Hujjat kuchini yo‘qotgan 01.07.2012 30.06.1997 yildagi 330-son
ONLINE TRANSLATE
Hujjat kuchini yo‘qotgan 01.07.2012
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
O‘zbekiston Respublikasi Vazirlar Mahkamasining
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
qarori
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
TUG‘ILGANLIK, NIKOH QAYD ETILGANLIGI VA O‘LIM HAQIDAGI GERBLI GUVOHNOMALAR ShAKLINI TASDIQLASh, GERB YIG‘IMINI JORIY QILISh TO‘G‘RISIDA
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
 LexUZ sharhi
Mazkur qaror O‘zbekiston Respublikasi Vazirlar Mahkamasining 2012-yil 25-apreldagi 119-sonli “Gerbli guvohnomalar shakllarini va ularni berganlik uchun gerb yig‘imi miqdorini tasdiqlash to‘g‘risida”gi qaroriga muvofiq o‘z kuchini yo‘qotgan.
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
Fuqarolik holatlari dalolatnomalarini yozish (FHDYo) organlari tomonidan aholiga beriladigan gerbli guvohnomalar shakli va mazmunini “Davlat tili haqida”gi O‘zbekiston Respublikasi Qonuniga muvofiqlashtirish hamda FHDYo organlarini gerbli guvohnomalar bilan ta’minlashni tartibga solish maqsadida Vazirlar Mahkamasi qaror qiladi:
Oldingi tahrirga qarang.
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
1. Tug‘ilganlik, nikoh tuzilganligi va o‘lim haqidagi gerbli guvohnomalar shakli 1-3a-ilovalarga muvofiq tasdiqlansin.
(1-band O‘zbekiston Respublikasi Vazirlar Mahkamasining 2003-yil 5-iyundagi 249-sonli qarori tahririda)
Oldingi tahrirga qarang.
(2-band O‘zbekiston Respublikasi Vazirlar Mahkamasining 2007-yil 21-dekabrdagi 263-sonli qarori bilan o‘z kuchini yo‘qotgan — O‘R QHT, 2007-y., 50-51-son, 523-modda)
Oldingi tahrirga qarang.
(3-band O‘zbekiston Respublikasi Vazirlar Mahkamasining 2003-yil 5-iyundagi 249-sonli qaroriga asosan o‘z kuchini yo‘qotgan)
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
4. Gerb yig‘imidan tushadigan mablag‘lar gerbli guvohnomalar va fuqarolik holatlari dalolatnomasi yozuvlari shakllarini tayyorlash bilan bog‘liq xarajatlarni qoplash va FHDYo organlarini rivojlantirishga sarflash uchun Adliya vazirligi ixtiyorida qoldirilsin.
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
5. Mazkur qarorning bajarilishini nazorat qilish O‘zbekiston Respublikasi Adliya vaziri S. Mirsafoyev zimmasiga yuklansin.
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
O‘zbekiston Respublikasi Bosh vaziri O‘. SULTONOV
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
Toshkent sh.,
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
1997-yil 30-iyun,
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
330-son
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
Vazirlar Mahkamasining
1997-yil 30-iyundagi 330-son qaroriga
1-ILOVA
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш

