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ãáÎÕ ÇÌÊãÇÚíÇÊ ááÝÕá ÇáÇæá
ÇáÓáÇã Úáíßã
ÇÎæÇäí åÐÇ ãáÎÕ áãÇÏÉ ÇáÇÌÊãÇÚíÇÊ
ÇÊãäì Çä íÓÇÚÏßã
[gdwl]ãÑÇÌÚÉ áãÇÏÉ ÇáÏÑÇÓÇÊ ÇáÅÌÊãÇÚíÉ ¡ ÇáÝÕá ÇáÏÑÇÓí ÇáÃæá ¡ ÇáÕÝ ÇáÎÇãÓ
ãæÞÚ Ïæá ãÌáÓ ÇáÊÚÇæä ÇáÎáíÌí
1- ÇáãæÞÚ ÇáÝáßí áÔÈå ÇáÌÒíÑÉ ÇáÚÑÈíÉ ..
* ÊÔÛá ÔÈå ÇáÌÒíÑÉ ÇáÚÑÈíÉ ......... ÏÑÌÉ ÚÑÖíÉ ÔãÇá ÎØ ÇáÅÓÊæÇÁ , Ãí ÃäåÇ Èíä ÏÇÆÑÊí ÚÑÖ ....... æ ........ ÔãÇáÇ ¡ ßãÇ ÃäåÇ ÊÔÛá ........ ÎØ Øæá ¡ Ãí Èíä ÎØí Øæá ........ ¡ ........ ÔÑÞ ÎØ ÌÑíäÊÔ .
* ÊÞÚ Ïæá ãÌáÓ ÇáÊÚÇæä ÇáÎáíÌí ÈÇáäÓÈÉ ááÚÇáã Ýí ................... , æÈÇáäÓÈÉ áÞÇÑÉ ÂÓíÇ Ýí ÌåÉ ................. ¡ æÈÇáäÓÈÉ ááæØä ÇáÚÑÈí Ýí ÌåÉ ...................
* ÏÇÆÑÉ ÇáÚÑÖ ÇáÑÆíÓÉ ÇáÊí ÊÞØÚ ÈÚÖ Ïæá ãÌáÓ ÇáÊÚÇæä åí ãÏÇÑ .....................
* Ãßãá ÇáÌÏæá ÇáÊÇáí :
ÃåãíÉ ãæÞÚ Ïæá ãÌáÓ ÇáÊÚÇæä ÇáÎáíÌí
ÇáÃåãíÉ ÇáÅÞÊÕÇÏíÉ æÇáÅÓÊÑÇÊíÌíÉ ÇáÃåãíÉ ÇáÏíäíÉ
1- .................................................. ........
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2- .................................................. .........
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2- .................................................. .........
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äÊÇÆÌ ÃåãíÉ ÇáãæÞÚ
1- .................................................. .................................................. ......................................
2- .................................................. .................................................. ......................................
3- .................................................. .................................................. ......................................
2- ÊÓãì ÇáÎØæØ ÇáÊí ÊÑÓã Úáì ÇáÎÑÇÆØ æÊÍÏÏ äØÇÞ ÓíÇÏÉ ÇáÏæáÉ ÝæÞ ãÓÇÍÉ ãÍÏÏÉ ãä ÇáÃÑÖ ÈÜ : ................
* íÖã Ïæá ãÌáÓ ÇáÊÚÇæä ÇáÎáíÌí ............. Ïæá ÚÑÈíÉ ãÓáãÉ ¡ åí : ........................ æ .......................
æ ..................... æ ........................ æ .......................... æ .............................
íÍÏåÇ ãä ÌåÉ ÇáÔãÇá ................... , .......................
æ ãä ÌåÉ ÇáÌäæÈ .................. , ....................... , .......................
æ ãä ÌåÉ ÇáÔÑÞ ................... , ....................... , æãä ÌåÉ ÇáÛÑÈ .....................
