Buyrug‘iga asosan dan gacha o‘tkaziladi

Amaliyot davomida bajarilgan ishlar:

Kun va oy	Bajarilgan ishlarning nomi yoki qisqacha mazmuni	Amaliyot rahbari imzosi
1	2	3
1	2	3
1	2	3
1	2	3

Малакавий амалиёт раҳбарининг хулосаси
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Амалиёт раҳбари _______________ _____________________

(имзо) (ф.и.ш.)
Муассаса бўйича бириктирилган раҳбарнинг хулосаси
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Муассаса бўйича амалиёт раҳбари __________ __________________ (имзо) (ф.и.ш.)