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ȺȾɆȱɇȱɋɌɊɍȼȺɇɇə ɉɈȾȺɌɄȱȼ
Ⱦɨɞɚɬɨɤ Ȼ
Ɏɨɪɦɚ ʋ 2-Ɉɉɉ
ɀɭɪɧɚɥ ɪɟɽɫɬɪɚɰɿʀ ɡɚɹɜ ɬɚ ɩɨɜɿɞɨɦɥɟɧɶ ɩɪɨ ɜɡɹɬɬɹ ɧɚ ɨɛɥɿɤ (ɩɟɪɟɪɟɽɫɬɪɚɰɿɸ, ɪɟɨɪɝɚɧɿɡɚɰɿɸ, ɭɧɟɫɟɧɧɹ ɡɦɿɧ) ɩɥɚɬɧɢɤɿɜ ɩɨɞɚɬɤɿɜ* (ɞɥɹ ɨɫɿɛ, ɳɨ ɜɧɟɫɟɧɿ ɞɨ ȯȾɊɉɈɍ ɬɚ ɌɊȾɉȺɍ)
ʋ |
Ⱦɚɬɚ |
ɉɪɢɱɢɧɢ |
Ʉɨɞ ɡɚ |
ɇɚɣɦɟɧɭɜɚ |
Ⱦɚɬɚ |
Ⱦɚɬɚ |
Ⱦɚɬɚ ɬɚ |
ɉɪɢɦɿɬ |
ɡ/ |
ɨɬɪɢɦɚɧ |
ɩɨɞɚɧɧɹ |
ȯȾɊɉ |
ɧɧɹ |
ɜɡɹɬɬɹ |
ɜɢɩɢɫɤɢ |
ɫɩɨɫɿɛ |
ɤɚ |
ɩ |
ɧɹ, |
ɡɚɹɜɢ ɱɢ |
Ɉɍ ɚɛɨ |
ɩɥɚɬɧɢɤɚ |
ɧɚ |
ɞɨɜɿɞɤɢ |
ɜɢɞɚɱɿ |
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ɜɯɿɞɧɢɣ |
ɧɚɞɯɨɞɠɟɧ |
ɌɊȾɉ |
ɩɨɞɚɬɤɿɜ |
ɨɛɥɿɤ |
ɩɪɨ ɜɡɹɬɬɹ |
(ɧɚɩɪɚɜɥɟɧ |
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ɧɨɦɟɪ ɬɚ |
ɧɹ |
Ⱥɍ |
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ɬɚ |
ɧɚ ɨɛɥɿɤ ɡɚ |
ɧɹ) |
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ɧɚɡɜɚ |
ɩɨɜɿɞɨɦɥɟ |
ɩɥɚɬɧɢ |
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ɜɧɟɫɟɧ |
ɮ. 4 –Ɉɉɉ, |
ɞɨɜɿɞɤɢ |
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ɞɨɤɭɦɟɧ |
ɧɧɹ |
ɤɚ |
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ɧɹ |
ɪɟɽɫɬɪɚɰɿɣ |
ɩɥɚɬɧɢɤɭ |
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ɬɚ |
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ɩɨɞɚɬɤɿ |
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ɞɚɧɢɯ |
ɧɢɣ ɧɨɦɟɪ |
ɩɨɞɚɬɤɿɜ |
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ɜ |
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ɞɨ |
ɞɨɜɿɞɤɢ |
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ȯɞɢɧɨɝ |
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ɨ ɛɚɧɤɭ |
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ɞɚɧɢɯ |
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ɩɪɨ |
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ɩɥɚɬɧɢ |
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ɤɿɜ |
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1 - ɩɨɪɹɞɤɨɜɢɣ ɧɨɦɟɪ ɡɚɩɨɜɧɟɧɧɹ ɀɭɪɧɚɥɭ; 2 - ɞɚɬɚ ɨɬɪɢɦɚɧɧɹ, ɜɯɿɞɧɢɣ ɧɨɦɟɪ ɬɚ ɧɚɡɜɚ ɞɨɤɭɦɟɧɬɚ (ɡɚɹɜɚ, ɩɨɜɿɞɨɦɥɟɧɧɹ
ɬɨɳɨ) ɩɪɨ ɜɡɹɬɬɹ ɧɚ ɨɛɥɿɤ (ɩɟɪɟɪɟɽɫɬɪɚɰɿɸ, ɭɧɟɫɟɧɧɹ ɡɦɿɧ); 3 - ɩɪɢɱɢɧɢ ɩɨɞɚɧɧɹ ɡɚɹɜɢ ɱɢ ɧɚɞɯɨɞɠɟɧɧɹ ɩɨɜɿɞɨɦɥɟɧɧɹ (ɩɟɪɜɢɧɧɟ ɜɡɹɬɬɹ
ɧɚ ɨɛɥɿɤ, ɩɟɪɟɪɟɽɫɬɪɚɰɿɹ, ɪɟɨɪɝɚɧɿɡɚɰɿɹ, ɭɧɟɫɟɧɧɹ ɡɦɿɧ ɞɨ ɫɬɚɬɭɬɧɢɯ ɞɨɤɭɦɟɧɬɿɜ, ɡɦɿɧɚ ɦɿɫɰɟɡɧɚɯɨɞɠɟɧɧɹ ɬɨɳɨ); 4 - ɤɨɞ ɩɥɚɬɧɢɤɚ ɩɨɞɚɬɤɿɜ ɡɚ ȯȾɊɉɈɍ ɚɛɨ ɪɟɽɫɬɪɚɰɿɣɧɢɣ (ɨɛɥɿɤɨɜɢɣ) ɧɨɦɟɪ; 5 - ɩɨɜɧɟ ɧɚɣɦɟɧɭɜɚɧɧɹ ɩɥɚɬɧɢɤɚ ɩɨɞɚɬɤɿɜ;