O‘zbekiston Respublikasi
‎GERBI‎

TUG‘ILGANLIK HAQIDA GUVOHNOMA‎

Fuqaro______________________________

‎Otasi ______________________________

‎ (familiyasi)‎‎

‎ (familiyasi)‎‎

____________________________________

‎____________________________________

‎(ismi, otasining ismi)‎

‎(ismi, otasining ismi)‎

______yil________ oyining_____ kunida ‎

‎millati _____________________________

‎____________________________________

‎‎Onasi ______________________________‎

‎‎(familiyasi)‎ ‎

______________________________tug‘ildi

____________________________________‎

‎ (raqam va so‘z bilan)‎‎

‎‎(ismi, otasining ismi)‎‎

Tug‘ilgan joyi: ____________Respublikasi‎

‎millati _____________________________

______________________________viloyati ‎

‎Qayd etish joyi_______________________

‎ (FHDYo organining nomi)‎

______________________________tumani ‎

‎____________________________________

_______________shahri, shaharchasi, qishlog‘i‎

‎Berilgan vaqti____yil “___” ____________

Bu haqda ___yil ______oyining____ kunida ‎

__- son bilan dalolatnoma yozuvi qayd etildi.‎

Fuqarolik holati dalolatnomalarini
‎ yozish organi mudiri ‎_________________

Muhr ‎



‎I—O'z №‎ 0000000


(1-ilovaning davomi)‎

SVIDETELSTVO O ROJDENII‎

Grajdanin (ka) ______________________

Otets_______________________________

‎(familiya)‎‎ ‎

‎(familiya)‎‎ ‎

____________________________________

____________________________________

‎(imya, otchestvo)‎‎

‎(imya, otchestvo)‎‎

rodilsya (las)‎ “____” _____________ goda

Mat_______________________________

(familiya)‎ ‎ ‎‎

____________________________________‎

____________________________________

(imya, otchestvo)‎ ‎ ‎

____________________________________

natsionalnost _____________________‎

(tsiframi i propisyu)‎‎

Mesto rojdeniya: Respublika ___________‎

Mesto registratsii ___________________

(naimenovaniye organa ZAGSa)‎‎

_____________________________ oblast‎

____________________________________‎

______________________________rayon‎

Data vidachi “ ____ ”‎ _____________ goda

gorod, posyolok, kishlak _______________‎

Ob etom “ ______ ” _______________ goda‎

Zaveduщiy (aya) organom zapisi
‎aktov grajdanskogo sostoyaniya ______‎

proizvedena aktovaya zapis za № _______‎

Pechat ‎


‎‎I—O'z №‎ 0000000 ‎ ‎ ‎ ‎

(1-ilovaning davomi)‎ ‎ ‎ ‎‎


‎BIRTH CERTIFICATE‎

‎Citizen ______________________________

Father _______________________________

‎(surname)‎

‎(surname)‎

____________________________________

‎____________________________________

‎(given names)‎

‎(given names)‎

‎was born on __________________________

nationality (etnic) _______________________

‎(day, month, year in figures and words)‎

‎____________________________________

Mother ______________________________ ‎

‎(surname)‎ ‎‎

‎____________________________________

‎____________________________________

‎‎‎(given names) ‎ ‎‎

Place of birth: Republic __________________‎

nationality (etnic) ______________________ ‎

_______________________________region‎

Place of registration _____________________

‎‎(name and location of the Registry Office)‎

______________________________district‎

____________________________________‎

___________________________city, village.‎

Date of issue “ ___ ”‎ ___________________

‎Birth record No. ____ was filed on _________

‎Registrar _______________________‎

‎(day, month, year)‎‎

Seal‎



‎‎‎‎I—O'z №‎ 0000000
‎ ‎ ‎ ‎ ‎

(1-ilova O‘zbekiston Respublikasi Vazirlar Mahkamasining 2003-yil 5-iyundagi 249-sonli qarori tahririda)
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
Vazirlar Mahkamasining
1997-yil 30-iyundagi 330-son qaroriga
1a-ILOVA
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш

O‘zbekiston Respublikasi
‎GERBI‎

TUG‘ILGANLIK HAQIDA GUVOHNOMA‎
TUO‘ЫLG‘ANLЫG‘Ы HAQQЫNDA GҮO‘ALЫQ ‎

Fuqaro_____________________________

‎Otasi __________________________________

Puxara ‎‎(familiyasi/familiyasi)‎ Ekesi ‎(familiyasi/familiyasi)

_______________________________________

‎_______________________________________

(ismi, otasining ismi/ati, Ekesiniң ati)‎

(ismi, otasining ismi/ati, Ekesiniң ati)‎

______yil _______ oyining ________ kunida ‎
‎_________jil _______ ayinin______ kuni ‎

‎millati _______________________________
‎milleti

____________________________________

‎‎Onasi _________________________________
‎Anasi

(familiyasi/familiyasi)‎

________________________________ tug‘ildi

_______________________________________‎

(raqam va so‘z bilan/san hem soz benen)‎ ‎ tug‘ildi

(ismi, otasining ismi/ati, Ekesiniң ati)‎

Tug‘ilgan joyi: _______________Respublikasi‎
Tuo‘ilg‘an jeri:_____________________Respublikasi

