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                            <div class="act_warning">
                                Ҳужжат кучини йўқотган " " 01.07.2012
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                                    <div id="divCont" style="background:#ffffff;border:none;margin:auto;"><div class="INDEXES_ON_REF" style="display:none"><label id="s5987"></label><div name="onLBC794220" id="onLBC794220">[<b>ОКОЗ:</b><div id="LBC6334"><span class="iorRN">1.</span><span class="iorVal">04.00.00.00 Оила қонунчилиги / 04.06.00.00 Фуқаролик ҳолати далолатномаларини қайд қилиш (шунингдек, 03.02.08.00га қаранг);</span></div><div id="LBC8977"><span class="iorRN">2.</span><span class="iorVal">07.00.00.00 Молия ва кредит тўғрисидаги қонунчилик. Банк фаолияти / 07.16.06.00 (Кучини йукотган) Бошқа бюджетдан ташқари жамғармасига ажратмалар ва йиғимлар / 07.92.00.00 (Кучини йукотган) Мажбурий тўловлар, ажратмалар ва йиғимлар]</span></div></div></div><div class="INDEXES_ON_REF" style="display:none"><label id="s5988"></label><div name="onLS794220" id="onLS794220">[<b>ТСЗ:</b><div id="LS3695"><span class="iorRN">1.</span><span class="iorVal">Ижтимоий-маданий масалалар / Никоҳ ва оила. Фуқаролик ҳолати далолатномалари]</span></div></div></div><div class="ACCEPTING_BODY"><div name="794393" id="794393">Ўзбекистон Республикаси Вазирлар Маҳкамасининг</div></div><div class="ACT_FORM"><div name="794395" id="794395">қарори</div></div><div class="ACT_TITLE"><div name="794400" id="794400">ГЕРБЛИ ГУВОҲНОМАЛАР ШАКЛИ ВА ГЕРБ ЙИҒИМИ МИҚДОРИ ТЎҒРИСИДА</div></div><div class="BY_DEFAULT"><div name="794441" id="794441"></div></div><div class="ACT_TEXT"><div name="794445" id="794445">Фуқаролик ҳолатлари далолатномаларини ёзиш ишларини такомиллаштириш мақсадида Вазирлар Маҳкамаси қарор қилади: </div></div><div class="ACT_TEXT"><div name="794448" id="794448">1. Никоҳдан ажралганлик ҳақидаги гербли гувоҳнома шакли <a href="/ru/m/acts/794220#794510">1</a> ва <a href="/ru/m/acts/794220#794532">2-иловаларга </a>мувофиқ тасдиқлансин.</div></div><div class="ACT_TEXT"><div name="794450" id="794450">2. Фуқароларга гербли гувоҳномалар берганлик учун (ўлим ҳақидаги гербли гувоҳнома бундан мустасно) герб йиғимининг миқдори энг кам ойлик иш ҳақининг 20 фоизи миқдорида белгилансин.</div></div><div class="ACT_TEXT"><div name="794452" id="794452">3. Вазирлар Маҳкамасининг «Туғилганлик, никоҳ қайд этилганлиги ва ўлим ҳақидаги гербли гувоҳномалар шаклини тасдиқлаш, герб йиғимини жорий қилиш тўғрисида» 1997 йил 30 июндаги 330-сон <a href="/ru/m/acts/541463">қарорида</a>:</div></div><div class="ACT_TEXT"><div name="794457" id="794457"><a href="/ru/m/acts/541463?ONDATE=30.06.1997 00#541470">1-банддаги </a>«қайд этилганлиги» сўзлари «тузилганлиги» сўзи билан алмаштирилсин;</div></div><div class="ACT_TEXT"><div name="794460" id="794460">1—3а-иловалар янги таҳрирда баён этилсин (илова қилинади);</div></div><div class="ACT_TEXT"><div name="794465" id="794465"><a href="/ru/m/acts/541463?ONDATE=30.06.1997 00#541472">3-банд </a>ўз кучини йўқотган деб ҳисоблансин.</div></div><div class="ACT_TEXT"><div name="794483" id="794483">4. Белгилансинки, гербли гувоҳномалар Ўзбекистон Республикаси Адлия вазирлигининг буюртмалари асосида Ўзбекистон Республикаси Марказий банки ҳузуридаги «Давлат белгиси» ишлаб чиқариш бирлашмасида тайёрланади. </div></div><div class="ACT_TEXT"><div name="794487" id="794487">Ўзбекистон Республикаси Марказий банки ҳузуридаги «Давлат белгиси» ишлаб чиқариш бирлашмаси гербли гувоҳномаларни Ўзбекистон Республикаси Адлия вазирлиги буюртмаларига асосан муҳофазаланган махсус қоғозларда тайёрлаб берсин.</div></div><div class="ACT_TEXT"><div name="794489" id="794489">Ўзбекистон Республикаси Адлия вазирлиги гербли гувоҳномаларни тайёрлаш, ҳисобга олиш, сақлаш, топшириш ҳамда улардан фойдаланиш тартибига қатъий риоя этилишини таъминласин.</div></div><div class="ACT_TEXT"><div name="794493" id="794493">5. Мазкур қарорнинг бажарилишини назорат қилиш Ўзбекистон Республикаси Адлия вазири А. Полвон-зода зиммасига юклансин.</div></div><div class="SIGNATURE"><div name="794498" id="794498">Ўзбекистон Республикасининг Бош вазири Ў.СУЛТОНОВ </div></div><div class="ACT_ESSENTIAL_ELEMENTS"><div name="794500" id="794500">Тошкент ш.,</div></div><div class="ACT_ESSENTIAL_ELEMENTS"><div name="794505" id="794505">2003 йил 5 июнь,</div></div><div class="ACT_ESSENTIAL_ELEMENTS_NUM"><div name="794506" id="794506">249-сон</div></div><div class="BY_DEFAULT"><div name="794510" id="794510"></div></div><div class="APPL_BANNER_LANDSCAPE_TITLE"><div name="794512" id="794512">Вазирлар Маҳкамасининг <br />2003 йил 5 июндаги <br />249-сон <a href="/ru/m/acts/794220#794393">қарорига </a><br />1-ИЛОВА</div></div><div class="BY_DEFAULT"><div name="794719" id="794719"></div></div><div class="BY_DEFAULT" id="theDefCssID"><div name="794720" id="794720" class="tabBox"><table id="theTableID" style="PADDING-RIGHT: 0px; ; PADDING-LEFT: 0px; LEFT: 0px; PADDING-BOTTOM: 0px; WIDTH: 720px; BORDER-TOP-STYLE: none; PADDING-TOP: 0px; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TOP: 0px; HEIGHT: auto; BORDER-BOTTOM-STYLE: none" cellspacing="1" cols="2" border="1">
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<p align="center"><strong><font size="2">‎‎Ўзбекистон Республикаси<br />‎ ‎ГЕРБИ‎‎ </font></strong></p></td></tr>
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<p align="center"><strong><br /><font size="2">‎‎‎НИКОҲДАН АЖРАЛГАНЛИК ҲАҚИДА ГУВОҲНОМА</font></strong></p></td></tr>
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<p align="justify"><font size="2">‎‎Фуқаро _________________________________________________________________________</font></p></td></tr>
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<p align="center"><sup><font size="2">‎‎(фамилияси)‎‎</font></sup></p></td></tr>
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<p align="justify"><font size="2">‎‎________________________________________________________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2"><sup>‎‎‎(исми, отасининг исми)‎‎</sup></font></p></td></tr>
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<p align="justify"><font size="2">‎‎ва фуқаро‎ _______________________________________________________________________‎</font></p></td></tr>
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<p align="center"><font size="2"><sup>‎(фамилияcи)‎</sup></font></p></td></tr>
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<p align="justify"><font size="2">‎‎________________________________________________________________________________</font></p></td></tr>
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<p align="center"><font size="2"><sup>‎‎‎‎‎(исми, отасининг исми)‎‎</sup></font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">никоҳдан ажралишди, бу ҳақда ____ йил____ ойининг____ кунида___‎ -сон билан далолатнома ёзуви <br />‎қайд этилди. ‎Никоҳдан ажралгандан кейин қуйидаги фамилиялар берилди:‎‎‎</font></td></tr>
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<p align="justify"><font size="2">‎‎эрга ___________________________________________________________________________‎‎</font></p></td></tr>
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<p align="justify"><font size="2">‎‎хотинга _________________________________________________________________________‎</font></p></td></tr>
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<p align="justify"><font size="2">Қайд этиш жойи __________________________________________________________________‎‎</font></p></td></tr>
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<p align="center"><font size="2"><sup>(ФҲДЁ органининг номи)‎‎</sup></font></p></td></tr>
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<p align="justify"><font size="2">‎‎Гувоҳнома фуқаро‎ ________________________________________________________________</font></p></td></tr>
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<p align="center"><font size="2"><sup>‎‎(фамилияси)‎‎</sup></font></p></td></tr>
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<p align="justify"><font size="2">‎‎‎‎_______________________________________________________________________ га берилди.</font></p></td></tr>
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<p align="center"><font size="2"><sup>‎‎‎‎‎‎(исми, отасининг исми)‎</sup></font></p></td></tr>
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<p align="justify"><font size="2">‎‎Берилган вақти ‎‎____________ йил « ______ »‎ __________________________________________‎</font></p></td></tr>
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<p align="justify"><font size="2"><strong>‎‎Фуқаролик ҳолати далолатномаларини <br />‎‎ёзиш органи мудири‎ ______________________‎‎</strong> </font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="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>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong><font size="2">Муҳр‎</font></strong></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td></tr>
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<p align="center"><strong><font size="2">‎‎I—O'z № 0000000‎‎</font></strong></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
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<p align="center"><font size="2">‎‎(1-илованинг давоми)‎‎‎‎</font></p></td></tr>
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<p align="center"><strong><br /><font size="2">‎СВИДЕТЕЛЬСТВО О РАСТОРЖЕНИИ БРАКА‎‎‎</font></strong></p></td></tr>
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<p align="justify"><font size="2">Гражданин ______________________________________________________________________‎‎</font></p></td></tr>
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<p align="center"><sup><font size="2">‎‎(фамилия)‎‎</font></sup></p></td></tr>
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<p align="justify"><font size="2">___________________________________________________‎‎_____________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎(имя, отчество)‎‎‎</font></sup></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">и гражданка ________________________________________‎‎‎_____________________________</font></p></td></tr>
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<p align="center"><sup><font size="2">‎‎(фамилия)‎‎‎‎</font></sup></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">___________________________________________________‎‎_____________________________</font></p></td></tr>
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<p align="center"><sup><font size="2">‎‎‎(имя, отчество) ‎‎‎‎‎‎‎</font></sup></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎расторгли брак, о чем _________________ числа ____________ месяца ________________ года </font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">‎‎Произведена актовая запись за № ___________________.‎‎‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">После расторжение брака присвоены фамилии:‎‎‎‎‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎мужу ___________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎жене ___________________________________________________________________________‎‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎Место регистрации _________________________________<strong>______________________________</strong></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎(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="2">