6 - ɞɚɬɚ ɜɡɹɬɬɹ ɧɚ ɨɛɥɿɤ ɬɚ ɜɧɟɫɟɧɧɹ ɞɚɧɢɯ ɞɨ ȯɞɢɧɨɝɨ ɛɚɧɤɭ ɞɚɧɢɯ ɩɪɨ ɩɥɚɬɧɢɤɿɜ ɩɨɞɚɬɤɿɜ ɨɪɝɚɧɭ ɞɟɪɠɚɜɧɨʀ ɩɨɞɚɬɤɨɜɨʀ ɫɥɭɠɛɢ; 7 - ɞɚɬɚ ɜɢɩɢɫɤɢ ɞɨɜɿɞɤɢ ɩɪɨ ɜɡɹɬɬɹ ɧɚ ɨɛɥɿɤ ɡɚ ɮ. ʋ 4-Ɉɉɉ, ɪɟɽɫɬɪɚɰɿɣɧɢɣ ɧɨɦɟɪ ɞɨɜɿɞɤɢ;
8 - ɞɚɬɚ ɜɢɞɚɱɿ (ɧɚɩɪɚɜɥɟɧɧɹ) ɞɨɜɿɞɤɢ ɩɥɚɬɧɢɤɭ ɩɨɞɚɬɤɿɜ ɬɚ ɫɩɨɫɿɛ ɧɚɩɪɚɜɥɟɧɧɹ ɬɚɤɨʀ ɞɨɜɿɞɤɢ ɡɝɿɞɧɨ ɡ ɩɭɧɤɬɨɦ 4.17 ɉɨɪɹɞɤɭ
261
ȾɈȾȺɌɄɂ
Ⱦɨɞɚɬɨɤ ȼ
Ɏɨɪɦɚ ʋ 4-Ɉɉɉ
ȾɈȼȱȾɄȺ ɩɪɨ ɜɡɹɬɬɹ ɧɚ ɨɛɥɿɤ ɩɥɚɬɧɢɤɚ ɩɨɞɚɬɤɿɜ
ɉɨɜɿɞɨɦɥɹɽɦɨ, ɳɨ ɩɥɚɬɧɢɤ ɩɨɞɚɬɤɿɜ
_____________________________________________________________
(ɧɨɦɟɪ ȾɊɎɈ)
(ɩɨɜɧɟ ɧɚɣɦɟɧɭɜɚɧɧɹ ɚɛɨ ɩɪɿɡɜɢɳɟ, ɿɦ’ɹ, ɩɨ ɛɚɬɶɤɨɜɿ ɞɥɹ ɮɿɡɢɱɧɨʀ ɨɫɨɛɢ)
(ɦɿɫɰɟɡɧɚɯɨɞɠɟɧɧɹ, ɦɿɫɰɟ ɩɪɨɠɢɜɚɧɧɹ)
ɤɟɪɿɜɧɢɤ
(ɩɪɿɡɜɢɳɟ, ɿɦ’ɹ, ɩɨ ɛɚɬɶɤɨɜɿ ɬɚ ɿɞɟɧɬɢɮɿɤɚɰɿɣɧɢɣ ɧɨɦɟɪ)
ɭɡɹɬɢɣ ɧɚ ɨɛɥɿɤ ɜ ɨɪɝɚɧɚɯ ɞɟɪɠɚɜɧɨʀ ɩɨɞɚɬɤɨɜɨʀ ɫɥɭɠɛɢ ɜɿɞ _________ ʋ
_____
ɧɚ ɞɚɬɭ ɜɢɞɚɱɿ ɰɿɽʀ ɞɨɜɿɞɤɢ ɩɟɪɟɛɭɜɚɽ ɧɚ ɨɛɥɿɤɭ ɭ
(ɧɚɡɜɚ ɬɚ ɤɨɞ Ⱦɉȱ)
ɇɚɱɚɥɶɧɢɤ ɜɿɞɞɿɥɭ ɪɟɽɫɬɪɚɰɿʀ ɬɚ ɨɛɥɿɤɭ ɩɥɚɬɧɢɤɿɜ ɩɨɞɚɬɤɿɜ ________________________________
(ɩɪɿɡɜɢɳɟ, ɿɦ’ɹ, ɩɨ ɛɚɬɶɤɨɜɿ)
________________________
(ɩɿɞɩɢɫ)
Ɇ.ɉ.
262
ȺȾɆȱɇȱɋɌɊɍȼȺɇɇə ɉɈȾȺɌɄȱȼ
Ⱦɨɞɚɬɨɤ Ƚ
Ɏɨɪɦɚ ʋ 8-Ɉɉɉ
ʋ ______ "___"________ 20__ ɪɨɤɭ
ɁȺəȼȺ ɩɪɨ ɩɪɢɩɢɧɟɧɧɹ ɩɥɚɬɧɢɤɚ ɩɨɞɚɬɤɿɜ
_____________________________________________________________
(ɧɚɡɜɚ ɨɪɝɚɧɭ ɞɟɪɠɚɜɧɨʀ ɩɨɞɚɬɤɨɜɨʀ ɫɥɭɠɛɢ, ɞɨ ɹɤɨɝɨ ɩɨɞɚɽɬɶɫɹ ɡɚɹɜɚ)
ɐɢɦ ɩɨɜɿɞɨɦɥɹɽɬɶɫɹ, ɳɨ ɫɬɨɫɨɜɧɨ ɩɥɚɬɧɢɤɚ ɩɨɞɚɬɤɿɜ | | | | | | | | | | |
(ɤɨɞ ȯȾɊɉɈɍ / ɪɟɽɫɬɪɚɰɿɣɧɢɣ (ɨɛɥɿɤɨɜɢɣ) ɧɨɦɟɪ ɩɥɚɬɧɢɤɚ ɩɨɞɚɬɤɿɜ /
ɧɨɦɟɪ ȾɊɎɈ (ɩɨɬɪɿɛɧɟ ɩɿɞɤɪɟɫɥɢɬɢ)
_____________________________________________________________
_____________________________________________________________
(ɩɨɜɧɚ ɧɚɡɜɚ ɚɛɨ ɩɪɿɡɜɢɳɟ, ɿɦ'ɹ, ɩɨ ɛɚɬɶɤɨɜɿ ɞɥɹ ɮɿɡɢɱɧɨʀ ɨɫɨɛɢ)
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
(ɦɿɫɰɟɡɧɚɯɨɞɠɟɧɧɹ (ɦɿɫɰɟ ɩɪɨɠɢɜɚɧɧɹ)
ɪɨɡɩɨɱɚɬɿ/ɩɪɨɜɟɞɟɧɿ ɩɪɨɰɟɞɭɪɢ ɩɪɢɩɢɧɟɧɧɹ (ɥɿɤɜɿɞɚɰɿʀ/ɪɟɨɪɝɚɧɿɡɚɰɿʀ)
_________________________________________________________________
_________________________________________________________
(ɧɟɩɨɬɪɿɛɧɟ ɡɚɤɪɟɫɥɢɬɢ)
ɉɪɢɱɢɧɚ (ɩɿɞɫɬɚɜɚ) ɞɥɹ ɩɪɢɩɢɧɟɧɧɹ ɞɿɹɥɶɧɨɫɬɿ (ɡ ɩɨɫɢɥɚɧɧɹɦ ɧɚ ɩɭɧɤɬ, ɫɬɚɬɬɸ ɧɨɪɦɚɬɢɜɧɨ-ɩɪɚɜɨɜɨɝɨ ɚɤɬɚ):
_________________________________________________________________
_________________________________________________________
ɉɨɜɧɟ ɧɚɣɦɟɧɭɜɚɧɧɹ ɨɪɝɚɧɭ, ɳɨ ɩɪɢɣɧɹɜ ɪɿɲɟɧɧɹ ɩɪɨ ɩɪɢɩɢɧɟɧɧɹ (ɥɿɤɜɿɞɚɰɿɸ ɱɢ ɪɟɨɪɝɚɧɿɡɚɰɿɸ).
