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    <title>&nbsp;249-сон 05.06.2003.&nbsp;Gerbli guvohnomalar shakli va gerb yigʻimi miqdori toʻgʻrisida</title>
    
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                            <span>Hujjat kuchini yo‘qotgan&nbsp;01.07.2012</span>
                        
                        05.06.2003 yildagi 249-son
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                                                            Hujjat kuchini yo‘qotgan&nbsp;01.07.2012
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                                                <div id="divCont" style="background:#ffffff;border:none;margin:auto;"><div class="INDEXES_ON_REF" style="display:none"><label id="s5987"></label><div name="onLBC-794220" id="onLBC-794220">[<b>OKOZ:</b><div id="LBC6334"><span class="iorRN">1.</span><span class="iorVal">04.00.00.00 Oila qonunchiligi / 04.06.00.00 Fuqarolik holati dalolatnomalarini qayd qilish (shuningdek, 03.02.08.00ga qarang);</span></div><div id="LBC8977"><span class="iorRN">2.</span><span class="iorVal">07.00.00.00 Moliya va kredit toʻgʻrisidagi qonunchilik. Bank faoliyati / 07.16.06.00 (Кучини йукотган) Boshqa budjetdan tashqari jamgʻarmasiga ajratmalar va yigʻimlar / 07.92.00.00 (Кучини йукотган) Majburiy toʻlovlar, ajratmalar va yigʻimlar]</span></div></div></div><div class="INDEXES_ON_REF" style="display:none"><label id="s5988"></label><div name="onLS-794220" id="onLS-794220">[<b>TSZ:</b><div id="LS3695"><span class="iorRN">1.</span><span class="iorVal">Ijtimoiy-madaniy masalalar / Nikoh va oila. Fuqarolik holati dalolatnomalari]</span></div></div></div><div class="ACCEPTING_BODY lx_elem" onmousemove="lx_mo(event,-794393)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794393)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794393)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794393)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794393" id="-794393">Oʻzbekiston Respublikasi Vazirlar Mahkamasining</div></div><div class="ACT_FORM lx_elem" onmousemove="lx_mo(event,-794395)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794395)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794395)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794395)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794395" id="-794395">qarori</div></div><div class="ACT_TITLE lx_elem" onmousemove="lx_mo(event,-794400)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794400)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794400)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794400)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794400" id="-794400">GERBLI GUVOHNOMALAR ShAKLI VA GERB YIGʻIMI MIQDORI TOʻGʻRISIDA</div></div><div class="BY_DEFAULT lx_elem" onmousemove="lx_mo(event,-794441)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794441)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794441)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794441)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794441" id="-794441"></div></div><div class="COMMENT" style="display:none"><label id="s527"></label><div class="COMMENTLEXUZ"><img src="/image/favicon.gif"> LexUZ sharhi</img></div></div><div class="COMMENT" style="display:none"><label id="s527"></label><div name="-2007456" id="-2007456">Mazkur qaror Oʻzbekiston Respublikasi Vazirlar Mahkamasining 2012-yil 25-apreldagi 119-sonli “Gerbli guvohnomalar shakllarini va ularni berganlik uchun gerb yigʻimi miqdorini tasdiqlash toʻgʻrisida”gi <a href="/uz/docs/-2004897?ONDATE=01.07.2012 00#-2006589">qaroriga </a>muvofiq oʻz kuchini yoʻqotgan.</div></div><div class="ACT_TEXT lx_elem" onmousemove="lx_mo(event,-794445)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794445)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794445)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794445)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794445" id="-794445">Fuqarolik holatlari dalolatnomalarini yozish ishlarini takomillashtirish maqsadida Vazirlar Mahkamasi qaror qiladi: </div></div><div class="ACT_TEXT lx_elem" onmousemove="lx_mo(event,-794448)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794448)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794448)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794448)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794448" id="-794448">1. Nikohdan ajralganlik haqidagi gerbli guvohnoma shakli <a href="/uz/docs/-794220#-794510">1</a> va <a href="/uz/docs/-794220#-794532">2-ilovalarga </a>muvofiq tasdiqlansin.</div></div><div class="ACT_TEXT lx_elem" onmousemove="lx_mo(event,-794450)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794450)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794450)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794450)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794450" id="-794450">2. Fuqarolarga gerbli guvohnomalar berganlik uchun (oʻlim haqidagi gerbli guvohnoma bundan mustasno) gerb yigʻimining miqdori eng kam oylik ish haqining 20 foizi miqdorida belgilansin.</div></div><div class="ACT_TEXT lx_elem" onmousemove="lx_mo(event,-794452)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794452)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794452)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794452)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794452" id="-794452">3. Vazirlar Mahkamasining “Tugʻilganlik, nikoh qayd etilganligi va oʻlim haqidagi gerbli guvohnomalar shaklini tasdiqlash, gerb yigʻimini joriy qilish toʻgʻrisida” 1997-yil 30-iyundagi 330-son <a href="/uz/docs/-541463">qarorida</a>:</div></div><div class="ACT_TEXT lx_elem" onmousemove="lx_mo(event,-794457)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794457)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794457)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794457)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794457" id="-794457"><a href="/uz/docs/-541463?ONDATE=30.06.1997 00#-541470">1-banddagi </a>“qayd etilganligi” soʻzlari “tuzilganligi” soʻzi bilan almashtirilsin;</div></div><div class="ACT_TEXT lx_elem" onmousemove="lx_mo(event,-794460)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794460)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794460)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794460)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794460" id="-794460">1—3a-ilovalar yangi tahrirda bayon etilsin (ilova qilinadi);</div></div><div class="ACT_TEXT lx_elem" onmousemove="lx_mo(event,-794465)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794465)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794465)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794465)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794465" id="-794465"><a href="/uz/docs/-541463?ONDATE=30.06.1997 00#-541472">3-band </a>oʻz kuchini yoʻqotgan deb hisoblansin.</div></div><div class="ACT_TEXT lx_elem" onmousemove="lx_mo(event,-794483)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794483)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794483)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794483)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794483" id="-794483">4. Belgilansinki, gerbli guvohnomalar Oʻzbekiston Respublikasi Adliya vazirligining buyurtmalari asosida Oʻzbekiston Respublikasi Markaziy banki huzuridagi “Davlat belgisi” ishlab chiqarish birlashmasida tayyorlanadi. </div></div><div class="ACT_TEXT lx_elem" onmousemove="lx_mo(event,-794487)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794487)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794487)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794487)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794487" id="-794487">Oʻzbekiston Respublikasi Markaziy banki huzuridagi “Davlat belgisi” ishlab chiqarish birlashmasi gerbli guvohnomalarni Oʻzbekiston Respublikasi Adliya vazirligi buyurtmalariga asosan muhofazalangan maxsus qogʻozlarda tayyorlab bersin.</div></div><div class="ACT_TEXT lx_elem" onmousemove="lx_mo(event,-794489)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794489)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794489)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794489)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794489" id="-794489">Oʻzbekiston Respublikasi Adliya vazirligi gerbli guvohnomalarni tayyorlash, hisobga olish, saqlash, topshirish hamda ulardan foydalanish tartibiga qatʼiy rioya etilishini taʼminlasin.</div></div><div class="ACT_TEXT lx_elem" onmousemove="lx_mo(event,-794493)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794493)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794493)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794493)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794493" id="-794493">5. Mazkur qarorning bajarilishini nazorat qilish Oʻzbekiston Respublikasi Adliya vaziri A. Polvon-zoda zimmasiga yuklansin.</div></div><div class="SIGNATURE lx_elem" onmousemove="lx_mo(event,-794498)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794498)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794498)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794498)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794498" id="-794498">Oʻzbekiston Respublikasining Bosh vaziri Oʻ.SULTONOV </div></div><div class="ACT_ESSENTIAL_ELEMENTS lx_elem" onmousemove="lx_mo(event,-794500)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794500)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794500)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794500)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794500" id="-794500">Toshkent sh.,</div></div><div class="ACT_ESSENTIAL_ELEMENTS lx_elem" onmousemove="lx_mo(event,-794505)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794505)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794505)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794505)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794505" id="-794505">2003-yil 5-iyun,</div></div><div class="ACT_ESSENTIAL_ELEMENTS_NUM lx_elem" onmousemove="lx_mo(event,-794506)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794506)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794506)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794506)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794506" id="-794506">249-son</div></div><div class="BY_DEFAULT lx_elem" onmousemove="lx_mo(event,-794510)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794510)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794510)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794510)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794510" id="-794510"></div></div><div class="APPL_BANNER_LANDSCAPE_TITLE lx_elem" onmousemove="lx_mo(event,-794512)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794512)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794512)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794512)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794512" id="-794512">Vazirlar Mahkamasining <br />2003-yil 5-iyundagi <br />249-son <a href="/uz/docs/-794220#-794393">qaroriga </a><br />1-ILOVA</div></div><div class="BY_DEFAULT lx_elem" onmousemove="lx_mo(event,-794719)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794719)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794719)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794719)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794719" id="-794719"></div></div><div class="BY_DEFAULT lx_elem" id="theDefCssID" onmousemove="lx_mo(event,-794720)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794720)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794720)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794720)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794720" id="-794720" class="tabBox"><table id="theTableID" style="PADDING-RIGHT: 0px; ; PADDING-LEFT: 0px; LEFT: 0px; PADDING-BOTTOM: 0px; WIDTH: 720px; BORDER-TOP-STYLE: none; PADDING-TOP: 0px; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TOP: 0px; HEIGHT: auto; BORDER-BOTTOM-STYLE: none" cellspacing="1" cols="2" border="1">
