Tug’ilgan vaqtingiz va joyingiz: __________ __________ __________ ________________________________________
(Sana) (oy) (yil) (joy)
Taxsil yo’nalishingiz: __________ __________ __________ ________________________________________
(Guruh) (kurs) (yo’nalish) (o’quv yurti telefoni)
Uy manzil va telefon raqam: ____________________________ _________________ ____________ _______________
(tuman) (ko’cha) (xonadon) (telefoni)
Yoshlar ittifoqidan kelajakda nimalarni kutasiz: ______________________________________________________________________________________________________________________________________________________________________________________________ Nima uchun yoshlar ittifoqi a’zolari safiga kirmoqchisiz? ______________________________________________________________________________________________________________________________________________________________________________________________
Guvohnoma yoki passport to’g’risidagi ma’lumot: _________________ ___________________ _______________________________________________
(seriyasi va raqami) (qachon berilgan) ( kim tomonidan berilgfan)
Anketa to’ldirilgan sana: “_____” _____________ 2023 yil ____________ (shaxsiy imzo)