O‘zbekiston Respublikasi | |
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 |
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 |
proizvedena aktovaya zapis za № _______ | Pechat |
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(1-ilovaning davomi) | |
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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 | |
O‘LIM HAQIDA GUVOHNOMA | |
Fuqaro ________________________________________________________________________ | |
_______________________________________________________________________________ | |
________________ yil________________________ oyining______________________ kunida | |
_______________________________________________________________________________ | |
_________________________________________________________________ yoshda vafot etdi. | |
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O‘limning sababi ________________________________________________________________ | |
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_______________________________________________________________________viloyati | |
_________________________________________________________________________tumani | |
_______________________________________________________shahri, shaharchasi, qishlog‘i | |
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Muhr | |
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(3-ilovaning davomi) | |
SVIDETELSTVO O SMERTI | |
Grajdanin (ka)__________________________________________________________________ | |
_______________________________________________________________________________ | |
“ ______ ” ________________________________________________________________ goda | |
______________________________________________________________________________ | |
umer (la) v vozraste ______________________________________________________________ | |
Proizvedena aktovaya zapis za № ___________________. | |
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mesto smerti: Respubliki___________________________________________________________________ | |
_______________________________________________________________________ oblast | |
_______________________________________________________________________rayon | |
gorod, posulok, kishlak ____________________________________________________________ | |
Mesto registratsii _______________________________________________________________ | |
_______________________________________________________________________________ | |
Data vidachi “ _______ ” ______________________________________________________ goda | |
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Pechat | |
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(3-ilovaning davomi) | |
DEATH CERTIFICATE | |
___________________________________________________________________________________________ | |
_______________________________________________________________________________ | |
died on_________________________________________________________________________ | |
______________________________________________________________________________ | |
at the age of _____________________________________________________________________ | |
Cause of death: Republic ___________________________________________________________ | |
__________________________________________________________________________region | |
_________________________________________________________________________ district | |
____________________________________________________________________ city, willage | |
Place of registration _______________________________________________________________ | |
_______________________________________________________________________________ | |
Date of issue ____________________________________________________________________ | |
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Seal | |
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O‘zbekiston Respublikasi | |
O‘LIM HAQIDA GUVOHNOMA | |
Fuqaro Puxara _________________________________________________________________ | |
_______________________________________________________________________________ | |
________________ yil_______________________ oyining______________________ kunida | |
_______________________________________________________________________________ (raqam va so‘z bilan/san hem soz benen) | |
_________________________________________________________________ yoshda vafot etdi. | |
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O‘limning sababi Oliminiң sebebi_________________________________________________ | |
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________________________________________________________________viloyati oblasti | |
_________________________________________________________________tumani rayoni | |
__________________________________shahri, shaharchasi, qishlog‘i qalasi, posyolkasi, ao‘ili. | |
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Muhr Mor | |
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(3a-ilovaning davomi) | |
SVIDETELSTVO O SMERTI | |
Grajdanin (ka)__________________________________________________________________ | |
_______________________________________________________________________________ | |
“ ______ ” _________________________________________________________________ goda | |
______________________________________________________________________________ | |
umer (la) v vozraste _____________________________________________________________ | |
Proizvedena aktovaya zapis za № ___________________. | |
| |
mesto smerti: Respubliki__________________________________________________________________ | |
______________________________________________________________________ oblast | |
________________________________________________________________________rayon | |
gorod, posulok, kishlak ___________________________________________________________ | |
Mesto registratsii ______________________________________________________________ | |
______________________________________________________________________________ | |
Data vidachi “ _______ ” _____________________________________________________ goda | |
Zaveduyuщiy(aya) organom zapisi aktov grajdanskogo sostoyaniya ____________________________________ | |
Pechat | |
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(3a-ilovaning davomi) | |
DEATH CERTIFICATE | |
_______________________________________________________________________________ | |
_______________________________________________________________________________ | |
died on_________________________________________________________________________ | |
_______________________________________________________________________________ | |
at the age of ____________________________________________________________________ | |
Cause of death: Republic ___________________________________________________________ | |
_________________________________________________________________________region | |
________________________________________________________________________ district | |
____________________________________________________________________ city, willage | |
Place of registration ______________________________________________________________ | |
_______________________________________________________________________________ | |
Date of issue ____________________________________________________________________ | |
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Seal | |
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