_____________________________________________________________
_____________________________________________________________
ɇɚɡɜɚ ɞɨɤɭɦɟɧɬɚ, ɹɤɢɦ ɡɚɬɜɟɪɞɠɟɧɟ ɪɿɲɟɧɧɹ, ɧɨɦɟɪ ɬɚ ɞɚɬɚ ɪɿɲɟɧɧɹ.
__________________________________________ ɜɿɞ "___"____________
20__ ɪɨɤɭ ɡɚ ʋ ________
Ⱦɨ ȯɞɢɧɨɝɨ ɞɟɪɠɚɜɧɨɝɨ ɪɟɽɫɬɪɭ ɸɪɢɞɢɱɧɢɯ ɨɫɿɛ ɬɚ ɮɿɡɢɱɧɢɯ ɨɫɿɛ - ɩɿɞɩɪɢɽɦɰɿɜ ɭɧɟɫɟɧɨ ɡɚɩɢɫ ɩɪɨ
_________________________________________________________________
_________________________________________________________________
_________________________________________ ɜɿɞ "___"____________
20__ ɪɨɤɭ ɡɚ ʋ ________
263
ȾɈȾȺɌɄɂ
ɍ ɡɜ'ɹɡɤɭ ɡ ɰɢɦ ɩɪɨɲɭ ɩɪɨɜɟɫɬɢ ɡɚɯɨɞɢ, ɜɢɡɧɚɱɟɧɿ ɉɨɪɹɞɤɨɦ, ɬɚ ɜɢɞɚɬɢ (ɧɟɨɛɯɿɞɧɟ ɜɿɞɦɿɬɢɬɢ):
–ɞɨɜɿɞɤɭ ɩɪɨ ɜɿɞɫɭɬɧɿɫɬɶ ɡɚɛɨɪɝɨɜɚɧɨɫɬɿ ɩɨ ɩɨɞɚɬɤɚɯ, ɡɛɨɪɚɯ, (ɨɛɨɜ'ɹɡɤɨɜɢɯ ɩɥɚɬɟɠɚɯ) ɡɚ ɮɨɪɦɨɸ ʋ 22-Ɉɉɉ
–ɞɨɜɿɞɤɭ ɩɪɨ ɡɧɹɬɬɹ ɡ ɨɛɥɿɤɭ ɩɥɚɬɧɢɤɚ ɩɨɞɚɬɤɿɜ ɡɚ ɮɨɪɦɨɸ ʋ 12-Ɉɉɉ ɡɝɿɞɧɨ ɡ
_____________________________________________________________
(ɜɤɚɡɚɬɢ ɩɭɧɤɬ, ɫɬɚɬɬɸ ɧɨɪɦɚɬɢɜɧɨ-ɩɪɚɜɨɜɨɝɨ ɚɤɬɚ)
Ƚɨɥɨɜɚ ɤɨɦɿɫɿʀ ɡ ɩɪɢɩɢɧɟɧɧɹ (ɥɿɤɜɿɞɚɰɿɣɧɨʀ ɤɨɦɿɫɿʀ), ɥɿɤɜɿɞɚɬɨɪ, ɩɥɚɬɧɢɤ ɩɨɞɚɬɤɿɜ (ɮɿɡɢɱɧɚ ɨɫɨɛɚ), ɿɧɲɚ ɨɫɨɛɚ, ɹɤɭ ɡɚ ɞɚɧɢɦɢ ȯɞɢɧɨɝɨ ɞɟɪɠɚɜɧɨɝɨ ɪɟɽɫɬɪɭ (ɡɝɿɞɧɨ ɡ ɪɿɲɟɧɧɹɦ ɩɪɨ ɩɪɢɩɢɧɟɧɧɹ) ɩɪɢɡɧɚɱɟɧɨ ɜɿɞɩɨɜɿɞɚɥɶɧɨɸ ɡɚ
ɩɪɨɜɟɞɟɧɧɹ ɩɪɨɰɟɞɭɪ ɩɪɢɩɢɧɟɧɧɹ ɩɥɚɬɧɢɤɚ ɩɨɞɚɬɤɿɜ: |
|
_____________________________________ |
____________ |
(ɉ.ȱ.Ȼ.) |
(ɩɨɫɚɞɚ) |
_________________________________________________________________
_________________________________________________________
(ɩɨɲɬɨɜɚ ɚɞɪɟɫɚ, ɬɟɥɟɮɨɧ)
____________________________
(ɩɿɞɩɢɫ)
Ɇ.ɉ. (ɞɥɹ ɮɿɡɢɱɧɢɯ ɨɫɿɛ - ɡɚ ɧɚɹɜɧɨɫɬɿ)
264
ȺȾɆȱɇȱɋɌɊɍȼȺɇɇə ɉɈȾȺɌɄȱȼ
Ⱦɨɞɚɬɨɤ Ⱦ
Ɂɪɚɡɨɤ ɞɨɤɭɦɟɧɬɚɥɶɧɨɝɨ ɨɮɨɪɦɥɟɧɧɹ ɩɢɫɶɦɨɜɨɝɨ ɡɜɟɪɧɟɧɧɹ ɝɪɨɦɚɞɹɧ ɞɨ ɨɪɝɚɧɭ ɞɟɪɠɚɜɧɨʀ ɩɨɞɚɬɤɨɜɨʀ ɫɥɭɠɛɢ
Ʉɨɦɭ ___________(ɧɚɡɜɚ ɨɪɝɚɧɿɡɚɰɿʀ)________
(ɩɪɿɡɜɢɳɟ, ɿɦ’ɹ, ɩɨ ɛɚɬɶɤɨɜɿ
ɩɨɜɧɚ ɚɞɪɟɫɚ, ɫɨɰɿɚɥɶɧɢɣ ɫɬɚɧ ɡɚɹɜɧɢɤɚ)
Ɂ ɜ ɟ ɪ ɧ ɟ ɧ ɧ ɹ
(ɡɚɭɜɚɠɟɧɧɹ, ɩɪɨɩɨɡɢɰɿʀ, ɡɚɹɜɚ, ɫɤɚɪɝɚ, ɩɪɨɯɚɧɧɹ, ɜɢɦɨɝɚ) (ɿɧɞɢɜɿɞɭɚɥɶɧɨ ɱɢ ɤɨɥɟɤɬɢɜɧɨ)
ɋɭɬɶ ɩɢɬɚɧɧɹ (ɩɨɪɭɲɟɧɧɹ) _____________________________________
_____________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
___________ |
____________ |
ɞɚɬɚ |
