O’quvchining ijtimoiy-psixologik pasporti (Bolani xaritasi )
Xavf guruhi:______
Familiya ismi sharifi. ––––––––––––––––––––––––––––––––––––––––––––––
Tug’ilgan sanasi. ––––––––––––––––––––––––––––––––––––––––––––––––––––
Yashash manzili __________________________________________________
Ta’lim olayotgan sinfi________________________________________________
Ijtimoiy yashash sharoitlari __________________________________________
Qiziqishlari, ta’lim olishi, ____________________________________________
To’garaklarga jalb etilganligi _________________________________________
Sog’ligi ahvoli _____________________________________________________
Temperameti ___________________________________________________
O’zlashtirish va ko’nikmalari. _________________________________________
Oila yoki qonuniy vakillari to’g’risida ma’lumot
Onasi:
F.I. Sh. Tug’ilgan yili,____________________________________________
Yashash manzili: _________________________________________________
Tel raqami: ______________________________________________________
Ish joyi: _________________________________________________________
Otasi:
F.I. Sh. Tug’ilgan yili: ______________________________________________
Yashash manzili: ___________________________________________________
Tel raqami: ______________________________________________________
Ish joyi: __________________________________________________________
Qonuniy vakillari
F.I. Sh. Tug’ilgan yili: ____________________________________________
Yashash manzili: __________________________________________________
Tel raqami: _____________________________________________________
Ish joyi: __________________________________________________________
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