Bolaning individual ta’lim yo‘nalishi

Bolaning individual ta’lim yo‘nalishi
Bolaning familiyasi va ismi _____________________________________________
Tug‘ilganyili ________________________________________________________
Tekshiruv boshlanish vaqtidagi yoshi____________________________________
Bola onasining F.I.O.__________________________________________________
Telefon raqami_______________________________________________________
Bola otasining F.I.O.__________________________________________________
Telefon raqami ______________________________________________________
Uy manzili __________________________________________________________________
MTTga qabul qilingan sana: ___________________________________________________________________
MTTga qabul qilingan vaqtdagi tibbiy-pedagogik psixologik komissiyaning tashxisi: ___________________________________________________________________
Individual ta’lim yo‘nalishini to‘ldirishning boshlanish sanasi
__________________________________________________________________
Qo‘shimcha ma’lumotlar___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________