ÇáÍÏæÏ ÇáÈÑíÉ : .................... æ ..................... æ .....................
ÇáÍÏæÏ ÇáÈÍÑíÉ : ...................... æ ....................... æ ........................ æ .........................
3- ÒÇÏÊ ÇáÃåãíÉ ÇáÅÞÊÕÇÏíÉ áÏæá ãÌáÓ ÇáÊÚÇæä ÈÚÏ ÇßÊÔÇÝ ....................
* ÃÕÈÍÊ ãäØÞÉ ÇáÎáíÌ ÞÈáÉ ÃäÙÇÑ ÇáÚÇáã ãä ÍíË :
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3- .................................................. .................................................. ......................................
* ãä ÃÓÈÇÈ ÃåãíÉ ãäØÞÉ ÇáÎáíÌ :
1- .................................................. ....... 2- .................................................. .............
3- .................................................. .......
* ãÇÐÇ ÓíÍÏË áæ áã ÊãÊáß Ïæá ãÌáÓ ÇáÊÚÇæä ÇáÎáíÌí ÇáãæÞÚ ÇáÅÓÊÑÇÊíÌí ÇáãÊãíÒ ¿
1- .................................................. .................................................. ......................................
2- .................................................. .................................................. ......................................
4- ÅÐÇ ÓÇÝÑÊ ÈÑÇ ãä ãÏíäÉ ÇáßæíÊ Åáì ãÏíäÉ ãÓÞØ ¡ ÝÅäß ÓÊãÑ ÈÚÏÉ Ïæá ÎáíÌíÉ ¡ åí :
................................ æ ............................ æ ............................
5- ÇßÊÈ ãÏáæáÇÊ ÇáÃÑÞÇã Úáì ÎÑíØÉ Ïæá ãÌáÓ ÇáÊÚÇæä ÇáÎáíÌí :
6- ÑÊÈ Ïæá ÇáÎáíÌ ÇáÚÑÈí ÊÑÊíÈÇ ÊÕÇÚÏíÇ .
ÇáãÙÇåÑ ÇáÌÛÑÇÝíÉ áÏæá ãÌáÓ ÇáÊÚÇæä ÇáÎáíÌí
ÇáÌÈÇá
1- ÊÚÑÝ ÇáÌÈÇá ÈÃäåÇ .................................................. ................
2- ÊäÞÓã ÇáÌÈÇá Ýí Ïæá ãÌáÓ ÇáÊÚÇæä Åáì äæÚíä ãÎÊáÝíä :
Ã- ÇáÌÈÇá ................... ÇáÊí ÊÞÚ Ýí ÇáÑßä ÇáÌäæÈí ÇáÔÑÞí ãä ÔÈå ÇáÌÒíÑÉ ÇáÚÑÈíÉ ¡ æÊÚÑÝ ÈÌÈÇá ............ ¡
æãä ÃÚáì ÞããåÇ .......................
È- ÇáÌÈÇá .................. ÇáÊí ÊÞÚ Úáì ÇáÓÇÍá ÇáÔÑÞí ááÈÍÑ ÇáÃÍãÑ ¡ æÇáÊí ÊÓãì ÈÌÈÇá ........... æÌÈÇá ...........
3- ãä ÃæÏíÉ ÔÈå ÇáÌÒíÑÉ ÇáÚÑÈíÉ : æÇÏí ................. æ ................. æ .................... æ ....................
ÇáåÖÇÈ æÇáßËÈÇä ÇáÑãáíÉ
1- ÊÚÑÝ ÇáåÖÇÈ ÈÃäåÇ : ÃÑÇÖ ãÑÊÝÚÉ ¡ æáíÓ áåÇ ÞãÉ .
