Oʻzbekiston Respublikasi
GERBI

NIKOHDAN AJRALGANLIK HAQIDA GUVOHNOMA

Fuqaro _________________________________________________________________________

^(familiyasi)

________________________________________________________________________________

^{(ismi, otasining ismi)}

va fuqaro _______________________________________________________________________

^(familiyaci)

________________________________________________________________________________

^{(ismi, otasining ismi)}

erga ___________________________________________________________________________

xotinga _________________________________________________________________________

Qayd etish joyi __________________________________________________________________

^{(FHDYo organining nomi)}

Guvohnoma fuqaro ________________________________________________________________

^(familiyasi)

_______________________________________________________________________ ga berildi.

^{(ismi, otasining ismi)}

Berilgan vaqti ____________ yil “ ______ ” __________________________________________

Fuqarolik holati dalolatnomalarini
yozish organi mudiri ______________________

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(1-ilovaning davomi)

SVIDETELSTVO O RASTORJENII BRAKA

Grajdanin ______________________________________________________________________

^(familiya)

________________________________________________________________________________

^{(imya, otchestvo)}

i grajdanka _____________________________________________________________________

^(familiya)

________________________________________________________________________________

^{(imya, otchestvo)}

rastorgli brak, o chem _________________ chisla ____________ mesyatsa ________________ goda

muju ___________________________________________________________________________

jene ___________________________________________________________________________

Mesto registratsii _______________________________________________________________

^{(naimenovaniye organa ZAGsa)}

________________________________________________________________________________

Sviditelstvo vidano grajdaninu (ke) ______________________________________________

^(familiya)

_________________________________________________________________________________

^{(imya, otchestvo)}

Data vidachi “ _______ ” ________________________________________________________ goda

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(1-ilovaning davomi)

DIVORCE CERTIFICATE

The marriage of _____________________________________________________________________

^(surname)

^{(given names)}

^(surname)

(given names)

^{(name and location of the Registry office)}

^(surname)

^{(given names)}

^{(day, month, year)}

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Oʻzbekiston Respublikasi
GERBI

NIKOHDAN AJRALGANLIK HAQIDA GUVOHNOMA
NEKEDEN AJЫRASQANLЫFЫ HAQQЫNDA GYOʻALЫQ

Fuqaro______________________________________________________________________

Puxara

____________________________________________________________________________

^{(ismi, otasining ismi /ati, ekesinin ati)}

va fuqaro ___________________________________________________________________

hem puxara

____________________________________________________________________________

^{(ismi, otasining ismi /ati, ekesinin ati)}

nikohdan ajralishdi, bu haqda _______ yil__________ oyining________ kunida ________ - son bilan dalolatnoma yozuvi qayd etildi.
nekeden ajirasti, bul haqqinda______jil _________ayinin ________ kuni __________ - san menen akt jazioʻi dizimge alindi.
Nikohdan ajralgandan keyin quyidagi familiyalar berildi:
Nekeden ajirasqannan keyin tomendegi familiyalar berildi:

erga_________________________________________________________________________
erge

xotinga ______________________________________________________________________
hayalga

Qayd etish joyi_______________________________________________________________
Dizimge alingʻan jeri

^{(FHDYo organining nomi/PXAJ organiniң ati)}

Guvohnoma fuqaro ____________________________________________________________
Gүoʻaliq puxara

^{(familiyasi,/ familiyasi)}

__________________________________________________________________ ga berildi.
ge berildi

^{(ismi, otasining ismi /ati, ekesinin ati)}

I—QQ № 0000000

(2-ilovaning davomi)

SVIDETELSTVO O RASTORJENII BRAKA

Grajdanin ___________________________________________________________________

^(familiya)

____________________________________________________________________________

^{(imya, otchestvo)}

i grajdanka__________________________________________________________________

^(familiya)

____________________________________________________________________________

^{(imya, otchestvo)}

rastorgli brak, o chem __________ chisla _________ mesyatsa _____________ goda

Proizvedena aktovaya zapis za № ____________.

Posle rastorjeniye braka prisvoyeni familii:

muju_______________________________________________________________________

jene________________________________________________________________________

Mesto registratsii____________________________________________________________

^{(naimenovaniye organa ZAGsa)}

____________________________________________________________________________

Sviditelstvo vidano grajdaninu (ke) ____________________________________________

^(familiya)

____________________________________________________________________________
^{(imya, otchestvo)}

Data vidachi “ _____ ” ___________________ goda

Zaveduyuщiy(aya) organom zapisi
aktov grajdanskogo sostoyaniya ___________________

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(2-ilovaning davomi)

DIVORCE CERTIFICATE

The marriage of ________________________________________________________________

^(surname)

____________________________________________________________________________

^{(given names)}

and _________________________________________________________________________

^(surname)

____________________________________________________________________________

^{(given names)}

is dissolved, record of divorce No. ____ was failed on ______ of the year _________.

