Oilaviy maishiy sharoitni oyicha savolnoma

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Oquvchining ijtimoiy pasporti
(2020-2021 oquvchining ism sharifi:

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Jinsi_________________yoshi_____________ tugilganlik haqidagi guvohnoma raqami__________________________________
Oilasining tarkibi:
Kolik boquvchining bilim darajasi:___________________________________________________________________

Namunali yaxshi konikarli konikarsiz ________________________________________________________________________________

Olumot

Ism-sharifi (toilgan yili ota ___________________________________________________________________________

Tuglumotli________________________________________

- orta___________________________________________________

-torta___________________________________________

- ilmiy darajasi yoquvchilarning salomatlik xolati
-Yakka tartibda ukitiladi

-Xronik kasallangan koquvchilarning maktabdan tashqari tagaraklarida___________________________________________________________

Yashash manzili______________________________________________________________


Doimiy ruyxatda turgan joyi______________________________________________________
Sinf rahbari-___________________________________________________________


Oilaviy maishiy sharoitni oyicha
savolnoma
__________________________________________________________________________tumani
^{( mahallada nomi manzili telefoni)}
Voyaga yetmagan________________________________________________________________

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(tugtkazilgan tekshiruv
quyidagicha__________________________________________________________________________

Oila ailgan yili_______________________________________________________

____________________________________________________________________________________

Oila________________________xonali uyda istiqomat qiladi.

Sanitar holati_________________________________________________________________________

Oilada ouriyati______________________________________________________________________

Xududiy IIB posboni____________________________________________________________________

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