2-ÊÔßá ÇáåÖÇÈ ãÓÇÍÉ ßÈíÑÉ ãä ÔÈå ÇáÌÒíÑÉ ÇáÚÑÈíÉ ¡ ÃßËÑ ãä ........... ÅÌãÇáí ãÓÇÍÊåÇ ¡ æÊãÊÏ ãä .................................................. ..... ÍÊì ÇáÌÈÇá ÇáÔÑÞíÉ ááÈÍÑ ÇáÃÍãÑ ¡ æãä ÔãÇá ...................................... Åáì ÌäæÈåÇ .
3- æãä ÎÕÇÆÕ ÇáåÖÇÈ Ýí ÔÈå ÇáÌÒíÑÉ ÇáÚÑÈíÉ ÃäåÇ :
1- ....................................... 2- ............................................ 3- .........................................
4- ãä åÖÇÈ ÔÈå ÇáÌÒíÑÉ ÇáÚÑÈíÉ : åÖÈÉ.............................
5- Èíä ÃæÌå ÇáÔÈå æÇáÅÎÊáÇÝ Èíä ÇáãÑÊÝÚÇÊ ÇáÌÈíáÉ æÇáåÖÇÈ :
ÇáãÑÊÝÚÇÊ ÇáÌÈáíÉ ÇáåÖÇÈ
ÇáÅÎÊáÇÝ ÇáÊÔÇÈå ÇáÅÎÊáÇÝ
1- 1- 1-
2- 2-
3- 3-
6- ÊÚÑÝ ÇáÕÍÑÇÁ ÈÃäåÇ : .................................................. ........
7- ãä ÕÍÇÑí ÔÈå ÇáÌÒíÑÉ ÇáÚÑÈíÉ : ÕÍÑÇÁ .................... æ .......................... æ ..........................
ÇáÓåæá
1- ÊÚÑÝ ÇáÓåæá ÈÃäåÇ : .................................................. .................................................. .........
2- íæÌÏ äæÚíä ãä ÇáÓåæá :
ÃæáÇ : ( ÇáÓåæá ÇáÓÇÍáíÉ ) åí : .................................................. ..................................................
ÊÔÑÝ ÇáÓåæá ÇáÓÇÍáíÉ Ýí Ïæá ãÌáÓ ÇáÊÚÇæä Úáì ÇáãÓØÍÇÊ ÇáãÇÆíÉ ÇáÊÇáíÉ :
1- ............................ 2- ........................... 3- .............................. 4- ..............................
ãÇ ÓÈÈ ÊÓãíÉ Óåæá ÇáÈÍÑ ÇáÃÍãÑ ÈÓåá ÊåÇãÉ ¿ .................................................. ..............................
ÞÇÑä Èíä ÇáÓåæá ÇáÓÇÍáíÉ áÏæá ãÌáÓ ÇáÊÚÇæä ÇáÎáíÌí :
æÌå ÇáãÞÇÑäÉ ÓæÇÍá ÇáÎáíÌ ÇáÚÑÈí ÓæÇÍá ÇáÈÍÑ ÇáÃÍãÑ
ÇáØæá
ÇáÅÓÊÞÇãÉ
ÇáÅÊÓÇÚ
ÚÏÏ ÇáãæÇäÆ
ËÇäíÇ : ( ÇáÓåæá ÇáÝíÖíÉ ) æåí : .................................................. .................................................. ..
ÊÚÊÈÑ åÐå ÇáÓåæá ãä ÃßËÑ ÇáÃÑÇÖí ÎÕæÈÉ áãÒÇæáÉ ÇáäÔÇØ .................................................. ............
ÍÏÏ Úáì ÎÑíØÉ Ïæá ãÌáÓ ÇáÊÚÇæä ãÇ íáí :
1- ÇáÌÈÇá ( ÇáÅäßÓÇÑíÉ ¡ æÇáÅáÊæÇÆíÉ ) 2- ÇáÓåæá 3- ÇáåÖÇÈ 4- ÇáÕÍÇÑì
ÇáãäÇÎ
1- íÚÑÝ ÇáØÞÓ ÈÃäå .................................................. .............................
