30.06.1997 yildagi 330-son
Hujjat kuchini yo‘qotgan 01.07.2012
 LexUZ sharhi
Fuqarolik holatlari dalolatnomalarini yozish (FHDYo) organlari tomonidan aholiga beriladigan gerbli guvohnomalar shakli va mazmunini “Davlat tili haqida”gi O‘zbekiston Respublikasi Qonuniga muvofiqlashtirish hamda FHDYo organlarini gerbli guvohnomalar bilan ta’minlashni tartibga solish maqsadida Vazirlar Mahkamasi qaror qiladi:
Oldingi tahrirga qarang.
Oldingi tahrirga qarang.
(2-band O‘zbekiston Respublikasi Vazirlar Mahkamasining 2007-yil 21-dekabrdagi 263-sonli qarori bilan o‘z kuchini yo‘qotgan — O‘R QHT, 2007-y., 50-51-son, 523-modda)
Oldingi tahrirga qarang.

O‘zbekiston Respublikasi
GERBI

TUG‘ILGANLIK HAQIDA GUVOHNOMA

Fuqaro______________________________

Otasi ______________________________

(familiyasi)

(familiyasi)

____________________________________

____________________________________

(ismi, otasining ismi)

(ismi, otasining ismi)

______yil________ oyining_____ kunida

millati _____________________________

____________________________________

Onasi ______________________________

(familiyasi)

______________________________tug‘ildi

____________________________________

(raqam va so‘z bilan)

(ismi, otasining ismi)

Tug‘ilgan joyi: ____________Respublikasi

millati _____________________________

______________________________viloyati

Qayd etish joyi_______________________

(FHDYo organining nomi)

______________________________tumani

____________________________________

_______________shahri, shaharchasi, qishlog‘i

Berilgan vaqti____yil “___” ____________

Bu haqda ___yil ______oyining____ kunida

__- son bilan dalolatnoma yozuvi qayd etildi.

Fuqarolik holati dalolatnomalarini
yozish organi mudiri _________________

Muhr



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(1-ilovaning davomi)

SVIDETELSTVO O ROJDENII

Grajdanin (ka) ______________________

Otets_______________________________

(familiya)

(familiya)

____________________________________

____________________________________

(imya, otchestvo)

(imya, otchestvo)

rodilsya (las) “____” _____________ goda

Mat_______________________________

(familiya)

____________________________________

____________________________________

(imya, otchestvo)

____________________________________

natsionalnost _____________________

(tsiframi i propisyu)

Mesto rojdeniya: Respublika ___________

Mesto registratsii ___________________

(naimenovaniye organa ZAGSa)

_____________________________ oblast

____________________________________

______________________________rayon

Data vidachi “ ____ ” _____________ goda

gorod, posyolok, kishlak _______________

Ob etom “ ______ ” _______________ goda

Zaveduщiy (aya) organom zapisi
aktov grajdanskogo sostoyaniya ______

proizvedena aktovaya zapis za № _______

Pechat


I—O'z № 0000000

(1-ilovaning davomi)


BIRTH CERTIFICATE

Citizen ______________________________

Father _______________________________

(surname)

(surname)

____________________________________

____________________________________

(given names)

(given names)

was born on __________________________

nationality (etnic) _______________________

(day, month, year in figures and words)

____________________________________

Mother ______________________________

(surname)

____________________________________

____________________________________

(given names)

Place of birth: Republic __________________

nationality (etnic) ______________________

_______________________________region

Place of registration _____________________

(name and location of the Registry Office)

______________________________district

____________________________________

___________________________city, village.

Date of issue “ ___ ” ___________________

Birth record No. ____ was filed on _________

Registrar _______________________

(day, month, year)

Seal



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O‘zbekiston Respublikasi
GERBI

TUG‘ILGANLIK HAQIDA GUVOHNOMA
TUO‘ЫLG‘ANLЫG‘Ы HAQQЫNDA GҮO‘ALЫQ

Fuqaro_____________________________

Otasi __________________________________

Puxara (familiyasi/familiyasi) Ekesi (familiyasi/familiyasi)

_______________________________________

_______________________________________

(ismi, otasining ismi/ati, Ekesiniң ati)