<p align="justify"><font size="2">‎‎________________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">Свидительство выдано гражданину (ке) ______________________________________________‎‎‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎(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="2">
<p align="justify"><font size="2">‎‎_________________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎(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" colspan="2">
<p align="justify"><font size="2">Дата выдачи « _______ »‎ ________________________________________________________ года‎‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><strong><font size="2">‎‎Заведующий(ая) органом записи ‎<br />‎актов гражданского состояния _______________________‎ ‎</font></strong></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong><font size="2">Печать‎‎</font></strong></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎‎‎‎ <strong>‎‎‎I—O'z № 0000000</strong></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎‎‎‎‎‎(1-илованинг давоми)‎ ‎ ‎ ‎ </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><strong><font size="2">DIVORCE CERTIFICATE‎ ‎ ‎‎</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">The marriage of ‎‎__________________________________‎‎___________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎‎(surname)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">________________________________________________‎‎__________________________________‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎‎(given names)‎‎‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">and _____________________________________________‎‎_________________________________</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎‎(surname)‎‎‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">_________________________________________________________________________________‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎‎(given names)‎‎‎ ‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">is dissolved, record of divorce No. ___ was failed on ________ of the year _______________________.‎‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">Upon dissolution of marriage the following surnames were given to ‎husband ______________________‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">wife ______________________________________________‎_______________________________‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">Place of registration _________________________________________________________________‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎(name and location of the Registry office)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">__________________________________________________‎______________________________‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">The present Certificate is issued to ______________________________________________________‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎(surname)‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">________________________________________________________________________________‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎(given names)‎‎‎ ‎‎‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">Date of issue ______________________________________________________________________‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎‎(day, month, year)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><strong><font size="2">Registrar _______________‎‎</font></strong></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">Seal‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎‎ ‎‎‎I—O'z № 0000000‎ ‎‎‎</font></p></td></tr></tbody></table></div></div><div class="BY_DEFAULT"><div name="794532" id="794532"></div></div><div class="APPL_BANNER_LANDSCAPE_TITLE"><div name="794533" id="794533">Вазирлар Маҳкамасининг <br />2003 йил 5 июндаги <br />249-сон <a href="/ru/m/acts/794220#794393">қарорига</a><br />2-ИЛОВА</div></div><div class="BY_DEFAULT"><div name="794721" id="794721"></div></div><div class="BY_DEFAULT" id="theDefCssID"><div name="794722" id="794722" class="tabBox"><table id="theTableID" style="PADDING-RIGHT: 0px; ; PADDING-LEFT: 0px; LEFT: 0px; PADDING-BOTTOM: 0px; WIDTH: 540px; BORDER-TOP-STYLE: none; PADDING-TOP: 0px; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TOP: 0px; HEIGHT: auto; BORDER-BOTTOM-STYLE: none" cellspacing="0" cols="2" border="1">
<colgroup>
<col />
<col /></colgroup>
<tbody>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><strong><font size="2">Ўзбекистон Республикаси <br />‎ГЕРБИ‎‎<br />‎</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><strong><font size="2">НИКОҲДАН АЖРАЛГАНЛИК ҲАҚИДА ГУВОҲНОМА‎‎<br />‎НЕКЕДЕН АЖЫРАСҚАНЛЫFЫ ҲАҚҚЫНДА ГYЎАЛЫҚ</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><br /><font size="2">‎‎‎Фуқаро‎______________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none">
<p align="left"><font size="2">Пухара</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><sup><font size="2">‎(фамилияси,/ фамилиясы)‎</font></sup></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">____________________________________________________________________________‎‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎(исми, отасининг исми /аты, экесинин аты)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎ва фуқаро ___________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">ҳем пухара ‎ </font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><sup><font size="2">(фамилияси / фамилиясы)‎</font></sup></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify">‎‎<font size="2">____________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎(исми, отасининг исми /аты, экесинин аты)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎никоҳдан ажралишди, бу ҳақда _______ йил__________ ойининг________ ‎кунида ________ - сон билан далолатнома ёзуви қайд этилди. <br />‎‎некеден ажырасты, бул ҳаққында______жыл _________айынын ________ ‎куни __________ - сан менен акт жазыўы дизимге алынды. <br />‎Никоҳдан ажралгандан кейин қуйидаги фамилиялар берилди: <br />‎Некеден ажырасқаннан кейин томендеги фамилиялар берилди: </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎эрга_________________________________________________________________________‎<br />‎эрге</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎хотинга ______________________________________________________________________‎<br />‎ҳаялга</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎Қайд этиш жойи_______________________________________________________________<br />Дизимге ‎алынған жери</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">(ФҲДЁ органининг номи/ПХАЖ органыниң аты) ‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎Гувоҳнома фуқаро ____________________________________________________________<br />Гүўалық пухара</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎(фамилияси,/ фамилиясы)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="right"><font size="2">‎‎__________________________________________________________________ га берилди.<br />‎ ге берилди</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎(исми, отасининг исми /аты, экесинин аты)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">Берилган вақти ‎‎__________ йил « _______ »‎ ____________________ ‎<br />‎Берилген ўақты __________ жыл « _______ »‎ ___________________ </font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">‎‎Фуқаролик ҳолати далолатномаларини ‎ёзиш органи мудири‎ ______________________‎‎ ‎<br />‎Пухаралық ҳалаты актлерин жазыў ‎органы баслығы _____________________________</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none"><br /><font size="2">‎Муҳр‎<br />‎Мор</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎ ‎‎‎I—QQ № 0000000‎ </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="2">‎‎<br />‎<br /></font>‎<br />‎<br />‎‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎(2-илованинг давоми)‎ ‎ ‎ ‎ <br />‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><strong><font size="2">‎‎СВИДЕТЕЛЬСТВО О РАСТОРЖЕНИИ БРАКА‎</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎Гражданин ___________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎(фамилия)‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">____________________________________________________________________________‎‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2"><sup>‎(имя, отчество)</sup>‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">и гражданка__________________________________________________________________‎‎‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎(фамилия)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">____________________________________________________________________________‎‎ </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎(имя, отчество) ‎‎‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎расторгли брак, о чем __________ числа _________ месяца _____________ года </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">Произведена актовая запись за № ____________.‎‎‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">После расторжение брака присвоены фамилии:‎‎‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎мужу_______________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎жене________________________________________________________________________‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎Место регистрации____________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎(наименование органа ЗАГса)‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎____________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎Свидительство выдано гражданину (ке) ____________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2"><sup>(фамилия)‎‎</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎____________________________________________________________________________<br /><sup>‎(имя, отчество)</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎Дата выдачи « _____ »‎ ___________________ года</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><strong><font size="2">‎‎<br />‎<br />‎Заведующий(ая) органом записи <br />‎актов гражданского состояния ___________________‎</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none"><br /><font size="2">‎<br />‎Печать‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><br /><font size="2">‎<br />‎‎‎ ‎‎‎I—O'z № 0000000‎ </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none"><br />‎<br />‎<br />‎<br />‎<br />‎‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎‎‎‎(2-илованинг давоми)‎ ‎ ‎ ‎ <br />‎<br />‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><strong><font size="2">‎‎DIVORCE CERTIFICATE‎<br />‎</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">The marriage of ‎‎________________________________________________________________‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎<sup>(surname)‎</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">____________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎(given names)‎‎‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">and _________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎(surname)‎‎‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎____________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎‎(given names)‎‎‎ ‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎is dissolved, record of divorce No. ____ was failed on ______ of the year _________.‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎Upon dissolution of marriage the following surnames were given to<br />‎ husband _____________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎wife _________________________________________________________________________‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">Place of registration _____________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎(name and location of the Registry office)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎_____________________________________________________________________________‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎The present Certificate is issued to__________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎(surname)‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎____________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2"><sup>‎(given names)‎‎‎ ‎‎‎‎ ‎ </sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2"></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="justify"><font size="2">‎‎Date of issue__________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><sup><font size="2">‎(day, month, year)‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none"><font size="1">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong>
<p align="justify"><br /><font size="2">‎<br />‎Registrar ______________‎</font></p></strong></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none"><br /><font size="1">‎<br /></font><font size="2">‎Seal‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎<br />‎<br />‎‎‎ ‎‎‎ ‎‎‎I—O'z № 0000000‎ </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TEXT-ALIGN: left; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr></tbody></table></div></div><div class="BY_DEFAULT"><div name="831184" id="831184"></div></div><div class="APPL_BANNER_LANDSCAPE_TITLE"><div name="831194" id="831194">Вазирлар Маҳкамасининг 1997 йил <br />30 июндаги 330-сон қарорига<br />1-ИЛОВА <br />(Вазирлар Маҳкамасининг 2003 йил <br />5 июндаги 249-сон <a href="/ru/m/acts/794220#794393">қарори </a>таҳририда)</div></div><div class="BY_DEFAULT"><div name="831204" id="831204"></div></div><div class="BY_DEFAULT" id="theDefCssID"><div name="831205" id="831205" class="tabBox"><table id="theTableID" style="PADDING-RIGHT: 0px; ; PADDING-LEFT: 0px; LEFT: 0px; PADDING-BOTTOM: 0px; WIDTH: 738px; BORDER-TOP-STYLE: none; PADDING-TOP: 0px; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TOP: 0px; HEIGHT: auto; BORDER-BOTTOM-STYLE: none" cellspacing="1" cols="2" border="1">
<colgroup>
<col />
<col /></colgroup>
<tbody>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><strong><font size="2">Ўзбекистон Республикаси <br />‎ГЕРБИ‎<br />‎</font></strong></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><strong><font size="2">ТУҒИЛГАНЛИК ҲАҚИДА ГУВОҲНОМА‎<br />‎<br />‎</font></strong></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Фуқаро______________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎Отаси ______________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎ (фамилияси)‎‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎ (фамилияси)‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎____________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(исми, отасининг исми)‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(исми, отасининг исми)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">______йил________ ойининг_____ кунида ‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎миллати _____________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎____________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎‎Онаси ______________________________‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎‎<sup>(фамилияси)‎ ‎</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">______________________________туғилди</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________________________________‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎ (рақам ва сўз билан)‎‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎‎(исми, отасининг исми)‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Туғилган жойи: ____________Республикаси‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎миллати _____________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">______________________________вилояти ‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎Қайд этиш жойи_______________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎ (ФҲДЁ органининг номи)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">______________________________тумани ‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎____________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">_______________шаҳри, шаҳарчаси, қишлоғи‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎Берилган вақти____йил «___» ____________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Бу ҳақда ___йил ______ойининг____ кунида ‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">__- сон билан далолатнома ёзуви қайд этилди.‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><strong><font size="2">Фуқаролик ҳолати далолатномаларини<br />‎ ёзиш органи мудири ‎_________________</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Муҳр ‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><br /><font size="1">‎<br /><font size="3"><font size="2">‎I—O'z №‎ 0000000</font><br /></font>‎<br />‎<br />‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1"><font size="3"><font size="2">(1-илованинг давоми)‎<br /></font>‎<br /></font>‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><strong><font size="2">СВИДЕТЕЛЬСТВО О РОЖДЕНИИ‎<br /></font>‎<br />‎</strong></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Гражданин (ка) ______________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Отец_______________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(фамилия)‎‎ ‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(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">
<p align="justify"><font size="2">____________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(имя, отчество)‎‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(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">
<p align="justify"><font size="2">родился (лась)‎ «____» _____________ года</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Мать_______________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">(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">
<p align="justify"><font size="2">____________________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">(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">
<p align="justify"><font size="2">____________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">национальность _____________________‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">(цифрами и прописью)‎‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Место рождения: Республика ___________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Место регистрации ___________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">(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">
<p align="justify"><font size="2">_____________________________ область‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________________________________‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">______________________________район‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Дата выдачи « ____ »‎ _____________ года</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">город, посёлок, кишлак _______________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Об этом « ______ » _______________ года‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><strong><font size="2">Заведущий (ая) органом записи <br />‎актов гражданского состояния ______‎</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">произведена актовая запись за № _______‎</font></p></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></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center">‎ <br /><font size="2">‎‎I—O'z №‎ 0000000</font> ‎ ‎ ‎ ‎</p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">(1-илованинг давоми)‎ ‎ ‎ ‎‎ </font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1"><strong><br /><font size="3"><font size="2">‎BIRTH CERTIFICATE‎<br /></font>‎</font></strong></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center">‎</p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎Citizen ______________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Father _______________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(surname)‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(surname)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify">‎<font size="2">____________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎____________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(given names)‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(given names)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎was born on __________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">nationality (etnic) _______________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(day, month, year in figures and words)‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎____________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Mother ______________________________ ‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(surname)‎ ‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎____________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎____________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎‎‎(given names) ‎ ‎‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Place of birth: Republic __________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">nationality (etnic) ______________________ ‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">_______________________________region‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Place of registration _____________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎‎(name and location of the Registry Office)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">______________________________district‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________________________________‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">___________________________city, village.‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Date of issue « ___ »‎ ___________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎Birth record No. ____ was filed on _________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong>
