REPUBLIC OF UZBEKISTAN
MINISTRY OF HIGHER EDUCATION, SCIENCE AND INNOVATION
FERGANA POLYTECHNIC INSTITUTE
"CHEMISTRY - TECHNOLOGY" faculty
"CHEMISTRY AND CHEMICAL TECHNOLOGY " department
REPORT
__________________________________________________________
( practice passed _ enterprise name )
__________________________________________________________
( practice passed _ department or have sex name )
Practice term : beginning "____"________ 20___ y.
completed "____"________ 20___ y.
Practice student : __________ course ________________ group
_______________________________________________________________
( student's surname , name and of his father name ) ( signature ) date
From the company: _________________________________________________
( position surname , name and of his father name ) ( signature ) date
From the institute: ________________________________________________
( position surname , name and of his father name ) ( signature ) date
Report in defense accumulated points _________________
Report protection day of : "____" __________ _ 20 ___ years
Commission members : _ _ ___________________________________________
( position surname , name and of his father name ) ( signature ) date
____________________________________________
( position surname , name and of his father name ) ( signature ) date
FERGANA -2 0 2 3
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