(ismi, otasining ismi/ati, Ekesiniң ati)

______yil _______ oyining ________ kunida
_________jil _______ ayinin______ kuni

millati _______________________________
milleti

____________________________________

Onasi _________________________________
Anasi

(familiyasi/familiyasi)

________________________________ tug‘ildi

_______________________________________

(raqam va so‘z bilan/san hem soz benen) tug‘ildi

(ismi, otasining ismi/ati, Ekesiniң ati)

Tug‘ilgan joyi: _______________Respublikasi
Tuo‘ilg‘an jeri:_____________________Respublikasi

millati ________________________________
mileti

_________________viloyati

Qayd etish joyi _________________________

oblasti

Dizimge aling‘an jeri (FHDYo organining nomi)

_______________________________________

(FHDYo organining nomi/PXAJ organiniң ati)

____________tumani
rayoni

_______________________________________

____________ shahri, shaharchasi, qishlog‘i
____________ qalasi, posyolkasi, ao‘ili.

Berilgan vaqti____yil “____” _____________
Berilgen o‘aqti ___jil “____” ____________

Bu haqda ___yil ______oyining__ kunida
Bul haqqinda___jil __ayiniң___ kүni

___son bilan dalolatnoma yozuvi qayd etildi.
san menen akt jazio‘i dizimge alindi.

Fuqarolik holati dalolatnomalarini
yozish organi mudiri _________

Puxaraliq halati aktlerin
jazio‘ organi baslig‘i _______
Muhr
Mor



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(1-ilovaning davomi)

SVIDETELSTVO O ROJDENII

Grajdanin (ka) ______________________

Otets_______________________________

(familiya)

(familiya)

____________________________________

____________________________________

(imya, otchestvo)

(imya, otchestvo)

rodilsya (las) “____” _____________ goda

Mat_______________________________

(familiya)

____________________________________

____________________________________

(imya, otchestvo)

____________________________________

natsionalnost _____________________

(tsiframi i propisyu)

Mesto rojdeniya: Respublika ___________

Mesto registratsii ___________________

(naimenovaniye organa ZAGSa)

_____________________________ oblast

_____________________________________________

______________________________rayon

Data vidachi “ ____ ” _____________ goda

gorod, posyolok, kishlak _______________

Ob etom “ ______ ” _______________ goda

Zaveduщiy (aya) organom zapisi
aktov grajdanskogo sostoyaniya _________

proizvedena aktovaya zapis za № _______

Pechat


I—O'z № 0000000

(1a-ilovaning davomi)


BIRTH CERTIFICATE

Citizen ______________________________

Father ______________________________

(surname)

(surname)

___________________________________

____________________________________

(given names)

(given names)

was born on __________________________
(day, month, year in figures and words)

nationality (etnic) ______________________

____________________________________

Mother _____________________________

(surname)

____________________________________

____________________________________

(given names)

Place of birth: Republic _________________

nationality (etnic) ______________________

_______________________________region

Place of registration ____________________

(name and location of the Registry Office)

______________________________district

____________________________________

___________________________city, village.

Date of issue “ ____ ” __________________


Birth record No. ____ was filed on _________


Registrar _________________________

(day, month, year)

Seal



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O‘zbekiston Respublikasi
GERBI

NIKOH TUZILGANLIGI HAQIDA GUVOHNOMA

Fuqaro_________________________________
(familiyasi)

Bu haqda_____yil______oyining______kunida

_______________________________________
(ismi, otasining ismi)

_______-son bilan dalolatnoma yozuvi qayd etildi.

tug‘ilgan vaqti______yil “ ____ ”___________

Nikoh qayd etilgandan keyin quyidagi familiyalar berildi:

tug‘ilgan joyi ___________________________

eriga __________________________________

_______________________________________
_______________________________________

xotiniga _______________________________

va fuqaro_______________________________
(familiyasi)

Qayd etish joyi _________________________
(FHDYo organining nomi)