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<tbody>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><strong><font size="2">‎‎Oʻzbekiston Respublikasi<br />‎ ‎GERBI‎‎ </font></strong></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><strong><br /><font size="2">‎‎‎NIKOHDAN AJRALGANLIK HAQIDA GUVOHNOMA</font></strong></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎Fuqaro _________________________________________________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎(familiyasi)‎‎</font></sup></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎________________________________________________________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2"><sup>‎‎‎(ismi, otasining ismi)‎‎</sup></font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎va fuqaro‎ _______________________________________________________________________‎</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2"><sup>‎(familiyaci)‎</sup></font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎________________________________________________________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2"><sup>‎‎‎‎‎(ismi, otasining ismi)‎‎</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">nikohdan ajralishdi, bu haqda ____ yil____ oyining____ kunida___‎ -son bilan dalolatnoma yozuvi <br />‎qayd etildi. ‎Nikohdan ajralgandan keyin quyidagi familiyalar berildi:‎‎‎</font></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎erga ___________________________________________________________________________‎‎</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎xotinga _________________________________________________________________________‎</font></p></td></tr>
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<p align="justify"><font size="2">Qayd etish joyi __________________________________________________________________‎‎</font></p></td></tr>
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<p align="center"><font size="2"><sup>(FHDYo organining nomi)‎‎</sup></font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎Guvohnoma fuqaro‎ ________________________________________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2"><sup>‎‎(familiyasi)‎‎</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎‎‎_______________________________________________________________________ ga berildi.</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2"><sup>‎‎‎‎‎‎(ismi, otasining ismi)‎</sup></font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎Berilgan vaqti ‎‎____________ yil “ ______ ”‎ __________________________________________‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2"><strong>‎‎Fuqarolik holati dalolatnomalarini <br />‎‎yozish organi mudiri‎ ______________________‎‎</strong> </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong><font size="2">Muhr‎</font></strong></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><strong><font size="2">‎‎I—O'z № 0000000‎‎</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎(1-ilovaning davomi)‎‎‎‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><strong><br /><font size="2">‎SVIDETELSTVO O RASTORJENII BRAKA‎‎‎</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">Grajdanin ______________________________________________________________________‎‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎(familiya)‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">___________________________________________________‎‎_____________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎(imya, otchestvo)‎‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">i grajdanka ________________________________________‎‎‎_____________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎(familiya)‎‎‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">___________________________________________________‎‎_____________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎‎(imya, otchestvo) ‎‎‎‎‎‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎rastorgli brak, o chem _________________ chisla ____________ mesyatsa ________________ goda </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">‎‎Proizvedena aktovaya zapis za № ___________________.‎‎‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">Posle rastorjeniye braka prisvoyeni familii:‎‎‎‎‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎muju ___________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎jene ___________________________________________________________________________‎‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎Mesto registratsii _________________________________<strong>______________________________</strong></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎(naimenovaniye organa ZAGsa)‎‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎________________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">Sviditelstvo vidano grajdaninu (ke) ______________________________________________‎‎‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎(familiya)‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎_________________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎(imya, otchestvo)‎‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">Data vidachi “ _______ ”‎ ________________________________________________________ goda‎‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><strong><font size="2">‎‎Zaveduyuщiy(aya) organom zapisi ‎<br />‎aktov grajdanskogo sostoyaniya _______________________‎ ‎</font></strong></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong><font size="2">Pechat‎‎</font></strong></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎‎‎‎ <strong>‎‎‎I—O'z № 0000000</strong></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎‎‎‎‎‎(1-ilovaning davomi)‎ ‎ ‎ ‎ </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><strong><font size="2">DIVORCE CERTIFICATE‎ ‎ ‎‎</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">The marriage of ‎‎__________________________________‎‎___________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎‎(surname)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">________________________________________________‎‎__________________________________‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎‎(given names)‎‎‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">and _____________________________________________‎‎_________________________________</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎‎(surname)‎‎‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">_________________________________________________________________________________‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎‎(given names)‎‎‎ ‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">is dissolved, record of divorce No. ___ was failed on ________ of the year _______________________.‎‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">Upon dissolution of marriage the following surnames were given to ‎husband ______________________‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">wife ______________________________________________‎_______________________________‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">Place of registration _________________________________________________________________‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎(name and location of the Registry office)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">__________________________________________________‎______________________________‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">The present Certificate is issued to ______________________________________________________‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎(surname)‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">________________________________________________________________________________‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎(given names)‎‎‎ ‎‎‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">Date of issue ______________________________________________________________________‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎‎(day, month, year)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><strong><font size="2">Registrar _______________‎‎</font></strong></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">Seal‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎‎ ‎‎‎I—O'z № 0000000‎ ‎‎‎</font></p></td></tr></tbody></table></div></div><div class="BY_DEFAULT lx_elem" onmousemove="lx_mo(event,-794532)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794532)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794532)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794532)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794532" id="-794532"></div></div><div class="APPL_BANNER_LANDSCAPE_TITLE lx_elem" onmousemove="lx_mo(event,-794533)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794533)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794533)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794533)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794533" id="-794533">Vazirlar Mahkamasining <br />2003-yil 5-iyundagi <br />249-son <a href="/uz/docs/-794220#-794393">qaroriga</a><br />2-ILOVA</div></div><div class="BY_DEFAULT lx_elem" onmousemove="lx_mo(event,-794721)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794721)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794721)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794721)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794721" id="-794721"></div></div><div class="BY_DEFAULT lx_elem" id="theDefCssID" onmousemove="lx_mo(event,-794722)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794722)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794722)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794722)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794722" id="-794722" class="tabBox"><table id="theTableID" style="PADDING-RIGHT: 0px; ; PADDING-LEFT: 0px; LEFT: 0px; PADDING-BOTTOM: 0px; WIDTH: 540px; BORDER-TOP-STYLE: none; PADDING-TOP: 0px; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TOP: 0px; HEIGHT: auto; BORDER-BOTTOM-STYLE: none" cellspacing="0" cols="2" border="1">
<colgroup>
<col />
<col /></colgroup>
<tbody>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><strong><font size="2">Oʻzbekiston Respublikasi <br />‎GERBI‎‎<br />‎</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><strong><font size="2">NIKOHDAN AJRALGANLIK HAQIDA GUVOHNOMA‎‎<br />‎NEKEDEN AJЫRASQANLЫFЫ HAQQЫNDA GYOʻALЫQ</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><br /><font size="2">‎‎‎Fuqaro‎______________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none">
<p align="left"><font size="2">Puxara</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><sup><font size="2">‎(familiyasi,/ familiyasi)‎</font></sup></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">____________________________________________________________________________‎‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎(ismi, otasining ismi /ati, ekesinin ati)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎va fuqaro ___________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">hem puxara ‎ </font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><sup><font size="2">(familiyasi / familiyasi)‎</font></sup></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify">‎‎<font size="2">____________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎(ismi, otasining ismi /ati, ekesinin ati)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎nikohdan ajralishdi, bu haqda _______ yil__________ oyining________ ‎kunida ________ - son bilan dalolatnoma yozuvi qayd etildi. <br />‎‎nekeden ajirasti, bul haqqinda______jil _________ayinin ________ ‎kuni __________ - san menen akt jazioʻi dizimge alindi. <br />‎Nikohdan ajralgandan keyin quyidagi familiyalar berildi: <br />‎Nekeden ajirasqannan keyin tomendegi familiyalar berildi: </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎erga_________________________________________________________________________‎<br />‎erge</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎xotinga ______________________________________________________________________‎<br />‎hayalga</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎Qayd etish joyi_______________________________________________________________<br />Dizimge ‎alingʻan jeri</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">(FHDYo organining nomi/PXAJ organiniң ati) ‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎Guvohnoma fuqaro ____________________________________________________________<br />Gүoʻaliq puxara</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎(familiyasi,/ familiyasi)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="right"><font size="2">‎‎__________________________________________________________________ ga berildi.