<p align="justify"><font size="2">‎Registrar _______________________‎</font></p></strong></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(day, month, year)‎‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Seal‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎ <br /><br />‎‎‎‎I—O'z №‎ 0000000</font> ‎ ‎ ‎ ‎ ‎</p></td></tr></tbody></table></div></div><div class="BY_DEFAULT"><div name="831186" id="831186"></div></div><div class="APPL_BANNER_LANDSCAPE_TITLE"><div name="831203" id="831203">Вазирлар Маҳкамасининг 1997 йил<br />30 июндаги 330-сон қарорига<br />1а-ИЛОВА<br />(Вазирлар Маҳкамасининг 2003 йил <br />5 июндаги 249-сон <a href="/ru/m/acts/794220#794393">қарори </a>таҳририда)</div></div><div class="BY_DEFAULT"><div name="831207" id="831207"></div></div><div class="BY_DEFAULT" id="theDefCssID"><div name="831208" id="831208" class="tabBox"><div align="justify">
<table id="theTableID" style="PADDING-RIGHT: 0px; ; PADDING-LEFT: 0px; LEFT: 0px; PADDING-BOTTOM: 0px; WIDTH: 691px; BORDER-TOP-STYLE: none; PADDING-TOP: 0px; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TOP: 0px; HEIGHT: auto; BORDER-BOTTOM-STYLE: none" cellspacing="1" cols="2" border="1">
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><strong><font size="2">Ўзбекистон Республикаси <br />‎ГЕРБИ‎<br />‎</font></strong></p></td>
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<p align="center"><strong><font size="2">ТУҒИЛГАНЛИК ҲАҚИДА ГУВОҲНОМА‎<br />ТУЎЫЛҒАНЛЫҒЫ ҲАҚҚЫНДА ГҮЎАЛЫҚ ‎<br />‎<br />‎</font></strong></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Фуқаро ‎ __________</font>________________________</p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎Отаси __________________________________</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">Пухара ‎‎<sup>(фамилияси/фамилиясы)‎ </sup></font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Экеси <sup>‎(фамилияси/фамилиясы)</sup></font></td></tr>
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<p align="justify"><font size="2">____________________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎_______________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">(исми, отасининг исми/аты, Экесиниң аты)‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">(исми, отасининг исми/аты, Экесиниң аты)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">_________йил __________ ойининг ________ кунида ‎<br />‎_________жыл __________ айынын________ куни ‎ </font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎миллати _______________________________<br />‎миллети</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="1">‎</font><font size="2">____________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎‎Онаси _________________________________ <br />‎Анасы</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">(фамилияси/фамилиясы)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p dir="ltr" style="MARGIN-RIGHT: 0px" align="justify"><font size="2">____________________________________ туғилди </font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">_______________________________________‎</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<blockquote dir="ltr" style="MARGIN-RIGHT: 0px">
<p align="center"><font size="2"><sup>(рақам ва сўз билан/сан ҳэм соз бенен)‎</sup> ‎ туғылды</font></p></blockquote></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">(исми, отасининг исми/аты, Экесиниң аты)‎</font></sup></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Туғилган жойи: ___________________Республикаси‎<br /><span class="SpellE"><span style="mso-bidi-font-size: 12.0pt">Туўылған</span></span><span style="mso-bidi-font-size: 12.0pt"> <span class="SpellE">жери</span>:<span style="mso-spacerun: yes"></span></span>___________________<span class="SpellE">Республикасы</span></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎миллати ________________________________<br />‎милети</font></p></td></tr>
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<p align="left"><font size="2">____________________вилояти </font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎Қайд этиш жойи __________________________</font></p></td></tr>
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<p align="center"><font size="2">областы‎‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Дизимге алынған жери <sup>(ФҲДЁ органининг номи)‎</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2"><span style="LINE-HEIGHT: 70%; mso-bidi-font-size: 12.0pt"><span style="mso-spacerun: yes"></span></span>________________________________________ ‎ </font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">(ФҲДЁ органининг номи/ПХАЖ органыниң аты)‎‎</font></sup></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">____________тумани ‎‎<br />‎районы</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="1">‎</font><font size="2">_________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________ шаҳри, шаҳарчаси, қишлоғи‎<br />____________ <span class="SpellE">қаласы</span>, <span class="SpellE">посёлкасы</span>, <span class="SpellE">аўылы</span>.</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎Берилган вақти____йил «____» _______________<br />‎Берилген ўақты ___жыл «____» _______________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Бу ҳақда ___йил ______ойининг__ кунида<br />‎<span class="SpellE"><span style="LINE-HEIGHT: 70%; mso-bidi-font-size: 12.0pt">Бул</span></span><span style="LINE-HEIGHT: 70%; mso-bidi-font-size: 12.0pt"> <span class="SpellE">ҳаққында</span></span>___<span class="SpellE">жыл</span><span style="mso-spacerun: yes"></span> __<span class="SpellE">айының</span>___ <span class="SpellE">күни</span>‎ </font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p dir="ltr" style="MARGIN-RIGHT: 0px" align="justify"><font size="2">___сон билан далолатнома ёзуви қайд этилди.‎<br />‎‎сан менен акт жазыўы дизимге алынды.‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><strong><font size="2">Фуқаролик ҳолати далолатномаларини<br />‎ ёзиш органи мудири ‎_________</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2"></font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong><font size="2">‎Пухаралық ҳалаты актлерин <br />‎жазыў органы баслығы _______</font></strong>‎</td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Муҳр ‎<br />‎Мор</font></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><br /><font size="1">‎<br /><font size="2">‎I—QQ №‎ 0000000<br /></font>‎<br />‎<br />‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1"><font size="2">(1-илованинг давоми)‎<br /></font>‎<br />‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1"><strong><font size="2">СВИДЕТЕЛЬСТВО О РОЖДЕНИИ‎<br /></font>‎<br />‎</strong></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Гражданин (ка) ______________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Отец_______________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(фамилия)‎‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(фамилия)‎‎</font></sup></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(имя, отчество)‎‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(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">
<p align="justify"><font size="2">родился (лась)‎ «____» _____________ года</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Мать_______________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup>‎ <font size="2">‎(фамилия)‎ ‎</font> ‎‎</sup></p></td></tr>
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<p align="justify"><font size="2">____________________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup>‎‎<font size="2">(имя, отчество)‎</font> ‎ ‎‎</sup></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">национальность _____________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup>‎(цифрами и прописью)‎‎</sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Место рождения: Республика ___________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Место регистрации ___________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(наименование органа ЗАГСа)‎‎</font></sup></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">_____________________________ область‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="1">_____________________________‎________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">______________________________район‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Дата выдачи « ____ »‎ _____________ года</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">город, посёлок, кишлак _______________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Об этом « ______ » _______________ года‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><strong><font size="2">Заведущий (ая) органом записи <br />‎актов гражданского состояния _________‎</font></strong></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">произведена актовая запись за № _______‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Печать ‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center">‎ <br /><font size="2">‎‎I—O'z №‎ 0000000 ‎ ‎ ‎ ‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">(1a-илованинг давоми)‎ ‎ ‎ <br />‎‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><strong><br /><font size="2">‎BIRTH CERTIFICATE‎<br />‎</font></strong></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎Citizen ______________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Father ______________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(surname)‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(surname)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">___________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎____________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(given names)‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(given names)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎was born on __________________________<br /><sup>‎(day, month, year in figures and words)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">nationality (etnic) ______________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎____________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Mother _____________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(surname)‎ ‎‎ </font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎____________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">‎____________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎‎‎(given names) ‎ ‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Place of birth: Republic _________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">nationality (etnic) ______________________ ‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">_______________________________region‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Place of registration ____________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎‎(name and location of the Registry Office)‎</font></sup></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">______________________________district‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">____________________________________‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">___________________________city, village.‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Date of issue « ____ »‎ __________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">
