Тәжірибеге қойылған баға___________________________
Кәсіптік практика жетекшісінің қолы (ұйымнан, кәсіпорыннан, мекемеден) _____________________
20____ж. «______»_______________
Білім алушының есебі
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Білім алушының қолы ____________________________________
20____ж. «______»_______________
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