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(rasm)
АRG’ONА TUMAN

TIBBIYOT KOLLEJI


SHAHSIY VARAQA

O’QUVCHI: _________________________________________________________________
^{(familiyasi, ismi, otasining ismi)}
QABUL QILINDI ____________________ KURSGA ____________________ GURUHGA
YO’NALISHI:_____________________________________________________________________

“______” __________________________ 2023 yil

O’QUVCHI HAQIDA UMUMIY MA’LUMOT.

1. 
   F.I.O.: ________________________________________________________________________
   
2. 
   Jinsi: ________________________________________________________________________
   
3. 
   Tug’ilgan kuni, oyi, yili: __________________________________________________________
   
4. 
   Tug’ilgan joyi: _________________________________________________________________
   

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5. 
   Ota-onasining manzilgohi va ish joyi, lavozimi: ________________________________________________________________________________________
   

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6. 
   Millati: ________________________________________________________________________
   
7. 
   Kollejga kirgan vaqti. Qabul qilinganligi. Buyruq soni va kuni: __________________________________________________________________________________________________________________________________________________________________________
   
8. 
   Kollejga kirgunga qadar ma’lumoti, qaysi maktabni qachon, nechanchi sinfini tugatgan: ___________________________________________________
   

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9.