2- íÚÑÝ ÇáãäÇÎ ÈÃäå .................................................. ..............................
3- ÊÞÚ Ïæá ãÌáÓ ÇáÊÚÇæä ÇáÎáíÌí Öãä ÇáãäØÞÉ .................. , æãäÇÎåÇ ......................................
4- ÇáÚæÇãá ÇáãÄËÑÉ Ýí ÇáãäÇÎ : Ã- .................................................. ............
È- .................................................. ......... Ì- .................................................. ............
5- ÚäÇÕÑ ÇáãäÇÎ : 1- ÇáÍÑÇÑÉ :
ÊãÊÇÒ Ïæá ãÌáÓ ÇáÊÚÇæä ÇáÎáíÌí ÈÇáÊØÑÝ ÇáÍÑÇÑí :
ÇáÊØÑÝ ÇáÍÑÇÑí ÇáÓäæí : Ýí ÝÕá ÇáÕíÝ íÚäí : .................................................. .........................
ÃãÇ Ýí ÝÕá ÇáÔÊÇÁ ÝíÚäí :................................................. ................
ÇáÊØÑÝ ÇáÍÑÇÑí Çáíæãí : Ýí Çááíá ................................... ¡ æÝí ÇáäåÇÑ ........................................
2- ÇáÃãØÇÑ :
ÊÊÕÝ Ïæá ãÌáÓ ÇáÊÚÇæä ÈÜ .............. ÇáÃãØÇÑ ¡ áæÞæÚåÇ Ýí ÇáãäØÞÉ .................................................
ÊÓÞØ ÇáÃãØÇÑ Ýí ãÚÙã Ïæá ãÌáÓ ÇáÊÚÇæä Ýí ÝÕá ÇáÔÊÇÁ ¡ ÈÓÈÈ åÈæÈ ÇáÑíÇÍ .....................................
ÃãÇ Ýí ÝÕá ÇáÕíÝ ÝÊÓÞØ ÇáÃãØÇÑ Ýí ÇáÌåÇÊ ........................... ÈÓÈÈ åÈæÈ ÇáÑíÇÍ ..............................
3- ÇáÑíÇÍ :
ÊÚÑÝ ÇáÑíÇÍ ÈÃäåÇ .................................................. .................................................. ........
æÃÓÈÇÈ äÔæÆåÇ .................................................. .................................................. ............
ÃäæÇÚ ÇáÑíÇÍ ÇáÊí ÊåÈ Úáì Ïæá ãÌáÓ ÇáÊÚÇæä ÇáÎáíÌí :
1- ....................................... 2- ......................................... 3- ..........................................
ãä ÃãËáÉ ÇáÑíÇÍ ÇáãÍáíÉ ÑíÇÍ ...................... æ ÑíÇÍ .......................
ãä ÃËÑ ÇáÑíÇÍ ÇáãÍáíÉ Úáì ãäØÞÉ Ïæá ãÌáÓ ÇáÊÚÇæä ÇáÎáíÌí :
1- .................................................. ........... 2- .................................................. ....................
ÈÏÃÊ Ïæá ãÌáÓ ÇáÊÚÇæä ÈÇÓÊÎÏÇã ÇáÊÞäíÇÊ ÇáÍÏíËÉ ãËá ................................ æ ................................. æ ........................................ áÏÑÇÓÉ æÊÍáíá ÚäÇÕÑ ÇáãäÇÎ æãÊÇÈÚÉ ÍÇáÉ ÇáØÞÓ .
ÇáÃäíãæãÊÑ åæ ÌåÇÒ íÓÊÎÏã áÜ .................................................. .........................................
íæÖÚ åÐÇ ÇáÌåÇÒ Ýí .................................................. ..........
ÇáäÈÇÊ ÇáØÈíÚí
1- íÚÑÝ ÇáäÈÇÊ ÇáØÈíÚí ÈÃäå .................................................. .................................................. ......
