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                            <div class="act_warning">
                                Акт утратил силу " " 23.10.2023
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                                <b>Акт на состоянии 26.09.2018 00</b>
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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="onLBC2004899" id="onLBC2004899">[<b>ОКОЗ:</b><div id="LBC6141"><span class="iorRN">1.</span><span class="iorVal">03.00.00.00 Гражданское законодательство / 03.02.00.00 Граждане (физические лица) / 03.02.08.00 Регистрация актов гражданского состояния;</span></div><div id="LBC6334"><span class="iorRN">2.</span><span class="iorVal">04.00.00.00 Законодательство о семье / 04.06.00.00 Регистрация актов гражданского состояния  (см. также 03.02.08.00);</span></div><div id="LBC8795"><span class="iorRN">3.</span><span class="iorVal">07.00.00.00 Законодательство о финансах и кредите. Банковская деятельность / 07.10.09.00 (Кучини йўқотган) Иные общегосударственные налоги / 07.90.00.00 (Кучини йўқотган) Общегосударственные налоги]</span></div></div></div><div class="INDEXES_ON_REF" style="display:none"><label id="s5988"></label><div name="onLS2004899" id="onLS2004899">[<b>ТСЗ:</b><div id="LS3695"><span class="iorRN">1.</span><span class="iorVal">Социально-культурные вопросы / Брак и семья. Акты гражданского состояния;</span></div><div id="LS3747"><span class="iorRN">2.</span><span class="iorVal">Финансы / Налоги (сборы, пошлина)]</span></div></div></div><div class="OFFICIAL_SOUR_TEXT"><label id="s9496"></label><div name="2004928" id="2004928"><a href="/files/2005716.pdf">Официальный источник в PDF-файле</a></div></div><div class="ACT_FORM"><div name="2004929" id="2004929">Постановление</div></div><div class="ACCEPTING_BODY"><div name="2004930" id="2004930">Кабинета Министров Республики Узбекистан</div></div><div class="ACT_TITLE" style="color:#808080;"><div name="2004931" id="2004931">Об утверждении форм гербовых свидетельств и размера гербового сбора за их выдачу</div></div><div class="COMMENT"><label id="s3935"></label><div name="edi2004931" id="edi2004931">См. <a href="/acts/2004899?ONDATE=27.09.2018 00#edi3971352">последующую</a> редакцию.</div></div><div class="BY_DEFAULT"><div name="2004933" id="2004933"></div></div><div class="COMMENT"><label id="s527"></label><div class="COMMENTLEXUZ"><img src="/image/favicon.gif" /> Комментарий LexUz</div><div name="6644720" id="6644720">Настоящее постановление утратило силу в соответствии с <a href="/acts/6638942">постановлением </a>Кабинета Министров Республики Узбекистан от 20 октября 2023 года № 550 «О систематизации нормативно-правовых актов в области регистрации актов о браке, семье и гражданского состояния».</div></div><div class="ACT_TEXT" style="color:#808080;"><div name="2004934" id="2004934">В соответствии с Семейным <a href="/acts/104723">кодексом </a>Республики Узбекистан, а также целях совершенствования форм гербовых свидетельств, выдаваемых органами записи актов гражданского состояния, Кабинет Министров постановляет:</div></div><div class="COMMENT"><label id="s3935"></label><div name="edi2004934" id="edi2004934">См. <a href="/acts/2004899?ONDATE=27.09.2018 00#edi3971574">последующую</a> редакцию.</div></div><div class="ACT_TEXT" style="color:#808080;"><div name="2004935" id="2004935">1. Утвердить обновленные формы гербовых свидетельств о рождении, заключении брака, расторжении брака и смерти согласно <a href="/acts/2004899#2004952">приложениям № 1 — 4а </a>и ввести их в действие с 1 июля 2012 года.</div></div><div class="COMMENT"><label id="s3935"></label><div name="edi2004935" id="edi2004935">См. <a href="/acts/2004899?ONDATE=27.09.2018 00#edi3971676">последующую</a> редакцию.</div></div><div class="ACT_TEXT"><div name="2004936" id="2004936">2. Установить, что:</div></div><div class="ACT_TEXT"><div name="2004937" id="2004937">бланки гербовых свидетельств являются документами строгой отчетности и изготавливаются на специальной бумаге с соответствующими степенями защиты по единому образцу, утвержденному Министерством юстиции Республики Узбекистан;</div></div><div class="ACT_TEXT" style="color:#808080;"><div name="2004938" id="2004938">изготовление бланков гербовых свидетельств осуществляется Государственным производственным объединением «Давлат белгиси» при Центральном банке Республики Узбекистан на основании заявок Министерства юстиции Республики Узбекистан. </div></div><div class="COMMENT"><label id="s3935"></label><div name="edi2004938" id="edi2004938">См. <a href="/acts/2004899?ONDATE=27.08.2020 00#edi4985336">последующую</a> редакцию.</div></div><div class="BY_DEFAULT"><div name="2004939" id="2004939"></div></div><div class="ACT_TEXT" style="color:#808080;"><div name="4985344" id="4985344">3. Министерству юстиции Республики Узбекистан обеспечить:</div></div><div class="COMMENT"><label id="s3935"></label><div name="edi4985344" id="edi4985344">См. <a href="/acts/2004899?ONDATE=27.08.2020 00#edi4985345">последующую</a> редакцию.</div></div><div class="ACT_TEXT" style="color:#808080;"><div name="2004940" id="2004940">в двухмесячный срок органы записи актов гражданского состояния и консульские учреждения Республики Узбекистан за рубежом новыми бланками гербовых свидетельств;</div></div><div class="COMMENT"><label id="s3935"></label><div name="edi2004940" id="edi2004940">См. <a href="/acts/2004899?ONDATE=27.08.2020 00#edi4985348">последующую</a> редакцию.</div></div><div class="ACT_TEXT" style="color:#808080;"><div name="2004941" id="2004941">неукоснительное соблюдение порядка изготовления, учета, хранения, сдачи, а также использования гербовых свидетельств.</div></div><div class="COMMENT"><label id="s3935"></label><div name="edi2004941" id="edi2004941">См. <a href="/acts/2004899?ONDATE=27.09.2018 00#edi3971641">последующую</a> редакцию.</div></div><div class="COMMENT"><label id="s3934"></label><div name="edi2297987" id="edi2297987">См. <a href="/acts/2004899?ONDATE=30.12.2012 00#2110652">предыдущую</a> редакцию.</div></div><div class="BY_DEFAULT"><div name="2297987" id="2297987"></div></div><div class="ACT_TEXT"><div name="2297988" id="2297988">4. Разрешить оформление и выдачу гербовых свидетельств на действующих бланках до их полного израсходования.</div></div><div class="CHANGES_ORIGINS"><label id="s1104"></label><div name="2297989" id="2297989">(пункт 4 в редакции <a href="/acts/2295824?ONDATE=23.12.2013 00#2295865">постановления</a> Кабинета Министров Республики Узбекистан от 17 декабря 2013 года № 332 — СЗ РУ, 2013 г., № 51, ст. 667)</div></div><div class="INDEXES_ON_REF" style="display:none"><label id="s5987"></label><div name="onLBC2004943" id="onLBC2004943">[<b>ОКОЗ:</b><div id="LBC8795"><span class="iorRN">1.</span><span class="iorVal">07.00.00.00 Законодательство о финансах и кредите. Банковская деятельность / 07.10.09.00 (Кучини йўқотган) Иные общегосударственные налоги / 07.90.00.00 (Кучини йўқотган) Общегосударственные налоги]</span></div></div></div><div class="INDEXES_ON_REF" style="display:none"><label id="s5988"></label><div name="onLS2004943" id="onLS2004943">[<b>ТСЗ:</b><div id="LS3747"><span class="iorRN">1.</span><span class="iorVal">Финансы / Налоги (сборы, пошлина)]</span></div></div></div><div class="ACT_TEXT"><div name="2004943" id="2004943">5. Установить размер гербового сбора за выдачу гербовых свидетельств (за исключением гербового свидетельства о смерти), утвержденных настоящим постановлением, в размере 15 процентов минимальной заработной платы. </div></div><div class="ACT_TEXT"><div name="2004944" id="2004944">Принять к сведению, что за выдачу гербовых свидетельств консульскими учреждениями Республики Узбекистан за рубежом взимаются консульские сборы в соответствии с тарифами, утвержденными <a href="/acts/740397">постановлением </a>Кабинета Министров от 19 августа 1993 г. № 423. </div></div><div class="COMMENT"><label id="s3934"></label><div name="edi3088498" id="edi3088498">См. <a href="/acts/2004899?ONDATE=01.07.2012 00#2004945">предыдущую</a> редакцию.</div></div><div class="BY_DEFAULT"><div name="3088498" id="3088498"></div></div><div class="ACT_TEXT"><div name="3088500" id="3088500">6. Определить, что средства, поступающие от гербового сбора, распределяются в следующем порядке: </div></div><div class="ACT_TEXT"><div name="3088501" id="3088501">15 процентов — в доход бюджетов районов и городов; </div></div><div class="COMMENT"><label id="s3934"></label><div name="edi3971355" id="edi3971355">См. <a href="/acts/2004899?ONDATE=31.12.2016 00#3088504">предыдущую</a> редакцию.</div></div><div class="BY_DEFAULT" style="color:#808080;"><div name="3971355" id="3971355"></div></div><div class="ACT_TEXT" style="color:#808080;"><div name="3971358" id="3971358">51 процент — зачисляются на казначейский счет Министерство юстиции Республики Узбекистан и на покрытие расходов, связанных с подготовкой бланков записи гражданского состояния и гербовых свидетельств, а также на мероприятия по укреплению материально-технической базы и материальному стимулированию работников органов и учреждений юстиции;</div></div><div class="CHANGES_ORIGINS" style="color:#808080;"><label id="s1104"></label><div name="3971359" id="3971359">(абзац третий пункта 6 в редакции <a href="/acts/3917200?ONDATE=26.09.2018 00#3922474">постановления </a>Кабинета Министров Республики Узбекистан от 26 сентября 2018 года № 767 — Национальная база данных законодательства, 26.09.2018 г., № 09/18/767/1966)</div></div><div class="COMMENT"><label id="s3935"></label><div name="edi3971359" id="edi3971359">См. <a href="/acts/2004899?ONDATE=02.07.2019 00#edi4436166">последующую</a> редакцию.</div></div><div class="COMMENT"><label id="s3934"></label><div name="edi3971330" id="edi3971330">См. <a href="/acts/2004899?ONDATE=31.12.2016 00#3971328">предыдущую</a> редакцию.</div></div><div class="BY_DEFAULT" style="color:#808080;"><div name="3971330" id="3971330"></div></div><div class="ACT_TEXT" style="color:#808080;"><div name="3971335" id="3971335">34 процент — зачисляются на специально создаваемые лицевые казначейские счета Совета Министров Республики Каракалпакстан, хокимиятов областей и г. Ташкента, и используются исключительно на мероприятия по укреплению материально-технической базы, выплате ежемесячных надбавок за выслугу лет и доплат за классные чины работников отделов ЗАГС, а также на их материальное стимулирование (персональные надбавки до 100 процентов от должностного оклада и премии).