_______________________________________
(ismi, otasining ismi)

_______________________________________

Tug‘ilgan vaqti_____yil “_______”______________

Berilgan vaqti____ yil “ _______ ”_____________

tug‘ilgan joyi ___________________________

_______________________________________
_______________________________________

Fuqarolik holati dalolatnomalarini
yozish organi mudiri _____________________

_____yil___________oyining________kunida

_______________________________________

Muhr

__________________________nikoxlandilar.
(raqam va so‘z bilan)



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(2-ilovaning davomi)

SVIDETELSTVO O ZAKLYuChENII BRAKA

Grajdanin______________________________
(familiya)

Ob etom “ ____ ” __________________ goda

_______________________________________(imya, otchestvo)

proizvedena aktovaya zapis za № ____________.

data rojdeniya “____” ________________ goda

Posle registratsii braka prisvoyeni familii:

mesto rojdeniya _________________________

muju __________________________________

_______________________________________
_______________________________________

jene __________________________________

i grajdanka _____________________________
(familiya)

Mesto registratsii _______________________
(naimenovaniye organa ZAGSa)

_______________________________________
(imya, otchestvo)

______________________________________

data rojdeniya “____” _______________ goda

data vidachi “_____” ________________ goda

mesto rojdeniya _________________________

_______________________________________
_______________________________________

Zaveduщiy (aya) organom zapisi
aktov grajdanskogo sostoyaniya ____________

zaklyuchili brak “ __ ” _______________ goda

Pechat

_______________________________________ ______________________________________
(tsiframi i propisyu)





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(2-ilovaning davomi)


MARRIAGECERTIFICATE

_______________________________________
(surname)

Marriage record No. ___ was filed on __________
(day, month, year)

_______________________________________
(given names)

In the marriage the following surnames were given to

date of birth _____________________________
(day, month, year)

husband ________________________________

place of birth_____________________________

wife____________________________________

______________________________________________________________________________

Place of registration _______________________
(name and location of the Registry Office)

and ___________________________________
(surname)

______________________________________

_______________________________________
(given names)

Date of issue “ ____ ” _____________________

date of birth _____________________________
(day, month, year)

place of birth_____________________________

Registrar _________________________

_______________________________________
_______________________________________

married on ______________________________
(day, month, year in figures and words)

Seal

_______________________________________
_______________________________________



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O‘zbekiston Respublikasi
GERBI

NIKOH TUZILGANLIGI HAQIDA GUVOHNOMA
NEKE DYZILGENLIGI HAQQЫNDA GYO‘ALЫQ

Fuqaro Puxara _________________________
(familiyasi/familiyasi)

Bu haqda____yil_______oyining______kunida
Bul haqqinda_____ jil____ ayiniң____ kүni

_______________________________________
(ismi, otasining ismi/ati, Ekesiniң ati)

_____-son bilan dalolatnoma yozuvi qayd etildi.
______-san menen akt jazio‘i dizimge alindi.

tug‘ilgan vaqti____yil “ ___ ”______________
tuo‘ilg‘an o‘aqti____jil “ ____ ”___________

Nikoh qayd etilgandan keyin quyidagi familiyalar berildi:
Neke dүzilgennen keyin tomendegi familiyalar berildi:

tug‘ilgan joyi ___________________________
tuo‘ilg‘an jeri __________________________

eriga yerine_____________________________

__________________________________________________
____________________________________

xotiniga hayalina_________________________

va fuqaro hem puxara_____________________
(familiyasi/familiyasi)

Qayd etish joyi Dizimge aling‘an jeri______
(FHDYo organining nomi/PXAJ organiniң ati)

_______________________________________
(ismi, otasining ismi/ati, Ekesiniң ati)

_______________________________________

Tug‘ilgan vaqti_____yil “_______”_________
tuo‘ilg‘an jeri __________________________

Berilgan vaqti____ yil “ _____ ”___________
Berilgen o‘aqti ____jil“ ______ ”_________

tug‘ilgan joyi ___________________________
tuo‘ilg‘an jeri __________________________

_______________________________________
_______________________________________

Fuqarolik holati dalolatnomalarini
yozish organi mudiri _____________________
Puxaraliq halati aktlerin
jazio‘ organi baslig‘i __________________