ɩɿɞɩɢɫ |
265
ȾɈȾȺɌɄɂ
Ⱦɨɞɚɬɨɤ ȿ
ɉɨɪɹɞɨɤ ɩɨɞɚɧɧɹ ɫɤɚɪɝ ɬɚ ɨɛɨɜ’ɹɡɤɢ ɨɪɝɚɧɿɜ Ⱦɉɋ ɭ ɡɜ’ɹɡɤɭ ɡ ʀɯ ɧɚɞɯɨɞɠɟɧɧɹɦ
“_______” “_____________”
(ɧɨɦɟɪ) (ɞɚɬɚ)
_________________________________________________________________
_________________________________________________________
(ɧɚɡɜɚ ɨɪɝɚɧɭ Ⱦɉɋ ɜɢɳɨɝɨ ɪɿɜɧɹ, ɹɤɨɦɭ ɩɨɞɚɽɬɶɫɹ ɫɤɚɪɝɚ)
_____________________________________________________________
(ɧɚɡɜɚ ɸɪɢɞɢɱɧɨʀ ɨɫɨɛɢ ɬɚ ʀʀ ɦɿɫɰɟ ɡɧɚɯɨɞɠɟɧɧɹ (ɩɨɜɧɚ ɚɞɪɟɫɚ)
(ɿɦ’ɹ, ɩɨ ɛɚɬɶɤɨɜɿ ɮɿɡɢɱɧɨʀ ɨɫɨɛɢ — ɋɉȾ ɬɚ ʀʀ ɦɿɫɰɟ ɩɪɨɠɢɜɚɧɧɹ (ɩɨɜɧɚ ɚɞɪɟɫɚ)
ɋɤɚɪɝɚ (ɡɚɹɜɚ) ɧɚ ɩɨɞɚɬɤɨɜɟ ɩɨɜɿɞɨɦɥɟɧɧɹ-ɪɿɲɟɧɧɹ (ɪɿɲɟɧɧɹ)
_____________________________________________________________
(ɧɚɡɜɚ ɸɪɢɞɢɱɧɨʀ ɨɫɨɛɢ, ɩɪɿɡɜɢɳɟ ɬɚ ɿɧɿɰɿɚɥɢ ɮɿɡɢɱɧɨʀ ɨɫɨɛɢ — ɩɥɚɬɧɢɤɚ ɩɨɞɚɬɤɿɜ), ɳɨ ɧɟ ɩɨɝɨɞɠɭɽɬɶɫɹ ɡ ɩɨɞɚɬɤɨɜɢɦ ɩɨɜɿɞɨɦɥɟɧɧɹɦ-ɪɿɲɟɧɧɹɦ
____________________________________________________________
(ɧɚɡɜɚ ɨɪɝɚɧɭ Ⱦɉɋ, ɩɨɞɚɬɤɨɜɟ ɩɨɜɿɞɨɦɥɟɧɧɹ-ɪɿɲɟɧɧɹ (ɪɿɲɟɧɧɹ) ɹɤɨɝɨ ɨɫɤɚɪɠɭɽɬɶɫɹ)
_________________________ ɜɿɞ « ___ » ____________ 20__ ɪ. ʋ ___
ɩɪɨ ɫɩɥɚɬɭ ___________ ɝɪɧ ____________________________________
(ɫɭɦɚ ɰɢɮɪɚɦɢ) |
(ɧɚɡɜɚ ɩɨɞɚɬɤɭ, ɡɛɨɪɭ, ɿɧɲɨɝɨ ɨɛɨɜ’ɹɡɤɨɜɨɝɨ |
|
ɩɥɚɬɟɠɭ) |
ɬɚ ɲɬɪɚɮɧɢɯ (ɮɿɧɚɧɫɨɜɢɯ) ɫɚɧɤɰɿɣ _______ ɝɪɧ, ɡɚɫɬɨɫɨɜɚɧɢɯ ɡɚ _____
(ɫɭɦɚ ɰɢɮɪɚɦɢ) (ɡɦɿɫɬ ɩɨɪɭɲɟɧɧɹ,
_____________________________________________________________
ɧɚɡɜɚ ɩɭɧɤɬɭ ɬɚ ɫɬɚɬɬɿ ɡɚɤɨɧɨɞɚɜɱɨɝɨ ɚɤɬɚ ɿ ɣɨɝɨ ɧɚɡɜɚ, ɹɤɢɦ ɩɟɪɟɞɛɚɱɟɧɨ ɲɬɪɚɮɧɭ (ɮɿɧɚɧɫɨɜɭ) ɫɚɧɤɰɿɸ)
Ɂɚɡɧɚɱɟɧɟ ɩɨɞɚɬɤɨɜɟ ɩɨɜɿɞɨɦɥɟɧɧɹ-ɪɿɲɟɧɧɹ (ɪɿɲɟɧɧɹ) ɨɬɪɢɦɚɧɨ ɩɥɚɬɧɢɤɨɦ ɩɨɞɚɬɤɿɜ “ _____ ” 20 ɪ.
ɉɨɡɨɜɧɚ ɡɚɹɜɚ ɞɨ ɫɭɞɭ ɩɪɨ ɜɢɡɧɚɧɧɹ ɧɟɞɿɣɫɧɢɦ ɩɨɞɚɬɤɨɜɨɝɨ ɩɨɜɿɞɨɦɥɟɧɧɹɪɿɲɟɧɧɹ (ɪɿɲɟɧɧɹ)__________ ɜɿɞ “____” 20 __ ɪ. ʋ ___ ɧɟ ɩɨɞɚɜɚɥɚɫɹ.
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ȺȾɆȱɇȱɋɌɊɍȼȺɇɇə ɉɈȾȺɌɄȱȼ
ɍ ɪɚɡɿ ɩɨɞɚɧɧɹ ɩɨɜɬɨɪɧɨʀ ɫɤɚɪɝɢ (ɡɚɹɜɢ) ɧɟɨɛɯɿɞɧɨ ɬɚɤɨɠ ɡɚɡɧɚɱɢɬɢ ɩɪɨ ɩɨɜɿɞɨɦɥɟɧɧɹ (ɞɚɬɭ ɿ ɧɨɦɟɪ ɥɢɫɬɚ-ɩɨɜɿɞɨɦɥɟɧɧɹ)
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ɚɛɨ ɧɟɩɨɜɿɞɨɦɥɟɧɧɹ ɜɿɞɩɨɜɿɞɧɨɝɨ ɨɪɝɚɧɭ ɞɟɪɠɚɜɧɨʀ ɩɨɞɚɬɤɨɜɨʀ ɫɥɭɠɛɢ ɩɪɨ ɨɫɤɚɪɠɟɧɧɹ ɣɨɝɨ ɩɨɞɚɬɤɨɜɨɝɨ ɩɨɜɿɞɨɦɥɟɧɧɹ-ɪɿɲɟɧɧɹ (ɪɿɲɟɧɧɹ) ɞɨ ɨɪɝɚɧɭ Ⱦɉɋ ɜɢɳɨɝɨ ɪɿɜɧɹ.
