________________________________________ (xar bir oila a’zosining tug’ilgan yili ko’rsatilsil) (oliy, o’rta, umumiy, o’rta maxsus, to’liqsis, o’rta boshlang’ich (necha sinf) b) ______________________________________ ______________________________________ ________________________________________16.______________________________________ (oliy,yoki o’rta maxsus o’quv yurtining nomi va tamomlagan vaqti) 17.______________________________________ 18.______________________________________ 9. Diplom (shaxodatnomaga ko’ra mutahasisligi) 19.______________________________________ ________________________________________ 20.Pasport seriyasi _________________________ ________________________________________ Kim tomondan berilgan _____________________ Berilgan vaqti ____________________________ 10. Diplom (shaxodatnomaga ko’ra ixtisosligi) ______ ________________________________________ 21. Uy adresi _____________________________ _____________Diplom (shaxodatnoma) _______ _______________________________________ ____________”____”_____________ ______yil Telefon _________________________________ To’ldirilgan vaqti “___”___________ ______yil
Xarbiy xisobdagi tegishli ma’lumotlar
Xisob guruxi _____________________________ Xarbiy xisobdagi mutaxasizligi _____________ Xisob toifasi _____________________________ Xarbiy xizmatga yaroqligi ___________________ Tarkibi _________________________________Yashash joyi bo’yichaxarbiy kamissariyat nomi ____ Xarbiy unvoni____________________________ _________________________________________ Maxsus xisobda turadi____________________
III.- Ishga tayinlanishi va bir ishdan ikkinchi ishga o’tkazilishi. IV-Ta’til