<p align="justify"><br /><font size="2">‎Birth record No. ____ was filed on _________</font></p></font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong>
<p align="justify"><br /><font size="2">‎Registrar _________________________‎</font></p></strong></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><sup><font size="2">‎(day, month, year)‎‎</font></sup></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="left"><font size="2">Seal‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎ <br /><br />‎‎‎‎I—O'z №‎ 0000000 ‎ ‎ ‎ ‎ ‎</font></p></td></tr></tbody></table></div></div></div><div class="BY_DEFAULT"><div name="794540" id="794540"></div></div><div class="APPL_BANNER_LANDSCAPE_TITLE"><div name="794541" id="794541">Вазирлар Маҳкамасининг <br />1997 йил 30 июндаги 330-сон қарорига<br />2-ИЛОВА<br />(Вазирлар Маҳкамасининг 2003йил 5 июндаги <br />249-сон <a href="/ru/m/acts/794220#794393">қарори </a>таҳририда)</div></div><div class="BY_DEFAULT"><div name="794723" id="794723"></div></div><div class="BY_DEFAULT" id="theDefCssID"><div name="794726" id="794726" class="tabBox"><div align="center">
<table id="theTableID" style="PADDING-RIGHT: 0px; ; PADDING-LEFT: 0px; LEFT: 0px; PADDING-BOTTOM: 0px; WIDTH: 738px; BORDER-TOP-STYLE: none; PADDING-TOP: 0px; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TOP: 0px; HEIGHT: auto; BORDER-BOTTOM-STYLE: none" cellspacing="1" cols="2" align="center" border="1">
<colgroup>
<col />
<col /></colgroup>
<tbody>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><strong><font size="1"><font size="2">Ўзбекистон Республикаси <br />‎ГЕРБИ‎<br /></font>‎</font></strong></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><strong><font size="1"><font size="2">НИКОҲ ТУЗИЛГАНЛИГИ ҲАҚИДА ГУВОҲНОМА‎<br />‎<br /></font>‎</font></strong></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Фуқаро_____________________________________<br />‎<sup> (фамилияси)‎</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">Бу ҳақда______йил_______ойининг______кунида</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">__________________________________________<br /><sup>‎(исми, отасининг исми)‎</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">_______-сон билан далолатнома ёзуви қайд этилди.</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">туғилган вақти______йил « _______ »___________</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">Никоҳ қайд этилгандан кейин қуйидаги фамилиялар берилди:</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">туғилган жойи _______________________________</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">эрига ________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">____________________________________________<br />‎____________________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">хотинига _____________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1"><font size="2">ва фуқаро____________________________________<br /></font><sup>‎(фамилияси)</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">Қайд этиш жойи _____________________________ <br /><sup>‎(ФҲДЁ органининг номи)</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">____________________________________________<br /><sup>‎(исми, отасининг исми) ‎</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Туғилган вақти_____йил «_______»______________ </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">Берилган вақти____ йил « _______ »_____________</font> </p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">туғилган жойи ________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2"></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________<br />‎_____________________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong><font size="2">Фуқаролик ҳолати далолатномаларини ‎ <br />‎ёзиш органи мудири ‎_____________________</font></strong></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____йил________________ойининг________кунида </font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2"></font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎_____________________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="left"><font size="2">Муҳр ‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">________________________________никохландилар.<br />‎‎ ‎<sup>(рақам ва сўз билан)‎</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><br /><font size="1">‎<br /><font size="2">‎I—O'z №‎ 0000000<br />‎<br /></font>‎<br />‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1"><font size="2">(2-илованинг давоми)‎<br /></font>‎<br />‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><strong><font size="2">СВИДЕТЕЛЬСТВО О ЗАКЛЮЧЕНИИ БРАКА‎<br />‎<br />‎</font></strong></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Гражданин__________________________________<br /><sup>‎(фамилия)‎</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">Об этом « ____ » __________________________ года</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________<br /><sup>‎(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">произведена актовая запись за № _______________.</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">дата рождения ‎ «____» _____________________ года</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="left"><font size="1"><font size="2">После регистрации брака присвоены фамилии</font>:</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">место рождения _______________________________‎</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">мужу ________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________<br />_____________________________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">жене ________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">и гражданка __________________________________<br /><sup>‎(фамилия)‎</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">Место регистрации ____________________________<br /><sup>‎(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">
<p align="center"><font size="2">_____________________________________________<br /><sup>‎(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">_____________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">
<p align="center">дата рождения ‎ «____» _____________________ года</p></font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">дата выдачи ‎ «_____» _____________________ года </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">место рождения _______________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________<br />_____________________________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong><font size="2">Заведущий (ая) органом записи <br />‎актов гражданского состояния _______________‎</font></strong></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">заключили брак « _____ » __________________ года‎</font></p></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></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎_____________________________________________ _____________________________________________‎ <br /><sup>‎(цифрами и прописью)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center">‎ <br /><font size="1"><br />‎<br />‎<br /></font><font size="2">‎‎‎I—O'z №‎ 0000000 ‎ ‎ ‎ ‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">(2-илованинг давоми)‎ ‎ ‎ <br />‎‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">‎</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><strong><br /><font size="2">MARRIAGECERTIFICAT‎E<br />‎</font></strong></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________<br /><sup>‎(surname)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="right"><font size="2">Marriage record No. _____ was filed on _____________<br /><sup>‎(day, month, year)</sup></font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎_____________________________________________<br /><sup>‎(given names)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="left"><font size="1"><font size="2">In the marriage the following surnames were</font> given to </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎date of birth ___________________________________<br /><sup>‎(day, month, year)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">husband ______________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">place of birth___________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">wife__________________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎_____________________________________________<br />_____________________________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Place of registration _____________________________<br />‎<sup>(name and location of the Registry Office)</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">and __________________________________________<br /><sup>‎(surname)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎_____________________________________________<br /><sup>‎(given names)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Date of issue « ____ » ___________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">
<p align="center"><font size="2">‎date of birth ___________________________________<br /><sup>‎(day, month, year)</sup></font></p></font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2"></font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">
<p align="center">place of birth___________________________________</p></font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong><font size="1"><font size="2">‎Registrar _________________________</font>‎</font></strong> </td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">
<p align="center"><font size="1">‎</font><font size="2">_____________________________________________<br />_____________________________________________‎</font></p></font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2"></font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">married on ____________________________________<br /><sup>‎(day, month, year in figures and words)‎</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Seal‎ ‎</font></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎_____________________________________________<br />_____________________________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">‎ <br /><br /><font size="2">‎‎‎‎I—O'z №‎ 0000000 ‎</font> ‎ ‎ ‎ ‎</font></p></td></tr></tbody></table></div></div></div><div class="BY_DEFAULT"><div name="794550" id="794550"></div></div><div class="APPL_BANNER_LANDSCAPE_TITLE"><div name="794552" id="794552">Вазирлар Маҳкамасининг 1997 йил<br />30 июндаги 330-сон қарорига <br />2а-ИЛОВА <br />(Вазирлар Маҳкамасининг 2003 йил <br />5 июндаги 249-сон <a href="/ru/m/acts/794220#794393">қарори </a>таҳририда)</div></div><div class="BY_DEFAULT"><div name="794727" id="794727"></div></div><div class="BY_DEFAULT" id="theDefCssID"><div name="794728" id="794728" class="tabBox"><div align="center">
