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(naJHB oprana janne BJJacn1/noCJ1otJ.aBQa)

I. OpraH jaaHe anacrn/nocno.n.aaau Koj11 Ha311a: _________________________

HMa so H BHWe 3anocneHHX H pa.LI.HO Ce.D.HWTe H a.D.peca: ------------------­
aHra)l(0BaHHX JIHL(a (.D.aJbe y TeKcTy:
opraH jaaHe anacrn 11 nocno.ll.aaau):
Epoj TenecpoHa:_____________________
EneKTpOHCKa a.n.peca: ___________________
Be6 cajT: ______________________
MaTH'-IHH 6poj: _____________________
nvtE:

2. ,na nH opraH jaaHe anacTH 11 a) ,na;

nocno.nasau HMa ,notteT nnaH HJlH 6) He;
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paBH0npaBH0CTH y 0KBHpy f0.ll.Hllll-bHX r) ,naTyM .ll.0H0lllel-ba: ------------
nnaHosa 11 nporpaMa pa.n.a .n.) ,naTyM jaBHOr o6jaBJbHBal -ba: --------
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3. YHeTH KpaTKY oueHy cTal-ba y Be3H ca

nOJlO)l(ajeM )l(eHa H M)'WKapaua y a) KpaTKa oueHa CTal-ba (KOpHCTHTH o.u.pe.D.HHL(e: 0.D.JlH'-IH0, spno .ll.06po,
opraHy jaaHe anacTH 11 nocno.n.aaua, 3a.n.oa0Jbaaa, He3a.n.oaoJbaaa 11 en.):
YKJbyYyjynH 11 CUHCaK noce6HHX Mepa,
pa3nore 3a o.n.pefj11aa1-1,e noce6HHX
Mepa H l(HJbeBe KOjH ce 1-bHMa
U0CTH)l(Y, 00'-leTaK npHMeHe, Ha'-IHH 6) CnHCaK noce6HHX Mepa:_________________
cnpoaoije1-1,a 11 K0HTpone 11 npecTaHaK
cnposofje1-1,a noce6HHX Mepa :

s) PaJn03H 3a o,npefj11sa1-1,e noce6H11x Mepa 11 u11Jbes11 KOj11 ce 1-1,11Ma

U0CTH)l(y:

r) TToYeTaK npHMeHe noce6HHX

Mepa:_________________________

.n.) HaYHH cnpoaofjeH>a 11 K0HTpone npHMeHe noce6HHX

Mepa :_________________________