Jizzxax shahar 3-umumiy o’rta ta’lim maktabi

Jizzax shahar 9-umumiy o’rta ta’lim maktabi __- “___” - sinf o'quvchisining


i j t i m o i y p a s p o r t I


Ismi sharifi: _____________________________________________________________
Tug'ilgan yili, oyi, sanasi: _______________________________________
Yashash manzili, mahalla nomi, (hovli, ko’p qavatli uy) telefon raqami:______________________________________________________


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Oilasi haqida ma’lumot.
(Otasi-F.I.Sh, ma’lumoti, qayerda kim bo'lib ishlaydi)__________________


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(Onasi- F.I.Sh, ma’lumoti, qayerda kim bo'lib ishlaydi)_________________


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(Akasi) ______________________________________________________


(Opasi) ______________________________________________________


(Ukasi)______________________________________________________


(Singlisi)_____________________________________________________


O’quvchining bilim darajasi: __namunali __yaxshi _qoniqarli__qoniqarsiz
Qiziqishi to'g'risida:
O’quvchining iqtidori:
__________________________________________________________
Qaysi to'garakka qatnashadi (nomi, qaysi kunlari, soati):
_____________________________________________________________
Shug'ullanadigan sport turi nomi, qayerda, qaysi kunlari va soati: _____________________________________________________________
Murabbiyi(F.I.Sh):______________________________________________
Sog'ligi haqida: (xronik kasallangan, ko’rish holatlari)_________________


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Maktabda tutgan o'rni va jamoat ishlaridagi faoliyati: __________________
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Sinf rahbari: _____________ ________________________