</div></div><div class="CHANGES_ORIGINS" style="color:#808080;"><label id="s1104"></label><div name="3971337" id="3971337">(пункт 6 дополнен абзацем <a href="/acts/3917200?ONDATE=26.09.2018 00#3922476">постановлением </a>Кабинета Министров Республики Узбекистан от 26 сентября 2018 года № 767 — Национальная база данных законодательства, 26.09.2018 г., № 09/18/767/1966)</div></div><div class="COMMENT"><label id="s3935"></label><div name="edi3971337" id="edi3971337">См. <a href="/acts/2004899?ONDATE=27.08.2020 00#edi4985358">последующую</a> редакцию.</div></div><div class="ACT_TEXT"><div name="2004946" id="2004946">7. Признать с 1 июля 2012 года утратившими силу некоторые решения Правительства Республики Узбекистан согласно <a href="/acts/2004899#2006590">приложению № 5</a>.</div></div><div class="ACT_TEXT"><div name="2004947" id="2004947">8. Контроль за исполнением настоящего постановления возложить на министра юстиции Республики Узбекистан Н.Т. Юлдашева и Управление правовой экспертизы и международных договоров Кабинета Министров Республики Узбекистан.</div></div><div class="SIGNATURE"><div name="2004948" id="2004948">Премьер-министр Республики Узбекистан Ш. МИРЗИЁЕВ</div></div><div class="ACT_ESSENTIAL_ELEMENTS"><div name="2004949" id="2004949">г. Ташкент,</div></div><div class="ACT_ESSENTIAL_ELEMENTS"><div name="2004950" id="2004950">25 апреля 2012 г.,</div></div><div class="ACT_ESSENTIAL_ELEMENTS_NUM"><div name="2004951" id="2004951">№ 119</div></div><div class="BY_DEFAULT" style="color:#808080;"><div name="2004952" id="2004952"></div></div><div class="APPL_BANNER_LANDSCAPE_TITLE" style="color:#808080;"><div name="2004953" id="2004953">ПРИЛОЖЕНИЕ № 1<br />к <a href="/acts/2004899">постановлению </a>Кабинета Министров от 25 апреля 2012 г. № 119<br /></div></div><div class="BY_DEFAULT" style="color:#808080;"><div name="2006188" id="2006188"></div></div><div class="TABLE_STD" id="theDefCssID" style="color:#808080;"><div name="2006189" id="2006189" class="tabBox"><table id="theTableID" style="PADDING-RIGHT: 0px; ; PADDING-LEFT: 0px; PADDING-BOTTOM: 0px; WIDTH: 684px; PADDING-TOP: 0px" cellspacing="1" cols="8" border="1">
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<p align="center"><font size="2">Изображение Государственного ‎<br />‎герба Республики Узбекистан</font> </p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><br />‎Otasi ____________________________________ </td></tr>
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<p align="center"><strong><br /><font size="2">‎‎‎TUGʻILGANLIK НAQIDA GUVOНNOMA <br />‎СВИДЕТЕЛЬСТВО О РОЖДЕНИИ</font></strong><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"><font size="2">Отец</font></td>
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<p align="center"><font size="2"><sup>(familiyasi / фамилия)</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="4"><font size="2">‎‎_______________________________________________</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><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="4">
<p align="center"><font size="2"><sup>‎‎(familiyasi / фамилия)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4">
<p align="center"><font size="2"><sup>(ismi, otasining ismi / имя, отчество)</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="4"><font size="2">‎‎_______________________________________________</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2">‎</font>‎<font size="2">Millati</font> _____________________________________</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4">
<p align="center"><sup><font size="2">‎‎(ismi, otasining ismi / имя, отчество)</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">‎</font>‎<font size="2">Национальность</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>
<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="4"><font size="2">Tugʼilgan vaqti: ‎‎__________________________________</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2">‎</font>‎<font size="2">Fuqaroligi </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">Дата рождения‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="3">
<p align="center"><sup><font size="2">‎‎(yil, oy, kun / год, месяц, число)</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">‎Гражданство</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>
<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="4"><font size="2"><br />‎_______________________________________________</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2">‎<br />‎Onasi </font>‎____________________________________</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4">
<p align="center"><font size="2"><sup>‎‎(yil soʼz bilan / год прописью)</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">‎Мать</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="3">
<p align="center"><font size="2"><sup>‎‎(familiyasi / фамилия)</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="4"><font size="2">‎‎Tugʼilgan joyi: ____________________________________</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4">________________________________________</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Место рождения‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="3">
<p align="center"><sup><font size="2">(davlat / государство)</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4">
<p align="center"><font size="2"><sup>‎‎(ismi, otasining ismi / имя, отчество)</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="4"><font size="2">‎</font>‎________________________________________</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2">‎</font>‎<font size="2">Millati</font> ____________________________________</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4">
<p align="center"><sup><font size="2">(viloyat / область)</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2">Национальность</font>‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><br />‎________________________________________</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2">‎Fuqaroligi _</font>_________________________________<br />‎‎<font size="2">Гражданство‎</font>‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4">
<p align="center"><sup><font size="2">(tuman / район)</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2">‎</font>‎<font size="2">Qayd</font> <font size="2">etish</font> <font size="2">joyi</font> ______________________________</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2"><br />‎‎</font>‎________________________________________</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Место регистрации</font> </td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="3">
<p align="center"><font size="2"><sup>‎(FНDYO organining nomi / наименование органа ЗАГСа)</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="4">
<p align="center"><font size="2"><sup>‎‎(shahar, posyolka, qishloq va boshqa / город, городской посёлок,<br />‎ кишлак и др.)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4">‎‎________________________________________</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2">‎‎Bu haqda ______ yil __________ oyining _________ kunida</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2">‎‎Berilgan vaqti ______ yil ______ oyining __________ kuni</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">Об этом ‎</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">год‎</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">месяц‎</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">число‎</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">Дата выдачи‎</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">год‎</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">месяц ‎</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">число‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2"><br /><br />‎‎‎‎__________________-son bilan dalolatnoma yozuvi qayd etildi.</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2"><br />‎‎‎Fuqarolik holati dalolatnomalarini</font> </td>
<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"><font size="2">№‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="3">
<p align="center"><font size="2">‎‎произведена актовая запись.</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2">yozish organi mudiri </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">‎</td>
<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>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2">‎‎Заведующий(ая) органом записи</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">‎</td>
<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>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="3"><font size="2">‎‎актов гражданского состояния</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>
<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>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2"><br />‎Muhr‎</font></td>
<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>
<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>
<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>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Печать‎</font></td>
<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>
<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>
<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>
<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" colspan="2">
<p align="center"><font size="2">‎‎Серия, номер</font></p></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="COMMENT"><label id="s3935"></label><div name="edi2006189" id="edi2006189">См. <a href="/acts/2004899?ONDATE=27.09.2018 00#edi3971855">последующую</a> редакцию.</div></div><div class="BY_DEFAULT" style="color:#808080;"><div name="2006237" id="2006237"></div></div><div class="APPL_BANNER_LANDSCAPE_TITLE" style="color:#808080;"><div name="2006238" id="2006238">ПРИЛОЖЕНИЕ № 1а <br />к <a href="/acts/2004899">постановлению </a>Кабинета Министров от 25 апреля 2012 года № 119 </div></div><div class="BY_DEFAULT" style="color:#808080;"><div name="2006239" id="2006239"></div></div><div class="TABLE_STD" id="theDefCssID" style="color:#808080;"><div name="2006240" id="2006240" class="tabBox"><table id="theTableID" style="PADDING-RIGHT: 0px; ; PADDING-LEFT: 0px; LEFT: 0px; PADDING-BOTTOM: 0px; WIDTH: 684px; PADDING-TOP: 0px; TOP: 0px" cellspacing="1" cols="8" border="1">
