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ANKETA-ARIZA
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1.____________________________________________________________________________
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(familiyasi, ismi, otasining ismi)
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2. Doimiy yashash manzil: _______________________________________________________
_____________________________________________________________________________.
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3. Tug‘ilgan sanasi _____ / ______________ / _________y.
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4. Jinsi: _______(ayol) _______ (erkak)
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5. Soliq to‘lovchining identifikatsiya raqami (STIR)___________________________________.
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6. Jismoniy shaxsning shaxsiy identifikatsiya raqami:__________________________________
_____________________________________________________________________________.
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7. O‘qish joyi ________________________________/ Fakultet__________________________ ____________________________________/ Ta’lim shakli (kunduzgi(ha/yo‘q))_____________
/O‘quv kursi ________ /Qabul turi (______byudjet) (______to‘lov-shartnoma) /
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ta’lim yo‘nalishi (magistratura mutaxassisligi) ________________________________________
(bakalavr mutaxassisligi)________________________________________________________.
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8. Qaysi hududdagi uy-joyda ijarada yashaysiz? Toshkent shahrida:_______________________ _______________________________________ / boshqa hududlarda:_____________________
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_____________________________________________________________________________.
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9. Uy-joy ijara summasi___________________ so‘m.
10. Uy-joyni ijaraga berilgan muddati__________________ dan, __________________ gacha.
(sana) (sana)
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11. Siz bilan bog‘lanish uchun to‘liq ma’lumotlaringiz?
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uy tel: ________________, uyali tel: ___________________, el.pochta ___________________.
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Men davlat tomonidan oylik ijara to‘lovining bir qismini qoplab berilishidan manfaatdorligimni bildiraman. Pasportim va ijtimoiy mezonlarga muvofiqligimni tasdiqlovchi hujjatlar nusxalarini ilova qilmoqdaman. Ushbu ariza va unga ilova qilinayotgan hujjatlarda ko‘rsatilgan barcha ma’lumotlarning haqiqiyligini tasdiqlayman.
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__________
imzo
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__________________________ F.I.O.
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“
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______”
kun
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____________
oy
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________
yil
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Ariza № _____________
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Qabul qilish sanasi “_____” ___________202 ______y.
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Qabul qilgan shaxs F.I.O_________________________
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Qabul qilgan shaxs imzosi _______________________
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