<br />‎ ge berildi</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎(ismi, otasining ismi /ati, ekesinin ati)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">Berilgan vaqti ‎‎__________ yil “ _______ ”‎ ____________________ ‎<br />‎Berilgen oʻaqti __________ jil “ _______ ”‎ ___________________ </font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">‎‎Fuqarolik holati dalolatnomalarini ‎yozish organi mudiri‎ ______________________‎‎ ‎<br />‎Puxaraliq halati aktlerin jazioʻ ‎organi basligʻi _____________________________</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none"><br /><font size="2">‎Muhr‎<br />‎Mor</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎ ‎‎‎I—QQ № 0000000‎ </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">‎‎<br />‎<br /></font>‎<br />‎<br />‎‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎(2-ilovaning davomi)‎ ‎ ‎ ‎ <br />‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><strong><font size="2">‎‎SVIDETELSTVO O RASTORJENII BRAKA‎</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎Grajdanin ___________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎(familiya)‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">____________________________________________________________________________‎‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2"><sup>‎(imya, otchestvo)</sup>‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">i grajdanka__________________________________________________________________‎‎‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎(familiya)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">____________________________________________________________________________‎‎ </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎(imya, otchestvo) ‎‎‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎rastorgli brak, o chem __________ chisla _________ mesyatsa _____________ goda </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">Proizvedena aktovaya zapis za № ____________.‎‎‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">Posle rastorjeniye braka prisvoyeni familii:‎‎‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎muju_______________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎jene________________________________________________________________________‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎Mesto registratsii____________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎(naimenovaniye organa ZAGsa)‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎____________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎Sviditelstvo vidano grajdaninu (ke) ____________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2"><sup>(familiya)‎‎</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎____________________________________________________________________________<br /><sup>‎(imya, otchestvo)</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎Data vidachi “ _____ ”‎ ___________________ goda</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><strong><font size="2">‎‎<br />‎<br />‎Zaveduyuщiy(aya) organom zapisi <br />‎aktov grajdanskogo sostoyaniya ___________________‎</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none"><br /><font size="2">‎<br />‎Pechat‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><br /><font size="2">‎<br />‎‎‎ ‎‎‎I—O'z № 0000000‎ </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none"><br />‎<br />‎<br />‎<br />‎<br />‎‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎‎‎‎(2-ilovaning davomi)‎ ‎ ‎ ‎ <br />‎<br />‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><strong><font size="2">‎‎DIVORCE CERTIFICATE‎<br />‎</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">The marriage of ‎‎________________________________________________________________‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎<sup>(surname)‎</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">____________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎(given names)‎‎‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">and _________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎(surname)‎‎‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎____________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎(given names)‎‎‎ ‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎is dissolved, record of divorce No. ____ was failed on ______ of the year _________.‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎Upon dissolution of marriage the following surnames were given to<br />‎ husband _____________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎wife _________________________________________________________________________‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">Place of registration _____________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎(name and location of the Registry office)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎_____________________________________________________________________________‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎The present Certificate is issued to__________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎(surname)‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎____________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2"><sup>‎(given names)‎‎‎ ‎‎‎‎ ‎ </sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2"></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎Date of issue__________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎(day, month, year)‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none"><font size="1">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong>
<p align="justify"><br /><font size="2">‎<br />‎Registrar ______________‎</font></p></strong></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none"><br /><font size="1">‎<br /></font><font size="2">‎Seal‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎<br />‎<br />‎‎‎ ‎‎‎ ‎‎‎I—O'z № 0000000‎ </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr></tbody></table></div></div><div class="BY_DEFAULT lx_elem" onmousemove="lx_mo(event,-831184)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-831184)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-831184)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-831184)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-831184" id="-831184"></div></div><div class="APPL_BANNER_LANDSCAPE_TITLE lx_elem" onmousemove="lx_mo(event,-831194)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-831194)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-831194)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-831194)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-831194" id="-831194">Vazirlar Mahkamasining 1997-yil <br />30-iyundagi 330-son qaroriga<br />1-ILOVA <br />(Vazirlar Mahkamasining 2003-yil <br />5-iyundagi 249-son <a href="/uz/docs/-794220#-794393">qarori </a>tahririda)</div></div><div class="BY_DEFAULT lx_elem" onmousemove="lx_mo(event,-831204)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-831204)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-831204)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-831204)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-831204" id="-831204"></div></div><div class="BY_DEFAULT lx_elem" id="theDefCssID" onmousemove="lx_mo(event,-831205)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-831205)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-831205)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-831205)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-831205" id="-831205" class="tabBox"><table id="theTableID" style="PADDING-RIGHT: 0px; ; PADDING-LEFT: 0px; LEFT: 0px; PADDING-BOTTOM: 0px; WIDTH: 738px; BORDER-TOP-STYLE: none; PADDING-TOP: 0px; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TOP: 0px; HEIGHT: auto; BORDER-BOTTOM-STYLE: none" cellspacing="1" cols="2" border="1">
<colgroup>
<col />
<col /></colgroup>
<tbody>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><strong><font size="2">Oʻzbekiston Respublikasi <br />‎GERBI‎<br />‎</font></strong></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><strong><font size="2">TUGʻILGANLIK HAQIDA GUVOHNOMA‎<br />‎<br />‎</font></strong></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Fuqaro______________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎Otasi ______________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎ (familiyasi)‎‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎ (familiyasi)‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎____________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(ismi, otasining ismi)‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(ismi, otasining ismi)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">______yil________ oyining_____ kunida ‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎millati _____________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎____________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎‎Onasi ______________________________‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎‎<sup>(familiyasi)‎ ‎</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">______________________________tugʻildi</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________________________________‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎ (raqam va soʻz bilan)‎‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎‎(ismi, otasining ismi)‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Tugʻilgan joyi: ____________Respublikasi‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎millati _____________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">______________________________viloyati ‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎Qayd etish joyi_______________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎ (FHDYo organining nomi)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">______________________________tumani ‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎____________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">_______________shahri, shaharchasi, qishlogʻi‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎Berilgan vaqti____yil “___” ____________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Bu haqda ___yil ______oyining____ kunida ‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">__- son bilan dalolatnoma yozuvi qayd etildi.‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><strong><font size="2">Fuqarolik holati dalolatnomalarini<br />‎ yozish organi mudiri ‎_________________</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Muhr ‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><br /><font size="1">‎<br /><font size="3"><font size="2">‎I—O'z №‎ 0000000</font><br /></font>‎<br />‎<br />‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1"><font size="3"><font size="2">(1-ilovaning davomi)‎<br /></font>‎<br /></font>‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><strong><font size="2">SVIDETELSTVO O ROJDENII‎<br /></font>‎<br />‎</strong></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Grajdanin (ka) ______________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Otets_______________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(familiya)‎‎ ‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(familiya)‎‎ ‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(imya, otchestvo)‎‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(imya, otchestvo)‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">rodilsya (las)‎ “____” _____________ goda</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Mat_______________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">(familiya)‎ ‎ ‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">(imya, otchestvo)‎ ‎ ‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">natsionalnost _____________________‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">(tsiframi i propisyu)‎‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Mesto rojdeniya: Respublika ___________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Mesto registratsii ___________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">(naimenovaniye organa ZAGSa)‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">_____________________________ oblast‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________________________________‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">______________________________rayon‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Data vidachi “ ____ ”‎ _____________ goda</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">gorod, posyolok, kishlak _______________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Ob etom “ ______ ” _______________ goda‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><strong><font size="2">Zaveduщiy (aya) organom zapisi <br />‎aktov grajdanskogo sostoyaniya ______‎</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">proizvedena aktovaya zapis za № _______‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Pechat ‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center">‎ <br /><font size="2">‎‎I—O'z №‎ 0000000</font> ‎ ‎ ‎ ‎</p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">(1-ilovaning davomi)‎ ‎ ‎ ‎‎ </font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1"><strong><br /><font size="3"><font size="2">‎BIRTH CERTIFICATE‎<br /></font>‎</font></strong></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center">‎</p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎Citizen ______________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Father _______________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(surname)‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(surname)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify">‎<font size="2">____________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎____________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(given names)‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(given names)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎was born on __________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">nationality (etnic) _______________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(day, month, year in figures and words)‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎____________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Mother ______________________________ ‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(surname)‎ ‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎____________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎____________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎‎‎(given names) ‎ ‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Place of birth: Republic __________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">nationality (etnic) ______________________ ‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">_______________________________region‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Place of registration _____________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎‎(name and location of the Registry Office)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">______________________________district‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________________________________‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">___________________________city, village.‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Date of issue “ ___ ”‎ ___________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎Birth record No. ____ was filed on _________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong>
<p align="justify"><font size="2">‎Registrar _______________________‎</font></p></strong></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(day, month, year)‎‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Seal‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎ <br /><br />‎‎‎‎I—O'z №‎ 0000000</font> ‎ ‎ ‎ ‎ ‎</p></td></tr></tbody></table></div></div><div class="BY_DEFAULT lx_elem" onmousemove="lx_mo(event,-831186)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-831186)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-831186)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-831186)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-831186" id="-831186"></div></div><div class="APPL_BANNER_LANDSCAPE_TITLE lx_elem" onmousemove="lx_mo(event,-831203)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-831203)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-831203)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-831203)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-831203" id="-831203">Vazirlar Mahkamasining 1997-yil<br />30-iyundagi 330-son qaroriga<br />1a-ILOVA<br />(Vazirlar Mahkamasining 2003-yil <br />5-iyundagi 249-son <a href="/uz/docs/-794220#-794393">qarori </a>tahririda)</div></div><div class="BY_DEFAULT lx_elem" onmousemove="lx_mo(event,-831207)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-831207)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-831207)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-831207)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-831207" id="-831207"></div></div><div class="BY_DEFAULT lx_elem" id="theDefCssID" onmousemove="lx_mo(event,-831208)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-831208)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-831208)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-831208)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-831208" id="-831208" class="tabBox"><div align="justify">
<table id="theTableID" style="PADDING-RIGHT: 0px; ; PADDING-LEFT: 0px; LEFT: 0px; PADDING-BOTTOM: 0px; WIDTH: 691px; BORDER-TOP-STYLE: none; PADDING-TOP: 0px; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TOP: 0px; HEIGHT: auto; BORDER-BOTTOM-STYLE: none" cellspacing="1" cols="2" border="1">
<colgroup>
<col />
<col /></colgroup>
<tbody>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><strong><font size="2">Oʻzbekiston Respublikasi <br />‎GERBI‎<br />‎</font></strong></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><strong><font size="2">TUGʻILGANLIK HAQIDA GUVOHNOMA‎<br />TUOʻЫLGʻANLЫGʻЫ HAQQЫNDA GҮOʻALЫQ ‎<br />‎<br />‎</font></strong></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Fuqaro ‎ __________</font>________________________</p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎Otasi __________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Puxara ‎‎<sup>(familiyasi/familiyasi)‎ </sup></font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Ekesi <sup>‎(familiyasi/familiyasi)</sup></font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎_______________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">(ismi, otasining ismi/ati, Ekesiniң ati)‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">(ismi, otasining ismi/ati, Ekesiniң ati)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">_________yil __________ oyining ________ kunida ‎<br />‎_________jil __________ ayinin________ kuni ‎ </font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎millati _______________________________<br />‎milleti</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="1">‎</font><font size="2">____________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎‎Onasi _________________________________ <br />‎Anasi</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">(familiyasi/familiyasi)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p dir="ltr" style="MARGIN-RIGHT: 0px" align="justify"><font size="2">____________________________________ tugʻildi </font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">_______________________________________‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<blockquote dir="ltr" style="MARGIN-RIGHT: 0px">
<p align="center"><font size="2"><sup>(raqam va soʻz bilan/san hem soz benen)‎</sup> ‎ tugʻildi</font></p></blockquote></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">(ismi, otasining ismi/ati, Ekesiniң ati)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Tugʻilgan joyi: ___________________Respublikasi‎<br /><span class="SpellE"><span style="mso-bidi-font-size: 12.0pt">Tuoʻilgʻan</span></span><span style="mso-bidi-font-size: 12.0pt"> <span class="SpellE">jeri</span>:<span style="mso-spacerun: yes"></span></span>___________________<span class="SpellE">Respublikasi</span></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎millati ________________________________<br />‎mileti</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="left"><font size="2">____________________viloyati </font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎Qayd etish joyi __________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">oblasti‎‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Dizimge alingʻan jeri <sup>(FHDYo organining nomi)‎</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2"><span style="LINE-HEIGHT: 70%; mso-bidi-font-size: 12.0pt"><span style="mso-spacerun: yes"></span></span>________________________________________ ‎ </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">(FHDYo organining nomi/PXAJ organiniң ati)‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">____________tumani ‎‎<br />‎rayoni</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="1">‎</font><font size="2">_________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________ shahri, shaharchasi, qishlogʻi‎<br />____________ <span class="SpellE">qalasi</span>, <span class="SpellE">posyolkasi</span>, <span class="SpellE">aoʻili</span>.</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎Berilgan vaqti____yil “____” _______________<br />‎Berilgen oʻaqti ___jil “____” _______________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Bu haqda ___yil ______oyining__ kunida<br />‎<span class="SpellE"><span style="LINE-HEIGHT: 70%; mso-bidi-font-size: 12.0pt">Bul</span></span><span style="LINE-HEIGHT: 70%; mso-bidi-font-size: 12.0pt"> <span class="SpellE">haqqinda</span></span>___<span class="SpellE">jil</span><span style="mso-spacerun: yes"></span> __<span class="SpellE">ayiniң</span>___ <span class="SpellE">kүni</span>‎ </font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p dir="ltr" style="MARGIN-RIGHT: 0px" align="justify"><font size="2">___son bilan dalolatnoma yozuvi qayd etildi.‎<br />‎‎san menen akt jazioʻi dizimge alindi.‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><strong><font size="2">Fuqarolik holati dalolatnomalarini<br />‎ yozish organi mudiri ‎_________</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2"></font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong><font size="2">‎Puxaraliq halati aktlerin <br />‎jazioʻ organi basligʻi _______</font></strong>‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Muhr ‎<br />‎Mor</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><br /><font size="1">‎<br /><font size="2">‎I—QQ №‎ 0000000<br /></font>‎<br />‎<br />‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1"><font size="2">(1-ilovaning davomi)‎<br /></font>‎<br />‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1"><strong><font size="2">SVIDETELSTVO O ROJDENII‎<br /></font>‎<br />‎</strong></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Grajdanin (ka) ______________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Otets_______________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(familiya)‎‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(familiya)‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(imya, otchestvo)‎‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(imya, otchestvo)‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">rodilsya (las)‎ “____” _____________ goda</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Mat_______________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup>‎ <font size="2">‎(familiya)‎ ‎</font> ‎‎</sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup>‎‎<font size="2">(imya, otchestvo)‎</font> ‎ ‎‎</sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">natsionalnost _____________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup>‎(tsiframi i propisyu)‎‎</sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Mesto rojdeniya: Respublika ___________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Mesto registratsii ___________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(naimenovaniye organa ZAGSa)‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">_____________________________ oblast‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="1">_____________________________‎________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">______________________________rayon‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Data