You are on page 1of 3

‫‪LAPORAN‬‬

‫‪PENILAIAN HASIL BELAJAR‬‬

‫اﻹﺳﻢ ‪:‬‬

‫ﻧﺘﺎﺋﺞ أرﻗﺎم ا رﺟﺎت ا ّراﺳﻴﺔ‬


‫ا‪‬ة ‪ ‬ا‪ ‬ا‪‬‬
‫ﺷﺎرع ﻫﺪاﻳﺔ ﻓﺎر ﺖ ﻧﺎ ﺲ ‪ -‬ﺳﻴﺎﻧﺘﺎن ‪ -‬ﻓﻮﻧ ﻴﺎﻧﻚ ﻏﺮ ﻴﺔ‬
‫ة ﺑﺎ ﻌﻬﺪ اﻻﺳﻼ ا ﺴ‬ ‫ا ﺤﺎ‬
‫ﺷﺎرع ﻫﺪاﻳﺔ ﻓﺎر ﺖ ﻧﺎ ﺲ ‪ -‬ﺳﻴﺎﻧﺘﺎن ‪ -‬ﻓﻮﻧ ﻴﺎﻧﻚ ﻏﺮ ﻴﺔ‬
‫ﻴﻤﺎﻧﺘﺎن اﻟﻐﺮ ﻴّﺔ‬

‫ﺑﯿﺎن اﻟﻄﻠﺒﮥ‬
‫‪:‬‬ ‫‪ .١‬اﺳﻢ اﻟﻄﺎﻟﺐ\ة‬
‫‪:‬‬ ‫‪ .٢‬اﻟﻌﺪد‬
‫ﻮ ه‪/‬ﻫﺎ وﺗﺎر ﺦ وﻻدﺗﻪ‪/‬ﻫﺎ ‪:‬‬ ‫‪.٣‬‬
‫ة‬ ‫ﺸ ك ﺑﻬﺬه ا ﺤﺎ‬ ‫‪٤‬‬
‫‪:‬‬ ‫‪ .١‬ا ﺎر ﺦ‬
‫‪:‬‬ ‫‪ .٢‬ا ﺮﺣﻠﺔ‬ ‫‪.‬‬
‫‪:‬‬ ‫ﻞ اﻷﻗﺎﻣﺔ‬ ‫‪.٥‬‬
‫‪:‬‬ ‫‪ .٦‬ا ﻮ‬
‫‪:‬‬ ‫‪ .٧‬ﻋﻨﻮان ا ﻮ‬

‫ﻓﻮﻧ ﻴﺎﻧﻚ ‪..................................... ،‬‬


‫ﻣﺪﻳﺮ ا ﻌﻬﺪ اﻻﺳﻼ ا ﺴ‬

‫ا ﺎج أ ﺪ ﺧ ي‬ ‫ﻛﻴﺎ‬
‫ﻧﺘﺎﺋﺞ أرﻗﻢ ا رﺟﺎت ا ّراﺳﻴﺔ‬ ‫ﻧﺘﺎﺋﺞ أرﻗﻢ ا رﺟﺎت ا ّراﺳﻴﺔ‬
‫اﻻﺧﺘﺒﺎر اﻟﺜﺎ‬ ‫اﻻﺧﺘﺒﺎر اﻻوّل‬

