ATTESTATSIYA VARAQASI
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(psixolog kadrning familiyasi, ismi, otasining ismi)
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Tug‘ilgan yili, kuni va oyi ____________________________________________________________________
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Ma’lumoti
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(ta’lim olgan muassasasining nomi)
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(tamomlagan yili)
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Tasniflash bo‘yicha ___________________________________________________________________________
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(ta’lim yo‘nalishi, mutaxassisligi yoki ixtisosi nomi)
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Ilmiy darajasi yoki ilmiy unvoni _____________________________________________________________
Psixologning staji _________________________________________________________________________
Amaldagi malaka toifasi bo‘yicha ish staji ________________ yil; shu jumladan, ushbu ta’lim muassasasida
______________ yil
Malakasini oshirgan ta’lim muassasasi nomi, vaqti _______________________________________________
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(malaka oshirgan sohasi: kasbiy, axborot yoki pedagogik texnologiyalar va boshqa mavzularda)
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Mukofotlari _______________________________________________________________________________
Komissiya qarori ____________________________________________________________________________
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(to‘liq yoziladi)
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Komissiya raisi
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(F.I.O)
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(imzo)
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Komissiya raisining o‘rinbosari
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(F.I.O)
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(imzo)
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Komissiya kotibi
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(F.I.O)
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(imzo)
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Komissiya a’zolari
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(F.I.O)
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(imzo)
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(F.I.O)
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(imzo)
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(F.I.O)
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(imzo)
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(F.I.O)
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(imzo)
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