‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬

‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬

‫‪elmouhami.com‬‬
‫‪..........................‬‬ ‫ﺍﻷﺳﺘـﺎﺫ‪/‬‬
‫‪............‬‬ ‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ‬
‫ﺍﺨﺘﺼﺎﺹ ﻤﺠﻠﺱ ﻗﻀﺎﺀ ‪.................‬‬
‫ﺑـ‪.................. :‬‬ ‫ﻭ ﺍﻟﻜﺎﺋﻦ ﻣﻜﺘﺒﻪ‬
‫ﳏﻀـﺮ ﺍﻟﺘﻜﻠﻴـــﻒ ﺑﺎﳊﻀــﻮﺭ‬
‫ﺍﳌــﻮﺍﺩ ‪ 18‬ﻭ ‪ 19‬ﻣﻦ ﻗﺎﻧــﻮﻥ ﺍﻹﺟــــﺮﺍﺀﺍﺕ ﺍﳌﺪﻧﻴــﺔﻭﺍﻹﺩﺍﺭﻳــــﺔ‬

‫ﺒﺘـﺎﺭﻴﺦ‪ ................ :‬ﻤﻥ ﺸﻬﺭ‪ ..........:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪............‬ﻭﻋﻠﻰ ﺍﻝﺴﺎﻋـﺔ‪............ :‬‬

‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .............................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪............‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪.....‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــــﺎﻩ ـــــــــــــــــــــــــــــ‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻤﻠﻑ‪:‬‬
‫ﺍﻝﻜﺎﺌﻥ ﻤﻜﺘﺒﻪ ﺒـ‪....................................................................................‬‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ‪:‬‬
‫ﻭﺒﻁﻠﺏ ﻤﻥ ﺍﻝﺴﻴﺩ )ﺓ(‪............................ :‬ﺍﻝﻘﺎﺌﻡ ﻓﻲ ﺤﻘﻪ ﺍﻷﺴﺘﺎﺫ‪.........................../‬‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪................................................................................ :‬‬
‫ﺒﻨـﺎﺀ ﻋﻠﻰ ﺍﻝﻤﻭﺍﺩ ‪18‬ﻭ ‪407،406، 19‬ﻭ‪ 416‬ﻤـﻥ ﻗﺎﻨـﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴــﺔ ﻭﺍﻹﺩﺍﺭﻴــﺔ‬
‫ﺒﻠﻐﻨﺎ ﻭﺴﻠﻤﻨﺎ ﻝﻠﻤﺩﻋﻭ)ﺓ( ‪.......................................................................... :‬‬
‫ﺍﻝﺴﺎﻜــﻥ ‪............................................................................ :‬‬
‫ﻤﺨــﺎﻁـﺒﻴــــﻥ ‪ ................................. :‬ﺼﻔﺘـﻪ ‪...................................:‬‬
‫ﺍﻝﺤﺎﻤل)ﻝﺒﻁﺎﻗﺔ ﺍﻝﻬﻭﻴﺔ(‪ ...................................:‬ﺭﻗــﻡ ‪....................................:‬‬
‫ﺍﻝﺼـــﺎﺩﺭﺓ ﺒﺘﺎﺭﻴــﺦ ‪ .................................... :‬ﻋـﻥ ‪.................................. :‬‬
‫ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﺘﻜﻠﻴﻑ ﻤﺭﻓﻘﺎ ﺒﻨﺴﺨﺔ ﻤﻥ ﺍﻝﻌﺭﻴﻀﺔ ﺍﻝﻤﺴﺠﻠﺔ ﺒﻜﺘﺎﺒﺔ ﺍﻝﻀﺒﻁ ‪...................................:‬‬
‫ﻭﻜﻠﻔﻨﺎﻩ ﻝﻠﺤﻀﻭﺭ ﺃﻤﺎﻡ ﻤﺤﻜﻤﺔ‪ ..................... :‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ ‪................................. :‬‬
‫ﺍﻝﻘﺴــــــــﻡ ‪ .............................. :‬ﺍﻝﻐﺭﻓـــﺔ ‪.................................. :‬‬
‫ﺒﺘـــﺎﺭﻴــــﺦ ‪ ....................... :‬ﻋﻠﻰ ﺍﻝﺴﺎﻋﺔ ‪.............................. :‬‬
‫ﻤﻥ ﺍﺠل ﻗﻀﻴﺔ ﻤﺠﺩﻭﻝﺔ ﺘﺤﺕ ﺭﻗﻡ ‪ ....... :‬ﻝﻠﺠﻭﺍﺏ ﻋﻠﻰ ﺍﻝﻌﺭﻴﻀﺔ ﺍﻝﻤﺭﻓﻘﺔ ﺒﻤﺤﻀﺭﻨﺎ ﻫﺫﺍ‬
‫* ﻭﻨﺒﻬﻨﺎ ﺍﻝﻤﺩﻋﻰ ﻋﻠﻴﻪ)ﺍ( ﺒﺄﻨﻪ ﻓﻲ ﺤﺎﻝﺔ ﻋﺩﻡ ﺇﻤﺘﺜﺎﻝﻪ )ﻫﺎ( ﻝﻠﺘﻜﻠﻴﻑ ﺒﺎﻝﺤﻀﻭﺭ ‪ ،‬ﺴﻴﺼﺩﺭ ﺤﻜﻡ‬
‫ﻀﺩﻩ)ﻫﺎ( ﺒﻨﺎﺀ ﻋﻠﻰ ﻤﺎ ﻗﺩﻤﻪ)ﺘﻬﺎ( ﺍﻝﻤﺩﻋﻰ)ﺓ(ﻤﻥ ﻋﻨﺎﺼﺭ ‪.‬‬

‫ﻭﻟﻜﻲ ﻻ ﳚﻬﻞ ﻣﺎ ﺗﻘﺪﻡ‬

‫ﻭﺇﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻁﺎﻝﺏ ﺍﻝﻜل ﻁﺒﻘﺎ‬ ‫‪01‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
‫‪.‬‬ ‫ﻝﻠﻘﺎﻨﻭﻥ‬

‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺃﻭﺒﺼﻤﺔ ﺍﻝﻤﺒﻠﻎ ﻝﻪ‬

‫‪elmouhami.com‬‬ ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬

‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬

‫‪......................‬‬ ‫ﺍﻷﺳﺘـﺎﺫ‪/‬‬
‫‪.........‬‬ ‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ‬
‫ﺍﺨﺘﺼﺎﺹ ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪,,,,,,,,,,,,,.‬‬

‫ﳏﻀﺮ ﺗﺒﻠﻴﻎ ﺍﻣﺮ ﺍﺩﺍﺀ ﻣﻊ ﺗﻜﻠﻴﻒ ﺑﺎﻟﻮﻓﺎﺀ‬ ‫ﺑـ‪.................. :‬‬ ‫ﻭ ﺍﻟﻜﺎﺋﻦ ﻣﻜﺘﺒﻪ‬
‫)ﺍﳌﺎﺩﺓ ‪ 308‬ﻭ ‪ 309‬ﻣﻦ ﻗﺎﻧﻮﻥ ﺍﻹﺟﺮﺍﺀﺍﺕ ﺍﳌﺪﻧﻴﺔ ﻭ ﺍﻹﺩﺍﺭﻳﺔ‬

‫ﺒﺘـﺎﺭﻴﺦ‪............ :‬ﻤﻥ ﺸﻬﺭ‪..........:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪ ............‬ﻭﻋﻠﻰ ﺍﻝﺴﺎﻋـﺔ‪...............‬‬

‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ ........................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪............‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪.....‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــــﺎﻩ ـــــــــــــــــــــــــــــ‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻤﻠﻑ‪:‬‬
‫ﺍﻝﻜﺎﺌﻥ ﻤﻜﺘﺒﻪ ﺒـ‪................................................................................‬‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ‪:‬‬
‫ﻭﺒﻁﻠﺏ ﻤﻥ ﺍﻝﺴﻴﺩ )ﺓ(‪............................ :‬ﺍﻝﻘﺎﺌﻡ ﻓﻲ ﺤﻘﻪ ﺍﻷﺴﺘﺎﺫ‪......................../‬‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪.............................................................................. :‬‬
‫ﺒﻌﺩ ﺍﻻﻁﻼﻉ ﻋﻠﻰ ﺍﻝﻤﻭﺍﺩ‪ ،308 ،416 ،407 ،406:‬ﻤﻥ ﻗﺎﻨﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ ﻭ ﺍﻹﺩﺍﺭﻴﺔ‪.‬‬
‫ﺒﻠﻐﻨﺎ ﻭﺴﻠﻤﻨﺎ ﻝﻠﻤﺩﻋﻭ )ﺓ( ‪............................................................... :‬‬
‫ﺍﻝﺴﺎﻜﻥ )ﺓ( ﺒـ ‪......................................................................... :‬‬
‫ﺒﻨﺴﺨﺔ ﻤﻥ ﺃﻤﺭ ﺍﻷﺩﺍﺀ ﺍﻝﺼﺎﺩﺭ ﻋﻥ ﺍﻝﺴﻴﺩ ﺭﺌﻴﺱ ﻤﺤﻜﻤﺔ ‪..................................... :‬‬
‫ﺒﺘﺎﺭﻴﺦ ‪ ............................................ :‬ﺘﺤﺕ ﺭﻗﻡ‪......................................:‬‬
‫ﺍﻝﻰ ﺍﻝﺴﻴﺩ )ﺓ( ‪............................................................................ :‬‬
‫ﺍﻝﺴــﺎﻜـﻥ )ﺓ( ‪.................................................................................. :‬‬
‫ﻜﻤﺎ ﻜﻠﻔﻨﺎﻩ ﺒﺎﻝﻭﻓﺎﺀ ﻤﺎ ﺒﻴﻥ ﺃﻴﺩﻴﻨﺎ ﺍﻝﻤﺒﺎﻝﻎ ﺍﻵﺘﻴﺔ ‪:‬ــــــــــــــــــــــ‬
‫ﺍﻝﻤﺠﻤﻭﻉ ﺒﺎﻝﺤﺭﻭﻑ ﻭ ﺍﻷﺭﻗﺎﻡ ) ﺃﺼل ﺍﻝﺩﻴﻥ ‪ ،........:‬ﺍﻝﻤﺼﺎﺭﻴﻑ ‪........:‬ﺍﻝﺤﻘﻭﻕ ﺍﻝﺘﻨﺎﺴﺒﻴﺔ‪.(....................‬‬
‫ﻓﻲ ﺃﺠل ﺨﻤﺴــﺔ ﻋﺸــﺭ )‪ (15‬ﻴﻭﻤـــﺎ ﻤﻥ ﺘﺎﺭﻴﺦ ﺍﻝﺘﺒﻠﻴﻎ‪ .‬ﻭﻝﻪ ﺤﻕ ﺍﻻﻋﺘﺭﺍﺽ ﻋﻠﻰ‬
‫ﺃﻤﺭ ﺍﻷﺩﺍﺀ ﺨﻼل ﻨﻔﺱ ﺍﻷﺠل ﺒﻁﺭﻴﻕ ﺍﻹﺴﺘﻌﺠﺎل ﺃﻤﺎﻡ ﺍﻝﻘﺎﻀﻲ ﺍﻝﺫﻱ ﺃﺼﺩﺭ ﺍﻷﻤﺭ‪.‬‬
‫ﻭﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬
‫ﻭﺇﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻤﺨﺎﻁﺏ ﺍﻝﻜل ﻁﺒﻘﺎ‬

‫‪.‬‬ ‫ﻝﻠﻘﺎﻨﻭﻥ‬
‫‪02‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺃﻭﺒﺼﻤﺔ ﺍﻝﻤﺒﻠﻎ ﻝﻪ‬

‫‪elmouhami.com‬‬
 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬
‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫‪elmouhami.com‬‬
‫‪..........................‬‬ ‫ﺍﻷﺳﺘـﺎﺫ‪/‬‬
‫‪..........‬‬ ‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ‬
‫‪.‬ﺍﺨﺘﺼﺎﺹ ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪,,,,,,,,,,,,,.‬‬
‫ﺑـ‪.................. :‬‬ ‫ﻭ ﺍﻟﻜﺎﺋﻦ ﻣﻜﺘﺒﻪ‬
‫ﳏﻀﺮ ﺇﻳﺪﺍﻉ ﻋﺮﺽ‬
‫)ﺍﳌﻮﺍﺩ ‪ 584‬ﻭ‪ 585‬ﻣﻦ ﻗﺎﻧﻮﻥ ﺍﻹﺟﺮﺍﺀﺍﺕ ﺍﳌﺪﻧﻴﺔ ﻭ ﺍﻹﺩﺍﺭﻳﺔ (‬

‫ﺒﺘـﺎﺭﻴﺦ‪............ :‬ﻤﻥ ﺸﻬﺭ‪..........:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪..............................................‬‬

‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ ........................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪............‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪.....‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــــﺎﻩ ـــــــــــــــــــــــــــــ‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻤﻠﻑ‪:‬‬
‫ﺍﻝﻜﺎﺌﻥ ﻤﻜﺘﺒﻪ ﺒـ‪................................................................................‬‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ‪:‬‬
‫ﺒﻨﺎﺀﺍ ﻋﻠﻰ ﻁﻠﺏ ﺍﻝﻌﺭﺽ ﺍﻝﻤﺅﺭﺥ ﻓﻲ ‪ ،.......................... :‬ﻭ ﺍﻝﻤﻘﺩﻡ ﻤﻥ ﻁﺭﻑ ‪:‬‬
‫ﺍﻝﺴﻴﺩ )ﺓ(‪............................ :‬ﺍﻝﻤﺘﻀﻤﻥ )ﻤﻀﻤﻭﻥ ﻁﻠﺏ ﺍﻝﻌﺭﺽ (ﻭ ﺍﻝﻤﺒﻠـﻎ ﻤﻥ ﻁﺭﻓﻨـﺎ‬
‫ﻝﻠﻤﻌﺭﻭﺽ ﻋﻠﻴﻪ )ﺍﻝﺩﺍﺌﻥ( ﺒﺘﺎﺭﻴﺦ ‪.....................................................................‬‬
‫ﻭ ﺒﻌﺩ ﺭﻓﺽ ﺍﻝﻌﺭﺽ ﻤﻥ ﻁﺭﻑ ﺍﻝﺩﺍﺌﻥ ﺍﻝﻤﻌﺭﻭﺽ ﻋﻠﻴﻪ) ﻫﻭﻴﺔ ﺍﻝﺩﺍﺌﻥ ﻭ ﻤﻭﻁﻨﻪ ( ‪،‬‬
‫ﺤﻀﺭ ﺍﻝﻌﺎﺭﺽ ﺇﻝﻰ ﻤﻜﺘﺒﻨﺎ ﻭ ﺃﻭﺩﻉ ) ﻭﺼﻑ ﺍﻝﺸﻲﺀ ﺍﻝﻤﻌﺭﻭﺽ ( ﻝﻔﺎﺌﺩﺓ ‪ ):‬ﺍﻝﺩﺍﺌﻥ ﺒﻬﻭﻴﺘﻪ (‪.‬‬
‫ﻜﻤﺎ ﺃﺨﻁﺭﻨﺎﻩ ﺒﺄﻥ ﺒﻌﺩ ﺍﻨﻘﻀﺎﺀ ﺃﺠل ﺴﻨﺔ )‪ (01‬ﻤﻥ ﺘﺎﺭﻴﺦ ﻫﺩﺍ ﺍﻝﻤﺤﻀﺭ ﻴﻤﻜﻥ ﻝﻪ ﺍﺴﺘﺭﺠﺎﻉ‬
‫ﺍﻝﻤﺒﻠﻎ ﺃﻭ ﺍﻝﺸﻲﺀ ﺍﻝﻤﻌﺭﻭﺽ ﻭ ﺍﻝﻤﻭﺩﻉ ﺒﻤﻭﺠﺏ ﺃﻤﺭ ﻋﻠﻰ ﻋﺭﻴﻀﺔ‪.‬‬
‫ﻭﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬
‫ﻭﺇﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻁﺎﻝﺏ ﺍﻝﻜل ﻁﺒﻘﺎ‬

‫‪.‬‬ ‫ﻝﻠﻘﺎﻨﻭﻥ‬

‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺃﻭﺒﺼﻤﺔ ﺍﻝﻤﻭﺩﻉ‬

‫‪03‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬
‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫‪elmouhami.com‬‬
‫‪..........................‬‬ ‫ﺍﻷﺳﺘـﺎﺫ‪/‬‬
‫‪..........‬‬ ‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ‬
‫‪.‬ﺍﺨﺘﺼﺎﺹ ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪,,,,,,,,,,,,,.‬‬
‫ﺑـ‪............... :‬‬ ‫ﻭ ﺍﻟﻜﺎﺋﻦ ﻣﻜﺘﺒﻪ‬
‫ﳏﻀﺮ ﻋﺮﺽ ﻭﻓﺎﺀ‬
‫)ﺍﳌﻮﺍﺩ ‪ 584‬ﻭ‪ 585‬ﻣﻦ ﻗﺎﻧﻮﻥ ﺍﻹﺟﺮﺍﺀﺍﺕ ﺍﳌﺪﻧﻴﺔ ﻭ ﺍﻹﺩﺍﺭﻳﺔ (‬

‫ﺒﺘـﺎﺭﻴﺦ‪............ :‬ﻤﻥ ﺸﻬﺭ‪..........:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪..............................................‬‬

‫ﻓﻬﺭﺱ ﺭﻗﻡ ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪..............‬ﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪............‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪.....‬‬
‫ﺍﻝﻤـــﻭﻗــﻊ ﺃﺩﻨـــــﺎﻩ ـــــــــــــــــــــــــــــــــــ‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻤﻠﻑ‪:‬‬
‫ﺍﻝﻜﺎﺌﻥ ﻤﻜﺘﺒﻪ ﺒـ‪...................................................................................‬‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ‪:‬‬
‫ﺒﻨﺎﺀﺍ ﻋﻠﻰ ﻁﻠﺏ ﺍﻝﺴﻴﺩ )ﺓ(‪.......................................................................... :‬‬
‫ﺍﻝﺴﺎﻜﻥ ﺒـ ‪............................................................................................:‬‬
‫ﺍﻝﺭﺍﻤﻲ ﺇﻝﻰ )ﻤﻀﻤﻭﻥ ﺍﻝﻌﺭﺽ ﺤﺴﺏ ﺍﻝﻁﻠﺏ(‪. .‬‬
‫ﺒﻌﺩ ﺍﻻﻁﻼﻉ ﻋﻠﻰ ﺍﻝﻤﻭﺍﺩ‪ 407، 406 ،585 ،584:‬ﺇﻝﻰ‪416‬ﻤﻥ ﻗﺎﻨﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ ﻭ ﺍﻹﺩﺍﺭﻴﺔ‪.‬‬
‫ﺒﻠﻐﻨﺎ ﺍﻝﻌﺭﺽ ﺍﻝﻤﻘﺩﻡ ﺇﻝﻴﻨﺎ ﻤﻥ ﻁﺭﻑ ﺍﻝﻁﺎﻝﺏ ﺍﻝﻤﺅﺭﺥ ﻓﻲ ‪...............................................:‬‬
‫ﺇﻝﻰ ﺍﻝﺴﻴﺩ ‪).....................................................................................:‬ﺸﺨﺼﻴﺎ(‪.‬‬
‫ﺍﻝﺴﺎﻜﻥ ﺒـ ‪............................................:‬ﺃﻭ ﻓﻲ ﻤﻭﻁﻨﻪ‪..................................‬‬
‫ﻤﺨـﺎﻁـﺒﻴﻥ‪) /‬ﺍﻝﻤﻌﻨﻲ ﺸﺨﺼﻴﺎ (‪ .....................‬ﺤﺴﺏ ﺘﺼﺭﻴﺤﻪ‪....................:‬‬
‫ﺍﻝﺤﺎﻤل)ﻝﺒﻁﺎﻗﺔ ﺍﻝﻬﻭﻴﺔ(‪:‬ﺭﻗــﻡ ‪....................:‬ﺍﻝﺼﺎﺩﺭﺓ ﻋﻥ‪ ..............‬ﺒﺘﺎﺭﻴﺦ‪............. :‬‬
‫ﻭ ﻋﺭﻀﻨﺎ ﻋﻠﻴﻪ ﻓﻲ ﺍﻝﺤﺎل‬

‫ﻭ ﺍﻝﻤﺒﻠﻎ ﻤﻥ ﻁﺭﻓﻨﺎ ﻝﻠﻤﻌﺭﻭﺽ ﻋﻠﻴﻪ )ﺍﻝﺩﺍﺌﻥ( ﺒﺘﺎﺭﻴﺦ ‪......................................................‬‬

‫ﻭ ﺒﻌﺩ ﺭﻓﺽ ﺍﻝﻌﺭﺽ ﻤﻥ ﻁﺭﻑ ﺍﻝﺩﺍﺌﻥ ﺍﻝﻤﻌﺭﻭﺽ ﻋﻠﻴﻪ) ﻫﻭﻴﺔ ﺍﻝﺩﺍﺌﻥ ﻭ ﻤﻭﻁﻨﻪ ( ‪،‬‬
‫ﺤﻀﺭ ﺍﻝﻌﺎﺭﺽ ﺇﻝﻰ ﻤﻜﺘﺒﻨﺎ ﻭ ﺃﻭﺩﻉ ) ﻭﺼﻑ ﺍﻝﺸﻲﺀ ﺍﻝﻤﻌﺭﻭﺽ ( ﻝﻔﺎﺌﺩﺓ ‪ ):‬ﺍﻝﺩﺍﺌﻥ ﺒﻬﻭﻴﺘﻪ (‪.‬‬
‫ﻜﻤﺎ ﺃﺨﻁﺭﻨﺎﻩ ﺒﺄﻥ ﺒﻌﺩ ﺍﻨﻘﻀﺎﺀ ﺃﺠل ﺴﻨﺔ )‪ (01‬ﻤﻥ ﺘﺎﺭﻴﺦ ﻫﺩﺍ ﺍﻝﻤﺤﻀﺭ ﻴﻤﻜﻥ ﻝﻪ ﺍﺴﺘﺭﺠﺎﻉ‬
‫ﺍﻝﻤﺒﻠﻎ ﺃﻭ ﺍﻝﺸﻲﺀ ﺍﻝﻤﻌﺭﻭﺽ ﻭ ﺍﻝﻤﻭﺩﻉ ﺒﻤﻭﺠﺏ ﺃﻤﺭ ﻋﻠﻰ ﻋﺭﻴﻀﺔ‪.‬‬
‫ﻭﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬
‫ﻭﺇﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻁﺎﻝﺏ ﺍﻝﻜل ﻁﺒﻘﺎ‬
‫‪04‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
‫‪.‬‬ ‫ﻝﻠﻘﺎﻨﻭﻥ‬

‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺃﻭﺒﺼﻤﺔ ﺍﻝﻤﻭﺩﻉ‬

 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬

‫‪elmouhami.com‬‬ ‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬

‫‪..........................‬‬ ‫ﺍﻷﺳﺘـﺎﺫ‪/‬‬
‫‪.........‬‬ ‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ‬
‫ﺍﺨﺘﺼﺎﺹ ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪,,,,,,,,,,,,,.‬‬
‫ﺑـ‪.................... :‬‬ ‫ﺍﻟﻜﺎﺋﻦ ﻣﻜﺘﺒﻪ‬
‫ﳏﻀـﺮ ﺗﺒﻠﻴــﻎ ﺣﻜﻢ ﺣﻀـﻮﺭﻱ‬
‫ﺍﳌــﺎﺩﺓ ‪ 336‬ﻣﻦ ﻗﺎﻧــﻮﻥ ﺍﻹﺟــــﺮﺍﺀﺍﺕ ﺍﳌﺪﻧﻴــﺔﻭﺍﻹﺩﺍﺭﻳــــﺔ‬
‫ﺭﻗﻡ ﺍﻝﻤﻠﻑ‪09/ :‬‬
‫ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ‪09/ :‬‬
‫ﺒﺘـﺎﺭﻴﺦ‪ ........... :‬ﻤﻥ ﺸﻬﺭ‪ .......:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪(....../....../......)..........‬ﻓﻲ ﺍﻝﺴﺎﻋﺔ‬
‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .............................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪............‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪.....‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــــﺎﻩ ـــــــــــــــــــــــــــــ‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻤﻠﻑ‪:‬‬
‫ﺍﻝﻜﺎﺌﻥ ﻤﻜﺘﺒﻪ ﺒـ‪................................................................................‬‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ‪:‬‬
‫ﺒﻁﻠﺏ ﻤﻥ ﺍﻝﺴﻴﺩ )ﺓ(‪............................ :‬ﺒﻭﺍﺴﻁﺔ‪)..‬ﺫﻜﺭ ﻤﻥ ﺘﻘﺩﻡ ﻝﻁﻠﺏ ﺍﻝﺨﺩﻤﺔ(‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪.............................................................................. :‬‬
‫ﺒﻨﺎﺀﻋﻠﻰ ﺃﺤﻜﺎﻡ ﺍﻝﻤﻭﺍﺩ‪ 416 407 ،406 ،405 ،336 ،313،322:‬ﻤﻥ ﻗﺎﻨﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ ﻭﺍﻹﺩﺍﺭﻴﺔ‬
‫ﺒﻠﻐﻨﺎ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ‪ /‬ﺍﻝﺤﻜﻡ ﺍﻝﺤﻀﻭﺭﻱ ﺍﻝﺼﺎﺩﺭ ﻋﻥ ﻤﺤﻜﻤﺔ‪................................. :‬‬
‫ﺒﺘﺎﺭﻴــﺦ ‪.................................. :‬‬ ‫ﺍﻝﻘﺴﻡ‪............................................. :‬‬
‫ﺭﻗﻡ ﺍﻝﺠﺩﻭل‪.................................... :‬‬ ‫ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ ‪....................................:‬‬

