The first vice-rector for youth issues and

spiritual and educational affairs

Ibragimova Rano Isakovna

Faculty specialty, course, name, surname written

Application

     Through this application I would like to inform you that I live in a remote area (province) and have no relatives in Nukus, I have 2 groups of disability, so I ask for a place in the dormitory to facilitate my coming to study.

Applicant ______ name and surname date 20___ year