180
Ԕɨɫɵɦɲɚɦɚɥɚɪ
ԚɅȽȱɅȿɊ
Ɍɚԑɵɥɵɦɞɚɦɚɞɚɧ ԧɬɤɟɧ ɠԥɧɟ
ɧɨɬɚɪɢɚɬɬɵԕ ԕɵɡɦɟɬɩɟɧ ɚɣɧɚɥɵɫɭ
ԕԝԕɵԑɵɧɚ ԛɦɿɬɤɟɪ ɚɞɚɦɞɚɪɞɵ
ɚɬɬɟɫɬɚɬɬɚɭɞɚɧ ԧɬɤɿɡɭ ԕɚԑɢɞɚɥɚɪɵɧɚ
Ʉɨɦɢɫɫɢɹɧɵԙ ɧɨɬɚɪɢɚɬɬɵԕ ԕɵɡɦɟɬɩɟɧ
ɚɣɧɚɥɵɫɭ ԕԝԕɵԑɵɧɚ ԛɦɿɬɤɟɪɞɿ ɚɬɬɟɫɬɚɬɬɚɭ ɬɭɪɚɥɵ ɲɟɲɿɦɿ
_______________ ԕɚɥɚɫɵ 20_____ ɠɵɥԑɵ « ___» ___________
ɇɨɬɚɪɢɚɬɬɵԕ ԕɵɡɦɟɬɩɟɧ ɚɣɧɚɥɵɫɭ ԕԝԕɵԑɵɧɚ ɚɬɬɟɫɬɚɬɬɚɭ ɧԥɬɢɠɟɥɟɪɿ
ɛɨɣɵɧɲɚ
_____________________________________________________________
(Ɍ.Ⱥ.Ԥ.)
ɬɟɫɬɿɥɟɭ ɛɨɣɵɧɲɚ _____________________ɛɚɥɥ
ɟɦɬɢɯɚɧ ɛɢɥɟɬɿ ɛɨɣɵɧɲɚ _______________ɛɚɥɥ ɠɢɧɚɞɵ.
Ɇɵɧɚ ԕԝɪɚɦɞɚԑɵ Ʉɨɦɢɫɫɢɹ:
Ɍԧɪɚԑɚ
Ɇԛɲɟɥɟɪɿ
___________________________ ɚɬɬɟɫɬɚɬɬɚɥɫɵɧ ɞɟɩ ɲɟɲɬɿ.
(Ɍ.Ⱥ.Ԥ.)
Ʉɨɦɢɫɫɢɹ ɬԧɪɚԑɚɫɵ
Ʉɨɦɢɫɫɢɹ ɯɚɬɲɵɫɵ
181
Ɍɚԑɵɥɵɦɞɚɦɚɞɚɧ ԧɬɤɟɧ ɠԥɧɟ
ɧɨɬɚɪɢɚɬɬɵԕ ԕɵɡɦɟɬɩɟɧ ɚɣɧɚɥɵɫɭ
ԕԝԕɵԑɵɧɚ ԛɦɿɬɤɟɪ ɚɞɚɦɞɚɪɞɵ
ɚɬɬɟɫɬɚɬɬɚɭɞɚɧ ԧɬɤɿɡɭ ԕɚԑɢɞɚɥɚɪɵɧɚ
Ʉɨɦɢɫɫɢɹɧɵԙ ɧɨɬɚɪɢɚɬɬɵԕ ԕɵɡɦɟɬɩɟɧ
ɚɣɧɚɥɵɫɭ ԕԝԕɵԑɵɧɚ ԛɦɿɬɤɟɪɞɿ ɚɬɬɟɫɬɚɬɬɚɦɚɭ ɬɭɪɚɥɵ ɲɟɲɿɦɿ
_____________ ԕɚɥɚɫɵ 20_____ ɠɵɥԑɵ « ___» _________
ɇɨɬɚɪɢɚɬɬɵԕ ԕɵɡɦɟɬɩɟɧ ɚɣɧɚɥɵɫɭ ԕԝԕɵԑɵɧɚ ɚɬɬɟɫɬɚɬɬɚɭ ɧԥɬɢɠɟɥɟɪɿ
ɛɨɣɵɧɲɚ
___________________________________________________________
(Ɍ.Ⱥ.Ԥ.)
ɬɟɫɬɿɥɟɭ ɛɨɣɵɧɲɚ _____________________ɛɚɥɥ
ɟɦɬɢɯɚɧ ɛɢɥɟɬɿ ɛɨɣɵɧɲɚ ______________ɛɚɥɥ ɠɢɧɚɞɵ.