‫‪........................................................................................:‬‬ ‫ﺇﻝﻰ ﺍﻝﺴﻴﺩ )ﺓ(‬

‫‪........................................................................................‬‬ ‫ﺍﻝﺴﺎﻜﻥ ﺒـ‪:‬‬
‫ﻤﺨـﺎﻁـﺒﻴﻥ‪) /‬ﺍﻝﻤﻌﻨﻲ‪ ،‬ﺃﻭ ﻤﻥ ﻴﻨﻭﺒﻪ‪ ،‬ﺸﺨﺹ ﻤﻌﻨﻭﻱ ﺫﻜﺭ ﺼﻔﺘﻪ ( ﺤﺴﺏ ﺘﺼﺭﻴﺤﻪ‪:‬‬
‫ﺍﻝﺤﺎﻤل)ﻝﺒﻁﺎﻗﺔ ﺍﻝﻬﻭﻴﺔ(‪:‬ﺭﻗــﻡ ‪....................:‬ﺍﻝﺼﺎﺩﺭﺓ ﻋﻥ‪ ...............:‬ﺒﺘﺎﺭﻴﺦ ‪..............‬‬
‫ﻭﺃﻋﻠﻤﻨﺎﻩ ﺒﺄﻥ ﺍﺠل ﺍﻝﻁﻌﻥ ﺒﺎﻻﺴﺘﺌﻨﺎﻑ ﻤﺤﺩﺩ ﺒﺸﻬﺭ ﻭﺍﺤﺩ )‪ (01‬ﺍﺒﺘﺩﺍﺀ ﻤﻥ ﺘﺎﺭﻴﺦ ﺍﻝﺘﺒﻠﻴﻎ ﺇﺫﺍ ﻜﺎﻥ‬
‫ﻝﻠﺸﺨﺹ ﺫﺍﺘﻪ ﻭﻴﻤﺩﺩ ﺃﺠل ﺍﻻﺴﺘﺌﻨﺎﻑ ﺇﻝﻰ ﺸﻬﺭﻴﻥ )‪ (02‬ﺇﺫﺍ ﺘﻡ ﺍﻝﺘﺒﻠﻴﻎ ﻓﻲ ﻤﻭﻁﻨﻪ ﺍﻝﺤﻘﻴﻘﻲ ﺃﻭ‬
‫ﺍﻝﻤﺨﺘﺎﺭ ﻁﺒﻘﺎ ﻝﻨﺹ ﺍﻝﻤﺎﺩﺓ ‪ 336‬ﻤﻥ ﻗﺎﻨـﻭﻥ ﺍﻹﺠــﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ ﻭﺍﻹﺩﺍﺭﻴـﺔ‬
‫ﻭﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬
‫ﻭﺇﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻤﺨﺎﻁﺏ ﺍﻝﻜل ﻁﺒﻘﺎ‬
‫ﻝﻠﻘﺎﻨﻭﻥ‬
‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺃﻭﺒﺼﻤﺔ ﺍﻝﻤﺴﺘﻠﻡ‬ ‫‪05‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬
‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫‪elmouhami.com‬‬ ‫‪..........................‬‬ ‫ﺍﻷﺳﺘـﺎﺫ‪/‬‬
‫‪.........‬‬ ‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ‬
‫‪.‬ﺍﺨﺘﺼﺎﺹ ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪,,,,,,,,,,,,,.‬‬

‫ﳏﻀـﺮ ﺗﺒﻠﻴــﻎ ﺣﻜﻢ ﻏﻴﺎﺑـﻲ‬ ‫ﺑـ‪.................... :‬‬ ‫ﺍﻟﺬﻱ ﻣﻜﺘﺒﻪ‬

‫ﺍﳌﻮﺍﺩ ‪ 329‬ﻭ‪336‬ﻣﻦ ﻗﺎﻧﻮﻥ ﺍﻹﺟﺮﺍﺀﺍﺕ ﺍﳌﺪﻧﻴــﺔﻭﺍﻹﺩﺍﺭﻳـﺔ‬

‫ﺒﺘـﺎﺭﻴﺦ‪............ :‬ﻤﻥ ﺸﻬﺭ‪..........:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪ (.../.../...).....‬ﻭﻋﻠﻰ ﺍﻝﺴﺎﻋﺔ‪.............:‬‬

‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .............................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪............‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪.....‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــــﺎﻩ ـــــــــــــــــــــــــــــ‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻤﻠﻑ‪:‬‬
‫ﺍﻝﻜﺎﺌﻥ ﻤﻜﺘﺒﻪ ﺒـ‪................................................................................‬‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ‪:‬‬
‫ﻭﺒﻁﻠﺏ ﻤﻥ ﺍﻝﺴﻴﺩ )ﺓ(‪.............................. :‬ﺍﻝﻘﺎﺌﻡ ﻓﻲ ﺤﻘﻪ ﺍﻷﺴﺘﺎﺫ‪......................../‬‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪............................................................................... :‬‬
‫ﺒﻨﺎﺀ ﻋﻠﻰ ﺍﻝﻤﻭﺍﺩ‪ 407 ،313،322،329،336،405،406:‬ﻭ ‪ 416‬ﻤﻥ ﻗﺎﻨﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ ﻭﺍﻹﺩﺍﺭﻴﺔ‬
‫ﺒﻠﻐﻨﺎ ﻭﺴﻠﻤﻨﺎ ﻝﻠﻤﺩﻋـﻭ)ﺓ( ‪.................................................................. :‬‬
‫ﻤﺨــﺎﻁـﺒﻴــــﻥ ‪ ................................. :‬ﻓﺘــﻪ‪..................................:‬‬
‫ﺍﻝﺤﺎﻤل)ﻝﺒﻁﺎﻗﺔ ﺍﻝﻬﻭﻴﺔ(‪.......................................:‬ﺭﻗــﻡ ‪..................................:‬‬
‫ﺍﻝﺼـــﺎﺩﺭﺓ ﺒﺘﺎﺭﻴــﺦ ‪ ....................................... :‬ﻋـﻥ‪.................................. :‬‬
‫ﻨﺴﺨﺔ ﻤﻥ ﺍﻝﺤﻜﻡ ﺍﻝﻐﻴﺎﺒﻲ ﺍﻝﺼﺎﺩﺭ ﻋﻥ ﻤﺤﻜﻤﺔ‪ ................ :‬ﺍﻝﻘﺴﻡ‪............................... :‬‬
‫ﺒﺘﺎﺭﻴﺦ ‪ ....................... :‬ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ ‪......................:‬ﺭﻗﻡ ﺍﻝﺠﺩﻭل‪..................... :‬‬
‫ﻭﺃﻋﻠﻤﻨﺎﻩ ﺒﺄﻥ ﻝﻪ ﺍﺠل ﺸﻬﺭ)‪(01‬ﻝﻠﻤﻌﺎﺭﻀﺔ ﻴﺴﺭﻱ ﻤﻥ ﺘﺎﺭﻴـﺦ ﺍﻝﺘﺒﻠﻴﻎ ﻁﺒﻘﺎ ﻝﻠﻤﺎﺩﺓ ‪ 329‬ﻤﻥ) ﻕ‪ .‬ﺇ ‪.‬ﻡ‪.‬‬
‫ﻜﻤــﺎ ﺃﻋﻠﻤﻨﺎﻩ ﺃﻨﻪ ﺒﻌﺩ ﺍﻨﻘﻀﺎﺀ ﺃﺠل ﺍﻝﻤﻌﺎﺭﻀﺔ ﻝﻪ ﺃﺠــل ﺸﻬﺭ ﻭﺍﺤﺩ‬ ‫ﺇ(‪،‬ﻭﺇﻻ ﺴﻘﻁ ﺤﻘﻪ ﻓﻲ ﺫﻝﻙ‬
‫ﻝﻠﻁـﻌـﻥ ﺒﺎﻹﺴﺘﺌﻨـﺎﻑ ﺇﺫﺍ ﺘﻡ ﺍ ﺘﺒﻠﻴـﻎ ﻝﻠﺤﻜـﻡ ﺇﻝـﻰ ﺍﻝﺸﺨـﺹ ﺫﺍﺘــﻪ ــــــــــــ‬
‫ﻭﻴﻤﺩﺩ ﺃﺠل ﺍﻹﺴﺘﺌﻨﺎﻑ ﺇﻝﻰ ﺸﻬﺭﻴﻥ )‪ (02‬ﺇﺫﺍ ﺘﻡ ﺍﻝﺘﺒﻠﻴﻎ ﻓﻲ ﻤﻭﻁﻨﻪ ﺍﻝﺤﻘﻴﻘﻲ ﺃﻭ ﺍﻝﻤﺨﺘﺎﺭ ﻁﺒﻘﺎ ﻝﻨﺹ ﺍﻝﻤﺎﺩﺓ‬
‫‪ 336‬ﻤﻥ) ﻕ‪.‬ﺇ‪.‬ﻡ‪.‬ﺇ (‬
‫ﻭﻟﻜﻲ ﻻﻳـﺠﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬
‫ﻭﺇﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻁﺎﻝﺏ ﺍﻝﻜل ﻁﺒﻘﺎ‬

‫‪.‬‬ ‫ﻝﻠﻘﺎﻨﻭﻥ‬

‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺃﻭﺒﺼﻤﺔ ﺍﻝﻤﺒﻠﻎ ﻝﻪ‬ ‫‪06‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬

 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬
‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫‪elmouhami.com‬‬
‫‪..........................‬‬ ‫ﺍﻷﺳﺘـﺎﺫ‪/‬‬
‫‪.........‬‬ ‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ‬
‫ﺍﺨﺘﺼﺎﺹ ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪,,,,,,,,,,,,,.‬‬
‫ﺑـ‪.................... :‬‬ ‫ﺍﻟﻜﺎﺋﻦ ﻣﻜﺘﺒﻪ‬
‫ﳏﻀـﺮ ﺗﺒﻠﻴـﻎ ﺣﻜﻢ ﺣﻀـﻮﺭﻱ ﺇﺑﺘﺪﺍﺋﻲ ‪‬ﺎﺋـﻲ‬
‫ﺍﳌــﺎﺩﺓ ‪ 354 ، 349:‬ﻣﻦ ﻗﺎﻧــﻮﻥ ﺍﻹﺟــﺮﺍﺀﺍﺕ ﺍﳌﺪﻧﻴــﺔﻭﺍﻹﺩﺍﺭﻳـــﺔ‬

‫ﺒﺘـﺎﺭﻴﺦ‪ ........... :‬ﻤﻥ ﺸﻬﺭ‪ .......:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪(..../....../......)..........‬ﻓﻲ ﺍﻝﺴﺎﻋﺔ‪.........:‬‬

‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻤﻠﻑ‪:‬‬
‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .............................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪............‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪.....‬‬
‫ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ‪09/ :‬‬
‫ﺒﻁﻠﺏ ﻤﻥ ﺍﻝﺴﻴﺩ )ﺓ(‪............................ :‬ﺒﻭﺍﺴﻁﺔ‪)..‬ﺫﻜﺭ ﻤﻥ ﺘﻘﺩﻡ ﻝﻁﻠﺏ ﺍﻝﺨﺩﻤﺔ(‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪.............................................................................. :‬‬
‫ﺒﻌﺩ ﺍﻻﻁﻼﻉ ﻋﻠﻰ ﺍﻝﻤﻭﺍﺩ‪ 416 ،407 ، 406، 405 ،354 ،349 ،313:‬ﻤﻥ ﻕ‪ .‬ﺇ ‪.‬ﻡ ‪.‬ﺇ ــــــــ‬
‫ﺒﻠﻐﻨﺎ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﺍﻝﺤﻜﻡ ﺍﻝﺤﻀﻭﺭﻱ ﺍﻻﺒﺘﺩﺍﺌﻲ ﺍﻝﻨﻬﺎﺌﻲ ﺍﻝﺼﺎﺩﺭ ﻋﻥ ﻤﺤﻜﻤﺔ‪................. :‬‬
‫ﺍﻝﻘﺴﻡ‪..............:‬ﺒﺘﺎﺭﻴﺦ ‪ ............... :‬ﺭﻗﻡ ﺍﻝﺠﺩﻭل‪ ..............:‬ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ‬
‫ﺍﻝﻰ ﺍﻝﺴﻴﺩ)ﺓ( ‪...........................................................................................‬‬
‫ﺍﻝﺴـﺎﻜــــــﻥ )ﺓ( ‪............................................................................ :‬‬
‫ﺤﺴﺏ ﺘﺼﺭﻴﺤﻪ‪:‬‬ ‫ﻤﺨـﺎﻁـﺒﻴﻥ‪) /‬ﺍﻝﻤﻌﻨﻲ‪ ،‬ﺃﻭ ﻤﻥ ﻴﻨﻭﺒﻪ‪ ،‬ﺸﺨﺹ ﻤﻌﻨﻭﻱ ﺫﻜﺭ ﺼﻔﺘﻪ (‬
‫ﺍﻝﺤﺎﻤل)ﻝﺒﻁﺎﻗﺔ ﺍﻝﻬﻭﻴﺔ(‪:‬ﺭﻗــﻡ ‪....................:‬ﺍﻝﺼﺎﺩﺭﺓ ﻋﻥ‪ ..............‬ﺒﺘﺎﺭﻴﺦ‪............. :‬‬
‫ﻭﺃﻋﻠﻤﻨﺎﻩ ﺒــﺄﻥ ﺍﺠـــل ﺍﻝﻁﻌـــﻥ ﺒﺎﻻﺴﺘﺌﻨﺎﻑ ﻤﺤـﺩﺩ ﺒﺸﻬﺭ ﻭﺍﺤﺩ )‪(01‬‬
‫ﺍﺒﺘﺩﺍﺀ ﻤـﻥ ﺘﺎﺭﻴـﺦ ﺍﻝﺘﺒﻠﻴـﻎ ﺍﻝﺭﺴﻤـﻲ ﻝﻠﺤﻜـﻡ ﺇﻝﻰ ﺍﻝﺸﺨﺹ ﺫﺍﺘـﻪ ـــــــــــ‬
‫ﻭﺃﻋﻠﻤﻨﺎﻩ ﺒﺄﻥ ﺃﺠل ﺍﻝﻁﻌﻥ ﺒﺎﻝﻨﻘﺽ ﻤﺤﺩﺩ ﺒﺸﻬﺭﻴﻥ)‪ (02‬ﺍﺒﺘﺩﺍﺀ ﻤﻥ ﺘﺎﺭﻴﺦ ﺘﺒﻠﻴﻎ ﺍ ﺍﺫﺍ ﻜﺎﻥ ﻝﻠﺸﺨﺹ ﺫﺍﺕ ﻩ‬
‫ﻭ ﻴﻤﺩﺩ ﺍﺠل ﺍﻝﻁﻌﻥ ﺒﺎﻝﻨﻘﺽ ﺇﻝﻰ ﺜﻼﺜﺔ)‪ (03‬ﺃﺸﻬﺭ ﺇﺫﺍ ﺘﻡ ﺍﻝﺘﺒﻠﻴﻎ ﻓﻲ ﻤﻭﻁﻨﻪ ﺍﻝﺤﻘﻴﻘﻲ ﺍﻭ ﺍﻝﻤﺨﺘﺎﺭ ﻁﺒﻘﺎ‬
‫ﻝﻨﺹ ﺍﻝﻤﺎﺩﺓ ‪ 354‬ﻤﻥ ﻗﺎﻨﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ ﻭ ﺍﻹﺩﺍﺭﻴﺔ ‪.‬‬
‫ﻭﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬
‫ﻭﺇﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻤﺨﺎﻁﺏ ﺍﻝﻜل ﻁﺒﻘﺎ‬

‫‪.‬‬ ‫ﻝﻠﻘﺎﻨﻭﻥ‬

‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺃﻭﺒﺼﻤﺔ ﺍﻝﻤﺴﺘﻠﻡ‬ ‫‪07‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬

 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬
‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫‪elmouhami.com‬‬ ‫‪..........................‬‬ ‫ﺍﻷﺳﺘـﺎﺫ‪/‬‬
‫‪.........‬‬ ‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ‬
‫ﺍﺨﺘﺼﺎﺹ ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪,,,,,,,,,,,,,.‬‬
‫ﺑـ‪.................... :‬‬ ‫ﺍﻟﻜﺎﺋﻦ ﻣﻜﺘﺒﻪ‬

‫ﳏﻀـﺮ ﺗﺒﻠﻴـﻎ ﺣﻜﻢ ﻏﻴﺎﺑـﻲ ﺇﺑﺘـﺪﺍﺋـﻲ ‪‬ﺎﺋـﻲ‬

‫ﺍﳌــﺎﺩﺓ ‪ 354 ، 349 ،329:‬ﻣﻦ ﻗﺎﻧــﻮﻥ ﺍﻹﺟــﺮﺍﺀﺍﺕ ﺍﳌﺪﻧﻴــﺔﻭﺍﻹﺩﺍﺭﻳـــﺔ‬

‫ﺒﺘـﺎﺭﻴﺦ‪ ........... :‬ﻤﻥ ﺸﻬﺭ‪ .......:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪(....../....../......)..........‬ﻓﻲ ﺍﻝﺴﺎﻋﺔ‬

‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .............................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪............‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪.....‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــــﺎﻩ ـــــــــــــــــــــــــــــ‬
‫ﺍﻝﻜﺎﺌﻥ ﻤﻜﺘﺒﻪ ﺒـ‪......................................................................................‬‬
‫ﺒﻁﻠﺏ ﻤﻥ ﺍﻝﺴﻴﺩ )ﺓ(‪......................................... :‬ﺒﻭﺍﺴﻁﺔ‪)..‬ﺫﻜﺭ ﻤﻥ ﺘﻘﺩﻡ ﻝﻁﻠﺏ ﺍﻝﺨﺩﻤﺔ(‬
‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻤﻠﻑ‪:‬‬

‫ﺍﻝﺴـــــﺎﻜـــﻥ‪............................................................................. :‬‬
‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ‪:‬‬

‫ﺒﻨﺎﺀ ﻋﻠﻰ ﺍﻝﻤﻭﺍﺩ‪ 416 ،407، 406 ،405، 355، 349،354 ،328،329 ،313،322:‬ﻤﻥ ﻕ‪ .‬ﺇ ‪.‬ﻡ ‪.‬ﺇ‬
‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .............................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪................................‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــــﺎﻩ ـــــــــــــــــــــــــــ‬
‫ﺒﻠﻐﻨــﺎ ﻨﺴﺨﺔ ﻤﻥ ﺍﻝﺤﻜﻡ ﺍﻝﺼﺎﺩﺭ ﻋﻥ ﻤﺤﻜﻤﺔ‪ ..................... :‬ﺍﻝﻘﺴﻡ‪.....................:‬‬
‫ﺒﺘﺎﺭﻴﺦ ‪ ...................... :‬ﺭﻗﻡ ﺍﻝﺠﺩﻭل‪ ..................:‬ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ‪..................... :‬‬
‫ﺍﻝﻰ ﺍﻝﺴﻴﺩ)ﺓ( ‪..................................................................................... :‬‬
‫ﺍﻝﺴـﺎﻜـــﻥ)ﺓ( ‪............................................................................ :‬‬
‫ﺤﺴﺏ ﺘﺼﺭﻴﺤﻪ‪:‬‬ ‫ﻤﺨـﺎﻁـﺒﻴﻥ‪) /‬ﺍﻝﻤﻌﻨﻲ‪ ،‬ﺃﻭ ﻤﻥ ﻴﻨﻭﺒﻪ‪ ،‬ﺸﺨﺹ ﻤﻌﻨﻭﻱ ﺫﻜﺭ ﺼﻔﺘﻪ (‬
‫ﺍﻝﺤﺎﻤل)ﻝﺒﻁﺎﻗﺔ ﺍﻝﻬﻭﻴﺔ(‪:‬ﺭﻗــﻡ ‪....................:‬ﺍﻝﺼﺎﺩﺭﺓ ﻋﻥ‪ .............:‬ﺒﺘﺎﺭﻴﺦ ‪............‬‬
‫ﻭﺃﻋﻠﻤﻨﺎﻩ ﺒﺄﻥ ﻝﻪ ﺍﺠل ﺸﻬﺭ)‪(01‬ﻝﻠﻤﻌﺎﺭﻀﺔ ﻴﺴﺭﻱ ﻤﻥ ﺘﺎﺭﻴﺦ ﺍﻝﺘﺒﻠﻴﻎ ﻁﺒﻘﺎ ﻝﻠﻤﺎﺩﺓ ‪ 329‬ﻤﻥ)ﻕ‪ .‬ﺇ‪.‬ﻡ‪ .‬ﺇ(‪،‬ﻭﺇﻻ‬
‫ﺴﻘﻁ ﺤﻘﻪ ﻓﻲ ﺫﻝﻙ ﻜﻤــﺎ ﺃﻋﻠﻤﻨﺎﻩ ﺃﻨﻪ ﺒﻌﺩ ﺍﻨﻘﻀﺎﺀ ﺃﺠل ﺍﻝﻤﻌﺎﺭﻀﺔ ﻝﻪ ﺃﺠــل ﺸﻬﺭ ﻭﺍﺤﺩ ﻝﻠﻁـﻌـﻥ‬
‫ﺒﺎﻹﺴﺘﺌﻨـﺎﻑ ﺇﺫﺍ ﺘﻡ ﺘﺒﻠﻴـﻎ ﻝﻠﺤﻜـﻡ ﺇﻝـﻰ ﺍﻝﺸﺨـﺹ ﺫﺍﺘــﻪ ﻭﻴﻤﺩﺩ ﺃﺠل ﺍﻹﺴﺘﺌﻨﺎﻑ ﺇﻝﻰ ﺸﻬﺭﻴﻥ )‪(02‬‬
‫ﺇﺫﺍ ﺘﻡ ﺍﻝﺘﺒﻠﻴﻎ ﻓﻲ ﻤﻭﻁﻨﻪ ﺍﻝﺤﻘﻴﻘﻲ ﺃﻭ ﺍﻝﻤﺨﺘﺎﺭ ﻁﺒﻘﺎ ﻝﻨﺹ ﺍﻝﻤﺎﺩﺓ ‪ 336‬ﻤﻥ) ﻕ‪.‬ﺇ‪.‬ﻡ‪.‬ﺇ (‬
‫ﻜﻤﺎ ﺍﻋﻠﻤﻨﺎﻩ ﺒﺄﻥ ﻝﻪ ﺍﺠل ﺸﻬﺭﻴﻥ )‪ (02‬ﻝﻠﻁﻌـﻥ ﺒﺎﻝﻨﻘﺽ ﺍﺒﺘﺩﺍﺀ ﻤﻥ ﺘﺎﺭﻴﺦ ﺍﻨﻘﻀﺎﺀ ﺃﺠل ﺍﻝﻤﻌﺎﺭﻀﺔ ﺇﺫﺍ‬
‫ﺘﻡ ﺸﺨﺼﻴﺎ‪ ،‬ﻭﻴﻤﺩﺩ ﺍﺠل ﺍﻝﻁﻌﻥ ﺒﺎﻝﻨﻘﺽ ﺇﻝىﺜﻼﺜﺔ )‪(03‬ﺃﺸﻬﺭ ﺇﺫﺍ ﺘﻡ ﺍﻝﺘﺒﻠﻴﻎ ﺍﻝﺭﺴﻤﻲ ﻓﻲ ﻤﻭﻁﻨﻪ ﺍﻝﺤﻘﻴﻘﻲ ﺃﻭ‬
‫ﻭﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬ ‫ﺍﻝﻤﺨﺘﺎﺭ ‪.‬‬
‫ﻭﺇﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻤﺨﺎﻁﺏ ﺍﻝﻜل ﻁﺒﻘﺎ ﻝﻠﻘﺎﻨﻭﻥ‬
‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺃﻭﺒﺼﻤﺔ ﺍﻝﻤﺴﺘﻠﻡ‬
‫‪08‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬
‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫‪elmouhami.com‬‬
‫‪..........................‬‬ ‫ﺍﻷﺳﺘـﺎﺫ‪/‬‬
‫‪.........‬‬ ‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ‬
‫ﺍﺨﺘﺼﺎﺹ ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪,,,,,,,,,,,,,.‬‬
‫ﺑـ‪.................... :‬‬ ‫ﺍﻟﻜﺎﺋﻦ ﻣﻜﺘﺒﻪ‬

‫ﳏﻀـﺮ ﺗﺒﻠﻴـﻎ ﺣﻜﻢ ﻏﻴﺎﺑـﻲ ‪‬ﺎﺋـﻲ‬

‫ﺍﳌــﺎﺩﺓ ‪ 354 ، 349 ،329:‬ﻣﻦ ﻗﺎﻧــﻮﻥ ﺍﻹﺟــﺮﺍﺀﺍﺕ ﺍﳌﺪﻧﻴــﺔﻭﺍﻹﺩﺍﺭﻳـــﺔ‬

‫ﺒﺘـﺎﺭﻴﺦ‪ ........... :‬ﻤﻥ ﺸﻬﺭ‪ .......:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪(....../....../......)..........‬ﻓﻲ ﺍﻝﺴﺎﻋﺔ‬

‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .............................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪............‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪.....‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــــﺎﻩ ـــــــــــــــــــــــــــــ‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻤﻠﻑ‪:‬‬
‫ﺍﻝﻜﺎﺌﻥ ﻤﻜﺘﺒﻪ ﺒـ‪................................................................................‬‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ‪:‬‬
‫ﺒﻁﻠﺏ ﻤﻥ ﺍﻝﺴﻴﺩ )ﺓ(‪............................ :‬ﺒﻭﺍﺴﻁﺔ‪)..‬ﺫﻜﺭ ﻤﻥ ﺘﻘﺩﻡ ﻝﻁﻠﺏ ﺍﻝﺨﺩﻤﺔ(‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪......................................................................... :‬‬
‫ﺒﻨﺎﺀ ﻋﻠﻰ ﺍﻝﻤﻭﺍﺩ‪ 416 ،407، 406 ،405، 355، 349،354 ،328،329 ،313،322:‬ﻤﻥ ﻕ‪ .‬ﺇ ‪.‬ﻡ ‪.‬ﺇ‬
‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .............................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪..............................‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــــﺎﻩ ـــــــــــــــــــــــــ‬
‫ﺒﻠﻐﻨــﺎ ﻨﺴﺨﺔ ﻤﻥ ﺍﻝﺤﻜﻡ ﺍﻝﺼﺎﺩﺭ ﻋﻥ ﻤﺤﻜﻤﺔ‪ .......................:‬ﺍﻝﻘﺴﻡ‪..........................:‬‬
‫ﺒﺘﺎﺭﻴﺦ ‪ ...................... :‬ﺭﻗﻡ ﺍﻝﺠﺩﻭل‪ ..................:‬ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ‪.......................... :‬‬
‫ﺍﻝﻰ ﺍﻝﺴﻴﺩ)ﺓ( ‪........................................................................................ :‬‬
‫ﺍﻝﺴـﺎﻜـــﻥ)ﺓ( ‪................................................................................... :‬‬
‫ﻤﺨـﺎﻁـﺒﻴﻥ‪) /‬ﺍﻝﻤﻌﻨﻲ‪ ،‬ﺃﻭ ﻤﻥ ﻴﻨﻭﺒﻪ‪ ،‬ﺸﺨﺹ ﻤﻌﻨﻭﻱ ﺫﻜﺭ ﺼﻔﺘﻪ ( ﺤﺴﺏ ﺘﺼﺭﻴﺤﻪ‪:‬‬
‫ﺍﻝﺤﺎﻤل)ﻝﺒﻁﺎﻗﺔ ﺍﻝﻬﻭﻴﺔ(‪:‬ﺭﻗــﻡ ‪....................:‬ﺍﻝﺼﺎﺩﺭﺓ ﻋﻥ ‪.............:‬ﺒﺘﺎﺭﻴﺦ‪................:‬‬
‫ﻁﺒﻘﺎ ﻝﻠﻤﺎﺩﺓ ‪ 329‬ﻤﻥ ﻗﺎﻨﻭﻥ‬ ‫ﻤﻥ ﺘﺎﺭﻴـﺦ ﺍﻝﺘﺒﻠﻴﻎ‬ ‫ﻭﺃﻋﻠﻤﻨﺎﻩ ﺒﺄﻥ ﻝﻪ ﺍﺠل ﺸﻬﺭ)‪(01‬ﻝﻠﻤﻌﺎﺭﻀﺔ ﻴﺴﺭﻱ‬
‫ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ ﻭ ﺍﻹﺩﺍﺭﻴﺔ ‪،‬ﻭﺇﻻ ﺴﻘﻁ ﺤﻘﻪ ﻓﻲ ﺫﻝﻙ‬
‫ﻜﻤﺎ ﺍﻋﻠﻤﻨﺎﻩ ﺒﺄﻥ ﻝﻪ ﺍﺠل ﺸﻬﺭﻴﻥ )‪ (02‬ﻝﻠﻁﻌـﻥ ﺒﺎﻝﻨﻘﺽ ﺍﺒﺘﺩﺍﺀ ﻤﻥ ﺘﺎﺭﻴﺦ ﺍﻨﻘﻀﺎﺀ ﺃﺠل ﺍﻝﻤﻌﺎﺭﻀﺔ ﺇﺫﺍ‬
‫ﺘﻡ ﺸﺨﺼﻴﺎ‪ ،‬ﻭﻴﻤﺩﺩ ﺍﺠل ﺍﻝﻁﻌﻥ ﺒﺎﻝﻨﻘﺽ ﺇﻝﻰ ﺜﻼﺜﺔ )‪(03‬ﺃﺸﻬﺭ ﺇﺫﺍ ﺘﻡ ﺍﻝﺘﺒﻠﻴﻎ ﺍﻝﺭﺴﻤﻲ ﻓﻲ ﻤﻭﻁﻨﻪ ﺍﻝﺤﻘﻴﻘﻲ ﺃﻭ‬
‫ﺍﻝﻤﺨﺘﺎﺭ ﻁﺒﻘﺎ ﻝﻠﻤﺎﺩﺓ ‪ 354‬ﻤﻥ ﻗﺎﻨﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ ﻭ ﺍﻹﺩﺍﺭﻴﺔ ‪.‬‬
‫ﻭﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬
‫ﻭﺇﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻤﺨﺎﻁﺏ ﺍﻝﻜل ﻁﺒﻘﺎ ﻝﻠﻘﺎﻨﻭﻥ‬
‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺃﻭﺒﺼﻤﺔ ﺍﻝﻤﺴﺘﻠﻡ‬
‫‪09‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬

‫‪elmouhami.com‬‬ ‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬

‫‪..........................‬‬ ‫ﺍﻷﺳﺘـﺎﺫ‪/‬‬
‫‪.........‬‬ ‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ‬
‫ﺍﺨﺘﺼﺎﺹ ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪,,,,,,,,,,,,,.‬‬
‫ﺑـ‪.................... :‬‬ ‫ﺍﻟﻜﺎﺋﻦ ﻣﻜﺘﺒﻪ‬
‫ﳏﻀـﺮ ﺗﺒﻠﻴــﻎ ﺃﻣــﺮ ﺍﺳﺘﻌﺠﺎﱄ‬
‫ﺍﳌــﺎﺩﺓ ‪ 2/304‬ﻣﻦ ﻗﺎﻧــﻮﻥ ﺍﻹﺟــــﺮﺍﺀﺍﺕ ﺍﳌﺪﻧﻴــﺔﻭﺍﻹﺩﺍﺭﻳــــﺔ‬

‫ﺒﺘـﺎﺭﻴﺦ‪ ........... :‬ﻤﻥ ﺸﻬﺭ‪ .......:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪(....../....../......)..........‬ﻓﻲ ﺍﻝﺴﺎﻋﺔ‬

‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .............................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪............‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪.....‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــــﺎﻩ ـــــــــــــــــــــــــــــ‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻤﻠﻑ‪:‬‬
‫ﺍﻝﻜﺎﺌﻥ ﻤﻜﺘﺒﻪ ﺒـ‪................................................................................‬‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ‪:‬‬
‫ﺒﻁﻠﺏ ﻤﻥ ﺍﻝﺴﻴﺩ )ﺓ(‪............................ :‬ﺒﻭﺍﺴﻁﺔ‪)..‬ﺫﻜﺭ ﻤﻥ ﺘﻘﺩﻡ ﻝﻁﻠﺏ ﺍﻝﺨﺩﻤﺔ(‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪.............................................................................. :‬‬
‫ﺒﻌﺩ ﺍﻻﻁﻼﻉ ﻋﻠﻰ ﺍﻝﻤﻭﺍﺩ‪ 416، 407، 406 ،405 ،304 ،322 ،313:‬ﻤﻥ ﻗﺎﻨﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ‬
‫ﻭﺍﻹﺩﺍﺭﻴﺔ‬
‫ﺒﻠﻐﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﺍﻷﻤﺭ ﺍﻝﺼﺎﺩﺭ ﻋﻥ ﻤﺤﻜﻤﺔ‪ .............. :‬ﺍﻝﻘﺴﻡ ﺍﻹﺴﺘﻌﺠﺎﻝﻲ ‪................... :‬‬
‫ﺒﺘﺎﺭﻴﺦ ‪ ....................... :‬ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ ‪......................:‬ﺭﻗﻡ ﺍﻝﺠﺩﻭل‪................... :‬‬
‫ﺍﻝﻰ ﺍﻝﺴﻴﺩ )ﺓ( ‪..................................................................................... :‬‬
‫ﺍﻝﺴــﺎﻜـﻥ )ﺓ( ‪...................................................................................... :‬‬
‫ﺤﺴﺏ ﺘﺼﺭﻴﺤﻪ‪:‬‬ ‫ﻤﺨـﺎﻁـﺒﻴﻥ‪) /‬ﺍﻝﻤﻌﻨﻲ‪ ،‬ﺃﻭ ﻤﻥ ﻴﻨﻭﺒﻪ‪ ،‬ﺸﺨﺹ ﻤﻌﻨﻭﻱ ﺫﻜﺭ ﺼﻔﺘﻪ (‬
‫ﺒﺘﺎﺭﻴﺦ‬ ‫ﺍﻝﺤﺎﻤل)ﻝﺒﻁﺎﻗﺔ ﺍﻝﻬﻭﻴﺔ(‪:‬ﺭﻗــﻡ ‪....................:‬ﺍﻝﺼﺎﺩﺭﺓ ﻋﻥ‬
‫ﻭﺍﻋﻠﻤﻨﺎﻩ ﺒﺎﻥ ﺍﺠل ﺍﻻﺴﺘﺌﻨﺎﻑ ﻤﺤﺩﺩ ﺒﺨﻤﺴﺔ ﻋﺸﺭﺓ)‪ (15‬ﻴﻭﻤﺎ ﻤﻥ ﺘﺎﺭﻴﺦ ﺍﻝﺘﺒﻠﻴﻎ ﻝﻼﻤﺭ ﻁﺒﻘﺎ‬
‫ﻝﻠﻤﺎﺩﺓ ‪ 304‬ﻓﻘﺭﺓ ‪ 2‬ﻤﻥ ﻗﺎﻨﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ ﻭ ﺍﻹﺩﺍﺭﻴﺔ‬
‫ﻭﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬
‫ﻭﺇﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻤﺨﺎﻁﺏ ﺍﻝﻜل ﻁﺒﻘﺎ‬
‫ﻝﻠﻘﺎﻨﻭﻥ‬
‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺃﻭﺒﺼﻤﺔ ﺍﻝﻤﺴﺘﻠﻡ‬ ‫‪10‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬
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‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫‪..........................‬‬ ‫ﺍﻷﺳﺘـﺎﺫ‪/‬‬
‫‪.........‬‬ ‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ‬
‫ﺍﺨﺘﺼﺎﺹ ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪,,,,,,,,,,,,,.‬‬
‫ﺑـ‪.................... :‬‬ ‫ﺍﻟﻜﺎﺋﻦ ﻣﻜﺘﺒﻪ‬
‫ﳏﻀـﺮ ﺗﺒﻠﻴـﻎ ﺃﻣــﺮ ﺍﺳﺘﻌﺠﺎﱄ ﻏﻴﺎﰊ‬
‫ﺍﳌــﺎﺩﺓ ‪ 2/304‬ﻣﻦ ﻗﺎﻧــﻮﻥ ﺍﻹﺟــــﺮﺍﺀﺍﺕ ﺍﳌﺪﻧﻴــﺔﻭﺍﻹﺩﺍﺭﻳــــﺔ‬

‫ﺒﺘـﺎﺭﻴﺦ‪ ........... :‬ﻤﻥ ﺸﻬﺭ‪ .......:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪(....../....../......)..........‬ﻓﻲ ﺍﻝﺴﺎﻋﺔ‬

‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .............................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪............‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪.....‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــــﺎﻩ ـــــــــــــــــــــــــــــ‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻤﻠﻑ‪:‬‬
‫ﺍﻝﻜﺎﺌﻥ ﻤﻜﺘﺒﻪ ﺒـ‪................................................................................‬‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ‪:‬‬
‫ﺒﻁﻠﺏ ﻤﻥ ﺍﻝﺴﻴﺩ )ﺓ(‪............................ :‬ﺒﻭﺍﺴﻁﺔ‪)..‬ﺫﻜﺭ ﻤﻥ ﺘﻘﺩﻡ ﻝﻁﻠﺏ ﺍﻝﺨﺩﻤﺔ(‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪.............................................................................. :‬‬
‫ﻋﻠﻰ ﺍﻝﻤﻭﺍﺩ‪ 416، 407، 406 ،405 ،304 ،322 ،313:‬ﻤﻥ ﻗﺎﻨﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ‬ ‫ﺒﻌﺩ ﺍﻻﻁﻼﻉ‬
‫ﻭﺍﻹﺩﺍﺭﻴﺔ‬
‫ﺒﻠﻐﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﺍﻷﻤﺭ ﺍﻝﺼﺎﺩﺭ ﻋﻥ ﻤﺤﻜﻤﺔ‪ .............. :‬ﺍﻝﻘﺴﻡ ﺍﻹﺴﺘﻌﺠﺎﻝﻲ ‪................... :‬‬
‫ﺒﺘﺎﺭﻴﺦ ‪ ....................... :‬ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ ‪......................:‬ﺭﻗﻡ ﺍﻝﺠﺩﻭل‪................... :‬‬
‫ﺍﻝﻰ ﺍﻝﺴﻴﺩ )ﺓ( ‪..................................................................................... :‬‬
‫ﺍﻝﺴــﺎﻜـﻥ )ﺓ( ‪...................................................................................... :‬‬
‫ﺤﺴﺏ ﺘﺼﺭﻴﺤﻪ‪:‬‬ ‫ﻤﺨـﺎﻁـﺒﻴﻥ‪) /‬ﺍﻝﻤﻌﻨﻲ‪ ،‬ﺃﻭ ﻤﻥ ﻴﻨﻭﺒﻪ‪ ،‬ﺸﺨﺹ ﻤﻌﻨﻭﻱ ﺫﻜﺭ ﺼﻔﺘﻪ (‬
‫ﺒﺘﺎﺭﻴﺦ‬ ‫ﺍﻝﺤﺎﻤل)ﻝﺒﻁﺎﻗﺔ ﺍﻝﻬﻭﻴﺔ(‪:‬ﺭﻗــﻡ ‪....................:‬ﺍﻝﺼﺎﺩﺭﺓ ﻋﻥ‬
‫ﻭﺍﻋﻠﻤﻨﺎﻩ ﺒﺎﻥ ﺍﺠل ﺍﻻﺴﺘﺌﻨﺎﻑ ﻤﺤﺩﺩ ﺒﺨﻤﺴﺔ ﻋﺸﺭﺓ)‪ (15‬ﻴﻭﻤﺎ ﻤﻥ ﺘﺎﺭﻴﺦ ﺍﻝﺘﺒﻠﻴﻎ ﻝﻼﻤﺭ ﻁﺒﻘﺎ ﻝﻠﻤﺎﺩﺓ‬
‫‪ 304‬ﻓﻘﺭﺓ ‪ 2‬ﻤﻥ ﻗﺎﻨﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ ﻭ ﺍﻹﺩﺍﺭﻴﺔ‬
‫ﻭﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬
‫ﻭﺇﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻤﺨﺎﻁﺏ ﺍﻝﻜل ﻁﺒﻘﺎ‬
‫ﻝﻠﻘﺎﻨﻭﻥ‬
‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺃﻭﺒﺼﻤﺔ ﺍﻝﻤﺴﺘﻠﻡ‬ ‫‪11‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬

‫‪elmouhami.com‬‬ ‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬

‫‪..........................‬‬ ‫ﺍﻷﺳﺘـﺎﺫ‪/‬‬
‫‪.........‬‬ ‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ‬
‫ﺍﺨﺘﺼﺎﺹ ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪,,,,,,,,,,,,,.‬‬
‫ﺑـ‪.................... :‬‬ ‫ﺍﻟﻜﺎﺋﻦ ﻣﻜﺘﺒﻪ‬
‫ﳏﻀﺮ ﺗﺒﻠﻴــﻎ ﻗـــﺮﺍﺭ ﻏﻴـﺎﺑـﻲ‬
‫ﺍﳌـﺎﺩﺓ ‪ 355 ،329،354‬ﻣﻦ ﻗﺎﻧـﻮﻥ ﺍﻹﺟــﺮﺍﺀﺍﺕ ﺍﳌﺪﻧﻴــﺔﻭﺍﻹﺩﺍﺭﻳــﺔ‬

‫ﺒﺘـﺎﺭﻴﺦ‪ ........... :‬ﻤﻥ ﺸﻬﺭ‪ .......:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪(....../....../......)..........‬ﻓﻲ ﺍﻝﺴﺎﻋﺔ‬ ‫ﺭﻗﻡ ﺍﻝﻤﻠﻑ‪09/ :‬‬
‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .............................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪............‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪.....‬‬ ‫ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ‪09/ :‬‬
‫ﺒﻁﻠﺏ ﻤﻥ ﺍﻝﺴﻴﺩ )ﺓ(‪............................ :‬ﺒﻭﺍﺴﻁﺔ‪)..‬ﺫﻜﺭ ﻤﻥ ﺘﻘﺩﻡ ﻝﻁﻠﺏ ﺍﻝﺨﺩﻤﺔ(‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪.............................................................................. :‬‬
‫ﺒﻨﺎﺀ ﻋﻠﻰ ﺍﻝﻤﻭﺍﺩ‪ 417 ،،406،،407، 355، 354 ،329 ،328 ،322 ،313:‬ﻤﻥ ﻕ‪.‬ﺇ‪.‬ﻡ‪.‬ﺇ‬
‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .............................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪................................‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــــﺎﻩ ـــــــــــــــــــــــــــــ‬
‫ﺒﻠﻐﻨﺎ ﺒﻨﺴﺨﺔ ﻤﻥ ﺍﻝﻘﺭﺍﺭ ﺍﻝﻤﺩﻨﻲ ﺍﻝﻐﻴﺎﺒﻲ ﺍﻝﺼﺎﺩﺭ ﻋﻥ ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪............. :‬ﺍﻝﻐﺭﻓﺔ‪:‬‬
‫ﺒﺘﺎﺭﻴﺦ ‪ ................... :‬ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ ‪ ....................:‬ﺭﻗﻡ ﺍﻝﺠﺩﻭل‪................... :‬‬
‫ﺍﻝﻰ ﺍﻝﺴﻴﺩ )ﺓ( ‪..................................................................................... :‬‬
‫ﺍﻝﺴــﺎﻜـﻥ )ﺓ( ‪.................................................................................. :‬‬
‫ﺤﺴﺏ ﺘﺼﺭﻴﺤﻪ‪:‬‬ ‫ﻤﺨـﺎﻁـﺒﻴﻥ‪) /‬ﺍﻝﻤﻌﻨﻲ‪ ،‬ﺃﻭ ﻤﻥ ﻴﻨﻭﺒﻪ‪ ،‬ﺸﺨﺹ ﻤﻌﻨﻭﻱ ﺫﻜﺭ ﺼﻔﺘﻪ (‬
‫ﺍﻝﺤﺎﻤل)ﻝﺒﻁﺎﻗﺔ ﺍﻝﻬﻭﻴﺔ(‪:‬ﺭﻗــﻡ ‪....................:‬ﺍﻝﺼﺎﺩﺭﺓ ﻋﻥ ‪ ...............:‬ﺒﺘﺎﺭﻴﺦ ‪.................‬‬
‫ﻭﺃﻋﻠﻤﻨﺎﻩ ﺒﺄﻥ ﻝﻪ ﺍﺠل ﺸﻬﺭ)‪(01‬ﻝﻠﻤﻌﺎﺭﻀﺔ ﻴﺴﺭﻱ ﻤﻥ ﺘﺎﺭﻴـﺦ ﺍﻝﺘﺒﻠﻴﻎ ﻁﺒﻘﺎ ﻝﻠﻤﺎﺩﺓ ‪ 329‬ﻤﻥ ﻗﺎﻨﻭﻥ‬
‫ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ ﻭ ﺍﻹﺩﺍﺭﻴﺔ ‪،‬ﻭﺇﻻ ﺴﻘﻁ ﺤﻘﻪ ﻓﻲ ﺫﻝﻙ‬
‫ﻜﻤﺎ ﺍﻋﻠﻤﻨﺎﻩ ﺒﺄﻥ ﻝﻪ ﺍﺠل ﺸﻬﺭﻴﻥ )‪ (02‬ﻝﻠﻁﻌـﻥ ﺒﺎﻝﻨﻘﺽ ﺍﺒﺘﺩﺍﺀ ﻤﻥ ﺘﺎﺭﻴﺦ ﺍﻨﻘﻀﺎﺀ ﺃﺠل ﺍﻝﻤﻌﺎﺭﻀﺔ ﺇﺫﺍ‬
‫ﺘﻡ ﺸﺨﺼﻴﺎ‪ ،‬ﻭﻴﻤﺩﺩ ﺍﺠل ﺍﻝﻁﻌﻥ ﺒﺎﻝﻨﻘﺽ ﺇﻝىﺜﻼﺜﺔ )‪(03‬ﺃﺸﻬﺭ ﺇﺫﺍ ﺘﻡ ﺍﻝﺘﺒﻠﻴﻎ ﺍﻝﺭﺴﻤﻲ ﻓﻲ ﻤﻭﻁﻨﻪ ﺍﻝﺤﻘﻴﻘﻲ ﺃﻭ‬
‫ﺍﻝﻤﺨﺘﺎﺭ ﻁﺒﻘﺎ ﻝﻠﻤﺎﺩﺓ ‪ 354‬ﻤﻥ ﻗﺎﻨﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ ﻭ ﺍﻹﺩﺍﺭﻴﺔ ‪.‬‬
‫ﻭﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬
‫ﻭﺇﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻤﺨﺎﻁﺏ ﺍﻝﻜل ﻁﺒﻘﺎ‬
‫ﻝﻠﻘﺎﻨﻭﻥ‬
‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺃﻭﺒﺼﻤﺔ ﺍﻝﻤﺴﺘﻠﻡ‬ ‫‪12‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬
‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫‪elmouhami.com‬‬ ‫‪..........................‬‬ ‫ﺍﻷﺳﺘـﺎﺫ‪/‬‬
‫‪.........‬‬ ‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ‬
‫ﺍﺨﺘﺼﺎﺹ ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪,,,,,,,,,,,,,.‬‬
‫ﺑـ‪.................... :‬‬ ‫ﺍﻟﻜﺎﺋﻦ ﻣﻜﺘﺒﻪ‬
‫ﳏﻀﺮ ﺗﺒﻠﻴﻎ ﺣﻜــﻢ ﺇﺩﺍﺭﻱ ﺣﻀــﻮﺭﻱ‬
‫ﺍﳌـﺎﺩﺓ ‪ 950‬ﻣﻦ ﻗﺎﻧـﻮﻥ ﺍﻹﺟــﺮﺍﺀﺍﺕ ﺍﳌﺪﻧﻴــﺔﻭﺍﻹﺩﺍﺭﻳــﺔ‬

‫ﺒﺘـﺎﺭﻴﺦ‪ ........... :‬ﻤﻥ ﺸﻬﺭ‪ .......:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪(....../....../......)..........‬ﻓﻲ ﺍﻝﺴﺎﻋﺔ‬