‎millati ________________________________
‎mileti

_________________viloyati

‎Qayd etish joyi _________________________

oblasti‎‎

Dizimge aling‘an jeri (FHDYo organining nomi)‎

_______________________________________ ‎

(FHDYo organining nomi/PXAJ organiniң ati)‎‎

____________tumani ‎‎
‎rayoni

_______________________________________

____________ shahri, shaharchasi, qishlog‘i‎
____________ qalasi, posyolkasi, ao‘ili.

‎Berilgan vaqti____yil “____” _____________
‎Berilgen o‘aqti ___jil “____” ____________

Bu haqda ___yil ______oyining__ kunida
Bul haqqinda___jil __ayiniң___ kүni

___son bilan dalolatnoma yozuvi qayd etildi.‎
‎‎san menen akt jazio‘i dizimge alindi.‎

Fuqarolik holati dalolatnomalarini
‎ yozish organi mudiri ‎_________

‎Puxaraliq halati aktlerin
‎jazio‘ organi baslig‘i _______
Muhr ‎
‎Mor



‎I—QQ №‎ 0000000


(1-ilovaning davomi)‎

SVIDETELSTVO O ROJDENII‎

Grajdanin (ka) ______________________

Otets_______________________________

‎(familiya)‎‎

‎(familiya)‎‎

____________________________________

____________________________________

‎(imya, otchestvo)‎‎

‎(imya, otchestvo)‎‎

rodilsya (las)‎ “____” _____________ goda

Mat_______________________________

‎(familiya)‎ ‎ ‎‎

____________________________________‎

____________________________________

‎‎(imya, otchestvo)‎ ‎ ‎‎

____________________________________

natsionalnost _____________________

‎(tsiframi i propisyu)‎‎

Mesto rojdeniya: Respublika ___________‎

Mesto registratsii ___________________

‎(naimenovaniye organa ZAGSa)‎‎

_____________________________ oblast‎

_____________________________‎________________

______________________________rayon‎

Data vidachi “ ____ ”‎ _____________ goda

gorod, posyolok, kishlak _______________‎

Ob etom “ ______ ” _______________ goda‎

Zaveduщiy (aya) organom zapisi
‎aktov grajdanskogo sostoyaniya _________‎

proizvedena aktovaya zapis za № _______‎

Pechat ‎


‎‎I—O'z №‎ 0000000 ‎ ‎ ‎ ‎

(1a-ilovaning davomi)‎ ‎ ‎
‎‎


‎BIRTH CERTIFICATE‎

‎Citizen ______________________________

Father ______________________________

‎(surname)‎

‎(surname)‎

___________________________________

‎____________________________________

‎(given names)‎

‎(given names)‎

‎was born on __________________________
‎(day, month, year in figures and words)

nationality (etnic) ______________________

‎____________________________________

Mother _____________________________

‎(surname)‎ ‎‎

‎____________________________________

‎____________________________________

‎‎‎(given names) ‎ ‎

Place of birth: Republic _________________‎

nationality (etnic) ______________________ ‎

_______________________________region‎

Place of registration ____________________

‎‎(name and location of the Registry Office)‎

______________________________district‎

____________________________________‎

___________________________city, village.‎

Date of issue “ ____ ”‎ __________________


‎Birth record No. ____ was filed on _________


‎Registrar _________________________‎

‎(day, month, year)‎‎

Seal‎



‎‎‎‎I—O'z №‎ 0000000 ‎ ‎ ‎ ‎ ‎

(1a-ilova O‘zbekiston Respublikasi Vazirlar Mahkamasining 2003-yil 5-iyundagi 249-sonli qarori tahririda)
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
Vazirlar Mahkamasining
1997-yil 30-iyundagi 330-son qaroriga
2-ILOVA
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш

O‘zbekiston Respublikasi
‎GERBI‎

NIKOH TUZILGANLIGI HAQIDA GUVOHNOMA‎

Fuqaro_________________________________
‎ (familiyasi)‎

Bu haqda_____yil______oyining______kunida

_______________________________________
‎(ismi, otasining ismi)‎

_______-son bilan dalolatnoma yozuvi qayd etildi.

tug‘ilgan vaqti______yil “ ____ ”___________

Nikoh qayd etilgandan keyin quyidagi familiyalar berildi:

tug‘ilgan joyi ___________________________

eriga __________________________________

_______________________________________
‎_______________________________________

xotiniga _______________________________

va fuqaro_______________________________
‎(familiyasi)

