Jizzax politexnika instituti shaxsiy hujjatlar yig’ma jildi №

JIZZAX POLITEXNIKA INSTITUTI
SHAXSIY HUJJATLAR YIG’MA JILDI №___________
Familyasi______________________________________________________________________
Ismi_________________________________SHarifi
Talim yo’nalishi________________________________________________________________
Institutga kirgan yili,buyruq №_____________________________________________________
Akademek litsey nomi va raqami___________________________________________________
Kasb-hunar kolleji nomi__________________________________________________________
Maktab №_____________________________________________________________________
AL yoki KHK (maktabni) tugatgan yili______________________________________________
Qoshimcha ma’lumotlar:

1. 
   Xalqaro va respublika olimpiadalari,tanlovlari va musobaqalari g’oliblari_________
   
2. 
   Harbiy qism tavsiyanomasi______________________________________________
   
3. 
   Nogironligi to’grisida ma’lumot___________________________________________
   
4. 
   Chin yetimligi to’grisida malumot_________________________________________
   

AL yoki KHK (maktab)ni manzili
Viloyat______________________________________________________________
Tuman (shahar)________________________________________________________
Diplom(attestat) bali_______AL yoki KHK (maktab) ni telefon raqami___________
Yashash manzili
Viloyat ______________________________________________________________
Tuman(shahar) ________________________________________________________
Qishloq ______________________________________________________________
Ko’cha ______________________________________________________________
Tug’ilgan yili_________________Telefon raqami ____________________________
____________________________________________________________________