‫ﺭﻗﻡ ﺍﻝﻤﻠﻑ‪09/ :‬‬
‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .......................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪............‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪.....‬‬
‫ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ‪09/ :‬‬
‫ﺍﻝﻜﺎﺌﻥ ﻤﻜﺘﺒﻨﺎ ﺒـ ‪................................................................... :‬‬
‫ﺒﻁﻠﺏ ﻤﻥ ﺍﻝﺴﻴﺩ )ﺓ(‪............................ :‬ﺒﻭﺍﺴﻁﺔ‪)..‬ﺫﻜﺭ ﻤﻥ ﺘﻘﺩﻡ ﻝﻁﻠﺏ ﺍﻝﺨﺩﻤﺔ(‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪.............................................................................. :‬‬
‫ﺒﻌﺩ ﺍﻻﻁﻼﻉ ﻋﻠﻰ ﺍﻝﻤﻭﺍﺩ‪ 950، 416، 407 ،406 ،405 ،322 ،313:‬ﻤﻥ ﻕ‪.‬ﺇ‪.‬ﻡ‪.‬ﺇ‬
‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .............................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪..................................‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــــﺎﻩ ـــــــــــــــــــــــــــــ‬
‫ﺒﻠﻐﻨﺎ ﺒﻨﺴﺨﺔ ﻤﻥ ﺍﻝﺤﻜﻡ ﺍﻹﺩﺍﺭﻱ ﺍﻝﺤﻀﻭﺭﻱ ﺍﻝﺼﺎﺩﺭ ﻋﻥ ﺍﻝﻤﺤﻜﻤﺔ ﺍﻹﺩﺍﺭﻴﺔ‪.......... :‬ﺍﻝﻘﺴﻡ‪:‬‬
‫‪ ...........‬ﺒﺘﺎﺭﻴﺦ ‪ ......... :‬ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ ‪ .....................:‬ﺭﻗﻡ ﺍﻝﺠﺩﻭل‪................... :‬‬
‫ﺍﻝﻰ ﺍﻝﺴﻴﺩ)ﺓ( ‪..................................................................................... :‬‬
‫ﺍﻝﺴــﺎﻜـﻥ )ﺓ( ‪..................................................................................... :‬‬
‫ﺤﺴﺏ ﺘﺼﺭﻴﺤﻪ‪:‬‬ ‫ﻤﺨـﺎﻁـﺒﻴﻥ‪) /‬ﺍﻝﻤﻌﻨﻲ‪ ،‬ﺃﻭ ﻤﻥ ﻴﻨﻭﺒﻪ‪ ،‬ﺸﺨﺹ ﻤﻌﻨﻭﻱ ﺫﻜﺭ ﺼﻔﺘﻪ (‬
‫ﺍﻝﺤﺎﻤل)ﻝﺒﻁﺎﻗﺔ ﺍﻝﻬﻭﻴﺔ(‪:‬ﺭﻗــﻡ ‪....................:‬ﺍﻝﺼﺎﺩﺭﺓ ﻋﻥ‪ ..............:‬ﺒﺘﺎﺭﻴﺦ ‪..............:‬‬
‫ﻭ ﺍﻋﻠﻤﻨﺎﻩ ﺒﺎﻥ ﺍﺠل ﺍﻻﺴﺘﺌﻨﺎﻑ ﻤﺤﺩﺩ ﺒﺸﻬﺭﻴﻥ )‪ (02‬ﺍﺒﺘﺩﺍﺀ ﻤﻥ ﺘﺎﺭﻴﺦ ﺍﻝﺘﺒﻠﻴﻎ ﻝﻠﻤﻌﻨﻲ ﻁﺒﻘﺎ ﻝﻠﻤﺎﺩﺓ‬
‫‪ 950‬ﻤﻥ ﻗﺎﻨﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ ﻭ ﺍﻹﺩﺍﺭﻴﺔ‬
‫ﻭﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬
‫ﻭﺇﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻤﺨﺎﻁﺏ ﺍﻝﻜل ﻁﺒﻘﺎ‬
‫ﻝﻠﻘﺎﻨﻭﻥ‬
‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺃﻭﺒﺼﻤﺔ ﺍﻝﻤﺴﺘﻠﻡ‬
‫‪13‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬
‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫‪elmouhami.com‬‬ ‫‪..........................‬‬ ‫ﺍﻷﺳﺘـﺎﺫ‪/‬‬
‫‪.........‬‬ ‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ‬
‫ﺍﺨﺘﺼﺎﺹ ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪,,,,,,,,,,,,,.‬‬
‫ﺑـ‪.................... :‬‬ ‫ﺍﻟﻜﺎﺋﻦ ﻣﻜﺘﺒﻪ‬
‫ﺗﺒﻠﻴــﻎ ﺣﻜــﻢ ﺇﺩﺍﺭﻱ ﻏﻴﺎﰊ‬
‫ﺍﳌـﺎﺩﺓ ‪ 950‬ﻣﻦ ﻗﺎﻧـﻮﻥ ﺍﻹﺟــﺮﺍﺀﺍﺕ ﺍﳌﺪﻧﻴــﺔﻭﺍﻹﺩﺍﺭﻳــﺔ‬

‫ﺒﺘـﺎﺭﻴﺦ‪ ........... :‬ﻤﻥ ﺸﻬﺭ‪ .......:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪(....../....../......)..........‬ﻓﻲ ﺍﻝﺴﺎﻋﺔ‬

‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .............................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪............‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪.....‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــــﺎﻩ ـــــــــــــــــــــــــــــ‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻤﻠﻑ‪:‬‬
‫ﺍﻝﻜﺎﺌﻥ ﻤﻜﺘﺒﻪ ﺒـ‪................................................................................‬‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ‪:‬‬
‫ﺒﻁﻠﺏ ﻤﻥ ﺍﻝﺴﻴﺩ )ﺓ(‪............................ :‬ﺒﻭﺍﺴﻁﺔ‪)..‬ﺫﻜﺭ ﻤﻥ ﺘﻘﺩﻡ ﻝﻁﻠﺏ ﺍﻝﺨﺩﻤﺔ(‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪.............................................................................. :‬‬
‫ﺒﻌﺩ ﺍﻻﻁﻼﻉ ﻋﻠﻰ ﺍﻝﻤﻭﺍﺩ‪ 950، 416، 407 ،406 ،405 ،322 ،313:‬ﻤﻥ ﻕ‪.‬ﺇ‪.‬ﻡ‪.‬ﺇ‬
‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .............................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪..................................‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــــﺎﻩ ـــــــــــــــــــــــــــــ‬
‫ﺒﻠﻐﻨﺎ ﺒﻨﺴﺨﺔ ﻤﻥ ﺍﻝﺤﻜﻡ ﺍﻹﺩﺍﺭﻱ ﺍﻝﺤﻀﻭﺭﻱ ﺍﻝﺼﺎﺩﺭ ﻋﻥ ﺍﻝﻤﺤﻜﻤﺔ ﺍﻹﺩﺍﺭﻴﺔ‪.......... :‬ﺍﻝﻘﺴﻡ‪:‬‬
‫‪ ...........‬ﺒﺘﺎﺭﻴﺦ ‪ ......... :‬ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ ‪ .....................:‬ﺭﻗﻡ ﺍﻝﺠﺩﻭل‪................... :‬‬
‫ﺍﻝﻰ ﺍﻝﺴﻴﺩ)ﺓ( ‪..................................................................................... :‬‬
‫ﺍﻝﺴــﺎﻜـﻥ )ﺓ( ‪..................................................................................... :‬‬
‫ﺤﺴﺏ ﺘﺼﺭﻴﺤﻪ‪:‬‬ ‫ﻤﺨـﺎﻁـﺒﻴﻥ‪) /‬ﺍﻝﻤﻌﻨﻲ‪ ،‬ﺃﻭ ﻤﻥ ﻴﻨﻭﺒﻪ‪ ،‬ﺸﺨﺹ ﻤﻌﻨﻭﻱ ﺫﻜﺭ ﺼﻔﺘﻪ (‬
‫ﺒﺘﺎﺭﻴﺦ‬ ‫ﺍﻝﺤﺎﻤل)ﻝﺒﻁﺎﻗﺔ ﺍﻝﻬﻭﻴﺔ(‪:‬ﺭﻗــﻡ ‪....................:‬ﺍﻝﺼﺎﺩﺭﺓ ﻋﻥ‬
‫ﻭ ﺍﻋﻠﻤﻨﺎﻩ ﺒﺎﻥ ﺍﺠل ﺍﻝﻌﺎﺭﻀﺔ ﻤﺤﺩﺩ ﺒﺸﻬﺭ ﻭﺍﺤﺩ )‪ (01‬ﺍﺒﺘﺩﺍﺀ ﻤﻥ ﺘﺎﺭﻴﺦ ﺍﻝﺘﺒﻠﻴﻎ ﺍﻝﺤﻜﻡ ﻁﺒﻘﺎ ﻝﻠﻤﺎﺩﺓ‬
‫‪ 954‬ﻤﻥ ﻗﺎﻨﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ ﻭ ﺍﻹﺩﺍﺭﻴﺔ ‪.‬‬
‫ﻜﻤﺎ ﺍﻋﻠﻤﻨﺎﻩ ﺒﺎﻥ ﺍﺠل ﺍﻻﺴﺘﺌﻨﺎﻑ ﻤﺤﺩﺩ ﺒﺸﻬﺭﻴﻥ)‪ (02‬ﺍﺒﺘﺩﺍﺀ ﻤﻥ ﺘﺎﺭﻴﺦ ﺍﻨﻘﻀﺎﺀ ﺍﻝﻤﻌﺎﺭﻀﺔ ﻁﺒﻘﺎ‬
‫ﻝﻠﻤﺎﺩﺓ ‪ 950‬ﻤﻥ ﻗﺎﻨﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ ﻭ ﺍﻹﺩﺍﺭﻴﺔ‬
‫ﻭﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬
‫ﻭﺇﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻤﺨﺎﻁﺏ ﺍﻝﻜل ﻁﺒﻘﺎ‬
‫ﻝﻠﻘﺎﻨﻭﻥ‬
‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺃﻭﺒﺼﻤﺔ ﺍﻝﻤﺴﺘﻠﻡ‬
‫‪14‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬
‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫‪elmouhami.com‬‬ ‫‪..........................‬‬ ‫ﺍﻷﺳﺘـﺎﺫ‪/‬‬
‫‪.........‬‬ ‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ‬
‫ﺍﺨﺘﺼﺎﺹ ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪,,,,,,,,,,,,,.‬‬
‫ﺑـ‪.................... :‬‬ ‫ﺍﻟﻜﺎﺋﻦ ﻣﻜﺘﺒﻪ‬
‫ﳏﻀـﺮ ﺗﺒﻠﻴـﻎ ﺃﻣﺮ ﺍﺳﺘﻌﺠﺎﱄ ﺍﺩﺍﺭﻱ ﺣﻀﻮﺭﻱ‬
‫ﺍﳌــﺎﺩﺓ ‪ 950:‬ﻣﻦ ﻗﺎﻧــﻮﻥ ﺍﻹﺟــﺮﺍﺀﺍﺕ ﺍﳌﺪﻧﻴــﺔﻭﺍﻹﺩﺍﺭﻳـــﺔ‬
‫ﺒﺘـﺎﺭﻴﺦ‪ ........... :‬ﻤﻥ ﺸﻬﺭ‪ .......:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪(....../....../......)..........‬ﻓﻲ ﺍﻝﺴﺎﻋﺔ‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻤﻠﻑ‪:‬‬
‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .............................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪............‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪.....‬‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ‪:‬‬
‫ﺒﻁﻠﺏ ﻤﻥ ﺍﻝﺴﻴﺩ )ﺓ(‪............................ :‬ﺒﻭﺍﺴﻁﺔ‪)..‬ﺫﻜﺭ ﻤﻥ ﺘﻘﺩﻡ ﻝﻁﻠﺏ ﺍﻝﺨﺩﻤﺔ(‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪.............................................................................. :‬‬
‫ﺒﻌﺩ ﺍﻻﻁﻼﻉ ﻋﻠﻰ ﺍﻝﻤﻭﺍﺩ‪ 950، 416، 407 ،406 ،405 ،322 ،313:‬ﻤﻥ ﻕ‪.‬ﺇ‪.‬ﻡ‪.‬ﺇ‬
‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .............................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪............‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪.....‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــــﺎﻩ ـــــــــــــــــــــــــــــ‬
‫ﺍﻝﻜﺎﺌﻥ ﻤﻜﺘﺒﻪ ﺒـ‪................................................................................‬‬
‫ﺒﻠﻐﻨﺎ ﺒﻨﺴﺨﺔ ﻤﻥ ﺍﻝﺤﻜﻡ ﺍﻹﺩﺍﺭﻱ ﺍﻝﺤﻀﻭﺭﻱ ﺍﻝﺼﺎﺩﺭ ﻋﻥ ﺍﻝﻤﺤﻜﻤﺔ ﺍﻹﺩﺍﺭﻴﺔ‪.......... :‬ﺍﻝﻘﺴﻡ‪:‬‬
‫‪ ...........‬ﺒﺘﺎﺭﻴﺦ ‪ ......... :‬ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ ‪ .....................:‬ﺭﻗﻡ ﺍﻝﺠﺩﻭل‪................ :‬‬
‫ﺍﻝﻰ ﺍﻝﺴﻴﺩ)ﺓ( ‪..................................................................................... :‬‬
‫ﺍﻝﺴــﺎﻜـﻥ )ﺓ( ‪................................................................................. :‬‬
‫ﺤﺴﺏ ﺘﺼﺭﻴﺤﻪ‪:‬‬ ‫ﻤﺨـﺎﻁـﺒﻴﻥ‪) /‬ﺍﻝﻤﻌﻨﻲ‪ ،‬ﺃﻭ ﻤﻥ ﻴﻨﻭﺒﻪ‪ ،‬ﺸﺨﺹ ﻤﻌﻨﻭﻱ ﺫﻜﺭ ﺼﻔﺘﻪ (‬
‫ﺍﻝﺤﺎﻤل)ﻝﺒﻁﺎﻗﺔ ﺍﻝﻬﻭﻴﺔ(‪:‬ﺭﻗــﻡ ‪....................:‬ﺍﻝﺼﺎﺩﺭﺓ ﻋﻥ ‪............:‬ﺒﺘﺎﺭﻴﺦ ‪..................:‬‬
‫ﻭ ﺍﻋﻠﻤﻨﺎﻩ ﺒﺎﻥ ﺍﺠل ﺍﻝﻌﺎﺭﻀﺔ ﻤﺤﺩﺩ ﺒﺸﻬﺭ ﻭﺍﺤﺩ )‪ (01‬ﺍﺒﺘﺩﺍﺀ ﻤﻥ ﺘﺎﺭﻴﺦ ﺍﻝﺘﺒﻠﻴﻎ ﺍﻝﺤﻜﻡ ﻁﺒﻘﺎ ﻝﻠﻤﺎﺩﺓ‬
‫‪ 954‬ﻤﻥ ﻗﺎﻨﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ ﻭ ﺍﻹﺩﺍﺭﻴﺔ ‪.‬‬
‫ﻜﻤﺎ ﺍﻋﻠﻤﻨﺎﻩ ﺒﺎﻥ ﺍﺠل ﺍﻻﺴﺘﺌﻨﺎﻑ ﻤﺤﺩﺩ ﺒﺸﻬﺭﻴﻥ)‪ (02‬ﺍﺒﺘﺩﺍﺀ ﻤﻥ ﺘﺎﺭﻴﺦ ﺍﻨﻘﻀﺎﺀ ﺍﻝﻤﻌﺎﺭﻀﺔ ﻁﺒﻘﺎ‬
‫ﻝﻠﻤﺎﺩﺓ ‪ 950‬ﻤﻥ ﻗﺎﻨﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ ﻭ ﺍﻹﺩﺍﺭﻴﺔ‬
‫ﻭ ﺍﻋﻠﻤﻨﺎﻩ ﺒﺎﻥ ﺍﺠل ﺍﺴﺘﺌﻨﺎﻑ ﻤﺤﺩﺩ ﺒﺨﻤﺴﺔ ﻋﺸﺭﺓ ﻴﻭﻤﺎ )‪ (15‬ﺍﺒﺘﺩﺍﺀ ﻤﻥ ﺘﺎﺭﻴﺦ ﺍﻝﺘﺒﻠﻴﻎ ﻝﻠﻤﻌﻨﻲ ﻁﺒﻘﺎ‬
‫ﻝﻠﻤﺎﺩﺓ ‪ 950‬ﻤﻥ ﻗﺎﻨﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ ﻭ ﺍﻹﺩﺍﺭﻴﺔ‬
‫ﻭﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬
‫ﻭﺇﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻤﺨﺎﻁﺏ ﺍﻝﻜل ﻁﺒﻘﺎ‬
‫ﻝﻠﻘﺎﻨﻭﻥ‬
‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺃﻭﺒﺼﻤﺔ ﺍﻝﻤﺴﺘﻠﻡ‬
‫‪15‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬
‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫‪elmouhami.com‬‬ ‫‪..........................‬‬ ‫ﺍﻷﺳﺘـﺎﺫ‪/‬‬
‫‪.........‬‬ ‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ‬
‫‪.‬ﺍﺨﺘﺼﺎﺹ ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪,,,,,,,,,,,,,.‬‬
‫ﺑـ‪.................... :‬‬ ‫ﺍﻟﺬﻱ ﻣﻜﺘﺒﻪ‬
‫ﺗﺒﻠﻴــﻎ ﳏﻀﺮ ﺗﺼﺮﻳﺢ ﺍﻟﻄﻌﻦ ﺑﺎﻟﻨﻘﺾ‬
‫ﺍﳌﺎﺩﺓ ‪ 563‬ﻣﻦ ﻗﺎﻨﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ ﻭ ﺍﻹﺩﺍﺭﻴﺔ‬