Qayd etish joyi _________________________
‎(FHDYo organining nomi)

_______________________________________
‎(ismi, otasining ismi) ‎

_______________________________________

Tug‘ilgan vaqti_____yil “_______”______________

Berilgan vaqti____ yil “ _______ ”_____________

tug‘ilgan joyi ___________________________

_______________________________________
‎_______________________________________

Fuqarolik holati dalolatnomalarini ‎
‎yozish organi mudiri ‎_____________________

_____yil___________oyining________kunida

‎_______________________________________

Muhr ‎

__________________________nikoxlandilar.
‎‎ ‎(raqam va so‘z bilan)‎



‎I—O'z №‎ 0000000


(2-ilovaning davomi)‎

SVIDETELSTVO O ZAKLYuChENII BRAKA‎

Grajdanin______________________________
‎(familiya)‎

Ob etom “ ____ ” __________________ goda

_______________________________________‎(imya, otchestvo)‎

proizvedena aktovaya zapis za № ____________.

data rojdeniya ‎ “____” ________________ goda

Posle registratsii braka prisvoyeni familii:

mesto rojdeniya _________________________‎

muju __________________________________

_______________________________________
_______________________________________‎

jene __________________________________

i grajdanka _____________________________
‎(familiya)‎

Mesto registratsii _______________________
‎(naimenovaniye organa ZAGSa)

_______________________________________
‎(imya, otchestvo)

______________________________________

data rojdeniya ‎ “____” _______________ goda

data vidachi ‎ “_____” ________________ goda

mesto rojdeniya _________________________‎

_______________________________________
_______________________________________

Zaveduщiy (aya) organom zapisi
‎aktov grajdanskogo sostoyaniya ____________‎

zaklyuchili brak “ __ ” _______________ goda‎

Pechat ‎

‎_______________________________________ ______________________________________‎
‎(tsiframi i propisyu)





‎‎‎I—O'z №‎ 0000000 ‎ ‎ ‎ ‎

(2-ilovaning davomi)‎ ‎ ‎
‎‎


MARRIAGECERTIFICAT‎E

_______________________________________
‎(surname)

Marriage record No. ___ was filed on __________
‎(day, month, year)

‎_______________________________________
‎(given names)

In the marriage the following surnames were given to

‎date of birth _____________________________
‎(day, month, year)

husband ________________________________

place of birth_____________________________

wife____________________________________

‎______________________________________________________________________________

Place of registration _______________________
‎(name and location of the Registry Office)

and ___________________________________
‎(surname)

______________________________________

‎_______________________________________
‎(given names)

Date of issue “ ____ ” _____________________

‎date of birth _____________________________
‎(day, month, year)

place of birth_____________________________

‎Registrar _________________________

‎_______________________________________
_______________________________________‎

married on ______________________________
‎(day, month, year in figures and words)‎

Seal‎ ‎

‎_______________________________________
_______________________________________‎



‎‎‎‎I—O'z №‎ 0000000 ‎ ‎ ‎ ‎ ‎

(2-ilova O‘zbekiston Respublikasi Vazirlar Mahkamasining 2003-yil 5-iyundagi 249-sonli qarori tahririda)
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
Vazirlar Mahkamasining
1997-yil 30-iyundagi 330-son qaroriga
2a-ILOVA
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш

O‘zbekiston Respublikasi
‎GERBI‎

NIKOH TUZILGANLIGI HAQIDA GUVOHNOMA‎
‎NEKE DYZILGENLIGI HAQQЫNDA GYO‘ALЫQ

Fuqaro Puxara _________________________
‎‎(familiyasi/familiyasi) ‎ ‎

Bu haqda____yil_______oyining______kunida
‎Bul haqqinda_____ jil____ ayiniң____ kүni

_______________________________________
(ismi, otasining ismi/ati, Ekesiniң ati)

_____-son bilan dalolatnoma yozuvi qayd etildi.
______-‎san menen akt jazio‘i dizimge alindi.

tug‘ilgan vaqti____yil “ ___ ”______________
tuo‘ilg‘an o‘aqti____jil “ ____ ”___________ ‎