Ⱦɚɥɿ ɜɢɤɥɚɞɚɸɬɶɫɹ ɡɦɿɫɬ ɿ ɨɛʉɪɭɧɬɭɜɚɧɧɹ ɧɟɡɝɨɞɢ ɩɥɚɬɧɢɤɚ ɩɨɞɚɬɤɿɜ ɿɡ ɫɭɦɨɸ ɩɨɞɚɬɤɨɜɨɝɨ ɡɨɛɨɜ’ɹɡɚɧɧɹ ɚɛɨ ɡ ɿɧɲɢɦ ɪɿɲɟɧɧɹɦ, ɹɤɟ ɨɫɤɚɪɠɭɽɬɶɫɹ, ɡ ɩɨɫɢɥɚɧɧɹɦ ɧɚ ɧɨɪɦɢ ɚɤɬɿɜ ɡɚɤɨɧɨɞɚɜɫɬɜɚ ɿɡ ɡɚɡɧɚɱɟɧɧɹɦ ʀɯɧɶɨɝɨ ɡɦɿɫɬɭ ɬɚ ɞɨɤɭɦɟɧɬɿɜ ɩɨɞɚɬɤɨɜɨɝɨ ɨɛɥɿɤɭ.
ɉɪɨɲɭ ɩɨɞɚɬɤɨɜɟ ɩɨɜɿɞɨɦɥɟɧɧɹ-ɪɿɲɟɧɧɹ (ɪɿɲɟɧɧɹ) ɜɿɞ “___” ________
20 __ ɪ. ʋ __________
_____________________________________________________________
(ɧɚɡɜɚɨɪɝɚɧɭȾɉɋ)
_____________________________________________________________
ɫɤɚɫɭɜɚɬɢ ɩɨɜɧɿɫɬɸ ɚɛɨ ɭ ɩɟɜɧɿɣ ɫɭɦɿ (ɡɚɡɧɚɱɢɬɢ ɫɭɦɭ). Ɋɿɲɟɧɧɹ (ɜɿɞɩɨɜɿɞɶ) ɡɚ ɪɨɡɝɥɹɞɨɦ ɫɤɚɪɝɢ (ɡɚɹɜɢ) ɧɚɞɿɫɥɚɬɢ __________
_____________________________________________________________
(ɡɚɡɧɚɱɢɬɢɧɚɡɜɭɸɪɢɞɢɱɧɨʀɨɫɨɛɢ— ɩɥɚɬɧɢɤɚɩɨɞɚɬɤɿɜ
_____________________________________________________________
ɬɚʀʀɩɨɜɧɭɚɞɪɟɫɭ, ɩɪɿɡɜɢɳɟɬɚɿɧɿɰɿɚɥɢɮɿɡɢɱɧɨʀɨɫɨɛɢ— ɩɥɚɬɧɢɤɚɩɨɞɚɬɤɿɜɬɚʀʀɩɨɜɧɭ ɚɞɪɟɫɭ)
Ⱦɨ ɫɤɚɪɝɢ (ɡɚɹɜɢ) ɞɨɞɚɸ _______________________________________
_____________________________________________________________
(ɩɟɪɟɥɿɤɬɚɧɚɡɜɚɞɨɤɭɦɟɧɬɿɜɿɪɨɡɪɚɯɭɧɤɿɜ, ɳɨɞɨɞɚɸɬɶɫɹɞɨɫɤɚɪɝɢ(ɡɚɹɜɢ),
_____________________________________________________________
ɿɡɡɚɡɧɚɱɟɧɧɹɦɤɿɥɶɤɨɫɬɿɚɪɤɭɲɿɜ)
ɩɨɫɚɞɚ ɤɟɪɿɜɧɢɤɚ ɸɪɢɞɢɱɧɨʀ ɨɫɨɛɢ _____________________________
____________________________________________________________
(ɩɿɞɩɢɫ, ɩɪɿɡɜɢɳɟ ɬɚ ɿɧɿɰɿɚɥɢ) ɩɥɚɬɧɢɤɚ ɩɨɞɚɬɤɿɜ
____________________________________
ɮɿɡɢɱɧɚ ɨɫɨɛɚ — ɋɉȾ
_____________________________________
(ɩɿɞɩɢɫ, ɩɪɿɡɜɢɳɟ ɬɚ ɿɧɿɰɿɚɥɢ)
ɉɪɢɦɿɬɤɚ. ɍ ɪɚɡɿ ɧɚɞɫɢɥɚɧɧɹ ɫɤɚɪɝɢ (ɡɚɹɜɢ) ɩɨɲɬɨɸ ɞɨɞɚɸɬɶɫɹ ɨɩɢɫ ɭɤɥɚɞɟɧɨɝɨ ɬɚ ɩɨɜɿɞɨɦɥɟɧɧɹ ɩɪɨ ɜɪɭɱɟɧɧɹ. ɉɭɧɤɬɨɦ 3 ɉɨɥɨɠɟɧɧɹ ɩɪɨ ɩɨɪɹɞɨɤ ɩɨɞɚɧɧɹ ɬɚ ɪɨɡɝɥɹɞɭ ɫɤɚɪɝ ɩɥɚɬɧɢɤɿɜ ɩɨɞɚɬɤɿɜ ɨɪɝɚɧɚɦɢ ɞɟɪɠɚɜɧɨʀ
