Akademik litsey o’quvchisining ijtimoiy-psixologik moslashuv daftari

O’quvchi haqida umumiy ma’lumotlar

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Familiyasi, ismi, sharifi
2.Tug’ilgan yili, oy kuni___________________
Jinsi ______ Millati ___________________ 3.Ijtimoiy kelib chiqishi (ziyoliy, ishchi xizmatchi, dehqon)____________________________________________________________

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4.Ota-onasinig yashash joyi:______________________________________________________________
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5.O’qish davridagi o’quvchining yashash joyi :

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6.Oilasi haqida ma’lumot:

Otasi;_______________________________________________________________________

Onasi;_______________________________________________________________________________________________________________________________
(ma’lumoti, kasbi, mutaxasisligi, ish joyi, lavozimi, va telefon raqami
Oiladagi bolalar soni ____ o’gil _____ qiz. Oilasida nechinchi farzand? _______

Oilasidagi psixologik iqlim, shaxslararo munosabatlar : ____________________________________________________________________________________________________________________________________

7. Sog’ligi: ___________________________________________________________________

8.Qayerdan o’qishga kelganligi: ___________________________________________

(viloyat, tuman, maktabning raqami, bitirgan yili )

9. Umumiy o’rta ta’lim maktabida berilgan <> da belgilangan ta’lim yo’nalishi __________________________________________________________________

10. Maskur o’quv yurtini tanlaganlik sababi (tegishlisi belgilanadi):

a) ota-onalarini maslaxati ; b) o’qituvchilarning maslaxati ;
d) do’stlarning maslaxati ; e) boshqa sabablar;

11. O’quvchi boshqa qiziqgan kasblar: __________________________________________________________________

12. O’quvchining bo’sh vaqtlardagi qiziqishlari (xobbi)____________________________
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13. O’quvchi haqida qo’shimcha ma’lumot ____________________________________

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