<table id="theTableID" style="PADDING-RIGHT: 0px; ; PADDING-LEFT: 0px; LEFT: 0px; PADDING-BOTTOM: 0px; WIDTH: 738px; BORDER-TOP-STYLE: none; PADDING-TOP: 0px; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TOP: 0px; HEIGHT: auto; BORDER-BOTTOM-STYLE: none" cellspacing="1" cols="2" align="center" border="1">
<colgroup>
<col />
<col /></colgroup>
<tbody>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><strong><font size="1"><font size="2">Ўзбекистон Республикаси <br />‎ГЕРБИ‎<br /></font>‎</font></strong></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><strong><font size="1"><font size="2">НИКОҲ ТУЗИЛГАНЛИГИ ҲАҚИДА ГУВОҲНОМА‎<br />‎НЕКЕ ДYЗИЛГЕНЛИГИ ҲАҚҚЫНДА ГYЎАЛЫҚ<br /></font>‎<br />‎</font></strong></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Фуқаро Пухара ______________________________<br /><sup>‎‎(фамилияси/фамилиясы) ‎ ‎ </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">Бу ҳақда______йил_________ойининг______кунида<br />‎Бул ҳаққында_____ жыл_______ айының____ күни</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">____________________________________________<br /><sup>(исми, отасининг исми/аты, Экесиниң аты) </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">_______-сон билан далолатнома ёзуви қайд этилди.<br />_________-‎сан менен акт жазыўы дизимге алынды.</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">туғилган вақти______йил « ____ »______________<br />туўылған ўақты______жыл « ____ »_____________ ‎</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">Никоҳ қайд этилгандан кейин қуйидаги фамилиялар берилди:<br />‎Неке дүзилгеннен кейин томендеги фамилиялар берилди:</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">туғилган жойи ________________________________<br />туўылған жери ________________________________‎</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">эрига ерине__________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">_____________________________________________<br /></font><font size="2">‎_____________________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">хотинига ҳаялына______________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">ва фуқаро ҳэм пухара___________________________<br /><sup>(фамилияси/фамилиясы) </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">Қайд этиш жойи Дизимге алынған жери__________ <br /><sup>(ФҲДЁ органининг номи/ПХАЖ органыниң аты)</sup></font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________<br /><sup>(исми, отасининг исми/аты, Экесиниң аты) </sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Туғилган вақти_____йил «_______»______________ <br />туўылған жери ________________________________‎</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">Берилган вақти____ йил « _______ »_____________</font> <br /><font size="1"><font size="2">‎Берилген ўақты ____жыл« ________ »____________</font> </font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">туғилган жойи ________________________________<br />туўылған жери ________________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2"></font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________<br />‎_____________________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong><font size="2">Фуқаролик ҳолати далолатномаларини ‎ <br />‎ёзиш органи мудири ‎_____________________<br />‎Пухаралық ҳалаты актлерин <br />‎жазыў органы баслығы __________________</font></strong></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____йил________________ойининг________кунида <br />_____‎жыл________________айынын________куни </font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2"></font></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎____________________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="left"><font size="2">Муҳр <br />‎Мор‎</font></p></td></tr>
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<p align="center"><font size="2">_____________________никоҳландилар. некелести.<br />‎‎ ‎<sup><span style="FONT-SIZE: 12pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: RU; mso-fareast-language: RU; mso-bidi-language: AR-SA"><span style="mso-spacerun: yes">(рақам ва сўз билан/сан ҳэм соз бенен)</span><span style="mso-spacerun: yes"></span></span></sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center">‎</p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><br /><font size="1">‎<br /><font size="2">‎I—QQ №‎ 0000000<br /></font>‎<br />‎<br />‎</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1"><font size="2">(2a-илованинг давоми)‎<br /></font>‎<br />‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
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<p align="center"><font size="1"><strong><font size="2">СВИДЕТЕЛЬСТВО О ЗАКЛЮЧЕНИИ БРАКА‎<br /></font>‎<br />‎</strong></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Гражданин__________________________________<br /><sup>‎(фамилия)‎</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">Об этом « ____ » __________________________ года</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________<br /><sup>‎(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">произведена актовая запись за № _______________.</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">дата рождения ‎ «____» _____________________ года</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">После регистрации брака присвоены фамилии:</font></p></td></tr>
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<p align="center"><font size="2">место рождения _______________________________‎</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">мужу ________________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________<br />_____________________________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">жене ________________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">и гражданка __________________________________<br /><sup>‎(фамилия)‎</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1"><font size="2">Место регистрации ____________________________<br /></font><sup><font size="2">‎(наименование органа ЗАГСа</font>)</sup></font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________<br /><sup>‎(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">_____________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">дата рождения ‎ «____» _____________________ года</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">дата выдачи ‎ «_____» _____________________ года </font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">место рождения _______________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎</font></td></tr>
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<p align="center"><font size="2">_____________________________________________<br />_____________________________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong><font size="2">Заведущий (ая) органом записи <br />‎актов гражданского состояния _______________‎</font></strong></td></tr>
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<p align="center"><font size="2">заключили брак « _____ » __________________ года‎</font></p></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></tr>
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<p align="center"><font size="2">‎_____________________________________________ _____________________________________________‎ <br /><sup>‎(цифрами и прописью)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center">‎ <br /><font size="1"><br />‎<br />‎<br /></font><font size="2">‎‎‎I—O'z №‎ 0000000 ‎ ‎ ‎ ‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
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<p align="center"><font size="1"><font size="2">(2a-илованинг давоми)‎ ‎ ‎ <br /></font>‎‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">‎</font></p></td></tr>
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<p align="center"><font size="1"><strong><br /><font size="2">MARRIAGECERTIFICAT‎E<br /></font>‎</strong></font></p></td>
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<p align="center"><font size="1">‎</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">_____________________________________________<br /><sup>‎(surname)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="justify"><font size="2">Marriage record No. _____ was filed on _____________<br /><sup>‎(day, month, year)</sup></font></p></td></tr>
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<p align="center"><font size="2">‎_____________________________________________<br /><sup>‎(given names)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="left"><font size="2">In the marriage the following surnames were given to </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎date of birth ___________________________________<br /><sup>‎(day, month, year)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">husband ______________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">place of birth___________________________________</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">wife__________________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎_____________________________________________<br />_____________________________________________‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Place of registration _____________________________<br />‎<sup>(name and location of the Registry Office)</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">and __________________________________________<br /><sup>‎(surname)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">_____________________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">
<p align="center"><font size="2">‎_____________________________________________<br /><sup>‎(given names)</sup></font></p></font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">Date of issue « ____ » ___________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">‎date of birth ___________________________________<br /><sup>‎(day, month, year)</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">
<p align="center">place of birth___________________________________</p></font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong><font size="2">‎Registrar _________________________‎</font></strong> </td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">
<p align="center">‎_____________________________________________<br />_____________________________________________‎</p></font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2"></font></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="2">married on ____________________________________<br /><sup>‎(day, month, year in figures and words)‎</sup></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">Seal‎ ‎</font></td></tr>
