Vakolatli organ rahbari F.I.O.

_____________________ ga

Ipak qurti urugʻi kasalliklarini mikroskopik tahlil asosida oldindan aniqlash va ipak qurti urugʻini sertifikatlashtirish uchun

ARIZA

_________________________________________________________________________________________

^{(ariza beruvchi)}

_________________________________________________________________________________________

^{(ariza beruvchining manzili)}

ariza beruvchi ________________________________

nomidan ____________________________________

^(F.I.O.)

^{(mahsulot turi, nomi va miqdori)}

_________________________________________________________________________________________

_________________________________________________________________________ talablariga muvofiq

^{(hujjatlarning nomlanishi va raqamlanishi)}

mahsulotga sifat sertifikatini rasmiylashtirib berishingizni soʻrayman.

Ilova: ____________________________________________________________________________________

_________________________________________________________________________________________

^{(ilova qilinayotgan hujjatlar nomi va varagʻi koʻrsatiladi)}

Ariza beruvchi:

________________

_________________________

^(imzo)

^(F.I.O.)

Sana: _______________________

Ipak qurti urugʻini tayyorlovchi tashkilotda tayyorlangan tut ipak qurti urugʻlari miqdorining zotlari boʻyicha xatlovdan oʻtkazish

DALOLATNOMASI

“___” “________” 202__ yil

___________ shahar yoki tuman

Ipak qurti urugʻlarini xatlovdan oʻtkazishda ishtirok etganlar: _______________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

Ipak qurti urugʻlarini xatlovdan oʻtkazishdan maqsad: _____________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

Ipak qurti urugʻlari xatlovdan oʻtkazilgan sana, tashkilotning nomi, manzili: ____________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

Xatlov natijasiga koʻra urugʻlar miqdori: ________________________________________________________

_________________________________________________________________________________________

T/r

Ipak qurti zot va duragaylarining nomi

Hujjat boʻyicha miqdori

Haqiqatda oʻlchangan urugʻ miqdori

Farqi, +, -

gramm

quti

gramm

quti

gramm

quti

1.

2.

...

Jami

Qoʻshimcha maʼlumotlar (mavjud boʻlganda): ____________________________________________________

Xatlovda ishtirok etganlar imzosi:

1.

_______________

_____________________

^imzo

^F.I.O.

2.

_______________

_____________________

^imzo

^F.I.O.

3.

_______________

_____________________

^imzo

^F.I.O.

4.

_______________

_____________________

^imzo

^F.I.O.

5.

_______________

_____________________

^imzo

^F.I.O.

6.

_______________

_____________________

^imzo

^F.I.O.

7.

_______________

_____________________

^imzo

^F.I.O.

Ipak qurti urugʻini tayyorlovchi tashkilotda tayyorlangan tut ipak qurti urugʻlarining jonlanish foizini aniqlash uchun olingan namunalar

DALOLATNOMASI

“___” “________” 202___ yil

__________ shahar yoki tuman

Namuna olishda ishtirok etganlar: _____________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

Namuna olishdan maqsadi: ___________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

Namuna olingan sana, tashkilotning nomi, manzili: ________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

Namuna olish tartibi va olingan namunalar miqdori: _______________________________________________

_________________________________________________________________________________________

T/r

Ipak qurti zot va duragaylarining nomi

Guruhlar (Partiyalar) soni

Urugʻ miqdori,

gramm

Jonlanish foizi uchun olingan namuna

namuna soni

urugʻ miqdori

gramm

quti

1.

2.

...

Jami

Qoʻshimcha maʼlumotlar (mavjud boʻlganda): ____________________________________________________

Namuna olishda ishtirok etganlar imzosi:

1.

_______________

_____________________

^imzo

^F.I.O.

2.

_______________

_____________________

^imzo

^F.I.O.

3.

_______________

_____________________

^imzo

^F.I.O.

4.

_______________

_____________________

^imzo

^F.I.O.

5.

_______________

_____________________

^imzo

^F.I.O.

6.

_______________

_____________________

^imzo

^F.I.O.

7.

_______________

_____________________

^imzo

^F.I.O.

Ipak qurti urugʻini tayyorlovchi tashkilotda tayyorlangan tut ipak qurti urugʻlari kasallikdan holiligini aniqlash uchun olingan namunalar

DALOLATNOMASI

“___” “________” 202__ yil

_________ shahar yoki tuman

Namuna olishda ishtirok etganlar: _____________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

Namuna olishdan maqsadi: ___________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

Namuna olingan sana, tashkilotning nomi, manzili: ________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

Namuna olish tartibi va olingan namunalar miqdori: _______________________________________________

_________________________________________________________________________________________

T/r

Ipak qurti zot va duragaylarining nomi

Guruh soni

Urugʻ miqdori gramm

Kasallikka qarshi olingan namuna

Qoʻshimcha namuna

Jami

namuna soni

miqdori gramm

quti soni

namuna soni

miqdori gramm

quti soni

namuna soni

miqdori gramm

quti soni

1.

2.

...

Jami

Qoʻshimcha maʼlumotlar (mavjud boʻlganda): ___________________________________________________

Namuna olishda ishtirok etganlar imzosi:

1.

_______________

_____________________

^imzo

^F.I.O.

2.

_______________

_____________________

^imzo

^F.I.O.

3.

_______________

_____________________

^imzo

^F.I.O.

4.

_______________

_____________________

^imzo

^F.I.O.

5.

_______________

_____________________

^imzo

^F.I.O.

6.

_______________

_____________________

^imzo

^F.I.O.

7.

_______________

_____________________

^imzo

^F.I.O.

IPAKCHILIK ILMIY-TADQIQOT INSTITUTI

Ipak qurtining “pebrina” kasalligidan holiligi boʻyicha

SIFAT SERTIFIKATI

Ushbu hujjаt

^{(yuridik shaxsning nomi)}

^(mаnzil)

^{(nomi, turi, guruh (partiya) miqdori)}

^{(sertifikatni rasmiylashtirish asoslari)}

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