vidachi “ ____ ”‎ _____________ goda</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">gorod, posyolok, kishlak _______________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Ob etom “ ______ ” _______________ goda‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><strong><font size="2">Zaveduщiy (aya) organom zapisi <br />‎aktov grajdanskogo sostoyaniya _________‎</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">proizvedena aktovaya zapis za № _______‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Pechat ‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center">‎ <br /><font size="2">‎‎I—O'z №‎ 0000000 ‎ ‎ ‎ ‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">(1a-ilovaning davomi)‎ ‎ ‎ <br />‎‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><strong><br /><font size="2">‎BIRTH CERTIFICATE‎<br />‎</font></strong></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎Citizen ______________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Father ______________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(surname)‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(surname)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">___________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎____________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(given names)‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(given names)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎was born on __________________________<br /><sup>‎(day, month, year in figures and words)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">nationality (etnic) ______________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎____________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Mother _____________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(surname)‎ ‎‎ </font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎____________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎____________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎‎‎(given names) ‎ ‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Place of birth: Republic _________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">nationality (etnic) ______________________ ‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">_______________________________region‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Place of registration ____________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎‎(name and location of the Registry Office)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">______________________________district‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________________________________‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">___________________________city, village.‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Date of issue “ ____ ”‎ __________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">
<p align="justify"><br /><font size="2">‎Birth record No. ____ was filed on _________</font></p></font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong>
<p align="justify"><br /><font size="2">‎Registrar _________________________‎</font></p></strong></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(day, month, year)‎‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="left"><font size="2">Seal‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎ <br /><br />‎‎‎‎I—O'z №‎ 0000000 ‎ ‎ ‎ ‎ ‎</font></p></td></tr></tbody></table></div></div></div><div class="BY_DEFAULT lx_elem" onmousemove="lx_mo(event,-794540)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794540)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794540)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794540)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794540" id="-794540"></div></div><div class="APPL_BANNER_LANDSCAPE_TITLE lx_elem" onmousemove="lx_mo(event,-794541)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794541)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794541)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794541)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794541" id="-794541">Vazirlar Mahkamasining <br />1997-yil 30-iyundagi 330-son qaroriga<br />2-ILOVA<br />(Vazirlar Mahkamasining 2003yil 5-iyundagi <br />249-son <a href="/uz/docs/-794220#-794393">qarori </a>tahririda)</div></div><div class="BY_DEFAULT lx_elem" onmousemove="lx_mo(event,-794723)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794723)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794723)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794723)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794723" id="-794723"></div></div><div class="BY_DEFAULT lx_elem" id="theDefCssID" onmousemove="lx_mo(event,-794726)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794726)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794726)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794726)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794726" id="-794726" class="tabBox"><div align="center">
<table id="theTableID" style="PADDING-RIGHT: 0px; ; PADDING-LEFT: 0px; LEFT: 0px; PADDING-BOTTOM: 0px; WIDTH: 738px; BORDER-TOP-STYLE: none; PADDING-TOP: 0px; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TOP: 0px; HEIGHT: auto; BORDER-BOTTOM-STYLE: none" cellspacing="1" cols="2" align="center" border="1">
<colgroup>
<col />
<col /></colgroup>
<tbody>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><strong><font size="1"><font size="2">Oʻzbekiston Respublikasi <br />‎GERBI‎<br /></font>‎</font></strong></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><strong><font size="1"><font size="2">NIKOH TUZILGANLIGI HAQIDA GUVOHNOMA‎<br />‎<br /></font>‎</font></strong></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Fuqaro_____________________________________<br />‎<sup> (familiyasi)‎</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Bu haqda______yil_______oyining______kunida</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">__________________________________________<br /><sup>‎(ismi, otasining ismi)‎</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_______-son bilan dalolatnoma yozuvi qayd etildi.</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">tugʻilgan vaqti______yil “ _______ ”___________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="left"><font size="2">Nikoh qayd etilgandan keyin quyidagi familiyalar berildi:</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">tugʻilgan joyi _______________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">eriga ________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">____________________________________________<br />‎____________________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">xotiniga _____________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1"><font size="2">va fuqaro____________________________________<br /></font><sup>‎(familiyasi)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Qayd etish joyi _____________________________ <br /><sup>‎(FHDYo organining nomi)</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">____________________________________________<br /><sup>‎(ismi, otasining ismi) ‎</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Tugʻilgan vaqti_____yil “_______”______________ </font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Berilgan vaqti____ yil “ _______ ”_____________</font> </p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">tugʻilgan joyi ________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2"></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________<br />‎_____________________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong><font size="2">Fuqarolik holati dalolatnomalarini ‎ <br />‎yozish organi mudiri ‎_____________________</font></strong></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____yil________________oyining________kunida </font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2"></font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎_____________________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="left"><font size="2">Muhr ‎</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">________________________________nikoxlandilar.<br />‎‎ ‎<sup>(raqam va soʻz bilan)‎</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><br /><font size="1">‎<br /><font size="2">‎I—O'z №‎ 0000000<br />‎<br /></font>‎<br />‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1"><font size="2">(2-ilovaning davomi)‎<br /></font>‎<br />‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><strong><font size="2">SVIDETELSTVO O ZAKLYuChENII BRAKA‎<br />‎<br />‎</font></strong></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Grajdanin__________________________________<br /><sup>‎(familiya)‎</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Ob etom “ ____ ” __________________________ goda</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________<br /><sup>‎(imya, otchestvo)‎</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">proizvedena aktovaya zapis za № _______________.</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">data rojdeniya ‎ “____” _____________________ goda</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="left"><font size="1"><font size="2">Posle registratsii braka prisvoyeni familii</font>:</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">mesto rojdeniya _______________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">muju ________________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________<br />_____________________________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">jene ________________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">i grajdanka __________________________________<br /><sup>‎(familiya)‎</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Mesto registratsii ____________________________<br /><sup>‎(naimenovaniye organa ZAGSa)</sup></font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________<br /><sup>‎(imya, otchestvo)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">
<p align="center">data rojdeniya ‎ “____” _____________________ goda</p></font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">data vidachi ‎ “_____” _____________________ goda </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">mesto rojdeniya _______________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________<br />_____________________________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong><font size="2">Zaveduщiy (aya) organom zapisi <br />‎aktov grajdanskogo sostoyaniya _______________‎</font></strong></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">zaklyuchili brak “ _____ ” __________________ goda‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Pechat ‎</font></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎_____________________________________________ _____________________________________________‎ <br /><sup>‎(tsiframi i propisyu)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center">‎ <br /><font size="1"><br />‎<br />‎<br /></font><font size="2">‎‎‎I—O'z №‎ 0000000 ‎ ‎ ‎ ‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">(2-ilovaning davomi)‎ ‎ ‎ <br />‎‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">‎</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><strong><br /><font size="2">MARRIAGECERTIFICAT‎E<br />‎</font></strong></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________<br /><sup>‎(surname)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="right"><font size="2">Marriage record No. _____ was filed on _____________<br /><sup>‎(day, month, year)</sup></font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎_____________________________________________<br /><sup>‎(given names)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="left"><font size="1"><font size="2">In the marriage the following surnames were</font> given to </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎date of birth ___________________________________<br /><sup>‎(day, month, year)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">husband ______________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">place of birth___________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">wife__________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎_____________________________________________<br />_____________________________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Place of registration _____________________________<br />‎<sup>(name and location of the Registry Office)</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">and __________________________________________<br /><sup>‎(surname)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎_____________________________________________<br /><sup>‎(given names)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Date of issue “ ____ ” ___________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">