Upon dissolution of marriage the following surnames were given to
husband _____________________________________________________________________

wife _________________________________________________________________________

Place of registration _____________________________________________________________

^{(name and location of the Registry office)}

_____________________________________________________________________________

The present Certificate is issued to__________________________________________________

^(surname)

____________________________________________________________________________

^{(given names)}

Date of issue__________________________________________________________________

^{(day, month, year)}

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Oʻzbekiston Respublikasi
GERBI

TUGʻILGANLIK HAQIDA GUVOHNOMA

Fuqaro______________________________

Otasi ______________________________

^(familiyasi)

^(familiyasi)

____________________________________

____________________________________

^{(ismi, otasining ismi)}

^{(ismi, otasining ismi)}

______yil________ oyining_____ kunida

millati _____________________________

____________________________________

Onasi ______________________________

^(familiyasi)

______________________________tugʻildi

____________________________________

^{(raqam va soʻz bilan)}

^{(ismi, otasining ismi)}

Tugʻilgan joyi: ____________Respublikasi

millati _____________________________

______________________________viloyati

Qayd etish joyi_______________________

^{(FHDYo organining nomi)}

______________________________tumani

____________________________________

_______________shahri, shaharchasi, qishlogʻi

Berilgan vaqti____yil “___” ____________

Bu haqda ___yil ______oyining____ kunida

__- son bilan dalolatnoma yozuvi qayd etildi.

Fuqarolik holati dalolatnomalarini
yozish organi mudiri _________________

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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 № _______

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(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 _________

^{(day, month, year)}

Seal

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Oʻzbekiston Respublikasi
GERBI

OʻLIM HAQIDA GUVOHNOMA

Fuqaro ____________________________________________________________________________________
^(familiyasi)

___________________________________________________________________________________________
^{(ismi, otasining ismi)}

________________ yil________________________________ oyining___________________________ kunida

___________________________________________________________________________________________
^{(raqam va soʻz bilan)}

____________________________________________________________________________ yoshda vafot etdi.

Bu haqda ________yil _________ oyining_______ kunida__________-son dalolatnoma yozuvi qayd etildi.

Oʻlimning sababi ____________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________

Vafot etgan joyi:______________________________________________________________ Respublikasi

___________________________________________________________________________________viloyati

____________________________________________________________________________________tumani

__________________________________________________________________shahri, shaharchasi, qishlogʻi

Qayd etish joyi ____________________________________________________________________________
^{(FHDYo organining nomi)}
___________________________________________________________________________________________

Berilgan vaqti________ yil “ ______ ” _______________________________________________________

Fuqarolik holati dalolatnomalarini
yozish organi mudiri ___________________

I—O'z № 0000000

(3-ilovaning davomi)

SVIDETELSTVO O SMERTI

Grajdanin (ka)______________________________________________________________________________
^(familiya)

___________________________________________________________________________________________
^{(imya, otchestvo)}

“ ______ ” ______________________________________________________________________________ goda

___________________________________________________________________________________________
^{(tsiframi i propisyu)}

umer (la) v vozraste __________________________________________________________________________
Ob etom “ ______ ” ______________________________________________________________________ goda

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 ____________________________________

I—O'z № 0000000

(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

Place of registration ____________________________________________________________________________
^{(name and location of the Registry Office)}

____________________________________________________________________________________________

Date of issue _________________________________________________________________________________
^{(day, month, year)}

Registrar _______________________

I—O'z № 0000000

Oʻzbekiston Respublikasi
GERBI

OʻLIM HAQIDA GUVOHNOMA
OLIM HAQQЫNDA GҮOʻALЫQ

Fuqaro Puxara ______________________________________________________________________________
^{(familiyasi/familiyasi)}

__________________________________________________________________________________________
^{(ismi, otasining ismi/ati, Ekesiniң ati)}

________________ yil________________________________ oyining___________________________ kunida
________________jil____________________________________ ayiniң______________________ kүni

__________________________________________________________________________________________
^{(raqam va soʻz 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 jazioʻi dizimge alindi.

Oʻlimning sababi Oliminiң sebebi____________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________

Vafot etgan joyi: Olgen jeri:_________________________________________ Respublikasi Respublikasi

_____________________________________________________________________________viloyati oblasti

______________________________________________________________________________tumani rayoni

_____________________________________________shahri, shaharchasi, qishlogʻi qalasi, posyolkasi, aoʻili.

Qayd etish joyi Dizimge alingʻan jeri__________________________________________________________
^{(FHDYo organining nomi/PXAJ organiniң ati)}
___________________________________________________________________________________________

Berilgan vaqti________ yil “ ______ ” _______________________________________________________
Berilgen oʻaqti________ jil “ ______ ” _______________________________________________________

Fuqarolik holati dalolatnomalarini
yozish organi mudiri ___________________
Puxaraliq halati aktlerin
jazioʻ organi basligʻi ________________

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

Prichina smerti _____________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________

mesto smerti: Respubliki_____________________________________________________________________

___________________________________________________________________________________ oblast

______________________________________________________________________________________rayon

gorod, posulok, kishlak ______________________________________________________________________

Mesto registratsii __________________________________________________________________________
^{(naimenovaniye organa ZAGSa)}

___________________________________________________________________________________________

Data vidachi “ _______ ” ________________________________________________________________ goda

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 _______________________

I—O'z № 0000000