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<p align="center"><font size="2">Изображение Государственного ‎<br />‎герба Республики Узбекистан</font> </p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><br /><font size="2">‎Otasi</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">‎</td>
<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>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Aʼkesi‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="3">
<p align="center"><font size="2"><sup>‎‎(familiyasi / familiyasiʼ / фамилия)</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="4"><strong>
<p align="center"><br /><font size="2">‎TUGʻILGANLIK НAQIDA GUVOНNOMA <br />‎TUWIʼLGʼANLIʼQ НAQQIʼNDA GUʼWALIʼQ СВИДЕТЕЛЬСТВО О РОЖДЕНИИ</font><font size="2"> </font></p></strong></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Отец</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="3"></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2">‎‎_______________________________________________</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4">________________________________________</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4">
<p align="center"><font size="2"><sup>(familiyasi / familiyasiʼ / фамилия)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4">
<p align="center"><font size="2"><sup>(ismi, otasining ismi / atiʼ, aʼkesininʼ atiʼ / имя, отчество)</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="4"><font size="2">‎‎<br />‎_______________________________________________</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2"><br />‎‎</font>‎<font size="2">Millati</font> ____________________________________</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4">
<p align="center"><font size="2"><sup>‎(ismi, otasining ismi / atiʼ, aʼkesininʼ atiʼ / имя, отчество) ‎</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">Millеti‎</font></td>
<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>
<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="4"></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2">‎</font>‎<font size="2">Национальность</font>‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2"><br />‎Tugʼilgan vaqti: ‎‎___________________________________</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2"><br />‎‎</font>‎<font size="2">Fuqaroligi </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">Tuwiʼlgʼan waqtiʼ ‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="3">
<p align="center"><font size="2"><sup>‎‎(yil, oy, kun / jiʼl, ay, kuʼn / год, месяц, число)</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">Puqaraliʼgʼiʼ‎</font></td>
<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>
<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">Дата рождения‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="3"></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎Гражданство</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>
<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="4"><font size="2"><br />‎_______________________________________________</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2">‎<br />‎Onasi </font>____________________________________</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4">
<p align="center"><font size="2"><sup>(yil soʼz bilan / jiʼl soʼz benen / год прописью) </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">Anasi‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="3">
<p align="center"><sup><font size="2">‎‎(familiyasi / familiyasiʼ / фамилия)</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="4"></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎Мать</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="3"></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2">‎‎Tugʼilgan joyi: ____________________________________</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><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">Tuwiʼlgʼan jeri ‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="3">
<p align="center"><font size="2"><sup>‎‎(davlat / maʼmleket / государство)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4">
<p align="center"><sup><font size="2">‎‎(ismi, otasining ismi / atiʼ, aʼkesininʼ atiʼ / имя, отчество)</font></sup></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">Место рождения‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="3"></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2"><br />‎‎</font>‎_______________________________________</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2"><br />‎‎</font>‎<font size="2">Millati</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" colspan="2">
<p align="center"><sup><font size="2">(viloyat / oblast / область) ‎‎‎</font></sup></p></td>
<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"><font size="2">Millеti‎</font></td>
<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>
<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="4"></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2">Национальность</font>‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><br />‎‎_______________________________________</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2">‎Fuqaroligi </font>‎__________________________________<br /><font size="2">Puqaraliʼgʼiʼ</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" colspan="2">
<p align="center"><sup><font size="2">(tuman / rayon / район) ‎‎</font></sup></p></td>
<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"><sup>‎Гражданство‎‎‎</sup></td>
<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>
<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="4"></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2">‎</font>‎<font size="2">Qayd</font> <font size="2">etish</font> <font size="2">joyi</font> ______________________________</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2"><br />‎‎</font>‎_______________________________________</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Dizimge aliʼngʼan jeri</font> </td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="3">
<p align="center"><font size="2"><sup>‎(FНDYO organining nomi / наименование органа ЗАГСа)</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="4">
<p align="center"><font size="2"><sup>(shahar, posyolka, qishloq va boshqa / qalasiʼ, posyolka, awiʼl haʼm basqa / город, городской посёлок, кишлак и др.) ‎‎</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><sup>‎‎Место регистрации</sup></td>
<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="4"><font size="2">‎‎Bu haqda ________ yil ________ oyining _________ kunida</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2">‎‎Berilgan vaqti ______ yil ________ oyining ________ kuni</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"><br />‎Bul haqqiʼnda‎</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">‎jiʼl ‎</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="2">‎ayiʼniʼnʼ‎</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="2">‎kuʼni‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Berilgen waqtiʼ ‎</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">jiʼl‎</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">ayiʼniʼnʼ‎</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">kuʼni‎</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">Об этом ‎</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">год‎</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">месяц‎</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">число‎</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">Дата выдачи‎</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">год‎</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">месяц ‎</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">число‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2"><br />‎‎‎________________-son bilan dalolatnoma yozuvi qayd etildi.</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="3"><font size="2"><br />‎‎‎Fuqarolik holati dalolatnomalarini</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" colspan="3">
<p align="center"><font size="2">‎‎san menen akt jaziʼwiʼ dizimge aliʼndiʼ.</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2">‎‎yozish organi mudiri</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">№‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="3">
<p align="center"><font size="2">‎‎произведена актовая запись.</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2">Puqaraliʼq halatiʼ aktlerin jaziʼw</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">‎</td>
<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>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">‎‎organiʼ basliʼgʼiʼ</font></td>
<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">‎</td>
<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>
<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" colspan="4"><font size="2">‎‎Заведующий(ая) органом записи</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">‎</td>
<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>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="3"><font size="2">‎‎актов гражданского состояния</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<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>
<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"><font size="2"><br />‎Muhr‎</font></td>
<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>
<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>
<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>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Moʼr‎</font></td>
<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>
<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>
<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>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Печать‎</font></td>
<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>
<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>
<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>
<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" colspan="2">
