1.Jinsi ____________
2.Tugilgan yili va oyi________________________
3.Tugilgan joyi ____________________________
4.Millati__________________________________
5.Malumoti(qaysi oquv yurtini qachon va qaerda tugatgan)
__________________ ___________________________________
6. Pasport seriyasi__________________________
7. Pasport raqami __________________________
8. Kim tomondan qachon berilgan_____________
________________________________________
9.Oilaviy ahvoli (oilasi va farzandlari haqida ma’lumot ularning yashash joyi )______________
____________________________________________________________________________________
7. Ota-onasi haqida ma`lumot (yoshi, yashash joyi va ish joyi)________________________________
__________________________________________________________________________________________________________________________________________________________________________________________________________________8.Manzili a)_______________________________
doimiy yashash joyi
________________________________________
b)________________________________________
vaqtinchalik
yashash joyi
____________________________200___yil
___________________shaxsiy imzo