карточка на сирот

Дата постановки на учет: ________________________

Учетная карточка молодого человека, находящегося на опеке

Ф.И.О______________________________________________________

Дата рождения:______________________________________________

Адрес проживания: __________________________________________ Адрес прописки: _____________________________________________ Контактные телефоны:________________________________________ Какое и когда закончил учебное заведение: ______________________ ____________________________________________________________Специальность, квалификация: ________________________________

____________________________________________________________

Место работы, должность:_____________________________________ ________________________________________________________________________________________________________________________

Обеспеченность жильем: ______________________________________ Закреплено по адресу:________________________________________ Характеристика жилья (нужное подчеркнуть):  собственный дом  общежитие  частная квартира  кооперативн. квартира  дом местного Совета  ведомствен. дом ________________________________________________________________________________________________________________________

Семейное положение: ________________________________________

Опекун Ф.И.О_______________________________________________

Дата рождения:______________________________________________

Адрес проживания: __________________________________________ Контактные телефоны:________________________________________

Род занятия опекуна: _________________________________________ ____________________________________________________________

Причина оформления опекунства_______________________________ ____________________________________________________________

________________________________________________________________________________________________________________________

Родственники Ф.И.О, где проживают, как помогают: ____________________________________________________________

____________________________________________________________________________________________________________________________________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

____________________________________________________________

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________