<p align="center"><font size="2">‎‎Серия, номер</font></p></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="COMMENT"><label id="s3935"></label><div name="edi2006240" id="edi2006240">См. <a href="/acts/2004899?ONDATE=27.09.2018 00#edi3971859">последующую</a> редакцию.</div></div><div class="BY_DEFAULT" style="color:#808080;"><div name="2006245" id="2006245"></div></div><div class="APPL_BANNER_LANDSCAPE_TITLE" style="color:#808080;"><div name="2006246" id="2006246">ПРИЛОЖЕНИЕ № 2 <br />к <a href="/acts/2004899">постановлению </a>Кабинета Министров от 25 апреля 2012 года № 119 </div></div><div class="BY_DEFAULT" style="color:#808080;"><div name="2006247" id="2006247"></div></div><div class="TABLE_STD" id="theDefCssID" style="color:#808080;"><div name="2006248" id="2006248" class="tabBox"><table style="PADDING-BOTTOM: 0px; PADDING-LEFT: 0px; WIDTH: 684px; PADDING-RIGHT: 0px; ; TOP: 0px; PADDING-TOP: 0px; LEFT: 0px" id="theTableID" border="1" cellspacing="1" cols="8">
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">
<p align="center"><font size="2">Изображение Государственного<br />‎ ‎герба Республики Узбекистан</font> </p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><br /><font size="2">‎<br />‎Bu haqda</font> _______ <font size="2">yil</font> ______ <font size="2">oyining</font> ______ <font size="2">kunida</font></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">
<p align="center"><font size="2"><strong>‎‎NIKOН TUZILGANLIGI НAQIDA GUVOНNOMA СВИДЕТЕЛЬСТВО О ЗАКЛЮЧЕНИИ БРАКА</strong> </font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Об этом ‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">год ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">месяц ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">число‎</font></p></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">________________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎______________<font size="2">-son bilan dalolatnoma yozuvi qayd etildi.</font></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">
<p align="center"><sup><font size="2">‎‎(familiyasi / фамилия)</font></sup></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">№ ‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="2">
<p align="right"><font size="2">‎‎произведена актовая запись.‎</font></p></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎________________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">‎‎Nikoh qayd etilganidan keyin quyidagi familiyalar berildi:</font></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">
<p align="center"><sup><font size="2">‎‎(ismi, otasining ismi / имя, отчество)</font></sup></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">‎‎После регистрации брака присвоены фамилии:</font></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2"><br />‎‎‎Tugʼilgan vaqti</font> ____ <font size="2">yil</font> _______ <font size="2">oyining</font> _______ <font size="2">kuni</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><br />‎‎‎<font size="2">eriga</font> ____________________________________</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Дата рождения ‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><sup>год ‎</sup></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><sup>месяц</sup> ‎</p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><sup>число‎</sup></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">мужу ‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">Tugʼilgan joyi:</font> _______________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">xotiniga</font> ‎‎___________________________________</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Место рождения ‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">жене‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎________________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">Qayd etish joyi</font> _______________________________</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2"><br />‎Fuqaroligi</font> __________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Место регистрации ‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="3">
<p align="center"><sup><font size="2">‎‎(FНDYO organining nomi / наименование органа ЗАГСа)</font></sup></p></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Гражданство‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">va</font>‎‎ ______________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">‎‎Berilgan vaqti</font> ____ <font size="2">yil</font> ______ <font size="2">oyining</font> ________ <font size="2">kuni</font></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">и‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="3">
<p align="center"><sup><font size="2">‎‎(familiyasi / фамилия)</font></sup></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Дата выдачи ‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">год ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">месяц ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">число‎</font></p></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">________________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="3"><font size="2">‎‎Fuqarolik holati dalolatnomalarini</font> </td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">
<p align="center"><sup><font size="2">‎‎(ismi, otasining ismi / имя, отчество)</font></sup></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">yozish organi mudiri</font> ___________________________</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">‎‎Tugʼilgan vaqti</font> _____ <font size="2">yil</font> _____ <font size="2">oyining</font> _______ <font size="2">kuni</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="3"><font size="2">‎‎Заведующий(ая) органом записи</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><sup>Дата рождения ‎</sup></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><sup>год‎</sup></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><sup>месяц</sup> ‎</p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><sup>число‎</sup></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">‎‎актов гражданского состояния </font></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">‎‎Tugʼilgan joyi</font>: _______________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Место рождения ‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">________________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Muhr‎‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="2"></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">‎‎Fuqaroligi</font> __________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Печать‎‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Гражданство‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎______________ <font size="2">yil</font> ______ <font size="2">oyining</font> ______ <font size="2">kunida</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">‎год </font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">месяц ‎ </font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">число‎</font> </p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎______________________________ <font size="2">nikohlandilar</font>.</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="3">
<p align="center"><font size="2"><sup>‎‎(yil soʼz bilan / год прописью)</sup> </font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">заключили брак.‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="2">
<p align="center"><font size="2">Серия, номер‎‎</font> </p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr></tbody></table></div></div><div class="COMMENT"><label id="s3935"></label><div name="edi2006248" id="edi2006248">См. <a href="/acts/2004899?ONDATE=27.09.2018 00#edi3971861">последующую</a> редакцию.</div></div><div class="BY_DEFAULT" style="color:#808080;"><div name="2006253" id="2006253"></div></div><div class="APPL_BANNER_LANDSCAPE_TITLE" style="color:#808080;"><div name="2006254" id="2006254">ПРИЛОЖЕНИЕ № 2а<br />к <a href="/acts/2004899">постановлению </a>Кабинета Министров от 25 апреля 2012 года № 119 </div></div><div class="BY_DEFAULT" style="color:#808080;"><div name="2006255" id="2006255"></div></div><div class="TABLE_STD" id="theDefCssID" style="color:#808080;"><div name="2006256" id="2006256" class="tabBox"><table style="PADDING-BOTTOM: 0px; PADDING-LEFT: 0px; WIDTH: 684px; PADDING-RIGHT: 0px; ; PADDING-TOP: 0px" id="theTableID" border="1" cellspacing="1" cols="8">
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">
<p align="center"><font size="2">Изображение Государственного<br />‎ ‎герба Республики Узбекистан</font> </p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><br /><font size="2">‎Bu haqda</font> _______ <font size="2">yil</font> ______ <font size="2">oyining</font> ______ <font size="2">kunida</font></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Bul haqqiʼnda‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">jiʼl ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">ayiʼniʼnʼ</font> ‎</p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">kuʼni‎</font></p></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><strong>
<p align="center"><br /><font size="2">‎‎‎NIKOН TUZILGANLIGI НAQIDA GUVOНNOMA <br />NEKE DUʼZILGENLIGI НAQQIʼNDA GUʼWALIʼQ‎<br />‎СВИДЕТЕЛЬСТВО О ЗАКЛЮЧЕНИИ БРАКА</font><font size="2"> </font></p></strong></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Об этом ‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">год ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">месяц ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">число‎</font></p></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">________________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎______________<font size="2">-son bilan dalolatnoma yozuvi qayd etildi.</font></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">
<p align="center"><sup><font size="2">(familiyasi / familiyasiʼ / фамилия)</font></sup></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">№ ‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="2"><font size="2">‎‎san menen akt jaziʼwiʼ dizimge aliʼndiʼ.</font></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="2"><font size="2">‎‎произведена актовая запись.‎</font></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">________________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">‎‎Nikoh qayd etilganidan keyin quyidagi familiyalar berildi:</font></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">