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ȾɈȾȺɌɄɂ
ɩɨɞɚɬɤɨɜɨʀ ɫɥɭɠɛɢ (ɡɚɬɜɟɪɞɠɟɧɨ ɧɚɤɚɡɨɦ ȾɉȺ ɍɤɪɚʀɧɢ ɜɿɞ 11.12.96 ɪ. ʋ 29 ɿ ɡɚɪɟɽɫɬɪɨɜɚɧɨ ɜ Ɇɿɧ’ɸɫɬɿ ɍɤɪɚʀɧɢ 18.12.96 ɪ. ɡɚ ʋ 723/1748, ɿɡ ɡɦɿɧɚɦɢ ɬɚ ɞɨɩɨɜɧɟɧɧɹɦɢ) ɩɟɪɟɞɛɚɱɟɧɨ, ɳɨ ɭ ɫɤɚɪɡɿ (ɡɚɹɜɿ) ɦɚɽ ɛɭɬɢ ɡɚɡɧɚɱɟɧɨ, ɡɨɤɪɟɦɚ, ɩɿɞɩɢɫ ɮɿɡɢɱɧɨʀ ɨɫɨɛɢ — ɩɥɚɬɧɢɤɚ ɩɨɞɚɬɤɿɜ, ɚ ɞɥɹ ɸɪɢɞɢɱɧɨʀ ɨɫɨɛɢ — ɩɥɚɬɧɢɤɚ ɩɨɞɚɬɤɿɜ — ɩɿɞɩɢɫ ɤɟɪɿɜɧɢɤɚ ɚɛɨ ɨɫɨɛɢ, ɹɤɚ ɜɢɤɨɧɭɽ ɨɛɨɜ’ɹɡɤɢ ɤɟɪɿɜɧɢɤɚ ɸɪɢɞɢɱɧɨʀ ɨɫɨɛɢ — ɩɥɚɬɧɢɤɚ ɩɨɞɚɬɤɿɜ. əɤɳɨ ɫɤɚɪɝɚ (ɡɚɹɜɚ) ɜ ɿɧɬɟɪɟɫɚɯ ɮɿɡɢɱɧɨʀ ɨɫɨɛɢ — ɩɥɚɬɧɢɤɚ ɩɨɞɚɬɤɿɜ ɚɛɨ ɸɪɢɞɢɱɧɨʀ ɨɫɨɛɢ — ɩɥɚɬɧɢɤɚ ɩɨɞɚɬɤɿɜ ɩɨɞɚɽɬɶɫɹ ʀʀ ɩɪɟɞɫɬɚɜɧɢɤɨɦ, ɬɨ ɞɨ ɫɤɚɪɝɢ (ɡɚɹɜɢ) ɞɨɞɚɽɬɶɫɹ ɤɨɩɿɹ ɞɨɜɿɪɟɧɨɫɬɿ (ɞɨɪɭɱɟɧɧɹ), ɨɮɨɪɦɥɟɧɨʀ ɜɿɞɩɨɜɿɞɧɨ ɞɨ ɜɢɦɨɝ ɱɢɧɧɨɝɨ ɡɚɤɨɧɨɞɚɜɫɬɜɚ. ɉɿɞɩɢɫ ɩɪɟɞɫɬɚɜɧɢɤɚ ɸɪɢɞɢɱɧɨʀ ɨɫɨɛɢ — ɩɥɚɬɧɢɤɚ ɩɨɞɚɬɤɿɜ ɧɚ ɫɤɚɪɡɿ (ɡɚɹɜɿ) ɦɚɽ ɛɭɬɢ ɫɤɪɿɩɥɟɧɨ ɩɟɱɚɬɤɨɸ ɸɪɢɞɢɱɧɨʀ ɨɫɨɛɢ — ɩɥɚɬɧɢɤɚ ɩɨɞɚɬɤɿɜ (ɫɬ. 5 ɚɛɡɚɰɭ ɱɟɬɜɟɪɬɨɝɨ ɩ. 3 ɉɨɥɨɠɟɧɧɹ).
ɋɤɚɪɝɚ (ɡɚɹɜɚ), ɨɮɨɪɦɥɟɧɚ ɛɟɡ ɞɨɬɪɢɦɚɧɧɹ ɜɢɦɨɝ, ɡɚɡɧɚɱɟɧɢɯ ɭ ɫɬ. 5 ɚɛɡɚɰɭ ɱɟɬɜɟɪɬɨɝɨ ɩ. 3 ɉɨɥɨɠɟɧɧɹ, ɚɛɨ ɨɮɨɪɦɥɟɧɚ ɛɟɡ ɞɨɬɪɢɦɚɧɧɹ ɜɢɦɨɝ, ɡɚɡɧɚɱɟɧɢɯ ɭ ɩɿɞɩɭɧɤɬɚɯ 1 — 4 ɚɛɡɚɰɭ ɱɟɬɜɟɪɬɨɝɨ ɩ. 3 ɉɨɥɨɠɟɧɧɹ, ɳɨ ɧɟ ɞɚɽ ɡɦɨɝɢ ɪɨɡɝɥɹɧɭɬɢ ɫɤɚɪɝɭ (ɡɚɹɜɭ) ɩɨ ɫɭɬɿ, ɩɨɜɟɪɬɚɽɬɶɫɹ ɨɫɨɛɿ, ɹɤɚ ʀʀ ɩɨɞɚɥɚ (ɧɚɞɿɫɥɚɥɚ), ɡ ɜɿɞɩɨɜɿɞɧɢɦɢ ɪɨɡ’ɹɫɧɟɧɧɹɦɢ ɧɟ ɩɿɡɧɿɲɟ ɩ’ɹɬɢ ɞɧɿɜ ɜɿɞ ɞɧɹ ɨɬɪɢɦɚɧɧɹ ɬɚɤɨʀ ɫɤɚɪɝɢ (ɡɚɹɜɢ).
əɤɳɨ ɩɢɬɚɧɧɹ, ɩɨɪɭɲɟɧɿ ɭ ɫɤɚɪɡɿ (ɡɚɹɜɿ), ɨɞɟɪɠɚɧɿɣ ɨɪɝɚɧɨɦ ɞɟɪɠɚɜɧɨʀ ɩɨɞɚɬɤɨɜɨʀ ɫɥɭɠɛɢ, ɧɟ ɜɯɨɞɹɬɶ ɞɨ ɩɨɜɧɨɜɚɠɟɧɶ ɨɪɝɚɧɿɜ ɞɟɪɠɚɜɧɨʀ ɩɨɞɚɬɤɨɜɨʀ ɫɥɭɠɛɢ, ɬɨ ɬɚɤɚ ɫɤɚɪɝɚ (ɡɚɹɜɚ) ɭ ɫɬɪɨɤ ɧɟ ɛɿɥɶɲɟ ɩ’ɹɬɢ ɞɧɿɜ ɧɚɞɫɢɥɚɽɬɶɫɹ ɡɚ ɧɚɥɟɠɧɿɫɬɸ ɞɨ ɜɿɞɩɨɜɿɞɧɨɝɨ ɨɪɝɚɧɭ ɱɢ ɩɨɫɚɞɨɜɿɣ ɨɫɨɛɿ, ɩɪɨ ɳɨ ɩɨɜɿɞɨɦɥɹɽɬɶɫɹ ɨɫɨɛɿ, ɹɤɚ ɩɨɞɚɥɚ ɫɤɚɪɝɭ (ɡɚɹɜɭ).
