Voyaga yetgan joyi: Shahar / Tuman markazi / • Qishloq

ANKETA
Ismi:______________________________________________________________________________
Familiyasi:_________________________________________________________________________
Tug'ilgan sanasi: ______________________Tug'ilgan joyi:___________________________________
Voyaga yetgan joyi: Shahar / Tuman markazi / • Qishloq
Oilaviv ahvoli: Turmush qurmagan / Oilali: farzandlari soni____/ Ajraashgan:
Yashsah manzili:_____________________________________________________________________
Telefon raqami/ Telegrami:____________________________________________________________
e-mail:_____________________________________________________________________________
Bo'yi / Vazni / Oyoq razmeri:___________________________________________________________
Xorijiy tillarni bilishi: 1. Til:_________________________ 2. Til:_____________________________
3. Til:_________________________ 4. Til:_____________________________
5. Til:_________________________ 6. Til:_____________________________
Vizadan otkaz olganmi?___________________/ Qaysi elchixonadan?__________________________
Qonuniy ta' qibga uchraganmi?_________________________________________________________
Xorijda bo'lganmi?______________ Qayerda?__________________ Qancha vagt?______________
Nima qilgan?________________________________________________________________________
OT nomi:___________________________________________________________________________
OT manzili:_________________________________________________________________________
OT Telefoni:_________________________________________________________________________
OT e-maili:________________________________ OTM web sahifasi:__________________________
Fakultet nomi:_______________________________________________________________________
O'gish davomiyligi (necha yil?):__________________________________________________________
O' qishga kirgan va bitiradigan sana:_______________________ / ____________________________
2023 vil yozgi ta'til (dan - gacha):__________________________ / ____________________________
___________________________________________________________________________________
OTMdan beriladigan ta'til:___________________________dan, __________________________gacha
Tatildan keyin o'qish davom etadimi? HA YOQ
Sana:_______________________ / Samargand shahri / imzo:________________________________