3-sonli Ilova Harakatlanadigan tarkibning umumiy

3-sonli Ilova

Harakatlanadigan tarkibning umumiy

foydalaniladigan temir yo’llarga chiqish uchun

ruxsat berish tartib-tamoillaridan

o’tish tartibiga muvofiq

ARIZA

harakatlanuvchi tarkibning chiqishi uchun ruxsat _______________________________________________________________________________________

  (harakatlanuvchi tarkibning uchastkadan chiqishi)

________________________________________________________________________________________

1. Yuridik shaxsning  tashkiliy-xuquqiy shakli va nomi:  ________________________________________

2. Joylashgan o’rni (pochta manzili): __________________________________________________________

Indeks:________________ , telefon:________________________ , faks:_________________________________

3. Harakatlanuvchi  tarkibning xususiyati: _____________________________________________________________________________________________

_______________________________________________________________________________________________

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  (seriyasi, ro’yxatga olingan tartib raqami, prisepga ulangan maksimal vazni, vagonlar miqdori, ruxsat etilgan tezlik xarakati)

4. _____________________________________________________________________________________________

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_______________________________________________________________________________________________

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(mashinist (haydovchi)ning familiyasi, ismi, sharifi, vakolatli organning harakatlanuvchi tarkibni boshqarish ruxsati, guvohnoma 

raqami va rasmiylashlagan shakli, kim tomondan va qachon berilgan)

5. Arizaga kiritiladigan hujjatlar ro’yxati: ________________________________________________________________

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(talabnomaga muvofiq harakatlanadigan tarkibning umumiy foydalaniladigan temir yo’llarga chiqish uchun ruxsat berish

 tartib-tamoillaridan o’tish tartibi to’g’risidagi nizomga muvofiq)

Korxona raxbari - ariza beruvchi               _________       ______________            _____________________

                                                                                                           imzo                               (F.I.SH)

                                                      M. O’.