REPUBLIKA HRVATSKA ______________________________________________________________ (naziv i sjedište škole)
______________________________________________________________ Klasa: __________________ Urbroj: __________________ Matični broj: __________________
SVJEDODŽBA PREVODNICA ______________________________________________________________ (ime i prezime)
OIB sin/kći ________________________________________________________________ (ime i prezime roditelja)
rođen ______________________________ godine, mjesto rođenja ___________________________________ (datum)
država rođenja _______________________________ državljanstvo ___________________________________ upisan___ u _______________________________________________________ u ________________ razred (vrsta škole - osnovna, gimnazija, strukovna kvalifikacija/zanimanje)
prelazi _______________ u ____________________________________ u ____________________________ (datum)
(vrsta škole - osnovna, gimnazija, strukovna kvalifikacija/zanimanje)
(naziv i sjedište škole)
Temeljem podataka iz razredne knjige u školskoj godini _____/_____ učeni__ je ili nije ocijenjen ___ iz nastavnih predmeta: ..............................................................
_______________________________
..............................................................
_______________________________
..............................................................
_______________________________
..............................................................
_______________________________
..............................................................
_______________________________
..............................................................
_______________________________
..............................................................
_______________________________
..............................................................
_______________________________
..............................................................
_______________________________
..............................................................
_______________________________
..............................................................
_______________________________
..............................................................
_______________________________
..............................................................
_______________________________
..............................................................
_______________________________
..............................................................
_______________________________
..............................................................
_______________________________
..............................................................
_______________________________
..............................................................
_______________________________
..............................................................
_______________________________
..............................................................
_______________________________
Podaci o vladanju učeni___ do ispisa iz škole: _____________________________________________________ ___________________________________________________________________________________________ Učeni___ je do dana prijelaza izosta___
_________ sati (od toga neopravdano _________ ).
U _______________________________________, ___________________________ 20_____ .
Razredni___:
Ravnatelj___: M.P.
___________________________
___________________________
Obrazac 11