Talaba anketasi I. Talaba haqida umumiy ma’lumot

TALABA ANKETASI


I. TALABA HAQIDA UMUMIY MA’LUMOT
1. Talabaning F.I.O. ________________________________________________________
2.Tug‘ilgan yili, joyi, pasport seriyasi va raqami _____________________________________________________________________________
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3. Doimiy yashash manzili______________________________________________________
4. Otasining F.I.O., ish joyi, lavozimi va telefon raqami _____________________________________________________________________________
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5. Onasining F.I.O., ish joyi, lavozimi va telefon raqami _____________________________________________________________________________
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6. Talabaning telefon raqami_________________________________________________
7. Hozirda yashash joyi (o‘z uyi, yaqin qarindoshi uyi, ijarada, TTJda)______________________________________________________________________
8. Manzili (Yashash joyi manzili to‘liq ko‘rsatiladi. TTJ bo‘lsa, qaysi TTJda turishi keltiriladi)_________________________________________________________
9. Agar ijarada tursa, yashash sharoiti qanday?__________________________________
10. Ijara xonadaonida necha kishi istiqomat qiladi?____________________________


II. TALABANING O‘QISH FAOLIYATI HAQIDA MA’LUMOTLAR
1. Fakulteti________________________________________________________________
2. Ta’lim shakli (kunduzgi, sirtqi, kechki, magistr), kursi va guruhi _____________________________________________________________________________
3. Erishgan yutuqlari (Davlat stipendianti, mukofotlar, tanlov g‘olibligi va boshqalar)____________________________________________________________________
4. Qaysi to‘garakka qatnashadi?________________________________________________
5. Darsdan bo‘sh vaqtida ishlaydimi? ___________________________________________
6. Agar ishlasa, qayerda?_______________________________________________________


III. TALABANING IJTIMOIY AHVOLI VA FAOLIYATI
1. Oilaviy ahvoli (uylangan, turmushga chiqqan)_________________________________
2. Ijtimoiy ahvoli (nogiron, chin yetim, boquvchisini yo‘qotgan, Mehribonlik uyi tarbiyalanuvchisi, “Temir daftar”da ro‘yxatga olingan va b.)________________________________________________________________________________________________________________________________________________________
3. Jamoat ishlarida faolligi _______________________________________________
2. Kiyinish holati___________________________________________________________
3. Xulqi_____________________________________________________________________
4. Jinoyatga yoki suitsidga moyilligi___________________________________________


Ma’lumotlar to‘g‘riligi va aniqligini kafolatlayman:
Fakultet dekani ___________________________________
Dekan o‘rinbosari ____________________________________
Tyutor yoki murabbiy ____________________________________