2- ãÇ ÓÈÈ ÞáÉ ÊäæÚ ÇáäÈÇÊ ÇáØÈíÚí ¿................................................. ................................................
ÃäæÇÚ ÇáäÈÇÊ ÇáØÈíÚí :
* äÈÇÊ ØÈíÚí ãÚãÑ¡ æäÚäí Èå .................................................. ...........................
æãäåÇ : ................... æ ................... æ ................... æ ...................
* äÈÇÊ ØÈíÚí Íæáí ¡ æäÚäí Èå .................................................. ...........................
æãäåÇ : ........................
3- Èíä ÃËÑ ÇáãäÇÎ ÇáÕÍÑÇæí ÇáÍÇÑ Ýí Ïæá ãÌáÓ ÇáÊÚÇæä ÇáÎáíÌí Úáì äãØ ÇáãÈÇäí ÞÏíãÇ æÍÏíËÇ :
1- .................................................. .................................................. ............................
2- .................................................. .................................................. ............................
3- .................................................. .................................................. ............................
ÇáÍÖÇÑÇÊ ÇáÞÏíãÉ Ýí Ïæá ãÌáÓ ÇáÊÚÇæä ÇáÎáíÌí
1- ÊÚÑÝ ÇáÍÖÇÑÉ ÈÃäåÇ : ßá ÌåÏ íÞæã Èå ÇáÅäÓÇä áÊÍÓíä ÙÑæÝ ÍíÇÊå Úáì ÇáÃÑÖ ¡ ÓæÇÁ ßÇä ãÇÏíÇ Ãæ ãÚäæíÇ .
* ãä ÇáÍÖÇÑÇÊ ÇáÞÏíãÉ ÇáÊí ÙåÑÊ Úáì ÇáÎáíÌ ÇáÚÑÈí : ÍÖÇÑÉ ........................................ Ýí ÇáÈÍÑíä ¡ æÍÖÇÑÉ .......................... Ýí ÚãÇä æÇáÅãÇÑÇÊ ¡ æÍÖÇÑÉ ................................ Ýí ÇáßæíÊ .
* ãÇ ÓÈÈ ÙåæÑ ÇáÍÖÇÑÇÊ Ýí ãäØÞÉ Ïæá ãÌáÓ ÇáÊÚÇæä ÇáÎáíÌí ¿
.................................................. .................................................. ......................................
*- ÊÚÑÝ ÇáÈÚËÇÊ ÈÃäåÇ : .................................................. ...................................
2- ÇáãæÇÞÚ ÇáÃËÑíÉ Ýí Ïæá ãÌáÓ ÇáÊÚÇæä ÇáÎáíÌí :
ÇáÂËÇÑ åí : ßá ãÇ ÊÑßå áäÇ ÇáÂÈÇÁ æÇáÃÌÏÇÏ .
ÇáãæÇÞÚ ÇáÃËÑíÉ åí : .................................................. ....................................
ãä ÃÈÑÒ ÇáãæÇÞÚ ÇáÃËÑíÉ Ýí Ïæá ãÌáÓ ÇáÊÚÇæä ÇáÎáíÌí : ..................... æ .................... æ .................... æ ...................... æ ........................ æ ......................
ÊåÊã Ïæá ÇáÎáíÌ ÈÇáÂËÇÑ ÝÊÚãá Úáì : 1- ...................................... 2- ..........................................
áãÇÐÇ ÊåÊã Ïæá ãÌáÓ ÇáÊÚÇæä ÈÇáÂËÇÑ ¿
.................................................. .................................................. .................................
ãÇ ãÚäì ÇáÊäÞíÈÇÊ ¿ .................................................. .................................................. .............
ÇáÇÓßäÏÑ ÇáÃßÈÑ ÇáãÞÏæäí
1- æáÏ Ýí ãÏíäÉ ................. ÚÇÕãÉ ãÞÏæäíÇ . 2- æÇáÏå .................. ãáß ãÞÏæäíÇ ÇáÐí ßÇä ãÍÇÑÈÇ .