<p align="center"><sup><font size="2">(ismi, otasining ismi / atiʼ, aʼkesininʼ atiʼ / имя, отчество) ‎‎</font></sup></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">‎‎Neke duʼzilgennen keyin toʼmendegi familiyalar berildi:</font></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">‎‎После регистрации брака присвоены фамилии:</font></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">Tugʼilgan vaqti</font> _____ <font size="2">yil</font> ______ <font size="2">oyining</font> _____ <font size="2">kuni</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎<font size="2">eriga</font> _____________________________________</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Tuwiʼlgʼan waqtiʼ‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">jiʼl ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">ayiʼniʼnʼ ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">kuʼni‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">yerine</font>‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Дата рождения ‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><sup>год ‎</sup></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><sup>месяц</sup> ‎</p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><sup>число‎</sup></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">‎мужу ‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2"><br />‎Tugʼilgan joyi:</font> _______________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2"><br />‎xotiniga</font> ‎‎___________________________________</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Tuwiʼlgʼan jeri‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">hayaliʼna‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Место рождения ‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">жене‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">Qayd etish joyi</font> ______________________________</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Dizimge aliʼngʼan jeri ‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="3">
<p align="center"><font size="2"><sup>(FНDYO organining nomi / PНAJ organiʼniʼnʼ atiʼ / наименование органа ЗАГСа)</sup></font></p></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2"><br />‎Fuqaroligi</font> _________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Место регистрации ‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="3"></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Puqaraliʼgʼiʼ‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Гражданство‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">va‎‎ ______________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">‎Berilgan vaqti</font> _____ <font size="2">yil</font> ______ <font size="2">oyining</font> ______ <font size="2">kuni</font></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">haʼm‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">(familiyasi / familiyasiʼ / фамилия)</font></sup></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Berilgen waqtiʼ ‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">jiʼl ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">ayiʼniʼnʼ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">kuʼni‎</font></p></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">и‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="3"></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Дата выдачи ‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">год ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">месяц ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">число‎</font></p></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">________________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="3"><font size="2">‎‎Fuqarolik holati dalolatnomalarini</font> </td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">
<p align="center"><sup><font size="2">(ismi, otasining ismi / atiʼ, aʼkesininʼ atiʼ / имя, отчество)</font></sup></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">yozish organi mudiri</font> ___________________________</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">‎‎<br />‎Tugʼilgan vaqti</font> ____ <font size="2">yil</font>______ <font size="2">oyining</font> ______ <font size="2">kuni</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="3"><font size="2">Puqaraliʼq halatiʼ aktlerin jaziʼw organiʼ basliʼgʼiʼ</font> </td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Tuwiʼlgʼan waqtiʼ</font> </td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">jiʼl ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">ayiʼniʼnʼ ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">kuʼni‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="2"><font size="2">‎‎Заведующий(ая) органом записи‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><sup>Дата рождения ‎</sup></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><sup>год‎</sup></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><sup>месяц</sup> ‎</p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><sup>число‎</sup></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">актов гражданского состояния</font></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">‎‎Tugʼilgan joyi</font>: _______________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Tuwiʼlgʼan jeri‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Место рождения ‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Muhr‎‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="2"></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">‎‎Fuqaroligi</font> __________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Moʼr‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Puqaraliʼgʼiʼ‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Печать‎‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Гражданство‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎______________ <font size="2">yil</font> ______ <font size="2">oyining</font> ______ <font size="2">kunida</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">jiʼl ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">ayiʼniʼnʼ ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">kuʼni‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">‎год </font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">месяц ‎ </font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">число‎</font> </p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎______________________________ <font size="2">nikohlandilar</font>.</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="3">
<p align="center"><font size="2"><sup>‎‎(yil soʼz bilan / jiʼl soʼz benen / год прописью) </sup></font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">nekelesti.‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="3"></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">заключили брак.‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="2">
<p align="center"><font size="2">Серия, номер‎‎</font> </p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr></tbody></table></div></div><div class="COMMENT"><label id="s3935"></label><div name="edi2006256" id="edi2006256">См. <a href="/acts/2004899?ONDATE=27.09.2018 00#edi3971862">последующую</a> редакцию.</div></div><div class="BY_DEFAULT" style="color:#808080;"><div name="2006443" id="2006443"></div></div><div class="APPL_BANNER_LANDSCAPE_TITLE" style="color:#808080;"><div name="2006444" id="2006444">ПРИЛОЖЕНИЕ № 3 <br />к <a href="/acts/2004899">постановлению </a>Кабинета Министров от 25 апреля 2012 года № 119 </div></div><div class="BY_DEFAULT" style="color:#808080;"><div name="2006445" id="2006445"></div></div><div class="TABLE_STD" id="theDefCssID" style="color:#808080;"><div name="2006446" id="2006446" class="tabBox"><table style="PADDING-BOTTOM: 0px; PADDING-LEFT: 0px; WIDTH: 684px; PADDING-RIGHT: 0px; ; PADDING-TOP: 0px" id="theTableID" border="1" cellspacing="1" cols="8">
<colgroup>
<col />
<col />
<col />
<col />
<col />
<col />
<col />
<col /></colgroup>
<tbody>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">
<p align="center">Изображение Государственного <br />‎герба Республики Узбекистан </p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><br />‎<br />‎<font size="2">Qayd etish joyi</font>‎‎ _______________________________</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">
<p align="center"><font size="2"><strong>‎‎NIKOНDAN AJRALGANLIK НAQIDA GUVOНNOMA СВИДЕТЕЛЬСТВО О РАСТОРЖЕНИИ БРАКА<br />‎</strong> </font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Место регистрации‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="3">
<p align="center"><font size="2"><sup>‎‎(FНDYO organining nomi / наименование органа ЗАГСа)</sup></font></p></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎________________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">________________________________________</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">
<p align="center"><sup><font size="2">‎‎(familiyasi / фамилия)</font></sup></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">Guvohnoma</font> ________________________________</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎________________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="2"><font size="2">Свидетельство выдано</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="2">
<p align="left"><sup><font size="2">‎‎(familiyasi / фамилия)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">
<p align="center"><sup><font size="2">‎‎(ismi, otasining ismi / имя, отчество)</font></sup></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎__________________________________<font size="2">ga berildi.</font></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">va‎‎</font> ______________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">
<p align="center"><sup><font size="2">‎‎(ismi, otasining ismi / имя, отчество)</font></sup></p></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">и‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="3">
