Samarkand viloyati Pastdargom tumanidagi 116-son umumiy o‘rta ta’lim maktabi Boshlang‘ich sinf o‘qituvchisi Salimova Gavhar attestatsiya jildi

A R I Z A
Meni 2022 yilda ________________________________________fani o‘qituvchisi sifatida attestatsiyadan o‘tib, ______________ malaka toifasini olgan edim. 20 yilda _____________________ fani bo‘yicha ________________ malaka toifasi uchun navbatdagi attestatsiyadan o‘tkazishingizni so‘rayman.
Arizamda ko‘rsatilgan malaka toifasi uchun ishlarimning quyidagi natijalari asos bo‘ladi deb hisoblayman:
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O‘zim haqimda quyidagi ma’lumotlarni bildiraman:

Ma’lumotim (bitirgan o‘quv yurtim) ___________________________________________________
Mutaxassisligim ___________________________________________________________________
Umumiy ish stajim ___ yil, mazkur ta’lim muassasasida ___ yil.

Mukofotlarim: ____________________________________________________________________

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O‘zbekiston Respublikasi Adliya vazirligida 2006 yil 18 yanvarda 1540g‘son bilan ro‘yxatdan o‘tkazilgan “Rahbar va pedagog kadrlarni attestatsiyadan o‘tkazish va ularga malaka toifalari berish tartibi to‘g‘risidagi Nizom” bilan tanishdim.

Imzo: _________________________

Uy telefon raqami: _____________
Ish joyi telefon raqami: ________
20___ yil «_____»__________________