Ɇɵɧɚ ԕԝɪɚɦɞɚԑɵ Ʉɨɦɢɫɫɢɹ:
Ɍԧɪɚԑɚ
Ɇԛɲɟɥɟɪɿ
ɲɟɲɿɦ ɲɵԑɚɪɞɵ:
___________________________ ɚɬɬɟɫɬɚɬɬɚɭɞɚɧ ԧɬɩɟɞɿ ɞɟɩ ɫɚɧɚɥɫɵɧ.
(Ɍ.Ⱥ.Ԥ.)
Ʉɨɦɢɫɫɢɹ ɬԧɪɚԑɚɫɵ
Ʉɨɦɢɫɫɢɹ ɯɚɬɲɵɫɵ
182
Ɂɚԙ ɛɨɣɵɧɲɚ ɦԝɪɚԑɚ ԕԝԕɵԕ ɬɭɪɚɥɵ
ɤɭԥɥiɤ
_______________________________________ԕɚɥɚɫɵ (ɤɟɧɬi, ɚɭɵɥɵ, ɨɛɥɵɫɵ)
__________________________________________________________________
(ɤԛɧi, ɚɣɵ, ɠɵɥɵ)
Ɇɟɧ,__________________________________________, ___________________
(ɦɟɦɥɟɤɟɬɬiɤ ɧɨɬɚɪɢɚɬ ɤɟԙɫɟɫiɧiԙ ɚɬɚɭɵ ɧɟɦɟɫɟ ɠɟɤɟɲɟ ɧɨɬɚɪɢɭɫ
__________________________________________________________________
ɥɢɰɟɧɡɢɹɫɵɧɵԙ ɧԧɦiɪi ɦɟɧ ɤԛɧi)
__________________________________________________________________
ɧɨɬɚɪɢɭɫɵ
__________________________________________________________________
(Ɍ.Ⱥ.Ԥ)
ԔɊ ȺɄ ______ɛɚɛɵɧɵԙ ɧɟɝiɡiɧɞɟ 20___ ɠɵɥɞɵԙ "_____"___________ԕɚɣɬɵɫ
ɛɨɥԑɚɧ
ɚɡɚɦɚɬ_____________________________________________________________
(ɦԝɪɚ ԕɚɥɞɵɪɭɲɵɧɵԙ Ɍ.Ⱥ.Ԥ.)
ɦԛɥɤiɧɟ____________________________________________________________
(ɦԝɪɚɝɟɪɥɟɪɞiԙ Ɍ.Ⱥ.Ԥ., ɨɥɚɪɞɵԙ ɬԝɪԑɵɥɵԕɬɵ ɠɟɪi ɬɭԑɚɧ ɠɟɪɿ, ɨɥɚɪɞɵԙ ɦԝɪɚ
__________________________________________________________________
ԕɚɥɞɵɪɭɲɵԑɚ ɬɭɵɫɬɵԕ ԕɚɬɵɧɚɫɬɚɪɵ) ԥɪԕɚɣɫɵɫɵɧɵԙ ɬɟԙ ԛɥɟɫɬɟ ɦԝɪɚɝɟɪɥɟɪ
ɛɨɥɵɩ ɬɚɛɵɥɚɬɵɧɵɧ ɤɭԥɥɚɧɞɵɪɚɦɵɧ. Ɉɫɵ ɤɭԥɥiɤ ɛɟɪiɥɝɟɧ ɦԝɪɚɥɵԕ ɦԛɥiɤ
ɦɵɧɚɞɚɣ ɡɚɬɬɚɪɞɚɧ ɬԝɪɚɞɵ:
__________________________________________________________________
(ɤɭԥɥiɤ ɛɟɪiɥɟɬiɧ ɦԛɥiɤ ɤԧɪɫɟɬiɥɟɞi)
183
ʋ _____ ɬiɡiɥiɦɞɟ ɬiɪɤɟɥɞi
Ɇɟɦɥɟɤɟɬɬiɤ ɛɚɠ ԧɧɞiɪiɥɞi
ɧɟɦɟɫɟ ɠɟɤɟɲɟ ɧɨɬɚɪɢɭɫԕɚ
ɬԧɥɟɧɝɟɧ ɫɨɦɚ __________
ʋ____________________
(ɦԝɪɚɥɵԕ iɫ ɧԧɦiɪi)
Ɇԧɪ ɇɨɬɚɪɢɭɫ________
(ԕɨɥɵ)
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