Pedagogika instituti abiturientning shaxsiy hujjatlar

BUXORO DAVLAT
PEDAGOGIKA INSTITUTI
ABITURIENTNING SHAXSIY HUJJATLAR
RO‘YXATI №________________________

1.Familiyasi_____________________________________________________________
2.Ismi, otasining ismi____________________________________________________
3.Tug‘ilgan yili___________________________________________________________
4.Ijtimoiy kelib chiqishi________________________________________________
5.Hujjat topshirilayotgan ta`lim yo‘nalishi (mutaxassisligi)________________
__________________________________________________________________________
6. Yashash manzili__________________________________________________________
7. Attestat yoki diplom №__________________________________________________
8. Ariza__________________________________________________________________
9. 3,5x4,5 o‘lchamdagi 4 dona fotosurat________________________________________
10.Pasport seriyasi_______nomeri__________________________________________
11. Tugatgan ta`lim muassasa nomi, tugatgan yili____________________________
__________________________________________________________________________
13.Hujjatlar topshirildi_________________________________________________
(imzo) (F.I.O.)
14.Qabul qildi _________________________________________________20_____y.
(imzo) (F.I.O.)
Telifon raqam: ______________________ _________________________