O’z qoli bilan quyidagi ma’lumotlarni aniq ko’rsatgan holda yoziladi: Familiyasi, ismi, otasining ismi, tug’ilgan yil, oy, kuni va joyi, millati; mehnat faoliyatini qayerda, qachon va qaysi lavozimda boshladi, barcha ishlagan korhona va tashkilotlarni boshqa ishga o’tish sabablari bilan; ijtimoiy-siyosiy ishlarda qatnashganligi; oilaviy holati: xotini (eri) ning familiyasi va ismi, otasining ismi (o’zgargan bo’lsa oldingi familiyasi), tug’ilgan yili va joyi, millati, nikoh tuzilgan vaqti, agar nikoh ikkinchi marta tuzilgan bo’lsa birinch xotini (eri) to’g’risida ma’lumot, ajrashish sababi; yaqin qarindoshlari (o’zingiz va turmush o’rtog’ingizning ota-onasi, aka-uka hamda opasingillaringiz va farzandlaringiz) to’g’risida qisqacha ma’lumot; xorijda qayerda bo’lganligi; xarbiy hizmatga munosabati; sudlangan bolsa sababi; o’zingiz bildirishni hohlagan boshqa ma’lumotlar. TARJIMAI HOL _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ ____________________________________________________________ Tarjimai holni o’z qo’lim bilan to’g’ri yozdim: ____________________________ F.I.O. ____________________________ To’ldirilgan sana ____________ Imzo