<p align="center"><font size="2">‎date of birth ___________________________________<br /><sup>‎(day, month, year)</sup></font></p></font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2"></font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">
<p align="center">place of birth___________________________________</p></font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong><font size="1"><font size="2">‎Registrar _________________________</font>‎</font></strong> </td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">
<p align="center"><font size="1">‎</font><font size="2">_____________________________________________<br />_____________________________________________‎</font></p></font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2"></font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">married on ____________________________________<br /><sup>‎(day, month, year in figures and words)‎</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Seal‎ ‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎_____________________________________________<br />_____________________________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">‎ <br /><br /><font size="2">‎‎‎‎I—O'z №‎ 0000000 ‎</font> ‎ ‎ ‎ ‎</font></p></td></tr></tbody></table></div></div></div><div class="BY_DEFAULT lx_elem" onmousemove="lx_mo(event,-794550)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794550)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794550)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794550)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794550" id="-794550"></div></div><div class="APPL_BANNER_LANDSCAPE_TITLE lx_elem" onmousemove="lx_mo(event,-794552)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794552)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794552)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794552)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794552" id="-794552">Vazirlar Mahkamasining 1997-yil<br />30-iyundagi 330-son qaroriga <br />2a-ILOVA <br />(Vazirlar Mahkamasining 2003-yil <br />5-iyundagi 249-son <a href="/uz/docs/-794220#-794393">qarori </a>tahririda)</div></div><div class="BY_DEFAULT lx_elem" onmousemove="lx_mo(event,-794727)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794727)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794727)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794727)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794727" id="-794727"></div></div><div class="BY_DEFAULT lx_elem" id="theDefCssID" onmousemove="lx_mo(event,-794728)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794728)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794728)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794728)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794728" id="-794728" class="tabBox"><div align="center">
<table id="theTableID" style="PADDING-RIGHT: 0px; ; PADDING-LEFT: 0px; LEFT: 0px; PADDING-BOTTOM: 0px; WIDTH: 738px; BORDER-TOP-STYLE: none; PADDING-TOP: 0px; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TOP: 0px; HEIGHT: auto; BORDER-BOTTOM-STYLE: none" cellspacing="1" cols="2" align="center" border="1">
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<col />
<col /></colgroup>
<tbody>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><strong><font size="1"><font size="2">Oʻzbekiston Respublikasi <br />‎GERBI‎<br /></font>‎</font></strong></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><strong><font size="1"><font size="2">NIKOH TUZILGANLIGI HAQIDA GUVOHNOMA‎<br />‎NEKE DYZILGENLIGI HAQQЫNDA GYOʻALЫQ<br /></font>‎<br />‎</font></strong></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Fuqaro Puxara ______________________________<br /><sup>‎‎(familiyasi/familiyasi) ‎ ‎ </sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Bu haqda______yil_________oyining______kunida<br />‎Bul haqqinda_____ jil_______ ayiniң____ kүni</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">____________________________________________<br /><sup>(ismi, otasining ismi/ati, Ekesiniң ati) </sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_______-son bilan dalolatnoma yozuvi qayd etildi.<br />_________-‎san menen akt jazioʻi dizimge alindi.</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">tugʻilgan vaqti______yil “ ____ ”______________<br />tuoʻilgʻan oʻaqti______jil “ ____ ”_____________ ‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="left"><font size="2">Nikoh qayd etilgandan keyin quyidagi familiyalar berildi:<br />‎Neke dүzilgennen keyin tomendegi familiyalar berildi:</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">tugʻilgan joyi ________________________________<br />tuoʻilgʻan jeri ________________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">eriga yerine__________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">_____________________________________________<br /></font><font size="2">‎_____________________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">xotiniga hayalina______________________________</font></p></td></tr>
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<p align="center"><font size="2">va fuqaro hem puxara___________________________<br /><sup>(familiyasi/familiyasi) </sup></font></p></td>
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<p align="center"><font size="2">Qayd etish joyi Dizimge alingʻan jeri__________ <br /><sup>(FHDYo organining nomi/PXAJ organiniң ati)</sup></font></p></td></tr>
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<p align="center"><font size="2">_____________________________________________<br /><sup>(ismi, otasining ismi/ati, Ekesiniң ati) </sup></font></p></td>
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<p align="center"><font size="2">_____________________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Tugʻilgan vaqti_____yil “_______”______________ <br />tuoʻilgʻan jeri ________________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Berilgan vaqti____ yil “ _______ ”_____________</font> <br /><font size="1"><font size="2">‎Berilgen oʻaqti ____jil“ ________ ”____________</font> </font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">tugʻilgan joyi ________________________________<br />tuoʻilgʻan jeri ________________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2"></font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________<br />‎_____________________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong><font size="2">Fuqarolik holati dalolatnomalarini ‎ <br />‎yozish organi mudiri ‎_____________________<br />‎Puxaraliq halati aktlerin <br />‎jazioʻ organi basligʻi __________________</font></strong></td></tr>
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<p align="center"><font size="2">_____yil________________oyining________kunida <br />_____‎jil________________ayinin________kuni </font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2"></font></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎____________________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="left"><font size="2">Muhr <br />‎Mor‎</font></p></td></tr>
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<p align="center"><font size="2">_____________________nikohlandilar. nekelesti.<br />‎‎ ‎<sup><span style="FONT-SIZE: 12pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: RU; mso-fareast-language: RU; mso-bidi-language: AR-SA"><span style="mso-spacerun: yes">(raqam va soʻz bilan/san hem soz benen)</span><span style="mso-spacerun: yes"></span></span></sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center">‎</p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><br /><font size="1">‎<br /><font size="2">‎I—QQ №‎ 0000000<br /></font>‎<br />‎<br />‎</font></p></td></tr>
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<p align="center"><font size="1"><font size="2">(2a-ilovaning davomi)‎<br /></font>‎<br />‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1"><strong><font size="2">SVIDETELSTVO O ZAKLYuChENII BRAKA‎<br /></font>‎<br />‎</strong></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Grajdanin__________________________________<br /><sup>‎(familiya)‎</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Ob etom “ ____ ” __________________________ goda</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________<br /><sup>‎(imya, otchestvo)‎</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">proizvedena aktovaya zapis za № _______________.</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">data rojdeniya ‎ “____” _____________________ goda</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="left"><font size="2">P�sle registratsii braka prisvoyeni familii:</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">mesto rojdeniya _______________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">muju ________________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________<br />_____________________________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">jene ________________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">i grajdanka __________________________________<br /><sup>‎(familiya)‎</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1"><font size="2">Mesto registratsii ____________________________<br /></font><sup><font size="2">‎(naimenovaniye organa ZAGSa</font>)</sup></font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________<br /><sup>‎(imya, otchestvo)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">data rojdeniya ‎ “____” _____________________ goda</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">data vidachi ‎ “_____” _____________________ goda </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">mesto rojdeniya _______________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________<br />_____________________________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong><font size="2">Zaveduщiy (aya) organom zapisi <br />‎aktov grajdanskogo sostoyaniya _______________‎</font></strong></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">zaklyuchili brak “ _____ ” __________________ goda‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Pechat ‎</font></td></tr>
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<p align="center"><font size="2">‎_____________________________________________ _____________________________________________‎ <br /><sup>‎(tsiframi i propisyu)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center">‎ <br /><font size="1"><br />‎<br />‎<br /></font><font size="2">‎‎‎I—O'z №‎ 0000000 ‎ ‎ ‎ ‎</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1"><font size="2">(2a-ilovaning davomi)‎ ‎ ‎ <br /></font>‎‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">‎</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1"><strong><br /><font size="2">MARRIAGECERTIFICAT‎E<br /></font>‎</strong></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">‎</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________<br /><sup>‎(surname)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Marriage record No. _____ was filed on _____________<br /><sup>‎(day, month, year)</sup></font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎_____________________________________________<br /><sup>‎(given names)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="left"><font size="2">In the marriage the following surnames were given to </font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎date of birth ___________________________________<br /><sup>‎(day, month, year)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">husband ______________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">place of birth___________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">wife__________________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎_____________________________________________<br />_____________________________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Place of registration _____________________________<br />‎<sup>(name and location of the Registry Office)</sup></font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">and __________________________________________<br /><sup>‎(surname)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">_____________________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">