_____yil__________oyining________kunida
_____jil___________ayinin________kuni

_______________________________________

Muhr
Mor

_________________nikohlandilar. nekelesti.
(raqam va so‘z bilan/san hem soz benen)



I—QQ № 0000000


(2a-ilovaning davomi)

SVIDETELSTVO O ZAKLYuChENII BRAKA

Grajdanin______________________________
(familiya)

Ob etom “ ____ ” ___________________ goda

_______________________________________
(imya, otchestvo)

proizvedena aktovaya zapis za № ____________.

data rojdeniya “____” ________________ goda

Posle registratsii braka prisvoyeni familii:

mesto rojdeniya _________________________

muju __________________________________

_______________________________________
_______________________________________

jene __________________________________

i grajdanka _____________________________
(familiya)

Mesto registratsii _______________________
(naimenovaniye organa ZAGSa)

_______________________________________
(imya, otchestvo)

_______________________________________

data rojdeniya “____” _______________ goda

data vidachi “_____” _______________ goda

mesto rojdeniya ________________________

_______________________________________
_______________________________________

Zaveduщiy (aya) organom zapisi
aktov grajdanskogo sostoyaniya ____________

zaklyuchili brak “ _____ ” ____________ goda

Pechat

�_______________________________________ _______________________________________
(tsiframi i propisyu)





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(2a-ilovaning davomi)


MARRIAGECERTIFICATE

_______________________________________
(surname)

Marriage record No. _____ was filed on ________
(day, month, year)

_______________________________________
(given names)

In the marriage the following surnames were given to

date of birth _____________________________
(day, month, year)

husband ________________________________

place of birth___________________________________

wife____________________________________

_______________________________________
_______________________________________

Place of registration _____________________________
(name and location of the Registry Office)

and ___________________________________
(surname)

_____________________________________________

_______________________________________
(given names)

Date of issue “ ____ ” _____________________

date of birth _____________________________
(day, month, year)

place of birth_____________________________

Registrar _________________________

_______________________________________
_______________________________________

married on ______________________________
(day, month, year in figures and words)

Seal

_______________________________________
_______________________________________



I—O'z № 0000000

O‘zbekiston Respublikasi
GERBI

O‘LIM HAQIDA GUVOHNOMA

Fuqaro ________________________________________________________________________
(familiyasi)

_______________________________________________________________________________
(ismi, otasining ismi)

________________ yil________________________ oyining______________________ kunida

_______________________________________________________________________________
(raqam va so‘z bilan)

_________________________________________________________________ yoshda vafot etdi.


Bu haqda ______yil _________ oyining_____ kunida______-son dalolatnoma yozuvi qayd etildi.

O‘limning sababi ________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________


Vafot etgan joyi:____________________________________________________ Respublikasi

_______________________________________________________________________viloyati

_________________________________________________________________________tumani

_______________________________________________________shahri, shaharchasi, qishlog‘i


Qayd etish joyi ________________________________________________________________
(FHDYo organining nomi)
_______________________________________________________________________________


Berilgan vaqti______ yil “ ______ ” _______________________________________________


Fuqarolik holati dalolatnomalarini
yozish organi mudiri ___________________


Muhr



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(3-ilovaning davomi)


SVIDETELSTVO O SMERTI

Grajdanin (ka)__________________________________________________________________
(familiya)

_______________________________________________________________________________
(imya, otchestvo)

“ ______ ” ________________________________________________________________ goda

______________________________________________________________________________
(tsiframi i propisyu)

umer (la) v vozraste ______________________________________________________________
Ob etom “ ______ ” _________________________________________________________ goda


Proizvedena aktovaya zapis za № ___________________.