Nikoh qayd etilgandan keyin quyidagi familiyalar berildi:
‎Neke dүzilgennen keyin tomendegi familiyalar berildi:

tug‘ilgan joyi ___________________________
tuo‘ilg‘an jeri __________________________‎

eriga yerine_____________________________

__________________________________________________
‎____________________________________

xotiniga hayalina_________________________

va fuqaro hem puxara_____________________
(familiyasi/familiyasi)

Qayd etish joyi Dizimge aling‘an jeri______
(FHDYo organining nomi/PXAJ organiniң ati)

_______________________________________
(ismi, otasining ismi/ati, Ekesiniң ati)

_______________________________________

Tug‘ilgan vaqti_____yil “_______”_________
tuo‘ilg‘an jeri __________________________‎

Berilgan vaqti____ yil “ _____ ”___________
‎Berilgen o‘aqti ____jil“ ______ ”_________

tug‘ilgan joyi ___________________________
tuo‘ilg‘an jeri __________________________‎

_______________________________________
‎_______________________________________

Fuqarolik holati dalolatnomalarini ‎
‎yozish organi mudiri ‎_____________________
‎Puxaraliq halati aktlerin
‎jazio‘ organi baslig‘i __________________

_____yil__________oyining________kunida
_____‎jil___________ayinin________kuni

‎_______________________________________

Muhr
‎Mor‎

_________________nikohlandilar. nekelesti.
‎‎ ‎(raqam va so‘z bilan/san hem soz benen)



‎I—QQ №‎ 0000000


(2a-ilovaning davomi)‎

SVIDETELSTVO O ZAKLYuChENII BRAKA‎

Grajdanin______________________________
‎(familiya)‎

Ob etom “ ____ ” ___________________ goda

_______________________________________
‎(imya, otchestvo)‎

proizvedena aktovaya zapis za № ____________.

data rojdeniya ‎ “____” ________________ goda

Posle registratsii braka prisvoyeni familii:

mesto rojdeniya _________________________‎

muju __________________________________

_______________________________________
_______________________________________‎

jene __________________________________

i grajdanka _____________________________
‎(familiya)‎

Mesto registratsii _______________________
‎(naimenovaniye organa ZAGSa)

_______________________________________
‎(imya, otchestvo)

_______________________________________

data rojdeniya ‎ “____” _______________ goda

data vidachi ‎ “_____” _______________ goda

mesto rojdeniya ________________________‎

_______________________________________
_______________________________________

Zaveduщiy (aya) organom zapisi
‎aktov grajdanskogo sostoyaniya ____________‎

zaklyuchili brak “ _____ ” ____________ goda‎

Pechat ‎

�_______________________________________ _______________________________________
‎(tsiframi i propisyu)





‎‎‎I—O'z №‎ 0000000 ‎ ‎ ‎ ‎

(2a-ilovaning davomi)‎ ‎ ‎
‎‎


MARRIAGECERTIFICAT‎E

_______________________________________
‎(surname)

Marriage record No. _____ was filed on ________
‎(day, month, year)

‎_______________________________________
‎(given names)

In the marriage the following surnames were given to

‎date of birth _____________________________
‎(day, month, year)

husband ________________________________

place of birth___________________________________

wife____________________________________

‎_______________________________________
_______________________________________‎

Place of registration _____________________________
‎(name and location of the Registry Office)

and ___________________________________
‎(surname)

_____________________________________________

‎_______________________________________
‎(given names)

Date of issue “ ____ ” _____________________

‎date of birth _____________________________
‎(day, month, year)

place of birth_____________________________

‎Registrar _________________________‎

‎_______________________________________
_______________________________________‎

married on ______________________________
‎(day, month, year in figures and words)‎

Seal‎ ‎

‎_______________________________________
_______________________________________



‎‎‎‎I—O'z №‎ 0000000 ‎ ‎ ‎ ‎ ‎

(2a-ilova O‘zbekiston Respublikasi Vazirlar Mahkamasining 2003-yil 5-iyundagi 249-sonli qarori tahririda)
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
Vazirlar Mahkamasining
1997-yil 30-iyundagi 330-son qaroriga
3-ILOVA
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш

O‘zbekiston Respublikasi
‎GERBI‎‎

O‘LIM HAQIDA GUVOHNOMA‎‎

‎‎Fuqaro ________________________________________________________________________
‎(familiyasi)

_______________________________________________________________________________‎‎
‎‎(ismi, otasining ismi)

________________ yil________________________ oyining______________________ kunida

‎‎_______________________________________________________________________________
‎(raqam va so‘z bilan)

_________________________________________________________________ yoshda vafot etdi.


‎Bu haqda ______yil _________ oyining_____ kunida______-son dalolatnoma yozuvi qayd etildi.

