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a) Haydovchining ismi, familiyasi otasining ismi, guvohnoma nomeri
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b) Markasi,nomer belgisi,texnik pasportining nomeri va seriyasi
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v)Vazirlik, tashkilot, korxona, ish joyi,yashash joyi
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g) hududga tegishli (respublika,viloyat, tuman)
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9
10. Qo‘shimcha ma’lumotlar( YTH tafsiloti)
.Jarohatlanganlar haqida ma’lumotnoma
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O‘lganlar (YTH da hammasi bo‘lib) ----------
Jarohatlangar (hammasi bo‘lib) ----------
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Jarohat olganlar
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1-nchi
|
2-nchi
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3-nchi
|
O‘lgan (1) Jarohatlangan (2)
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|
|
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a)Yo‘l harakat qatnashchisi kategoriyasi
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11. YTH sxemasi va tasvirlash (tasviri)
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Jinsi: erkak (1) ayol (2)
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|
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Yoshi
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|
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Tvlarining tartib nomeri
|
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b) xavfsizlik remeni
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1
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2.
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Familiyasi, ismi, otasining ismi------------------------------------------------------------------------------
|
Familiyasi,ismi,otasining ismi-------------------------------------------------
|
Uy adresi--------------------------------------------------------------------------------------------------------
|
Uy adresi-------------------------------------------------------------------------------------------
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Qaerga jo‘natilgan ----------------------------------------------------------------------------------------------
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Qaerga jo‘natilgan, jarohat xarakteri-----------------------------------------------------------
|
Jarohat xarakteri, tashxis: -------------------------------------------------------------------------------------
|
Jarohat xarakteri, tashxis: -----------------------------------------------------------------------
|