<p align="center"><sup><font size="2">‎‎(familiyasi / фамилия)</font></sup></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">Berilgan vaqti</font> ______ <font size="2">yil</font> ________ <font size="2">oyining</font> _____ <font size="2">kuni</font></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎________________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Дата выдачи ‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">год‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">месяц ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">число‎</font></p></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">
<p align="center"><sup><font size="2">‎‎(ismi, otasining ismi / имя, отчество)</font></sup></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="2"><font size="2">‎‎Fuqarolik holati dalolatnomalarini</font> </td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="2"><font size="2"><br />‎nikohdan ajralishdi.</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎<font size="2">‎yozish organi mudiri __________________________________</font></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="2"><font size="2">‎‎расторгли брак.‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="2"><font size="2">‎‎Заведующий(ая) органом записи</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2"><br />‎‎‎Bu haqda</font> _______ <font size="2">yil</font> ________ <font size="2">oyining</font> _____ <font size="2">kunida</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="2"><font size="2">‎‎актов гражданского состояния</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Об этом</font> </td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">год ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">месяц ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">число‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><br />‎‎‎______________<font size="2">-son bilan dalolatnoma yozuvi qayd etildi.</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">‎</font></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">‎№</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="3">
<p align="center"><font size="2">‎</font>‎<font size="2">произведена актовая запись</font>.</p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2"><br />‎‎‎Nikohdan ajralgandan keyin quyidagi familiyalar berildi:</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2"><br />‎Muhr‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">‎‎После расторжения брака присвоены фамилии:</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Печать‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎<br />‎<font size="2">eriga</font> ____________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎<font size="2">мужу</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><br />‎‎‎<font size="2">xotiniga</font> ___________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">
<p align="left"><font size="2">жене</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎Серия, номер</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr></tbody></table></div></div><div class="COMMENT"><label id="s3935"></label><div name="edi2006446" id="edi2006446">См. <a href="/acts/2004899?ONDATE=27.09.2018 00#edi3971872">последующую</a> редакцию.</div></div><div class="BY_DEFAULT" style="color:#808080;"><div name="2006502" id="2006502"></div></div><div class="APPL_BANNER_LANDSCAPE_TITLE" style="color:#808080;"><div name="2006503" id="2006503">ПРИЛОЖЕНИЕ № 3а <br />к <a href="/acts/2004899">постановлению </a>Кабинета Министров от 25 апреля 2012 года № 119 </div></div><div class="BY_DEFAULT" style="color:#808080;"><div name="2006504" id="2006504"></div></div><div class="TABLE_STD" id="theDefCssID" style="color:#808080;"><div name="2006505" id="2006505" class="tabBox"><table id="theTableID" style="PADDING-RIGHT: 0px; ; PADDING-LEFT: 0px; PADDING-BOTTOM: 0px; WIDTH: 684px; PADDING-TOP: 0px" cellspacing="1" cols="8" border="1">
<colgroup>
<col />
<col />
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<col />
<col />
<col />
<col />
<col /></colgroup>
<tbody>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4">
<p align="center">Изображение Государственного <br />‎герба Республики Узбекистан </p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><br />‎<br />‎<font size="2">Qayd etish joyi</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">‎</td>
<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>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Dizimge aliʼngʼan jeri ‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="3">
<p align="center"><sup><font size="2">(FНDYO organining nomi / PНAJ organiʼniʼnʼ atiʼ / наименование органа ЗАГСа)</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="4">
<p align="center"><font size="2"><strong>NIKOНDAN AJRALGANLIK НAQIDA GUVOНNOMA <br />‎NEKEDEN AJIʼRASQANLIʼGʼIʼ НAQQIʼNDA GUʼWALIʼQ <br />‎СВИДЕТЕЛЬСТВО О РАСТОРЖЕНИИ БРАКА ‎</strong> </font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Место регистрации‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="3"></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4">‎‎________________________________________</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4">‎‎________________________________________</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4">
<p align="center"><sup><font size="2">(familiyasi / familiyasiʼ / фамилия)</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2">Guvohnoma</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">‎</td>
<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>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Guʼwaliʼq‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="3">
<p align="center"><sup><font size="2">‎‎(familiyasi / familiyasiʼ / фамилия)</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="4">________________________________________</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">Свидетельство выдано</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4">
<p align="center"><sup><font size="2">(ismi, otasining ismi / atiʼ, aʼkesininʼ atiʼ / имя, отчество)</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4">‎‎__________________________________<font size="2">ga berildi.</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">‎</td>
<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>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="3">
<p align="center"><font size="2"><sup>‎‎(ismi, otasining ismi / atiʼ, aʼkesininʼ atiʼ / имя, отчество)</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">ga berildi.</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2">va‎‎</font> ______________________________________</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">ha</font>ʼ<font size="2">m‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="3"><sup><font size="2">(familiyasi / familiyasiʼ / фамилия)‎‎</font></sup></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4"><font size="2">‎‎Berilgan vaqti</font> ______ <font size="2">yil</font> _____ <font size="2">oyining</font> _______ <font size="2">kuni</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">и‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="3"></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">Berilgen waqtiʼ </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">jiʼl‎</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">ayiʼniʼnʼ‎</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">kuʼni‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4">‎________________________________________</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Дата выдачи ‎</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">год‎</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">месяц ‎</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">число‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4">
<p align="center"><sup><font size="2">(ismi, otasining ismi / atiʼ, aʼkesininʼ atiʼ / имя, отчество)</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">‎‎Fuqarolik holati dalolatnomalarini</font> </td>
<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"><font size="2"><br />‎nikohdan ajralishdi.</font></td>
<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>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="4">‎<font size="2">‎yozish organi mudiri _______________________________</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">nekeden ajiʼrastiʼ‎</font></td>
<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>
<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" colspan="2"><font size="2">Puqaraliʼq halatiʼ aktlerin jaziʼw‎‎‎</font></td>
<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"><font size="2">‎‎расторгли брак.‎</font></td>
<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>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">organiʼ basliʼgʼiʼ</font></td>
<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="4"><font size="2"><br />‎‎‎Bu haqda</font> _______ <font size="2">yil</font> _______ <font size="2">oyining</font> ______ <font size="2">kunida</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">‎‎‎‎Заведующий(ая) органом записи актов гражданского состояния</font></td>
<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"><font size="2">Bul haqqiʼnda ‎</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">jiʼl ‎</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">ayiʼniʼnʼ ‎</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">kuʼni‎</font></p></td>
<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>
<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"><font size="2">Об этом</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">год ‎</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">месяц ‎</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">число‎</font></p></td>
<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>
<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="4"><br />‎‎‎______________<font size="2">-son bilan dalolatnoma yozuvi qayd etildi.</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>
<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>
<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">№‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="3">
<p align="center"><font size="2">‎‎-san menen akt jaziʼwiʼ dizimge aliʼndiʼ.</font></p></td>