O‘limning sababi ________________________________________________________________
‎_______________________________________________________________________________
‎_______________________________________________________________________________


‎Vafot etgan joyi:____________________________________________________ Respublikasi

_______________________________________________________________________viloyati

_________________________________________________________________________tumani

_______________________________________________________shahri, shaharchasi, qishlog‘i


‎Qayd etish joyi ________________________________________________________________
‎(FHDYo organining nomi)
‎_______________________________________________________________________________


‎‎‎Berilgan vaqti______ yil ‎ “ ______ ” _______________________________________________

‎‎
‎Fuqarolik holati dalolatnomalarini
yozish organi mudiri‎ ___________________


‎Muhr‎



‎‎‎I—O'z № 0000000‎

‎‎



‎‎

‎‎(3-ilovaning davomi)‎


‎‎SVIDETELSTVO O SMERTI‎

‎‎Grajdanin (ka)__________________________________________________________________
‎(familiya)‎

_______________________________________________________________________________‎‎
‎(imya, otchestvo)

“ ______ ” ________________________________________________________________ goda

______________________________________________________________________________‎‎
‎‎(tsiframi i propisyu) ‎‎‎

umer (la) v vozraste ______________________________________________________________
‎Ob etom “ ______ ” _________________________________________________________ goda


‎Proizvedena aktovaya zapis za № ___________________.‎‎‎


‎Prichina smerti _________________________________________________________________
‎_______________________________________________________________________________
‎_______________________________________________________________________________

‎‎mesto smerti: Respubliki___________________________________________________________________

_______________________________________________________________________ oblast‎

_______________________________________________________________________rayon

gorod, posulok, kishlak ____________________________________________________________

Mesto registratsii _______________________________________________________________
‎(naimenovaniye organa ZAGSa)

‎‎_______________________________________________________________________________

‎‎Data vidachi “ _______ ”‎ ______________________________________________________ goda

‎‎

‎Zaveduyuщiy(aya) organom zapisi
‎aktov grajdanskogo sostoyaniya ____________________________________



‎Pechat‎



‎‎‎ ‎‎‎I—O'z № 0000000‎






‎‎

‎‎‎‎‎(3-ilovaning davomi)‎ ‎ ‎ ‎

DEATH CERTIFICATE‎

____________‎‎_______________________________________________________________________________‎
‎(surname)

_______________________________________________________________________________
‎(given names)‎‎‎

died on_________________________________________________________________________
‎(day, month, year in figures and words)‎‎‎

‎‎______________________________________________________________________________‎‎

at the age of _____________________________________________________________________
‎Death record No. _______________ was failed __________________________________________
‎(day, month, year)

Cause of death: Republic ___________________________________________________________

__________________________________________________________________________region

_________________________________________________________________________ district

____________________________________________________________________ city, willage

Place of registration _______________________________________________________________
‎(name and location of the Registry Office)

‎‎_______________________________________________________________________________

‎‎Date of issue ____________________________________________________________________
‎(day, month, year)‎



‎‎Registrar _______________________‎




‎Seal‎

‎‎

‎‎‎ ‎‎‎ ‎‎‎I—O'z № 0000000‎

(3-ilova O‘zbekiston Respublikasi Vazirlar Mahkamasining 2003-yil 5-iyundagi 249-sonli qarori tahririda)
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
Vazirlar Mahkamasining
1997-yil 30-iyundagi 330-son qaroriga
3a-ILOVA
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш
Ҳужжатга таклиф юборишАудиони тинглашҲужжат элементидан ҳавола олиш

O‘zbekiston Respublikasi
‎GERBI‎‎

O‘LIM HAQIDA GUVOHNOMA‎‎
‎OLIM HAQQЫNDA GҮO‘ALЫQ

‎‎Fuqaro Puxara _________________________________________________________________
(familiyasi/familiyasi)

_______________________________________________________________________________‎‎
(ismi, otasining ismi/ati, Ekesiniң ati)

________________ yil_______________________ oyining______________________ kunida
________________‎jil_____________________________ ayiniң___________________ kүni

‎‎_______________________________________________________________________________
‎(raqam va so‘z bilan/san hem soz benen) ‎ ‎

_________________________________________________________________ yoshda vafot etdi.
‎_____________________________________________________________________ jasta oldi.