3- ÊÚáã Úáì íÏ æÇáÏå ........................ æ ..................... æÃÕÈÍ ÞÇÆÏÇ ßÈíÑÇ .
4- ÊÚáã Úáì íÏ ÇáÝíáÓæÝ ÇáÅÛÑíÞí ........................
5- ÇÓÊæáì Úáì ÂÓíÇ ÇáÕÛÑì æÇáÅãÈÑÇØæÑíÉ ÇáÝÇÑÓíÉ ¡ æãä ÇáãäÇØÞ ÇáÊí ÓíØÑ ÚáíåÇ ..................
ÌÒíÑÉ ÝíáßÇ
1-ÊÞÚ ÌÒíÑÉ ÝíáßÇ Ýí ÏæáÉ .....................
2- íÞæá ÇáÈÚÖ Ãä ãÚäì ÇÓã ÝíáßÇ ......................... ¡ ÃãÇ ÇáÈÚÖ ÇáÂÎÑ ÝíÞæáæä Ãä ÇáãÚäì åæ........................
3- ãä Ãåã ÇáÅßÊÔÇÝÇÊ Ýí ÌÒíÑÉ ÝíáßÇ .................................................. .............................................
4- ÊÊãÊÚ ÌÒíÑÉ ÝíáßÇ ÈÇáÃåãíÉ ÇáÃËÑíÉ æÇáÃåãíÉ ........................ ¡ ÈÇÚÊÈÇÑåÇ ãíäÇÁ ãåã Úáì ÇáÎØæØ ÇáÊÌÇÑíÉ ÇáÏæáíÉ ÇáÈÍÑíÉ ÚÈÑ ÇáÓÇÍá ÇáÛÑÈí ááÎáíÌ ÇáÚÑÈí.
5- ÇÊÎÐåÇ ÇáÇÓßäÏÑ ÇáãÞÏæäí ÇáÃßÈÑ ÞÇÚÏÉ ....................... áÌíÔå æÃÓØæáå .
ÇáÊæÇÕá ÇáÍÖÇÑí
Èíä Ïæá ãÌáÓ ÇáÊÚÇæä ÇáÎáíÌí
(ÇáÅãÇÑÇÊ ¡ ÇáÓÚæÏíÉ ¡ ÇáßæíÊ ¡ ÇáÈÍÑíä ¡ ÞØÑ¡ ÚãÇä) Èíä Ïæá ãÌáÓ ÇáÊÚÇæä ÇáÎáíÌí æÍÖÇÑÇÊ ÇáÏæá ÇáãÌÇæÑÉ .
ãä ÃÏáÉ ÇáÊæÇÕá ÇáÍÖÇÑí Èíä Ïæá ãÌáÓ ÇáÊÚÇæä :
1- ÇáÝÎÇÑ ÇáÃÍãÑ ÇáÐí æÌÏ Ýí ............. æ ..............
2- ÊÔÇÈå .................................................. ........
.................................................. .................... ãä ÃÏáÉ ÇáÊæÇÕá ÇáÍÖÇÑí Èíä Ïæá ãÌáÓ ÇáÊÚÇæä ÇáÎáíÌí ¡ ÍÖÇÑÇÊ ÇáÏæá ÇáãÌÇæÑÉ :
* .................................................. .................
6- ÇáãÊÍÝ åæ ÇáãßÇä ÇáÐí ÊÍÝÙ Ýíå ÇáÂËÇÑ .
ãä ÃÞÓÇã ãÊÍÝ ÇáÚíä ÇáæØäí : 1- ............................ 2- .............................. 3- .............................
ãä ÃäæÇÚ ÇáãÊÇÍÝ ÇáãÎÊáÝÉ : 1- ................................ 2- .............................. 3- .............................