<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>
<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"><font size="2">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="3">
<p align="center"><font size="2">произведена актовая запись</font>.</p></td>
<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>
<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="4"><font size="2"><br />‎‎‎Nikohdan ajralgandan keyin quyidagi familiyalar berildi:</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2"><br />‎Muhr‎</font></td>
<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>
<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="4"><font size="2">‎‎Nekeden ajiʼrasqannanʼ keyin toʼmendegi familiyalar berildi:</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Moʼr‎</font></td>
<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>
<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="4"><font size="2">‎‎После расторжения брака присвоены фамилии:</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Печать‎</font></td>
<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>
<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="4">‎‎<br />‎<font size="2">eriga</font> _____________________________________</td>
<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>
<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"><font size="2">yerine‎</font></td>
<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>
<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>
<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>
<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="4">‎‎<font size="2">мужу</font></td>
<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>
<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="4"><br />‎‎‎<font size="2">xotiniga</font> ___________________________________</td>
<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>
<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"><font size="2">hayaliʼna‎</font></td>
<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>
<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>
<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>
<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="4">
<p align="left"><font size="2">жене</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>
<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">‎‎Серия, номер</font></p></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="COMMENT"><label id="s3935"></label><div name="edi2006505" id="edi2006505">См. <a href="/acts/2004899?ONDATE=27.09.2018 00#edi3971877">последующую</a> редакцию.</div></div><div class="BY_DEFAULT" style="color:#808080;"><div name="2006526" id="2006526"></div></div><div class="APPL_BANNER_LANDSCAPE_TITLE" style="color:#808080;"><div name="2006527" id="2006527">ПРИЛОЖЕНИЕ № 4 <br />к <a href="/acts/2004899">постановлению </a>Кабинета Министров от 25 апреля 2012 года № 119 </div></div><div class="BY_DEFAULT" style="color:#808080;"><div name="2006528" id="2006528"></div></div><div class="TABLE_STD" id="theDefCssID" style="color:#808080;"><div name="2006529" id="2006529" class="tabBox"><table style="PADDING-BOTTOM: 0px; PADDING-LEFT: 0px; WIDTH: 684px; PADDING-RIGHT: 0px; ; PADDING-TOP: 0px" id="theTableID" border="1" cellspacing="1" cols="8">
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">
<p align="center"><font size="2">Изображение Государственного ‎<br />‎герба Республики Узбекистан</font> </p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><br />‎<font size="2">Qayd etish joyi</font> _______________________________</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">
<p align="center"><strong><br /><font size="2">‎‎‎OʼLIM НAQIDA GUVOНNOMA <br />‎СВИДЕТЕЛЬСТВО О СМЕРТИ</font></strong><font size="2"> </font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Место регистрации ‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="3">
<p align="center"><sup><font size="2">‎‎(FНDYO organining nomi / наименование органа ЗАГСа)</font></sup></p></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">________________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎<font size="2">Berilgan vaqti</font> _____ <font size="2">yil</font> ______ <font size="2">oyining</font> ______ <font size="2">kuni</font></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">
<p align="center"><sup><font size="2">‎‎(familiyasi / фамилия)</font></sup></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="left"><font size="2">Дата выдачи ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">год ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">месяц ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">число‎</font></p></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><br />‎<br />‎________________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="2"><font size="2"><br />‎Fuqarolik holati dalolatnomalarini</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">
<p align="center"><sup><font size="2">‎‎(ismi, otasining ismi / имя, отчество)</font></sup></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">‎</font>‎<font size="2">yozish organi mudiri</font> ___________________________</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">‎‎Fuqaroligi</font> __________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="3"><font size="2">‎‎Заведующий(ая) органом записи</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Гражданство‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="2"><font size="2">‎‎актов гражданского состояния</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎______________ <font size="2">yil</font> ______ <font size="2">oyining </font>_______ <font size="2">kunida</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">год ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">месяц ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">число‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎________________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Muhr‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">
<p align="center"><sup><font size="2">‎‎(yil soʼz bilan / год прописью)</font></sup></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Печать‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎_____________________________ <font size="2">yoshda vafot etdi.</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="2">
<p align="right"><font size="2">‎‎умер(ла) в возрасте.</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">‎‎Bu haqda</font> _______ <font size="2">yil</font> _______ <font size="2">oyining</font> ______ <font size="2">kunida</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="left"><font size="2">Об этом ‎‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">год</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">месяц‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">число‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎______________<font size="2">-son bilan dalolatnoma yozuvi qayd etildi.</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="left">‎<font size="2">№</font>‎</p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="2">
<p align="center">‎ <font size="2">произведена актовая запись.</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">‎‎Oʼlimning sababi</font> _____________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Причина смерти‎</font></td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">________________________________________‎‎</td>
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<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎________________________________________</td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎<font size="2">Vafot etgan joyi:</font> ______________________________</td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">‎</font></td></tr>
<tr>
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<p align="left"><font size="2">Место смерти: </font>‎</p></td>
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<p align="center"><sup><font size="2">‎‎(davlat / государство)</font></sup></p></td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">________________________________________</td>
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<tr>
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<p align="center"><sup><font size="2">(viloyat / область)</font></sup></p></td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎________________________________________</td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
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<p align="center"><sup><font size="2">‎‎(tuman / район)</font></sup></p></td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">__‎‎______________________________________</td>
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<p align="center"><sup><font size="2">‎‎(shahar, posyolka, qishloq va boshqa / город, городской посёлок, кишлак и др.)</font></sup></p></td>
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<p align="center"><font size="2">Серия, номер‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr></tbody></table></div></div><div class="COMMENT"><label id="s3935"></label><div name="edi2006529" id="edi2006529">См. <a href="/acts/2004899?ONDATE=27.09.2018 00#edi3971881">последующую</a> редакцию.</div></div><div class="BY_DEFAULT" style="color:#808080;"><div name="2006530" id="2006530"></div></div><div class="APPL_BANNER_LANDSCAPE_TITLE" style="color:#808080;"><div name="2006531" id="2006531">ПРИЛОЖЕНИЕ № 4а <br />к <a href="/acts/2004899">постановлению </a>Кабинета Министров от 25 апреля 2012 года № 119 </div></div><div class="BY_DEFAULT" style="color:#808080;"><div name="2006532" id="2006532"></div></div><div class="TABLE_STD" id="theDefCssID" style="color:#808080;"><div name="2006533" id="2006533" class="tabBox"><table style="PADDING-BOTTOM: 0px; PADDING-LEFT: 0px; WIDTH: 684px; PADDING-RIGHT: 0px; ; PADDING-TOP: 0px" id="theTableID" border="1" cellspacing="1" cols="7">
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<p align="center"><font size="2">Изображение Государственного<br />‎ ‎герба Республики Узбекистан</font> </p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2"><br />‎Qayd etish joyi</font> _______________________________</td></tr>
