TA’LIM Kirgan yili ____________________________________________________________________
Maxsus kiruvchi kod (DTM) _____________________________________________________
Reyting daftarchasi raqami _______________________________________________________
Mutaxassislik _________________________________________________________________
Ta’lim turi _______________________ Ta’lim tili __________________________________
Kurs ___________________________ Byudjet/byudjetdan tashqari ___________________
PASPORT Surati ( rasm elektron variant 3x4 )
Familiyasi ____________________________________________________________________
Ismi _________________________________________________________________________
Otasining ismi _________________________________________________________________
Tug'ilgan kuni _________________________________________________________________
Jinsi ______________________ Millati _________________________________
Passport seriyasi ____________ Passport tartib raqami _____________________
Tug'ilgan Davlat ____________________ Tug'ilgan viloyat __________________
Kim tomonidan berilgan _______________________________________________
Berilgan sanasi _______________________ Amal qilish muddati ______________
Fuqarolik ____________________________
YASHASH JOYI Respublikalar _____________________________________________________________________
Viloyatlar ___________________________ Tumanlar ____________________________________
Manzil ___________________________________________________________________________
Telefon raqami ______________________________________ Faks __________________________
Elektron pochtasi __________________________________ Sayt ____________________________
QO’SHIMCHA MA’LUMOTLAR Bitirgan o’quv muassasasi nomi _______________________________________________________
Bitirgan o’quv muassasasi raqami ______________________________________________________
Bitirgan o’quv muassasasi turi _________________________________________________________
Bitirgan, hujjat raqami ________________________ Bitirgan, hujjat seriyasi ___________________
Bitirgan yili _____________ Oilaviy ahvoli __(uylangan, turmushga chiqqan, ajrashgan, beva)_____
Harbiy xizmati _____________________ Harbiy holati ____________________________________
Nogironlik _________________________________________________________________________
Olimpiada, tanlov yoki musobaqa g’olibi _________________________________________________
HARBIY IMTIYOZ Harbiy qism ______________________________ Berilgan vaqti _____________________________
Hujjat raqami _____________________________ Hujjat seriyasi _____________________________
Izoh _______________________________________________________________________________
OTA-ONASI HAQIDAGI MA’LUMOTLAR Otasining ismi-sharifi ________________________________________________________________
Onasining ismi-sharifi _______________________________________________________________
Otasining ish joyi va lavozimi _________________________________________________________
Onasining ish joyi va lavozimi _________________________________________________________
Ota-onasining telefon raqami __________________________________________________________
Ota-onasining manzili _______________________________________________________________