ãä ÇáãÊÇÍÝ ÇáãæÌæÏÉ Ýí Ïæá ãÌáÓ ÇáÊÚÇæä ¡ Ãæ ÏæáÉ ÇáÅãÇÑÇÊ :
1- ................................ 2- .............................. 3- ............................. 4- .............................
ãÓÊæØäÉ åíáí ãä ÃÞÏã ÇáãÓÊæØäÇÊ ÇáÓßäíÉ ÇáãÚÑæÝÉ Ýí ÏæáÉ ÇáÅãÇÑÇÊ ¡ æÊÔÛáå ÈäÇíÉ ÏÇÆÑíÉ ÊÊæÓØåÇ........................... , æåí ãÍÇØÉ ÈÜ..............................
ÕäÝ ÇáãæÇÞÚ ÇáÃËÑíÉ ÇáÊÇáíÉ æÝÞ ãÚØíÇÊ ÇáÌÏæá :
( Ãã ÇáäÇÑ ¡ ÝíáßÇ ¡ ÊÇÑæÊ ¡ ÈÇÑÈÇÑ Ãã ÇáãÇÁ ¡ åíáí ¡ ÙÝÇÑ ¡ ÊÇÌ ¡ ÇáÞáÚÉ ¡ ÕÍÇÑ ¡ ÌÈá ÍÝíÊ ¡ ÇáÏæÑ)
ÇáÅãÇÑÇÊ ÇáÚÑÈíÉ ÇáãÊÍÏÉ ÇáããáßÉ ÇáÚÑÈíÉ ÇáÓÚæÏíÉ ÇáßæíÊ ÓáØäÉ ÚãÇä ããáßÉ ÇáÈÍÑíä ÞØÑ
ÇáÅÓáÇã Ýí Ïæá ãÌáÓ ÇáÊÚÇæä ÇáÎáíÌí
1- ÕáÍ ÇáÍÏíÈíÉ åæ : ÇáÕáÍ ÇáÐí ÚÞÏ Èíä ÇáÑÓæá(Õ) æ ÞÑíÔ Ýí ãßÇä íÏÚì ÇáÍÏíÈíÉ ¡ ÓäÉ ....... åÜ .
2- ßíÝ ÇÓÊÝÇÏ ÇáÑÓæá Úáíå ÇáÕáÇÉ æÇáÓáÇã ãä ÕáÍ ÇáÍÏíÈíÉ ¿
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5- ãÇ ÇáæÓíáÉ ÇáÊí ÇÓÊÎÏãåÇ ÇáÑÓæá - Úáíå ÇáÕáÇÉ æÇáÓáÇã – áäÔÑ ÇáÅÓáÇã ¿ ...............................................
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4- ÊæÝí Ýí ÚåÏ ÇáÎáíÝÉ .......................... ¡ Ýí ÚÇã ..................... ¡ æåæ Ýí ØÑíÞå Åáì .....................
5- ãÇÐÇ ÞÇá ÇáÑÓæá Úáíå ÇáÕáÇÉ æÇáÓáÇã Ýí ÍÞ Ãåá ÚãÇä ¿................................................. ................
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2- ÈÏÃÊ ÇáÃØãÇÚ ÇáÇÓÊÚãÇÑíÉ Ýí ãäØÞÉ Ïæá ãÌáÓ ÇáÊÚÇæä ãÚ ÈÏÇíÉ .................................