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<p align="center"><strong><br /><font size="2">‎OʼLIM НAQIDA GUVOНNOMA <br />‎WOʼLIM НAQQIʼNDA GUʼWALIʼQ <br />‎СВИДЕТЕЛЬСТВО О СМЕРТИ ‎‎</font></strong></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">‎Dizimge aliʼngʼan jeri<br />‎Место регистрации‎‎ ‎</font></td>
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<p align="center"><font size="2"><sup>‎‎(FНDYO organining nomi / PНAJ organiʼniʼnʼ atiʼ / наименование органа ЗАГСа)</sup></font></p></td></tr>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎________________________________________</td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
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<p align="center"><sup><font size="2">‎‎(familiyasi / familiyasiʼ / фамилия)</font></sup></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">Berilgan vaqti </font>____ <font size="2">yil</font> _______<font size="2">oyining </font>_______ <font size="2">kuni</font></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><br />‎‎‎________________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="left"><font size="2">Berilgen waqtiʼ ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">jiʼl ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">ayiʼniʼnʼ ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">kuʼni‎</font></p></td></tr>
<tr>
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<p align="center"><sup><font size="2">‎‎(ismi, otasining ismi / atiʼ, aʼkesininʼ atiʼ / имя, отчество)</font></sup></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="left"><font size="2">Дата выдачи ‎</font></p></td>
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<p align="center"><font size="2">год ‎</font></p></td>
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<p align="center"><font size="2">месяц ‎</font></p></td>
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<p align="center"><font size="2">число‎</font></p></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">‎‎<br />‎Fuqaroligi</font> _________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="3"><font size="2"><br />‎Fuqarolik holati dalolatnomalarini</font> </td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Puqaraliʼgʼiʼ‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">‎</font>‎<font size="2">yozish</font> <font size="2">organi</font> <font size="2">mudiri</font> ___________________________</td></tr>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Гражданство‎</font></td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">‎‎Puqaraliʼq halatiʼ aktlerin jaziʼw‎‎</font></td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎______________ <font size="2">yil</font> _______ <font size="2">oyining</font> ______ <font size="2">kunida</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">organiʼ basliʼgʼiʼ‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">jiʼl ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">ayiʼniʼnʼ ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">kuʼni‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="3"><font size="2">‎‎Заведующий(ая) органом записи</font></td>
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<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">года ‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">
<p align="center"><font size="2">месяца ‎</font></p></td>
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<p align="center"><font size="2">числа‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="2"><font size="2">‎‎актов гражданского состояния</font></td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎________________________________________</td>
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<p align="center"><sup><font size="2">‎‎(yil soʼz bilan / jiʼl soʼz benen / год прописью)</font></sup></p></td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎_____________________________ <font size="2">yoshda vafot etdi.</font></td>
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<p align="right">‎‎jasta woʼldi.</p></td>
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<tr>
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<p align="right"><font size="2">‎‎умер(ла) в возрасте.</font></p></td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">‎‎Bu haqda</font> ________ <font size="2">yil</font> _____ <font size="2">oyining</font> ______ <font size="2">kunida</font></td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
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<p align="left"><font size="2">Bul haqqiʼnda ‎</font></p></td>
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<p align="center"><font size="2">jiʼl ‎</font></p></td>
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<p align="center"><font size="2">ayiʼniʼnʼ ‎</font></p></td>
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<p align="center"><font size="2">kuʼni‎</font></p></td>
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<p align="center"><font size="2">‎</font></p></td>
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<p align="center"><font size="2">‎</font></p></td>
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<p align="center"><font size="2">‎</font></p></td>
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<p align="center"><font size="2">‎</font></p></td></tr>
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<p align="left"><font size="2">Об этом ‎</font></p></td>
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<p align="center"><font size="2">год ‎</font></p></td>
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<p align="center"><font size="2">месяц ‎</font></p></td>
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<p align="center"><font size="2">число‎</font></p></td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎______________<font size="2">-son bilan dalolatnoma yozuvi qayd etildi.</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Muhr‎‎</font></td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">№</font> ‎</td>
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<p align="right"><font size="2">‎‎san menen akt jaziʼwiʼ dizimge aliʼndiʼ.</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Moʼr‎‎</font></td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
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<p align="right"><font size="2">произведена актовая запись.‎‎</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">‎Печать‎</font></td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4"><font size="2">‎‎Oʼlimning sababi</font> _____________________________‎</td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="2"><font size="2">Woʼlimninʼ sebebi‎</font>‎<font size="2">‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">‎</font></td></tr>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Причина смерти‎</font></td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
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<p align="left">‎‎________________________________________</p></td>
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<p align="left">________________________________________‎‎</p></td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
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<p align="left">‎<font size="2">Vafot etgan joyi</font>:______________________________</p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">‎</font></td></tr>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Woʼlgen jeri: </font>‎</td>
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<p align="center"><font size="2">‎<sup>‎(davlat / maʼmleket / государство)</sup></font></p></td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none"><font size="2">Место смерти:‎</font></td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">________________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
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<p align="center"><sup><font size="2">‎‎(viloyat / oblast / область)</font></sup></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎________________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
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<p align="center"><sup><font size="2">‎‎(tuman / rayon / район)</font></sup></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
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<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">‎‎________________________________________</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
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<tr>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="4">
<p align="center"><font size="2"><sup>‎‎(shahar, posyolka, qishloq va boshqa / qalasiʼ, posyolka, awiʼl haʼm basqa / город, городской поселок, кишлак и др.)</sup></font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎Серия, номер</font></p></td>
<td style="BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none">‎</td></tr></tbody></table></div></div><div class="COMMENT"><label id="s3935"></label><div name="edi2006533" id="edi2006533">См. <a href="/acts/2004899?ONDATE=27.09.2018 00#edi3971886">последующую</a> редакцию.</div></div><div class="BY_DEFAULT"><div name="2006590" id="2006590"></div></div><div class="APPL_BANNER_LANDSCAPE_TITLE"><div name="2006591" id="2006591">ПРИЛОЖЕНИЕ № 5 <br />к <a href="/acts/2004899">постановлению </a>Кабинета Министров от 25 апреля 2012 года № 119 </div></div><div class="ACT_FORM"><div name="2006592" id="2006592">ПЕРЕЧЕНЬ</div></div><div class="ACT_TITLE_APPL"><div name="2006593" id="2006593">решений Правительства Республики Узбекистан, признаваемых утратившими силу с 1 июля 2012 года </div></div><div class="BY_DEFAULT"><div name="2006594" id="2006594"></div></div><div class="ACT_TEXT"><div name="2006595" id="2006595">1. <a href="/acts/541479">Постановление </a>Кабинета Министров от 30 июня 1997 г. № 330 «Об утверждении формы гербовых свидетельств о рождении, регистрации брака и смерти, введении гербового сбора».</div></div><div class="ACT_TEXT"><div name="2006596" id="2006596">2. <a href="/acts/794340">Постановление </a>Кабинета Министров от 5 июня 2003 г. № 249 «О форме гербовых свидетельств и размере гербового сбора».</div></div></div>
                
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