‎Bu haqda _______________yil _____________________ oyining_________________ kunida
‎Bul haqqinda ______________jil _______________ayiniң _____________________kүni


___________-son dalolatnoma yozuvi qayd etildi.
_______-‎san menen akt jazio‘i dizimge alindi.

O‘limning sababi Oliminiң sebebi_________________________________________________
‎_______________________________________________________________________________
‎_______________________________________________________________________________


‎Vafot etgan joyi: Olgen jeri:_____________________________ Respublikasi Respublikasi

________________________________________________________________viloyati oblasti

_________________________________________________________________tumani rayoni

__________________________________shahri, shaharchasi, qishlog‘i qalasi, posyolkasi, ao‘ili.


‎Qayd etish joyi Dizimge aling‘an jeri______________________________________________
‎(FHDYo organining nomi/PXAJ organiniң ati)
‎‎_______________________________________________________________________________


‎‎‎Berilgan vaqti______ yil ‎ “ ______ ” ______________________________________________
Berilgen o‘aqti______ jil ‎ “ ______ ” ______________________________________________

‎‎
‎Fuqarolik holati dalolatnomalarini
‎ yozish organi mudiri‎ ___________________
‎Puxaraliq halati aktlerin
‎ jazio‘ organi baslig‘i ________________


‎Muhr‎
‎Mor



‎‎‎I—QQ № 0000000‎

‎‎



‎‎

‎‎(3a-ilovaning davomi)‎


‎‎SVIDETELSTVO O SMERTI‎

‎‎Grajdanin (ka)__________________________________________________________________
‎(familiya)‎

_______________________________________________________________________________‎‎
‎(imya, otchestvo)

“ ______ ” _________________________________________________________________ goda

______________________________________________________________________________‎‎
‎‎(tsiframi i propisyu) ‎‎‎

umer (la) v vozraste _____________________________________________________________
‎Ob etom “ ______ ” _________________________________________________________ goda


‎Proizvedena aktovaya zapis za № ___________________.‎‎‎


‎Prichina smerti ________________________________________________________________
‎_______________________________________________________________________________
‎_______________________________________________________________________________

‎‎mesto smerti: Respubliki__________________________________________________________________

______________________________________________________________________ oblast‎

________________________________________________________________________rayon

gorod, posulok, kishlak ___________________________________________________________

Mesto registratsii ______________________________________________________________
‎(naimenovaniye organa ZAGSa)

‎‎______________________________________________________________________________

‎‎Data vidachi “ _______ ”‎ _____________________________________________________ goda

‎‎

‎Zaveduyuщiy(aya) organom zapisi
‎aktov grajdanskogo sostoyaniya ____________________________________‎


‎Pechat‎



‎‎‎ ‎‎‎I—O'z № 0000000‎






‎‎

‎‎‎‎‎(3a-ilovaning davomi)‎ ‎ ‎ ‎

DEATH CERTIFICATE‎

____________‎‎___________________________________________________________________‎
‎(surname)

_______________________________________________________________________________
‎(given names)‎‎‎

died on_________________________________________________________________________
‎(day, month, year in figures and words)‎‎‎

‎‎_______________________________________________________________________________‎‎

at the age of ____________________________________________________________________
‎Death record No. _____________ was failed ____________________________________________
‎(day, month, year)

Cause of death: Republic ___________________________________________________________

_________________________________________________________________________region

________________________________________________________________________ district

____________________________________________________________________ city, willage

Place of registration ______________________________________________________________
‎(name and location of the Registry Office)

‎‎_______________________________________________________________________________

‎‎Date of issue ____________________________________________________________________
‎(day, month, year)‎



‎‎Registrar _______________________‎




‎Seal‎

‎‎

‎‎‎ ‎‎‎ ‎‎‎I—O'z № 0000000‎

(3a-ilova O‘zbekiston Respublikasi Vazirlar Mahkamasining 2003-yil 5-iyundagi 249-sonli qarori tahririda)