O’zbekiston respublikasi oliy va o’rta maxsus ta’lim vazirligi termiz davlat universiteti ter

5. Jinsi; erkak, ayol

(tagiga chizilsin).

6. Yoshi. (to’liq yillar soni ko’rsatilsin.) ____________________________________________________________________7.Kasbi, lavozimi____________________________________________ 1.Razryadi, klassi________________________________________________________________

8. Baxtsiz hodisa yuz berganda bajarilayotgan ishi bo’yicha ish staji._________________________________________________________________

9. Mehnat havfsizligi bo’yicha yo’riqnoma o’qitish:

9.1. Kirish yo’riqnomasi (sana)___________________________________________________________

9.2. Mehnat havfsizligi bo’yicha o’qitish (sana)______________________________

9.3. Dastlabki(davriy) yo’riqnoma (sana)__________________________________