(Tashkilot, korxona nomi)
SHAXSIY VARAQA № ______
I. Umumiy qoidalar
1. Familiyasi __________________________________
Ismi _________________________________________
Ota ismi ______________________________________
2. Tug’ilgan yili________________________________
_____________________________________________
Kuni _______________oyi _______________________
3. Tug’ilgan joyi _______________________________
_____________________________________________
_____________________________________________
4. Millati _____________________________________
5. Partiyaviyligi ________________________________
6. A’zo bo’lgan yili______________________________
7. Kasaba uyushmasiga a’zoligi ___________________
_____________ha, yo’q _________________________
8. Ma’lumoti___________________________________
a) _______________________________________
oliy yoki o’rta, maxsus to’liqsiz o’rta, boshlang’ich (necha sinf)
b)________________________________________
oily yoki o’rta maxsus o’quv yurtining nomi va
__________________________________________
tamomlagan vaqti
v)________________________________________
bilim yurti, hunar texnika ta’lim
g) ta’lim turi:_______________________________
kunduzgi, kechki, sirtqi _________________________________________
tamomlaganlar uchun
9.Diplom (shahodatnoma) ga ko’ra mutaxasisligi.
_____________________________________________
Oily yoki o’rta maxsus o’quv yurti
_____________________________________________
tamomlaganlar uchun
10. Diplom (shahodatnoma) ga ko’ra ixtisosligi
_____________________________________________
Diplom (shahodatnoma)
_________________ yil “____”__________________da
berilgan. To’ldirilgan vaqti. _____________________
II. HARBIY HISOBDAGI TEGISHLI MA’LUMOTLAR
Hisob guruhi __________________________________
Hisob toifasi ___________________________________
Tarkibi _______________________________________
Harbiy unvoni _________________________________
_____________________________________________
_____________________________________________
Idoralararo namunaviy shakli T-2
MOB tomonidan tasdiqlangan
1979 y. 25.05 № 249
B XUT bo’yicha xos raqami 0301002
11. __________________________________________
Asosiy kasbi, ma’lumoti
_____________________________________________
_____________________________________________
mutahasisligi bo’yicha ish staji
12. Umumiy ish staji ___________________________
13. Uzluksik staji _____________________________
14. _________________________________________
oxirgi ish joyi lavоzimi
___________________________________________
___________________________________________
bo’shatilgan sanasi va sababi
15. Oilaviy ahvoli ____________________________
___________________________________________
Oila tarkibi, har bir oila a’zosining
___________________________________________
tug’ilgan yili ko’rsatilsin
16. _____________________________________________
________________________________________________
17. _____________________________________________
________________________________________________
18. _____________________________________________
________________________________________________
19. _____________________________________________
________________________________________________
20. Pasport: seriyasi ____N ________________
№ ________________________kim tomonidan
berilgan ______________________________________
Berilgan vaqti _________________________________
21. Uy adresi __________________________________
_____________________________________________
Telefon _______________________
IMZOSI _____________________
Harbiy xisobdagi mutaxasisligi
N _____________________________harbiy xizmatga yaroqliligi ___________________________________
Yashash joyi bo’yicha harbiy komissariyat nomi _____
____________________________________________
____________________________________________
Maxsus hisobda turadi № _______________________
III. ISHGA TAYINLASH VA BOSHQA ISHGA O’TISH IV TA’TIL
sana
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Sex, bo’lim uchastka
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Lavozim, kasbi
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Razryadi maoshi
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Asoslash
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Ta’til turi
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Qaysi davr
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Sana
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Asos
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T a’til boshlanishi
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Ta’til tamomlanishi
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V. Qo’shimcha ma’lumot KOD
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Ishdan bo’shagan payti va sababi _______________________________________________________________________________________________________________________
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