1.Ism sharfi ___________________________
_____________________________________2.Tug’ilgan yili _______oyi ____kuni________
3.Tug’ilgan joyi_________________________
_____________________________________
4.Millati______________________________
5.Firqaga a’zoligi ______________________
6.Kasaba uyushmaga a’zoligi______________
7.____________________________________
_____________________________________
8.Ma’lumoti:
_______________________________
Ma’lumot darajasi
_______________________________
Ilmgoh
nomi va uni tamomlagan yili
_______________________________
Maktab yoki bilmgoh nomi
Va
tugatgan yili
__________________________________________ g) o’qish turi kunduzgi, kechgi,
Sirtqi (keraksizi o’chirilsin)
9.Diplom (shaxodatnoma) bo’yicha ixtisosi
__________________________________________________________________________
Ilmgoh tugatganlar
10.Diplom bo’yicha____________________
Mutaxasisligi
Diplom
Shaxodatnoma N
o ______________________
_______________________
da berildi
To’ldirilgan sana________________________
11. __________________________________
Asosiy kasbi (mutaxasisligi)
12.Umumiy ish staji _____________________
13.Uzluksiz staji_________________________
14.Oxirgi ish joyi ,lavozimi,ishdan bo’shaganlik
sababi va sanasi
____________________________________________________________________________________________________________________________________________________
15.Oilaviy ahvoli _______________________
Oilaviy tarkibi
_____________________________________________
Har bir oila a’zosing tug’ilgan yili
__________________________________________________________________________________________________________________________________________
16.___________________________________
17.___________________________________
18.___________________________________
19.___________________________________
20. Pasport ______seriyali __________son
_____________________________________
Berilgan
joy sanasi
_______________________________________________________________________________________________________________
21.Manzilgoh_______________________________________________________________
Telefon_______________________________
Imzo _________________________________