3- Ãæá ÏæáÉ ÓÚÊ áÈÓØ ÓíØÑÊåÇ Úáì ãäØÞÉ ÇáÎáíÌ åí .............................. ¡ Ëã ÊÊÇÈÚÊ Ïæá ÃÎÑì ¡ ãËá :
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1- ßÇäÊ ÏæÇÝÚ ÇáÅÓÊÚãÇÑ ÇáÅäÌáíÒí ÇÞÊÕÇÏíÉ ¡ Ëã ÊÍæáÊ åÐå ÇáÏæÇÝÚ Åáì ....................... ¡ æáßí ÊÖãä ÈÑíØÇäíÇ ÓíØÑÊåÇ Úáì ÇáãäØÞÉ ¡ ÃáÒãÊ ÔíæÎ ÇáãäØÞÉ ÈÜ ............................... ÚÇã ............. ãÚ ÇáÞÈÇÆá ÇáÅãÇÑÇÊíÉ ¡ ÃãÇ ãÓÞØ ÝÞÏ ÚÞÏÊ ãÚåÇ ÇÊÝÇÞíÊíä ¡ æÇÊÝÇÞíÉ ãÚ ............... Ýí ÚÇã ...............
ãä ÇáÂËÇÑ ÇáÊí ÊÑÊÈÊ Úáì æÌæÏ ÇáÇÓÊÚãÇÑ :
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1- ÊãÊ ÇáãÞÇæãÉ ÈÒÚÇãÉ ÞÈíáÊíä ÚÑÈíÊíä ¡ åãÇ :
ÞÈíáÉ ÇáíÚÇÑÈÉ ¡ ÈÒÚÇãÉ ........................................... ¡ æÞÏ ÞÇæãæÇ ÇáÅÓÊÚãÇÑ .............................
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ÍÏÏ Úáì ÎÑíØÉ ÇáÚÇáã ÇáÞÏíã :
1- ÇáÞÇÑÇÊ æÇáãÍíØÇÊ 2- ÇáÏæá ÇáÅÓÊÚãÇÑíÉ áãäØÞÉ ÇáÎáíÌ 3- ÇáÎáíÌ ÇáÚÑÈí æÎáíÌ ÚãÇä æÇáÈÍÑ ÇáÃÍãÑ 4- ÇáØÑÞ ÇáÊÌÇÑíÉ ÇáÊí ßÇä íÓÊÎÏãåÇ ÇáÚÑÈ ÞÏíãÇ 5- ÇáØÑíÞ ÇáÐí ÓáßÊå ÇáÈÑÊÛÇá áÅÍÊáÇá ÇáÎáíÌ .
ÞíÇã ãÌáÓ ÇáÊÚÇæä ÇáÎáíÌí
1- ÑÊÈ ÇáÃÍÏÇË ÇáÊÇáíÉ : ( ÎØæÇÊ ÞíÇã Ïæá ãÌáÓ ÇáÊÚÇæä ) :
ÇáÊÇÑíÎ ÇáÜÜÜÍÜÜÜÏË ÇáÜÑÞã
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ÇÚáÇä ÞíÇã ãÌáÓ ÇáÊÚÇæä ÇáÎáíÌí æãÔÇæÑÇÊ Ïæá ÇáÊÚÇæä
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2- ãÇÐÇ ÊÊæÞÚ Ãä íÍÏË áæ áã Êßä ÇáÎØæÉ ÇáÃæáì ãæÌæÏÉ Úáì ÇáÎØ ÇáÒãäí ¿
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4- ÃåÏÇÝ Ïæá ãÌáÓ ÇáÊÚÇæä :
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3- .................................................. ............ 4- .................................................. ................
Çáåíßá ÇáÊäÙíãí áãÌáÓ ÇáÊÚÇæä
ÇáÏæáÉ ÇÓã ÇáÞÇÆÏ ( ÇáÍÇßã ) ÇáÚÇÕãÉ
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ãÇ ÇáÏæÑ ÇáÐí ÞÇã Èå Óãæ ÇáÔíÎ ÒÇíÏ Èä ÓáØÇä Âá äåíÇä – ÑÍãå Çááå – Ýí ÞíÇã Ïæá ãÌáÓ ÇáÊÚÇæä ÇáÎáíÌí ¿
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2- ÚäÏ ÇáÊÍíÉ .
3- Úáì ãÇÆÏÉ ÇáØÚÇã .
4- Ýí ÇáãáÇÈÓ .
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