Jizzax politexnika institut shaxsiy hujjatlar yig’ma jildi №

JIZZAX POLITEXNIKA INSTITUT
SHAXSIY HUJJATLAR YIG’MA JILDI №___
Familiyasi__________________________________________________________
Ismi__________________Sharifi_______________________________________
Ta’lim yo’nalishi ____________________________________________________
Institutga kirgan yili, buyruq №_________________________________________
Akademik litsey nomi va raqami ________________________________________
Kasb-hunar kolleji nomi ______________________________________________
Maktab №_________________________________________________________
AL yoki KHK(maktabni) tugatgan yili _________________________________
Qo’shimcha ma’lumotlar :

1. 
   Xalqaro va Respublika olimpiadaladi, tanlovlari va musobaqalari g’olibi____________
   
2. 
   Harbiy qism tavsiyanomasi _________________________________________________
   
3. 
   Nogironligi to’g’risida ma’lumot ___________________________________________
   
4. 
   Chin yetimligi to’g’risida malumot__________________________________________
   

AL yoki KHK (maktab) ni manzili
Viloyat_________________________________________________________
Tuman(shahar)___________________________________________________
Diplom(attestatsiya) bali______AL yoki KHK (maktab)ni telefon raqami____
Yashash manzili
Viloyat _________________________________________________________
Tuman(shahar) ___________________________________________________
Qishloq ________________________________________________________
Ko’cha _________________________________________________________
Tug’ilgan yili _______ Telefon raqami _______________________________
_______________________________________________________________