Prichina smerti _________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

mesto smerti: Respubliki___________________________________________________________________

_______________________________________________________________________ oblast

_______________________________________________________________________rayon

gorod, posulok, kishlak ____________________________________________________________

Mesto registratsii _______________________________________________________________
(naimenovaniye organa ZAGSa)

_______________________________________________________________________________

Data vidachi “ _______ ” ______________________________________________________ goda



Zaveduyuщiy(aya) organom zapisi
aktov grajdanskogo sostoyaniya ____________________________________



Pechat



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(3-ilovaning davomi)

DEATH CERTIFICATE

___________________________________________________________________________________________
(surname)

_______________________________________________________________________________
(given names)

died on_________________________________________________________________________
(day, month, year in figures and words)

______________________________________________________________________________

at the age of _____________________________________________________________________
Death record No. _______________ was failed __________________________________________
(day, month, year)

Cause of death: Republic ___________________________________________________________

__________________________________________________________________________region

_________________________________________________________________________ district

____________________________________________________________________ city, willage

Place of registration _______________________________________________________________
(name and location of the Registry Office)

_______________________________________________________________________________

Date of issue ____________________________________________________________________
(day, month, year)



Registrar _______________________




Seal



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O‘zbekiston Respublikasi
GERBI

O‘LIM HAQIDA GUVOHNOMA
OLIM HAQQЫNDA GҮO‘ALЫQ

Fuqaro Puxara _________________________________________________________________
(familiyasi/familiyasi)

_______________________________________________________________________________
(ismi, otasining ismi/ati, Ekesiniң ati)

________________ yil_______________________ oyining______________________ kunida
________________jil_____________________________ ayiniң___________________ kүni

_______________________________________________________________________________
(raqam va so‘z bilan/san hem soz benen)

_________________________________________________________________ yoshda vafot etdi.
_____________________________________________________________________ jasta oldi.


Bu haqda _______________yil _____________________ oyining_________________ kunida
Bul haqqinda ______________jil _______________ayiniң _____________________kүni


___________-son dalolatnoma yozuvi qayd etildi.
_______-san menen akt jazio‘i dizimge alindi.

O‘limning sababi Oliminiң sebebi_________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________


Vafot etgan joyi: Olgen jeri:_____________________________ Respublikasi Respublikasi

________________________________________________________________viloyati oblasti

_________________________________________________________________tumani rayoni

__________________________________shahri, shaharchasi, qishlog‘i qalasi, posyolkasi, ao‘ili.


Qayd etish joyi Dizimge aling‘an jeri______________________________________________
(FHDYo organining nomi/PXAJ organiniң ati)
_______________________________________________________________________________


Berilgan vaqti______ yil “ ______ ” ______________________________________________
Berilgen o‘aqti______ jil “ ______ ” ______________________________________________


Fuqarolik holati dalolatnomalarini
yozish organi mudiri ___________________
Puxaraliq halati aktlerin
jazio‘ organi baslig‘i ________________


Muhr
Mor



I—QQ № 0000000





(3a-ilovaning davomi)


SVIDETELSTVO O SMERTI

Grajdanin (ka)__________________________________________________________________
(familiya)

_______________________________________________________________________________
(imya, otchestvo)

“ ______ ” _________________________________________________________________ goda

______________________________________________________________________________
(tsiframi i propisyu)

umer (la) v vozraste _____________________________________________________________
Ob etom “ ______ ” _________________________________________________________ goda


Proizvedena aktovaya zapis za № ___________________.


Prichina smerti ________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

mesto smerti: Respubliki__________________________________________________________________

______________________________________________________________________ oblast

________________________________________________________________________rayon

gorod, posulok, kishlak ___________________________________________________________

Mesto registratsii ______________________________________________________________
(naimenovaniye organa ZAGSa)

______________________________________________________________________________

Data vidachi “ _______ ” _____________________________________________________ goda



Zaveduyuщiy(aya) organom zapisi
aktov grajdanskogo sostoyaniya ____________________________________


Pechat



I—O'z № 0000000






(3a-ilovaning davomi)

DEATH CERTIFICATE

_______________________________________________________________________________
(surname)

_______________________________________________________________________________
(given names)

died on_________________________________________________________________________
(day, month, year in figures and words)

_______________________________________________________________________________

at the age of ____________________________________________________________________
Death record No. _____________ was failed ____________________________________________
(day, month, year)

Cause of death: Republic ___________________________________________________________

_________________________________________________________________________region

________________________________________________________________________ district

____________________________________________________________________ city, willage

Place of registration ______________________________________________________________
(name and location of the Registry Office)

_______________________________________________________________________________

Date of issue ____________________________________________________________________
(day, month, year)



Registrar _______________________




Seal



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