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VATAN TARAQQIYOTIGA MENING HISSAM”
TANLOVI ISHTIROKCHISINING
ANKETASI


Nomzodning F.I.SH ______________________________________________________________________


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Loyiha yo‘nalishi __________________________________________________________________________
Loyiha haqida qisqacha ma’lumot _______________________________________________________


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O‘qish yoki ish joyi ____________________________________________________
Qo‘shimcha ma’lumotlar:


Hudud nomi _________________________________________________________________________________
(viloyat, tuman/shahar)


Tug‘ilgan sanasi ________ _______________ _________
(kun) (oy) (yil)


Yashash manzili ______________________________________________________


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Telefon raqami Mobil: (+998) ___ _____________ Uy: (+998) ___ ______________
To‘ldirilgan sana ________________ Shaxsiy imzo _____________
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