<p align="center"><font size="2">‎_____________________________________________<br /><sup>‎(given names)</sup></font></p></font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Date of issue “ ____ ” ___________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎date of birth ___________________________________<br /><sup>‎(day, month, year)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">
<p align="center">place of birth___________________________________</p></font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong><font size="2">‎Registrar _________________________‎</font></strong> </td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">
<p align="center">‎_____________________________________________<br />_____________________________________________‎</p></font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2"></font></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">married on ____________________________________<br /><sup>‎(day, month, year in figures and words)‎</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Seal‎ ‎</font></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1"><font size="2">‎_____________________________________________<br />_____________________________________________</font>‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">‎ <br /><br /><font size="2">‎‎‎‎I—O'z №‎ 0000000</font> ‎ ‎ ‎ ‎ ‎</font></p></td></tr></tbody></table></div></div></div><div class="BY_DEFAULT lx_elem" onmousemove="lx_mo(event,-794554)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794554)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794554)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794554)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794554" id="-794554"></div></div><div class="APPL_BANNER_LANDSCAPE_TITLE lx_elem" onmousemove="lx_mo(event,-794555)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794555)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794555)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794555)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794555" id="-794555">Vazirlar Mahkamasining <br />1997-yil 30-iyundagi 330-son qaroriga <br />3-ILOVA <br />(Vazirlar Mahkamasining 2003-yil 5-iyundagi 249-son <a href="/uz/docs/-794220#-794393">qarori </a>tahririda)</div></div><div class="BY_DEFAULT lx_elem" onmousemove="lx_mo(event,-794729)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794729)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794729)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794729)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794729" id="-794729"></div></div><div class="BY_DEFAULT lx_elem" id="theDefCssID" onmousemove="lx_mo(event,-794730)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794730)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794730)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794730)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794730" id="-794730" class="tabBox"><table id="theTableID" style="PADDING-RIGHT: 0px; ; PADDING-LEFT: 0px; LEFT: 0px; PADDING-BOTTOM: 0px; WIDTH: 738px; BORDER-TOP-STYLE: none; PADDING-TOP: 0px; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TOP: 0px; HEIGHT: auto; BORDER-BOTTOM-STYLE: none" cellspacing="1" cols="2" border="1">
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<tbody>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><strong><font size="1"><font size="2">Oʻzbekiston Respublikasi <br />‎GERBI‎‎<br /></font>‎<br />‎</font></strong></p></td></tr>
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<p align="center"><strong><font size="2">OʻLIM HAQIDA GUVOHNOMA‎‎</font></strong></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎Fuqaro ____________________________________________________________________________________<br /><sup>‎(familiyasi)</sup></font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">___________________________________________________________________________________________‎‎<br /><sup>‎‎(ismi, otasining ismi)</sup></font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">________________ yil________________________________ oyining___________________________ kunida</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎___________________________________________________________________________________________<br /><sup>‎(raqam va soʻz bilan)</sup></font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">____________________________________________________________________________ yoshda vafot etdi.</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><br /><font size="2">‎Bu haqda ________yil _________ oyining_______ kunida__________-son dalolatnoma yozuvi qayd etildi.<br /></font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">Oʻlimning sababi ____________________________________________________________________________<br />‎___________________________________________________________________________________________<br />‎___________________________________________________________________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="1"><br /></font><font size="2">‎Vafot etgan joyi:______________________________________________________________ Respublikasi </font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">___________________________________________________________________________________viloyati </font></p></td></tr>
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<p align="center"><font size="2">____________________________________________________________________________________tumani </font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">__________________________________________________________________shahri, shaharchasi, qishlogʻi </font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><br /><font size="2">‎Qayd etish joyi ____________________________________________________________________________<br /></font><font size="2"><sup>‎(FHDYo organining nomi)<br /></sup>‎___________________________________________________________________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="1"><br /></font><font size="2">‎‎‎Berilgan vaqti________ yil ‎ “ ______ ” _______________________________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="left"><strong><font size="1"><font size="2">‎‎<br />‎Fuqarolik holati dalolatnomalarini<br /></font>‎ </font><font size="2">yozish organi mudiri‎ ___________________</font></strong></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><br /><font size="2">‎Muhr‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><br /><font size="1">‎<br /></font><font size="2">‎‎‎I—O'z № 0000000‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">‎‎<br />‎<br />‎<br />‎<br />‎‎</td></tr>
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<p align="center"><font size="1"><font size="2">‎‎(3-ilovaning davomi)‎<br /></font>‎<br />‎<br />‎</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><strong><font size="2">‎‎SVIDETELSTVO O SMERTI‎</font></strong></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎Grajdanin (ka)______________________________________________________________________________<br /><sup>‎(familiya)‎</sup></font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">___________________________________________________________________________________________‎‎<br /><sup>‎(imya, otchestvo)</sup></font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="1"><font size="2">“ ______ ” ______________________________________________________________________________</font> goda</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">___________________________________________________________________________________________‎‎ <br /><sup>‎‎(tsiframi i propisyu) ‎‎‎</sup></font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">umer (la) v vozraste __________________________________________________________________________ <br />‎Ob etom “ ______ ” ______________________________________________________________________ goda </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><br /><font size="2">‎Proizvedena aktovaya zapis za № ___________________.‎‎‎</font></td></tr>
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<p align="center"><font size="1"><br /></font><font size="2">‎Prichina smerti _____________________________________________________________________________<br />‎___________________________________________________________________________________________<br />‎___________________________________________________________________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎mesto smerti: Respubliki_____________________________________________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">_____________________________________________________________________________________ oblast‎</font></p></td></tr>
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<p align="center"><font size="2">______________________________________________________________________________________rayon</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">gorod, posulok, kishlak ‎______________________________________________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="1"><font size="2">Mesto registratsii __________________________________________________________________________</font><br /></font><font size="2"><sup>‎(naimenovaniye organa ZAGSa)</sup></font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎___________________________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎Data vidachi “ _______ ”‎ ________________________________________________________________ goda</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="left"><font size="1"><strong>‎‎<br />‎<br /><font size="2">‎Zaveduyuщiy(aya) organom zapisi <br />‎aktov grajdanskogo sostoyaniya ____________________________________</font>‎</strong></font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1"><br />‎<br /></font><font size="2">‎Pechat‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><br /><font size="2">‎<br />‎‎‎ ‎‎‎I—O'z № 0000000‎ </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><br />‎<br />‎<br />‎<br />‎<br />‎‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎‎‎‎(3-ilovaning davomi)‎ ‎ ‎ ‎ <br />‎<br />‎</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><strong><font size="1"><font size="2">DEATH CERTIFICATE‎<br /></font>‎</font></strong></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="1">____________‎‎_______________________________________________________________________________‎<br /></font><font size="2"><sup>‎(surname)</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">___________________________________________________________________________________________<br /><sup>‎(given names)‎‎‎</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">died on_____________________________________________________________________________________<br /><sup>‎(day, month, year in figures and words)‎‎‎</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎___________________________________________________________________________________________<sup>‎‎ </sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">at the age of _________________________________________________________________________________<br />‎Death record No. ___________________ was failed __________________________________________________<br /><sup>‎(day, month, year)</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">Cause of death: Republic ________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">_______________________________________________________________________________________region</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">______________________________________________________________________________________ district</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="1">
