Tijorat dalolatnomasi |
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O‘zbekiston Respublikasi | | | | | | |
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Port shtampi | |
| _____-son seriya | raqami _______ |
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| | | | | Dalolatnomaga ilova qilinadi: |
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1. Tuzilgan port, kema _____________________________ |
2. Tuzilgan sanasi 20___ y. “____” _______________ |
3. 20___ yil “____” ______________ dagi ___-sonli yuk xati, konosament, bagaj pattasi bo‘yicha kelgan yuk (bagaj) tekshirildi. |
4. Jo‘nash porti ___________________________________ |
5. Manzil porti ___________________________________ |
6. Jo‘natish porti ___________________________________ |
7. Yuk jo‘natuvchi ______________________________________________ |
8. Qabul qiluvchi ______________________________________________ |
9. Yukni yuk oluvchiga topshirish sanasi 20___ yil “___” _____________ |
10. Tashish turi _______________________________________________ |
11. Tekshirish natijalari |
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Markalar, belgilar | Yuk o‘rni | O‘ram turi | Yuk nomi | Yuk vazni, kg |
yuk jo‘natuvchi bildirishi bo‘yicha | transportda aniqlangani bo‘yicha |
a) hujjat bo‘yicha mavjud |
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b) aslida mavjudi |
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v) shu jumladan shikast yetkazilgani |
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12. Yukxatiga, konosamentga yuk jo‘natuvchi, kema kapitani, portning alohida va muhim belgilari mavjud ________________________________________________________ |
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13. Yukni tekshirish davrida aniqlangan to‘liq ma’lumot __________________________ |
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14. Taralar va ichki o‘ramlarni amaldagi standartlar va texnik shartlarga mosligi |
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15. Taralarga shikast yetkazilgani bo‘lganmi ____________________________________ |
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16. O‘g‘irlik alomatlari mavjudligi (qanday) ___________________________________ |
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17. Ichki o‘ram shikastlanganligi (qaysida) _____________________________________ |
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18. Ochilgan yuk o‘rniga bo‘sh, to‘ldirilmagan bo‘shliq mavjudligi. Agar mavjud bo‘lsa bo‘shliqqa yetishmayotgan yuk yoki uning bir qismi joylashishi mumkinmi (qanchasi)_____ |
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19. Etishmayotgan yoki buzilgan yuklarning nomi, navi, qanday materialdan tayyorlanganligi, soni aniq ko‘rsatilib to‘liq ro‘yxat keltirilsin __________________ |
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20. Yukni berayotgan (topshirayotgan) davrda ekspertiza o‘tkazilganligi (ekspertiza o‘tkazilganligi sanasi va dalolatnoma raqami) __________________________________ |
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21. Yukni tekshirishda (ochishda) ishtirok etgan va dalolatnoma tuzgan shaxslar imzosi: |
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Port vakili | | | | ______________ | |
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Port ombori mudiri | | | | ______________ | |
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Kema kapitani | | | | ______________ | |
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Yuk oluvchi | | | | ______________ | |
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Temir yo‘l stansiyasi, port vakili | | | ______________ | |
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Harbiylashtirilgan qo‘riqchilar vakili | | ______________ | |
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Transport militsiyasi yoki bojxona idorasi vakili (keraksizi o‘chirilsin) | | ______________ | |
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22. Ushbu dalolatnoma asosiy dalolatnomalarga qo‘shimcha tuzildi (raqami, sanasi va kim tomondan tuzilganligi ko‘rsatilsin). |