‫اﻣﻀﺎء‬ ‫ﻧﺘﺎﺋﺞ ا رﺟﺔ ا ّراﺳﻴﺔ‬ ‫‪............................................. :‬‬ ‫اﻹﺳﻢ‬ ‫‪............................................. :‬‬ ‫اﻟﻨﻤﺮ‬
‫ﻓﻨﻮن ا ّراﺳﺔ‬ ‫‪............................................. :‬‬ ‫اﻟﻔﺼﻞ ‪............................................. :‬‬
‫اﻷﺳﺘﺎذ ‪ /‬ة‬ ‫ﻟﻔﻆ اﻻرﻗﺎم‬ ‫ﺳﻨﺔ‬
‫ا ﻔﺴ‬ ‫‪١‬‬
‫اﻣﻀﺎء‬ ‫ﻧﺘﺎﺋﺞ ا رﺟﺔ ا ّراﺳﻴﺔ‬
‫ا ﺪﻳﺚ‬ ‫‪٢‬‬ ‫ﻓﻨﻮن ا ّراﺳﺔ‬
‫اﻷﺳﺘﺎذ ‪ /‬ة‬ ‫ﻟﻔﻆ اﻻرﻗﺎم‬
‫‪ ٣‬اﻟﻔﻘﺔ‬
‫ا ﻔﺴ‬ ‫‪١‬‬
‫‪ ٤‬ا ﻮﺣﻴﺪ‬
‫ا ﺪﻳﺚ‬ ‫‪٢‬‬
‫‪ ٥‬ا ﺤﻮ‬
‫‪ ٣‬اﻟﻔﻘﺔ‬
‫ف‬ ‫‪ ٦‬ا‬
‫ا ﻮﺣﻴﺪ‬ ‫‪٤‬‬
‫‪ ٧‬ا ﻠﻐﺔ اﻟﻌﺮ ﻴّﺔ‬
‫ا ﺤﻮ‬ ‫‪٥‬‬
‫اﻟﻮا‬ ‫‪ ٨‬اﻻﺧﻼق‬
‫ف‬ ‫‪ ٦‬ا‬
‫‪ ٩‬ا ﺠﻮ ﺪ‬
‫‪ ٧‬ا ﻠﻐﺔ اﻟﻌﺮ ﻴّﺔ‬
‫‪ ١٠‬ا ﺎر ﺦ اﻻﺳﻼم‬
‫اﻟﻮا‬ ‫‪ ٨‬اﻻﺧﻼق‬
‫ا ﻂ‬ ‫‪ ١١‬اﻻ ﻼء \ ـﺴ‬
‫‪ ٩‬ا ﺠﻮ ﺪ‬
‫‪١٢‬‬
‫‪ ١٠‬ا ﺎر ﺦ اﻻﺳﻼم‬
‫‪١٣‬‬
‫ا ﻂ‬ ‫‪ ١١‬اﻻ ﻼء \ ـﺴ‬
‫ﻤﻮﻋﺔ ا ﺘﺎﺋﺞ‬
‫‪١٢‬‬
‫ا ﻴﺠﺔ ا ﻘﺪﻳﺮ ﺔ ا رﺟﺔ‬
‫‪١٣‬‬
‫‪..........:‬‬ ‫ﺑﺎ ﻘﺼ‬ ‫ﺑﻌﺬر ‪..........:‬‬ ‫ﺮ ﺾ ‪..........:‬‬ ‫اﻟﻐﻴﺒﺎت ‪:‬‬ ‫ﻤﻮﻋﺔ ا ﺘﺎﺋﺞ‬

‫ﻳ ﺘﻘﻞ ا اﻟﻔﺼﻞ ‪................. :‬ﺑﻼ ط\ ط‬


‫ﻳ ﺒﺖ اﻟﻔﺼﻞ ‪......................................... :‬‬ ‫اﻟﻐﻴﺒﺎت ‪:‬‬
‫‪..........:‬‬ ‫ﺑﺎ ﻘﺼ‬ ‫ﺑﻌﺬر ‪..........:‬‬ ‫ﺮ ﺾ ‪..........:‬‬
‫‪......................................... :‬‬ ‫ا ﺎر ﺦ‬
‫و اﻟﻔﺼﻞ‬ ‫رﺋ ﺲ ا ﺪرﺳﺔ‬ ‫و اﻟﻔﺼﻞ‬ ‫رﺋ ﺲ ا ﺪرﺳﺔ‬

‫‪.....................................‬‬ ‫‪.....................................‬‬ ‫‪.....................................‬‬ ‫‪.....................................‬‬