ɋɤɚɪɝɚ (ɡɚɹɜɚ), ɩɨɞɚɧɚ ɡ ɩɨɪɭɲɟɧɧɹɦ ɩɨɪɹɞɤɭ, ɜɫɬɚɧɨɜɥɟɧɨɝɨ ɩɩ. 5.2.2 ɩ. 5.2 ɫɬ. 5 Ɂɚɤɨɧɭ ɍɤɪɚʀɧɢ «ɉɪɨ ɩɨɪɹɞɨɤ ɩɨɝɚɲɟɧɧɹ ɡɨɛɨɜ’ɹɡɚɧɶ ɩɥɚɬɧɢɤɿɜ ɩɨɞɚɬɤɿɜ ɩɟɪɟɞ ɛɸɞɠɟɬɚɦɢ ɬɚ ɞɟɪɠɚɜɧɢɦɢ ɰɿɥɶɨɜɢɦɢ ɮɨɧɞɚɦɢ», ɬɚ ɉɨɥɨɠɟɧɧɹ ɩɪɨ ɩɨɪɹɞɨɤ ɩɨɞɚɧɧɹ ɬɚ ɪɨɡɝɥɹɞɭ ɫɤɚɪɝ ɩɥɚɬɧɢɤɿɜ ɩɨɞɚɬɤɿɜ ɨɪɝɚɧɚɦɢ ɞɟɪɠɚɜɧɨʀ ɩɨɞɚɬɤɨɜɨʀ ɫɥɭɠɛɢ, ɧɟ ɩɿɞɥɹɝɚɽ ɪɨɡɝɥɹɞɭ ɩɨ ɫɭɬɿ ɿ ɩɨɜɟɪɬɚɽɬɶɫɹ ɨɫɨɛɿ, ɹɤɚ ɩɨɞɚɥɚ ɫɤɚɪɝɭ (ɡɚɹɜɭ), ɡ ɪɨɡ’ɹɫɧɟɧɧɹɦ ɩɨɪɹɞɤɭ ɿ ɫɬɪɨɤɿɜ ɨɫɤɚɪɠɟɧɧɹ ɩɨɞɚɬɤɨɜɢɯ ɩɨɜɿɞɨɦɥɟɧɶ, ɪɿɲɟɧɶ ɚɛɨ ɩɨɫɬɚɧɨɜ ɩɨ ɫɩɪɚɜɿ ɩɪɨ ɚɞɦɿɧɿɫɬɪɚɬɢɜɧɟ ɩɪɚɜɨɩɨɪɭɲɟɧɧɹ (ɚɛɡɚɰ ɫɶɨɦɢɣ ɩ. 3 ɉɨɥɨɠɟɧɧɹ).
ɇɟ ɪɨɡɝɥɹɞɚɸɬɶɫɹ ɩɨɜɬɨɪɧɿ ɡɜɟɪɧɟɧɧɹ ɨɞɧɢɦ ɿ ɬɢɦ ɫɚɦɢɦ ɨɪɝɚɧɨɦ ɞɟɪɠɚɜɧɨʀ ɩɨɞɚɬɤɨɜɨʀ ɫɥɭɠɛɢ ɜɿɞ ɨɞɧɿɽʀ ɿ ɬɿɽʀ ɫɚɦɨʀ ɨɫɨɛɢ ɡ ɨɞɧɨɝɨ ɿ ɬɨɝɨ ɫɚɦɨɝɨ ɩɢɬɚɧɧɹ, ɹɤɳɨ ɩɟɪɲɟ ɜɢɪɿɲɟɧɨ ɩɨ ɫɭɬɿ.
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ȺȾɆȱɇȱɋɌɊɍȼȺɇɇə ɉɈȾȺɌɄȱȼ
Ⱦɨɞɚɬɨɤ ɀ
Ɏɨɪɦɚ ʋ 10-Ɉɉɉ
Ʌɢɰɶɨɜɢɣ ɛɿɤ
ʋ ______ “____”________ 20__ ɪɨɤɭ
____________________________________
(ɨɪɝɚɧ, ɞɨ ɹɤɨɝɨ ɩɨɞɚɽɬɶɫɹ ɩɨɜɿɞɨɦɥɟɧɧɹ)
_____________________________________________________________
(ɚɞɪɟɫɚ)
ɉɈȼȱȾɈɆɅȿɇɇə ɩɪɨ ɩɨɞɚɬɤɨɜɿ ɡɨɛɨɜ'ɹɡɚɧɧɹ ɬɚ ɧɟɫɩɥɚɱɟɧɿ ɩɨɞɚɬɤɢ
ɍ ɡɜ'ɹɡɤɭ ɡ
_________________________________________________________________
________________________________________________________________
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(ɩɪɢɱɢɧɚ) |
ɩɥɚɬɧɢɤɚ ɩɨɞɚɬɤɿɜ |
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ɤɨɞ ȯȾɊɉɈɍ / ɧɨɦɟɪ ɿɡ ɌɊȾɉȺɍ/ ɧɨɦɟɪ ȾɊɎɈ |
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(ɩɨɬɪɿɛɧɟ ɩɿɞɤɪɟɫɥɢɬɢ) |
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________________________________________________________________
(ɩɨɜɧɟ ɧɚɣɦɟɧɭɜɚɧɧɹ ɚɛɨ ɩɪɿɡɜɢɳɟ, ɿɦ'ɹ, ɩɨ ɛɚɬɶɤɨɜɿ ɞɥɹ ɮɿɡɢɱɧɨʀ ɨɫɨɛɢ)
_____________________________________________________________
________________________________________________________________
(ɦɿɫɰɟɡɧɚɯɨɞɠɟɧɧɹ (ɦɿɫɰɟ ɩɪɨɠɢɜɚɧɧɹ))
Ⱦɟɪɠɚɜɧɚ ɩɨɞɚɬɤɨɜɚ ɿɧɫɩɟɤɰɿɹ
________________________________________________________________
(ɧɚɡɜɚ ɨɪɝɚɧɭ ɞɟɪɠɚɜɧɨʀ ɩɨɞɚɬɤɨɜɨʀ ɫɥɭɠɛɢ)
ɩɨɜɿɞɨɦɥɹɽ, ɳɨ ɧɚ ɬɟɪɢɬɨɪɿʀ, ɹɤɚ ɨɛɫɥɭɝɨɜɭɽɬɶɫɹ Ⱦɉȱ, ɩɥɚɬɧɢɤ ɩɨɞɚɬɤɿɜ ɦɚɽ ɬɚɤɿ ɩɨɞɚɬɤɨɜɿ ɡɨɛɨɜ'ɹɡɚɧɧɹ ɬɚ ɧɟɫɩɥɚɱɟɧɿ ɩɨɞɚɬɤɢ (ɝɪɧ):
1. ɉɨɞɚɬɤɨɜɢɣ ɛɨɪɝ - ɜɢɦɨɝɚ ɨɪɝɚɧɭ ɞɟɪɠɚɜɧɨʀ ɩɨɞɚɬɤɨɜɨʀ ɫɥɭɠɛɢ ɳɨɞɨ ɫɩɥɚɬɢ ɩɨɞɚɬɤɿɜ, ɡɛɨɪɿɜ (ɨɛɨɜ'ɹɡɤɨɜɢɯ ɩɥɚɬɟɠɿɜ)
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ɭ ɬɨɦɭ ɱɢɫɥɿ |
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ɛɨɪɝ ɡɚ ɩɥɚɬɟɠɚɦɢ, |
ɭ ɬɨɦɭ |
Ɂɚɥɢɲɨɤ ɧɟɫɩɥɚɱɟɧɨʀ |
ʋ |
ȼɢɞ |
ɍɫɶɨɝɨ |
ɳɨ ɤɨɧɬɪɨɥɸɸɬɶɫɹ |
ɱɢɫɥɿ |
ɩɟɧɿ ɬɚ ɜɿɞɫɨɬɤɢ ɡɚ |
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ɡ/ɩ |
ɩɨɞɚɬɤɭ |
ɨɪɝɚɧɚɦɢ |
ɲɬɪɚɮɧɿ |
ɤɨɪɢɫɬɭɜɚɧɧɹ |
