Berildi ushbu ma’lumotnoma shu haqdakim haqiqatdan ham Sam. D. T. I

Ma’lumotnoma

Berildi ushbu ma’lumotnoma shu haqdakim haqiqatdan ham Sam.D.T.I

___________________________fakulteti_______guruh

^{(Fakultet nomi) (guruh raqami)}

talabasi________________________________ _________________kuni

^{(F.I.Sh) (navbatchilikni boshlagan kuni)}

soat ____dan_________________ kuni soat____gacha __________________ viloyati

^{(vaqti) (navbatchilikni tamomlagan kuni) (vaqti)}

________________________da_______________bo’limida tungi navbatchilikni o’tadi

^{(shifoxona nomi) (bo’lim nomi)}
Navbatchi shifokor:_____________________________ / /

<sup>F.I.Sh imzo

“_____” _________________20___ yil

(berilgan sana)
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------</sup>

Ma’lumotnoma

Berildi ushbu ma’lumotnoma shu haqdakim haqiqatdan ham Sam.D.T.I

___________________________fakulteti_______guruh

^{(Fakultet nomi) (guruh raqami)}

talabasi________________________________ _________________kuni

^{(F.I.Sh) (navbatchilikni boshlagan kuni)}

soat ____dan_________________ kuni soat____gacha __________________ viloyati

^{(vaqti) (navbatchilikni tamomlagan kuni) (vaqti)}

________________________da_______________bo’limida tungi navbatchilikni o’tadi

^{(shifoxona nomi) (bo’lim nomi)}
Navbatchi shifokor:_____________________________ / /

<sup>F.I.Sh imzo

“_____” _________________20___ yil

(berilgan sana)
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------</sup>



Ma’lumotnoma

Berildi ushbu ma’lumotnoma shu haqdakim haqiqatdan ham Sam.D.T.I

___________________________fakulteti_______guruh

^{(Fakultet nomi) (guruh raqami)}

talabasi________________________________ _________________kuni

^{(F.I.Sh) (navbatchilikni boshlagan kuni)}

soat ____dan_________________ kuni soat____gacha __________________ viloyati

^{(vaqti) (navbatchilikni tamomlagan kuni) (vaqti)}

________________________da_______________bo’limida tungi navbatchilikni o’tadi

^{(shifoxona nomi) (bo’lim nomi)}
Navbatchi shifokor:_____________________________ / /

<sup>F.I.Sh imzo

“_____” _________________20___ yil

(berilgan sana)
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------</sup>