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<p align="center"><font size="1"><font size="2">‎_____________________________________________<br />_____________________________________________</font>‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
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<p align="center"><font size="1">‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">‎</font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1">‎ <br /><br /><font size="2">‎‎‎‎I—O'z №‎ 0000000</font> ‎ ‎ ‎ ‎ ‎</font></p></td></tr></tbody></table></div></div></div><div class="BY_DEFAULT"><div name="794554" id="794554"></div></div><div class="APPL_BANNER_LANDSCAPE_TITLE"><div name="794555" id="794555">Вазирлар Маҳкамасининг <br />1997 йил 30 июндаги 330-сон қарорига <br />3-ИЛОВА <br />(Вазирлар Маҳкамасининг 2003 йил 5 июндаги 249-сон <a href="/ru/m/acts/794220#794393">қарори </a>таҳририда)</div></div><div class="BY_DEFAULT"><div name="794729" id="794729"></div></div><div class="BY_DEFAULT" id="theDefCssID"><div name="794730" id="794730" class="tabBox"><table id="theTableID" style="PADDING-RIGHT: 0px; ; PADDING-LEFT: 0px; LEFT: 0px; PADDING-BOTTOM: 0px; WIDTH: 738px; BORDER-TOP-STYLE: none; PADDING-TOP: 0px; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TOP: 0px; HEIGHT: auto; BORDER-BOTTOM-STYLE: none" cellspacing="1" cols="2" border="1">
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<tbody>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><strong><font size="1"><font size="2">Ўзбекистон Республикаси <br />‎ГЕРБИ‎‎<br /></font>‎<br />‎</font></strong></p></td></tr>
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<p align="center"><strong><font size="2">ЎЛИМ ҲАҚИДА ГУВОҲНОМА‎‎</font></strong></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎Фуқаро ____________________________________________________________________________________<br /><sup>‎(фамилияси)</sup></font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">___________________________________________________________________________________________‎‎<br /><sup>‎‎(исми, отасининг исми)</sup></font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">________________ йил________________________________ ойининг___________________________ кунида</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎___________________________________________________________________________________________<br /><sup>‎(рақам ва сўз билан)</sup></font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">____________________________________________________________________________ ёшда вафот этди.</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><br /><font size="2">‎Бу ҳақда ________йил _________ ойининг_______ кунида__________-сон далолатнома ёзуви қайд этилди.<br /></font></p></td></tr>
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<p align="center"><font size="2">Ўлимнинг сабаби ____________________________________________________________________________<br />‎___________________________________________________________________________________________<br />‎___________________________________________________________________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="1"><br /></font><font size="2">‎Вафот этган жойи:______________________________________________________________ Республикаси </font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">___________________________________________________________________________________вилояти </font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">____________________________________________________________________________________тумани </font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">__________________________________________________________________шаҳри, шаҳарчаси, қишлоғи </font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><br /><font size="2">‎Қайд этиш жойи ____________________________________________________________________________<br /></font><font size="2"><sup>‎(ФҲДЁ органининг номи)<br /></sup>‎___________________________________________________________________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="1"><br /></font><font size="2">‎‎‎Берилган вақти________ йил ‎ « ______ » _______________________________________________________</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="left"><strong><font size="1"><font size="2">‎‎<br />‎Фуқаролик ҳолати далолатномаларини<br /></font>‎ </font><font size="2">ёзиш органи мудири‎ ___________________</font></strong></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><br /><font size="2">‎Муҳр‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><br /><font size="1">‎<br /></font><font size="2">‎‎‎I—O'z № 0000000‎</font></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">‎‎<br />‎<br />‎<br />‎<br />‎‎</td></tr>
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<p align="center"><font size="1"><font size="2">‎‎(3-илованинг давоми)‎<br /></font>‎<br />‎<br />‎</font></p></td></tr>
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<p align="center"><strong><font size="2">‎‎СВИДЕТЕЛЬСТВО О СМЕРТИ‎</font></strong></p></td></tr>
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<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎Гражданин (ка)______________________________________________________________________________<br /><sup>‎(фамилия)‎</sup></font></p></td></tr>
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<p align="center"><font size="2">___________________________________________________________________________________________‎‎<br /><sup>‎(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="2">
<p align="center"><font size="1"><font size="2">« ______ » ______________________________________________________________________________</font> года</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">___________________________________________________________________________________________‎‎ <br /><sup>‎‎(цифрами и прописью) ‎‎‎</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">умер (ла) в возрасте __________________________________________________________________________ <br />‎Об этом « ______ » ______________________________________________________________________ года </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><br /><font size="2">‎Произведена актовая запись за № ___________________.‎‎‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="1"><br /></font><font size="2">‎Причина смерти _____________________________________________________________________________<br />‎___________________________________________________________________________________________<br />‎___________________________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎место смерти: Республики_____________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">_____________________________________________________________________________________ область‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">______________________________________________________________________________________район</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">город, посулок, кишлак ‎______________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="1"><font size="2">Место регистрации __________________________________________________________________________</font><br /></font><font size="2"><sup>‎(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="2">
<p align="center"><font size="2">‎‎___________________________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎Дата выдачи « _______ »‎ ________________________________________________________________ года</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="left"><font size="1"><strong>‎‎<br />‎<br /><font size="2">‎Заведующий(ая) органом записи <br />‎актов гражданского состояния ____________________________________</font>‎</strong></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1"><br />‎<br /></font><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></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><br /><font size="2">‎<br />‎‎‎ ‎‎‎I—O'z № 0000000‎ </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><br />‎<br />‎<br />‎<br />‎<br />‎‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎‎‎‎(3-илованинг давоми)‎ ‎ ‎ ‎ <br />‎<br />‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><strong><font size="1"><font size="2">DEATH CERTIFICATE‎<br /></font>‎</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="1">____________‎‎_______________________________________________________________________________‎<br /></font><font size="2"><sup>‎(surname)</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">___________________________________________________________________________________________<br /><sup>‎(given names)‎‎‎</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">died on_____________________________________________________________________________________<br /><sup>‎(day, month, year in figures and words)‎‎‎</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎___________________________________________________________________________________________<sup>‎‎ </sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">at the age of _________________________________________________________________________________<br />‎Death record No. ___________________ was failed __________________________________________________<br /><sup>‎(day, month, year)</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">Cause of death: Republic ________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">_______________________________________________________________________________________region</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">______________________________________________________________________________________ district</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="1">
<p align="center"><font size="2">__________________________________________________________________________________</font> city, willage</p></font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">Place of registration ____________________________________________________________________________<br /><sup>‎(name and location of the Registry Office)</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎____________________________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎Date of issue _________________________________________________________________________________<br /><sup>‎(day, month, year)‎</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><strong><br /><font size="2">‎<br />‎‎Registrar _______________________‎</font></strong></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong><br /><font size="2">‎<br />‎</font></strong></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="2">‎<br />‎Seal‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="1">‎‎<br />‎<br /></font><font size="2">‎‎‎ ‎‎‎ ‎‎‎I—O'z № 0000000‎ </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr></tbody></table></div></div><div class="BY_DEFAULT"><div name="794561" id="794561"></div></div><div class="APPL_BANNER_LANDSCAPE_TITLE"><div name="794562" id="794562">Вазирлар Маҳкамасининг<br />1997 йил 30 июндаги 330-сон қарорига <br />3а-ИЛОВА <br />(Вазирлар Маҳкамасининг 2003 йил 5 июндаги 249-сон <a href="/ru/m/acts/794220#794393">қарори </a>таҳририда)</div></div><div class="BY_DEFAULT"><div name="794731" id="794731"></div></div><div class="BY_DEFAULT" id="theDefCssID"><div name="794732" id="794732" class="tabBox"><table id="theTableID" style="PADDING-RIGHT: 0px; ; PADDING-LEFT: 0px; LEFT: 2px; PADDING-BOTTOM: 0px; WIDTH: 738px; BORDER-TOP-STYLE: none; PADDING-TOP: 0px; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; TOP: 0px; HEIGHT: auto; BORDER-BOTTOM-STYLE: none" cellspacing="1" cols="2" border="1">