<p align="center"><font size="2">__________________________________________________________________________________</font> city, willage</p></font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">Place of registration ____________________________________________________________________________<br /><sup>‎(name and location of the Registry Office)</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎____________________________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎Date of issue _________________________________________________________________________________<br /><sup>‎(day, month, year)‎</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><strong><br /><font size="2">‎<br />‎‎Registrar _______________________‎</font></strong></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong><br /><font size="2">‎<br />‎</font></strong></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎<br />‎Seal‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="1">‎‎<br />‎<br /></font><font size="2">‎‎‎ ‎‎‎ ‎‎‎I—O'z № 0000000‎ </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr></tbody></table></div></div><div class="BY_DEFAULT lx_elem" onmousemove="lx_mo(event,-794561)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794561)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794561)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794561)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794561" id="-794561"></div></div><div class="APPL_BANNER_LANDSCAPE_TITLE lx_elem" onmousemove="lx_mo(event,-794562)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794562)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794562)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794562)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794562" id="-794562">Vazirlar Mahkamasining<br />1997-yil 30-iyundagi 330-son qaroriga <br />3a-ILOVA <br />(Vazirlar Mahkamasining 2003-yil 5-iyundagi 249-son <a href="/uz/docs/-794220#-794393">qarori </a>tahririda)</div></div><div class="BY_DEFAULT lx_elem" onmousemove="lx_mo(event,-794731)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794731)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794731)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794731)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794731" id="-794731"></div></div><div class="BY_DEFAULT lx_elem" id="theDefCssID" onmousemove="lx_mo(event,-794732)"><div class="lx_elem2"><div class="lx_elem3"><span onclick="lx_sf(-794732)"><img src="/img/cmt.svg" />Hujjatga taklif yuborish</span><span onclick="lx_pa(-794732)"><img src="/img/vlm.svg" />Audioni tinglash</span><span onclick="lx_cl(-794732)"><img src="/img/lnk.svg" />Hujjat elementidan havola olish</span></div></div><div name="-794732" id="-794732" class="tabBox"><table id="theTableID" style="PADDING-RIGHT: 0px; ; PADDING-LEFT: 0px; LEFT: 2px; PADDING-BOTTOM: 0px; WIDTH: 738px; BORDER-TOP-STYLE: none; PADDING-TOP: 0px; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TOP: 0px; HEIGHT: auto; BORDER-BOTTOM-STYLE: none" cellspacing="1" cols="2" border="1">
<colgroup>
<col />
<col /></colgroup>
<tbody>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><strong><font size="1"><font size="2">Oʻzbekiston Respublikasi <br />‎GERBI‎‎<br /></font>‎<br />‎</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><strong><font size="2">OʻLIM HAQIDA GUVOHNOMA‎‎<br />‎OLIM HAQQЫNDA GҮOʻALЫQ</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎Fuqaro Puxara ______________________________________________________________________________<br /><sup>(familiyasi/familiyasi)</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">__________________________________________________________________________________________‎‎<br /><sup>(ismi, otasining ismi/ati, Ekesiniң ati)</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="1"><font size="2">________________ yil________________________________ oyining___________________________ kunida<br />________________‎jil____________________________________ ayiniң______________________</font> kүni</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="1">‎‎<font size="2">__________________________________________________________________________________________<br /><sup>‎(raqam va soʻz bilan/san hem soz benen) ‎ ‎ </sup></font></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">____________________________________________________________________________ yoshda vafot etdi.<br />‎________________________________________________________________________________ jasta oldi.</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><br /><font size="2">‎Bu haqda ___________________yil __________________________ oyining____________________ kunida <br />‎Bul haqqinda __________________jil ___________________ayiniң _____________________kүni </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="left"><font size="1"><br />‎</font><font size="2">___________-son dalolatnoma yozuvi qayd etildi.<br />_______-‎san menen akt jazioʻi dizimge alindi.<br />‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">Oʻlimning sababi Oliminiң sebebi____________________________________________________________<br />‎___________________________________________________________________________________________<br />‎___________________________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><br /><font size="2">‎Vafot etgan joyi: Olgen jeri:_________________________________________ Respublikasi Respublikasi </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">_____________________________________________________________________________viloyati oblasti</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">______________________________________________________________________________tumani rayoni</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">_____________________________________________shahri, shaharchasi, qishlogʻi qalasi, posyolkasi, aoʻili.</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="1"><br /><font size="2">‎Qayd etish joyi Dizimge alingʻan jeri__________________________________________________________<br /></font></font><font size="2"><sup>‎(FHDYo organining nomi/PXAJ organiniң ati) <br />‎</sup>‎___________________________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><br /><font size="1"><font size="2">‎‎‎Berilgan vaqti________ yil ‎ “ ______ ” _______________________________________________________<br />Berilgen oʻaqti________ jil ‎ “ ______ ” _______________________________________________________</font> </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="left"><strong><font size="1">‎‎<br /></font><font size="2">‎Fuqarolik holati dalolatnomalarini<br />‎ yozish organi mudiri‎ ___________________<br />‎Puxaraliq halati aktlerin<br />‎ jazioʻ organi basligʻi ________________</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><br /><font size="2">‎Muhr‎<br />‎Mor</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><br /><font size="1">‎<br /></font><font size="2">‎‎‎I—QQ № 0000000‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">‎‎<br />‎<br />‎<br />‎<br />‎‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="1"><font size="2">‎‎(3a-ilovaning davomi)‎<br /></font>‎<br />‎<br />‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><strong><font size="2">‎‎SVIDETELSTVO O SMERTI‎</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎Grajdanin (ka)______________________________________________________________________________<br /><sup>‎(familiya)‎</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">___________________________________________________________________________________________‎‎<br /><sup>‎(imya, otchestvo)</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">“ ______ ” ______________________________________________________________________________ goda</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">___________________________________________________________________________________________‎‎ <br /><sup>‎‎(tsiframi i propisyu) ‎‎‎</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">umer (la) v vozraste __________________________________________________________________________<br />‎Ob etom “ ______ ” ______________________________________________________________________ goda </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><br /><font size="2">‎Proizvedena aktovaya zapis za № ___________________.‎‎‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="1"><br /></font><font size="2">‎Prichina smerti _____________________________________________________________________________<br />‎___________________________________________________________________________________________<br />‎___________________________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎mesto smerti: Respubliki_____________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">___________________________________________________________________________________ oblast‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">______________________________________________________________________________________rayon</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">gorod, posulok, kishlak ‎______________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">Mesto registratsii __________________________________________________________________________<br /><sup>‎(naimenovaniye organa ZAGSa)</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎___________________________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎Data vidachi “ _______ ”‎ ________________________________________________________________ goda</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="1"><strong><font size="2">‎‎<br /></font>‎<br /><font size="2">‎Zaveduyuщiy(aya) organom zapisi <br />‎aktov grajdanskogo sostoyaniya ____________________________________‎</font></strong></font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1"><br />‎<br /></font><font size="2">‎Pechat‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><br /><font size="2">‎<br />‎‎‎ ‎‎‎I—O'z № 0000000‎ </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><br />‎<br />‎<br />‎<br />‎<br />‎‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎‎‎‎(3a-ilovaning davomi)‎ ‎ ‎ ‎ <br />‎<br />‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><strong><font size="2">DEATH CERTIFICATE‎<br />‎</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">____________‎‎_______________________________________________________________________________‎<br /><sup>‎(surname)</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">___________________________________________________________________________________________<br /><sup>‎(given names)‎‎‎</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">died on_____________________________________________________________________________________<br /><sup>‎(day, month, year in figures and words)‎‎‎</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎___________________________________________________________________________________________<sup>‎‎ </sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">at the age of _________________________________________________________________________________<br />‎Death record No. ___________________ was failed __________________________________________________<br /><sup>‎(day, month, year)</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">Cause of death: Republic ________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">_______________________________________________________________________________________region</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">______________________________________________________________________________________ district</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">__________________________________________________________________________________ city, willage</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">Place of registration ____________________________________________________________________________<br /><sup>‎(name and location of the Registry Office)</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎___________________________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎Date of issue _________________________________________________________________________________<br /><sup>‎(day, month, year)‎</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1"><strong><br />‎<br /><font size="2">‎‎Registrar _______________________‎</font></strong></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong><font size="1"><br />‎<br />‎</font></strong></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">‎<br /></font><font size="2">‎Seal‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎<br />‎<br />‎‎‎ ‎‎‎ ‎‎‎I—O'z № 0000000‎ </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr></tbody></table></div></div></div>
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