Alisher navoiy nomidagi samarqanbd davlat universiteti
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SAMARQAND DAVLAT UNIVERSITETI T ALABANING SHAXSIY VARAQASI № Fakultet _______________________________ Yo`nalish_____________________ Ta`lim turi__________________________________________________ Familyasi Ismi_ _______ Otasining ismi ________ __ 1.Jinsi ____________ 2.Tugilgan yili va oyi________________________ 3.Tugilgan joyi ____________________________ 4.Millati__________________________________ 5.Ma’lumoti(qaysi o’quv 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 SAMARQAND DAVLAT UNIVERSITETI T ALABANING SHAXSIY VARAQASI № Fakultet _______________________________ Yo`nalish_____________________ Ta`lim turi__________________________________________________ Familyasi Ismi_ _______ Otasining ismi ________ __ 1.Jinsi ____________ 2.Tugilgan yili va oyi________________________ 3.Tugilgan joyi ____________________________ 4.Millati__________________________________ 5.Ma’lumoti(qaysi o’quv 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 Download 61 Kb. Do'stlaringiz bilan baham: 
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