<colgroup>
<col />
<col /></colgroup>
<tbody>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><strong><font size="1"><font size="2">Ўзбекистон Республикаси <br />‎ГЕРБИ‎‎<br /></font>‎<br />‎</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><strong><font size="2">ЎЛИМ ҲАҚИДА ГУВОҲНОМА‎‎<br />‎OЛИМ ҲАҚҚЫНДА ГҮЎАЛЫҚ</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎Фуқаро Пухара ______________________________________________________________________________<br /><sup>(фамилияси/фамилиясы)</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">__________________________________________________________________________________________‎‎<br /><sup>(исми, отасининг исми/аты, Экесиниң аты)</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="1"><font size="2">________________ йил________________________________ ойининг___________________________ кунида<br />________________‎жыл____________________________________ айының______________________</font> күни</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="1">‎‎<font size="2">__________________________________________________________________________________________<br /><sup>‎(рақам ва сўз билан/сан ҳэм соз бенен) ‎ ‎ </sup></font></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">____________________________________________________________________________ ёшда вафот этди.<br />‎________________________________________________________________________________ жаста олди.</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><br /><font size="2">‎Бу ҳақда ___________________йил __________________________ ойининг____________________ кунида <br />‎Бул ҳаққында __________________жыл ___________________айының _____________________күни </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="left"><font size="1"><br />‎</font><font size="2">___________-сон далолатнома ёзуви қайд этилди.<br />_______-‎сан менен акт жазыўы дизимге алынды.<br />‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">Ўлимнинг сабаби Олиминиң себеби____________________________________________________________<br />‎___________________________________________________________________________________________<br />‎___________________________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><br /><font size="2">‎Вафот этган жойи: Олген жери:_________________________________________ Республикаси Республикасы </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">_____________________________________________________________________________вилояти областы</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">______________________________________________________________________________тумани районы</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">_____________________________________________шаҳри, шаҳарчаси, қишлоғи қаласы, посёлкасы, аўылы.</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="1"><br /><font size="2">‎Қайд этиш жойи Дизимге алынған жери__________________________________________________________<br /></font></font><font size="2"><sup>‎(ФҲДЁ органининг номи/ПХАЖ органыниң аты) <br />‎</sup>‎___________________________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><br /><font size="1"><font size="2">‎‎‎Берилган вақти________ йил ‎ « ______ » _______________________________________________________<br />Берилген ўақты________ жыл ‎ « ______ » _______________________________________________________</font> </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="left"><strong><font size="1">‎‎<br /></font><font size="2">‎Фуқаролик ҳолати далолатномаларини<br />‎ ёзиш органи мудири‎ ___________________<br />‎Пухаралық ҳалаты актлерин<br />‎ жазыў органы баслығы ________________</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><br /><font size="2">‎Муҳр‎<br />‎Мор</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><br /><font size="1">‎<br /></font><font size="2">‎‎‎I—QQ № 0000000‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">‎‎<br />‎<br />‎<br />‎<br />‎‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="1"><font size="2">‎‎(3a-илованинг давоми)‎<br /></font>‎<br />‎<br />‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><strong><font size="2">‎‎СВИДЕТЕЛЬСТВО О СМЕРТИ‎</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎Гражданин (ка)______________________________________________________________________________<br /><sup>‎(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="2">
<p align="center"><font size="2">___________________________________________________________________________________________‎‎<br /><sup>‎(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="2">
<p align="center"><font size="2">« ______ » ______________________________________________________________________________ года</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">___________________________________________________________________________________________‎‎ <br /><sup>‎‎(цифрами и прописью) ‎‎‎</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">умер (ла) в возрасте __________________________________________________________________________<br />‎Об этом « ______ » ______________________________________________________________________ года </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><br /><font size="2">‎Произведена актовая запись за № ___________________.‎‎‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="1"><br /></font><font size="2">‎Причина смерти _____________________________________________________________________________<br />‎___________________________________________________________________________________________<br />‎___________________________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎место смерти: Республики_____________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">___________________________________________________________________________________ область‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">______________________________________________________________________________________район</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">город, посулок, кишлак ‎______________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">Место регистрации __________________________________________________________________________<br /><sup>‎(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="2">
<p align="center"><font size="2">‎‎___________________________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎Дата выдачи « _______ »‎ ________________________________________________________________ года</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2"><font size="1"><strong><font size="2">‎‎<br /></font>‎<br /><font size="2">‎Заведующий(ая) органом записи <br />‎актов гражданского состояния ____________________________________‎</font></strong></font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1"><br />‎<br /></font><font size="2">‎Печать‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><br /><font size="2">‎<br />‎‎‎ ‎‎‎I—O'z № 0000000‎ </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><br />‎<br />‎<br />‎<br />‎<br />‎‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎‎‎‎(3a-илованинг давоми)‎ ‎ ‎ ‎ <br />‎<br />‎</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><strong><font size="2">DEATH CERTIFICATE‎<br />‎</font></strong></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">____________‎‎_______________________________________________________________________________‎<br /><sup>‎(surname)</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">___________________________________________________________________________________________<br /><sup>‎(given names)‎‎‎</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">died on_____________________________________________________________________________________<br /><sup>‎(day, month, year in figures and words)‎‎‎</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎___________________________________________________________________________________________<sup>‎‎ </sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">at the age of _________________________________________________________________________________<br />‎Death record No. ___________________ was failed __________________________________________________<br /><sup>‎(day, month, year)</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">Cause of death: Republic ________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">_______________________________________________________________________________________region</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">______________________________________________________________________________________ district</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">__________________________________________________________________________________ city, willage</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">Place of registration ____________________________________________________________________________<br /><sup>‎(name and location of the Registry Office)</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎___________________________________________________________________________________________</font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎Date of issue _________________________________________________________________________________<br /><sup>‎(day, month, year)‎</sup></font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">
<p align="center"><font size="1"><strong><br />‎<br /><font size="2">‎‎Registrar _______________________‎</font></strong></font></p></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><strong><font size="1"><br />‎<br />‎</font></strong></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">‎<br /></font><font size="2">‎Seal‎</font></td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none"><font size="1">‎</font></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none" colspan="2">
<p align="center"><font size="2">‎‎<br />‎<br />‎‎‎ ‎‎‎ ‎‎‎I—O'z № 0000000‎ </font></p></td></tr>
<tr>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td>
<td style="BORDER-TOP-STYLE: none; BORDER-RIGHT-STYLE: none; BORDER-LEFT-STYLE: none; BORDER-BOTTOM-STYLE: none">‎</td></tr></tbody></table></div></div></div>
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