03.08.2018 yildagi 617-son

Berilgan bojxona imtiyozlaridan belgilangan maqsadlardan boshqa
maqsadda foydalanishni kameral nazorat qilishning
_______ -son dalolatnomasi

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(sana)

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(dalolatnoma tuzilgan joy)

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(kameral nazorat qilgan organning nomi)

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(tekshiruvchilarning (tekshiruvchining) lavozimi, familiyasi, ismi va otasining ismi)

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(tekshirilayotgan yuridik shaxsning joylashgan joyi va bo‘ysunuvi)

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(tekshirilayotgan xususiy tadbirkorning familiyasi, ismi,

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otasining ismi (mavjud bo‘lsa) turar joyi, STIR raqami)

_______________________________________________________________________________________ davr uchun
(kameral nazorat davri)

________________________________________________________________________________ masalalari bo‘yicha
(kameral nazorat masalalari ro‘yxati)

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___________________________________________________________________________ kameral nazorat qilindi.

Tekshirish quyidagi hujjatlar asosida o‘tkazildi:

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(tekshirilgan aniq hujjatlar ro‘yxati)

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Tekshirish davomida quyidagi tadbirlar o‘tkazildi:______________________________________________________
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(tekshirish chog‘ida o‘tkazilgan bojxona nazorati shakllari, boshqa harakatlar to‘g‘risidagi ma’lumotlar)

Tekshirilayotgan yuridik shaxsning nomi yoki tekshirilayotgan xususiy tadbirkorning F.I.O.: ______________________
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Kameral tekshirish
____________________________________________boshlandi___________________________________ yakunlandi.

(tekshirish boshlangan sana)

(tekshirish yakunlangan sana)

Xuddi shu masalalar bo‘yicha tekshirilayotgan davr uchun oldingi bojxona tekshiruvlari _________________________
________________________________________________________________________________________________(kim tomonidan va qachon)
________________________________________________________________________________________ o‘tkazildi.

Bojxona tekshiruvi o‘tkazilishi natijalari bo‘yicha quyidagilar aniqlandi:

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(o‘rganish natijasi, qaror qabul qilish uchun zarur bo‘lgan boshqa ma’lumotlar)
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Ilova ________________ varaqda.
Kameral nazorat qilgan mansabdor shaxslar (mansabdor shaxs):

__________________(imzo)

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(familiyasi, ismi va otasining ismi)