REPUBLIKA MAKEDONIJA/ REPUBLIKA E MAQEDONIS

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(ime i mesto na osnovnoto u~ili{te/emri dhe vendi i shkolls fillore)

op{tina/komuna ___________________________
Glavna kniga broj/Libri amz numr _____________ u~ebna/viti shkollor _______/____ godina
P R E V E D N I C A/ F L E T S H P R N G U L J E
U~enikot/u~eni~kata/nxnsi/nxnsja______________________________sin/}erka na/ djal i/vajz e________, i/e
roden/a na/lindur m __________viti 19 ___ godina vo/ n___________op{tina/komuna___________, dr`ava/ shteti
____________________________u~e{e vo/ msoi n klasn e_____________ oddelenie na osnovnoto u~ili{te i
go postigna sledniot uspeh:/ n shkolln fillore dhe arriti kt sukses:
Zadol`itelni nastavni predmeti
Lndt msimore t detyrueshme

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Izbirni predmeti/ Lndt zgjedhore
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I polugodie

II polugodie

Gjysmvjetori i par

Gjysmvjetori i dyt

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Povedenie/Sjellja____________Izostanoci/Mungesat: opravdani/t arsyeshme ____neopravdani/t paarsyeshme____

U~enikot/u~eni~kata prestana da go posetuva ova u~ili{te na den/ Nxnsi/nxnsja ka ndrpritur msimin n kt
shkoll m_____________ viti 20 ____ godina poradi/pr arsye_______________________________________________.
Na u~enikot/u~eni~kata mu/ e izdadena u~eni~ka legitimacija pod br./Nxnsit/nxnses i sht dhn legjitimim
me numr. ________od/prej ________ viti 20 ________ god.
Vo/N ______________________

Del. br./Nr. i prot ________od/prej _________viti 20 ____ godina.

Rakovoditel na paralelkata/Udhheqs i klass

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M.P.
V.V.

Direktor/Drejtor
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Besim Bajrami

----------------------------------------------------------------------------------------------------------------------------------------------------------------------OSNOVNOTO U^ILI[TE/ SHKOLLA FILLORE _______________________________________________________________

Se izvestuvate deka vrz osnova na prevednicata izdadena od va{eto u~ili{te/Informoheni se n baz t fletshprnguljes t
dhn nga shkolla juaj. Del. br./ Nr. i proto _______od/ prej_______ 20 godina u~enikot/ nxnsi/nxnsja
___________________________________________________ e zapi{an vo ova u~ili{te/ sht regjistruar n kt shkoll.
M.P.
V.V.

Direktor/ Drejtor
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