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ɞɟɪɠɚɜɧɨʀ |
ɪɨɡɫɬɪɨɱɟɧɧɹɦ |
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ɫɚɧɤɰɿʀ |
(ɜɿɞɫɬɪɨɱɟɧɧɹɦ) |
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ɩɨɞɚɬɤɨɜɨʀ ɫɥɭɠɛɢ |
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ɩɨɞɚɬɤɨɜɢɯ ɡɨɛɨɜ’ɹɡɚɧɶ |
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ɍɫɶɨɝɨ
269
ȾɈȾȺɌɄɂ
ɍ ɡɜ'ɹɡɤɭ ɡ ɧɟɫɜɨɽɱɚɫɧɢɦ ɩɨɝɚɲɟɧɧɹɦ ɭɡɝɨɞɠɟɧɨɝɨ ɩɨɞɚɬɤɨɜɨɝɨ ɡɨɛɨɜ'ɹɡɚɧɧɹ, ɨɤɪɿɦ ɩɨɞɚɬɤɨɜɨɝɨ ɛɨɪɝɭ, ɩɿɞɥɹɝɚɽ ɫɩɥɚɬɿ ɞɨ ɛɸɞɠɟɬɭ ɩɟɧɹ, ɹɤɚ ɧɚɪɚɯɨɜɭɽɬɶɫɹ ɧɚ ɫɭɦɭ ɩɨɞɚɬɤɨɜɨɝɨ ɛɨɪɝɭ (ɛɟɡ ɭɪɚɯɭɜɚɧɧɹ ɡɚɥɢɲɤɭ ɧɟɫɩɥɚɱɟɧɨʀ ɩɟɧɿ) ɡɝɿɞɧɨ ɿɡ ɫɬɚɬɬɟɸ 16 Ɂɚɤɨɧɭ ɍɤɪɚʀɧɢ "ɉɪɨ ɩɨɪɹɞɨɤ ɩɨɝɚɲɟɧɧɹ ɡɨɛɨɜ'ɹɡɚɧɶ ɩɥɚɬɧɢɤɿɜ ɩɨɞɚɬɤɿɜ ɩɟɪɟɞ ɛɸɞɠɟɬɚɦɢ ɬɚ ɞɟɪɠɚɜɧɢɦɢ ɰɿɥɶɨɜɢɦɢ ɮɨɧɞɚɦɢ".
Ɂɜɨɪɨɬɧɢɣ ɛɿɤ
2. ɉɨɞɚɬɤɨɜɿ ɡɨɛɨɜ'ɹɡɚɧɧɹ, ɳɨɞɨ ɹɤɢɯ ɩɪɨɜɨɞɢɬɶɫɹ ɚɩɟɥɹɰɿɣɧɟ ɭɡɝɨɞɠɟɧɧɹ
ʋ |
ȼɢɞ |
ɍɫɶɨɝɨ |
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ɭ ɬɨɦɭ ɱɢɫɥɿ |
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Ɂɚ ɨɫɧɨɜɧɢɦ |
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Ɂɚ ɲɬɪɚɮɧɢɦɢ |
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ɡ/ɩ |
ɩɨɞɚɬɤɭ |
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ɩɥɚɬɟɠɟɦ |
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(ɮɿɧɚɧɫɨɜɢɦɢ) ɫɚɧɤɰɿɹɦɢ |
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ɍɫɶɨɝɨ |
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3. ɇɟ ɫɩɥɚɱɟɧɨ ɞɨ ɛɸɞɠɟɬɭ ɩɨɞɚɬɤɭ ɡ ɞɨɯɨɞɿɜ ɮɿɡɢɱɧɢɯ ɨɫɿɛ ɿɡ ɫɭɦ ɞɨɯɨɞɿɜ, ɧɚɪɚɯɨɜɚɧɢɯ (ɜɢɩɥɚɱɟɧɢɯ) ɧɚɣɦɚɧɢɦ ɩɪɚɰɿɜɧɢɤɚɦ
_________________________________________________________________
________________________________________________________________
Ʉɟɪɿɜɧɢɤ ɨɪɝɚɧɭ ɞɟɪɠɚɜɧɨʀ ɩɨɞɚɬɤɨɜɨʀ ɫɥɭɠɛɢ
_____________ |
__________________________ |
(ɩɿɞɩɢɫ) |
(ɩɪɿɡɜɢɳɟ, ɿɦ'ɹ, ɩɨ ɛɚɬɶɤɨɜɿ) |
Ɇ.ɉ. |
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ȼɿɡɢ ɤɟɪɿɜɧɢɤɿɜ ɫɬɪɭɤɬɭɪɧɢɯ ɩɿɞɪɨɡɞɿɥɿɜ ɨɪɝɚɧɭ ɞɟɪɠɚɜɧɨʀ ɩɨɞɚɬɤɨɜɨʀ ɫɥɭɠɛɢ ______________________________________________________
_____________________________________________________________
(ɩɪɨɫɬɚɜɥɹɸɬɶɫɹ ɬɿɥɶɤɢ ɧɚ ɩɪɢɦɿɪɧɢɤɭ, ɳɨ ɡɚɥɢɲɚɽɬɶɫɹ ɜ ɨɪɝɚɧɿ ɞɟɪɠɚɜɧɨʀ ɩɨɞɚɬɤɨɜɨʀ ɫɥɭɠɛɢ)
Ʉɟɪɿɜɧɢɤ ɩɿɞɪɨɡɞɿɥɭ ɩɨɝɚɲɟɧɧɹ ɩɪɨɫɬɪɨɱɟɧɢɯ ɩɨɞɚɬɤɨɜɢɯ ɡɨɛɨɜ'ɹɡɚɧɶ
_____________ |
______________________ |
(ɩɿɞɩɢɫ) |
(ɩɪɿɡɜɢɳɟ, ɿɦ'ɹ, ɩɨ ɛɚɬɶɤɨɜɿ) |
Ʉɟɪɿɜɧɢɤ ɩɿɞɪɨɡɞɿɥɭ, ɹɤɢɣ ɡɞɿɣɫɧɸɜɚɜ ɩɟɪɟɜɿɪɤɭ
_____________ |
_______________________ |
(ɩɿɞɩɢɫ) |
(ɩɪɿɡɜɢɳɟ, ɿɦ'ɹ, ɩɨ ɛɚɬɶɤɨɜɿ) |
Ʉɟɪɿɜɧɢɤ ɩɿɞɪɨɡɞɿɥɭ ɨɛɥɿɤɭ ɬɚ ɡɜɿɬɧɨɫɬɿ |
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_____________ |
________________________ |
(ɩɿɞɩɢɫ) |
(ɩɪɿɡɜɢɳɟ, ɿɦ'ɹ, ɩɨ ɛɚɬɶɤɨɜɿ) |
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