‫ﺒﺘـﺎﺭﻴﺦ‪............ :‬ﻤﻥ ﺸﻬﺭ‪..........:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪ (.../.../...).....‬ﻭﻋﻠﻰ ﺍﻝﺴﺎﻋـﺔ‬

‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .............................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪............‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪.....‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــــﺎﻩ ـــــــــــــــــــــــــــــ‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻤﻠﻑ‪:‬‬
‫ﺍﻝﻜﺎﺌﻥ ﻤﻜﺘﺒﻪ ﺒـ‪................................................................................‬‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ‪:‬‬
‫ﻭﺒﻁﻠﺏ ﻤﻥ ﺍﻝﺴﻴﺩ )ﺓ(‪............................ :‬ﺍﻝﻘﺎﺌﻡ ﻓﻲ ﺤﻘﻪ ﺍﻷﺴﺘﺎﺫ‪......................../‬‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪............................................................................ :‬‬
‫ﺒﻌﺩ ﺍﻻﻁﻼﻉ ﻋﻠﻰ ﺍﻝﻤﺎﺩﺓ ‪ 563‬ﻭ ﺍﻝﻤﻭﺍﺩ ﻤﻥ ‪ 404‬ﺇﻝﻰ ‪ 416‬ﻤﻥ ﻗﺎﻨﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ ﻭ ﺍﻹﺩﺍﺭﻴﺔ‬
‫ﺒﻠﻐﻨﺎ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻤﺤﻀﺭ ﺍﻝﺘﺼﺭﻴﺢ ﺒﺎﻝﻁﻌﻥ ﺒﺎﻝﻨﻘﺽ ﺃﻤﺎﻡ ﺍﻝﻤﺤﻜﻤـﺔ ﺍﻝﻌﻠﻴـﺎ ﺍﻝﻤـﺅﺭﺥ ﻓـﻲ‬
‫‪ ............‬ﺘﺤﺕ ﺭﻗﻡ ‪...................‬‬
‫ﺍﻝﻰ ﺍﻝﺴﻴﺩ )ﺓ( ‪.................................................................. :‬‬
‫ﺤﺴﺏ ﺘﺼﺭﻴﺤﻪ‪:‬‬ ‫ﻤﺨـﺎﻁـﺒﻴﻥ‪) /‬ﺍﻝﻤﻌﻨﻲ‪ ،‬ﺃﻭ ﻤﻥ ﻴﻨﻭﺒﻪ‪ ،‬ﺸﺨﺹ ﻤﻌﻨﻭﻱ ﺫﻜﺭ ﺼﻔﺘﻪ (‬
‫ﺍﻝﺤﺎﻤل)ﻝﺒﻁﺎﻗﺔ ﺍﻝﻬﻭﻴﺔ(‪:‬ﺭﻗــﻡ ‪....................:‬ﺍﻝﺼﺎﺩﺭﺓ ﻋﻥ‪ ..............‬ﺒﺘﺎﺭﻴﺦ‪............. :‬‬

‫ﻭﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬

‫ﻭﺇﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻤﺨﺎﻁﺏ ﺍﻝﻜل ﻁﺒﻘﺎ‬

‫‪.‬‬ ‫ﻝﻠﻘﺎﻨﻭﻥ‬

‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺃﻭﺒﺼﻤﺔ ﺍﻝﻤﺴﺘﻠﻡ‬

‫‪16‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬

‫‪elmouhami.com‬‬
 ‫ا  رـ ا اـ ااـ اـ‬
‫ﻤﻭﻤﻲ ﻝﻠﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻊ‬
‫‪elmouhami.com‬‬
‫ﺍﻷﺴﺘـﺎﺫ‪.......................... /‬‬

‫‪.........‬‬ ‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ‬

‫‪.‬ﺍﺨﺘﺼﺎﺹ ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪,,,,,,,,,,,,,.‬‬

‫‪.................... :‬‬ ‫ﺍﻟﺬﻱ ﻣﻜﺘﺒﻪ ﺑـ‬

‫‪ !, -$% !"#‬ا‪&'() *+‬‬
‫ﺍﳌﺎﺩﺓ ‪ 564‬ﻣﻦ ﻗﺎﻨﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ ﻭ ﺍﻹﺩﺍﺭﻴﺔ‬

‫ﺒﺘـﺎﺭﻴﺦ‪............ :‬ﻤﻥ ﺸﻬﺭ‪..........:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪ (.../.../...).....‬ﻭﻋﻠﻰ ﺍﻝﺴﺎﻋـﺔ‬

‫ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪.....‬‬ ‫‪ *00000"3‬ا‪(/0000012‬ذ‪0000 6(0000!7 000!"# .............................‬ى ‪............00004"#‬‬
‫ـــ‪ ;00‬أد‪3‬ــــــ‪8(00‬اـــ‪7‬ــ‪ 0 00‬ـــــــــــــــــــــــــــــ‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻤﻠﻑ‪:‬‬
‫‪................................................................................‬ا‪) <00000/4# *(000004‬ـ‪00000‬‬
‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ‪:‬‬
‫ﻭﺒﻁﻠﺏ ﻤﻥ ﺍﻝﺴﻴﺩ )ﺓ(‪............................ :‬ﺍﻝﻘﺎﺌﻡ ﻓﻲ ﺤﻘﻪ ﺍﻷﺴﺘﺎﺫ‪......................../‬‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪............................................................................ :‬‬
‫ﺒﻌﺩ ﺍﻻﻁﻼﻉ ﻋﻠﻰ ﺍﻝﻤﺎﺩﺓ ‪ 564‬ﻭ ‪ 568‬ﻭ ﺍﻝﻤﻭﺍﺩ ﻤﻥ ‪ 404‬ﺇﻝﻰ ‪ 416‬ﻤﻥ ﻗﺎﻨﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ ﻭ‬
‫ﺍﻹﺩﺍﺭﻴﺔ‬
‫ﺒﻠﻐﻨﺎ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻋﺭﻴﻀﺔ ﺍﻝﻁﻌﻥ ﺒﺎﻝﻨﻘﺽ ﺍﻤﺎﻡ ﺍﻝﻤﺤﻜﻤﺔ ﺍﻝﻌﻠﻴﺎ ﻭ ﺍﻝﻤﻭﺩﻋﺔ ﺃﻤﺎﻡ ﺃﻤﺎﻨـﺔ‬
‫ﻀﺒﻁ ﺍﻝﻤﺤﻜﻤﺔ ﺍﻝﻌﻠﻴﺎ ‪ /‬ﺃﻭ ﻤﺠﻠﺱ ﻗﻀﺎﺀ ‪ ..............‬ﺍﻝﻤﺅﺭﺨﺔ ﻓﻲ ‪...................‬‬
‫ﺍﻝﻤﻭﺩﻋﺔ ﺒﺘﺎﺭﻴﺦ ‪ ...................................‬ﺘﺤﺕ ﺭﻗﻡ ‪........................‬‬
‫ﺍﻝﻰ ﺍﻝﺴﻴﺩ )ﺓ( ‪................................................................................. :‬‬
‫ﺤﺴﺏ ﺘﺼﺭﻴﺤﻪ‪:‬‬ ‫ﻤﺨـﺎﻁـﺒﻴﻥ‪) /‬ﺍﻝﻤﻌﻨﻲ‪ ،‬ﺃﻭ ﻤﻥ ﻴﻨﻭﺒﻪ‪ ،‬ﺸﺨﺹ ﻤﻌﻨﻭﻱ ﺫﻜﺭ ﺼﻔﺘﻪ (‬
‫ﺍﻝﺤﺎﻤل)ﻝﺒﻁﺎﻗﺔ ﺍﻝﻬﻭﻴﺔ(‪:‬ﺭﻗــﻡ ‪....................:‬ﺍﻝﺼﺎﺩﺭﺓ ﻋﻥ‪ ..............‬ﺒﺘﺎﺭﻴﺦ‪............. :‬‬
‫ﻭ ﻨﺒﻬﻨﺎﻩ ﺒﻤﺎ ﻴﻠﻲ ‪:‬‬
‫‪ -‬ﺒﺎﻥ ﻝﻪ ﺍﺠل ﺸﻬﺭﻴﻥ ﺍﺒﺘﺩﺍﺀ ﻤﻥ ﺘﺎﺭﻴﺦ ﺘﺒﻠﻴﻎ ﻋﺭﻴﻀﺔ ﺍﻝﻁﻌﻥ ﺒﺎﻝﻨﻘﺽ ﻝﺘﻘﺩﻴﻡ ﻤﺫﻜﺭﺓ ﺠﻭﺍﺏ ﻤﻭﻗﻊ ﻋﻠﻴﻬﺎ‬
‫ﻤﻥ ﻁﺭﻑ ﻤﺤﺎﻡ ﻤﻌﺘﻤﺩ ﻝﺩﻯ ﺍﻝﻤﺤﻜﻤﺔ ﺍﻝﻌﻠﻴﺎ ﺍﻤﺎﻡ ﺃﻤﺎﻨﺔ ﻀﺒﻁ ﺍﻝﻤﺤﻜﻤﺔ ﺍﻝﻌﻠﻴﺎ ﺍﻭ ﺍﻝﻤﺠﻠﺱ ﺍﻝﻘﻀﺎﺌﻲ ﻭ‬
‫ﺘﻤﺩﺩ ﻝﻤﺩﺓ ﺸﻬﺭﻴﻥ ﺍﺠﺎل ﺍﻝﻁﻌﻥ ﺒﺎﻝﻨﻘﺽ ﺍﻝﻤﻨﺼﻭﺹ ﻋﻠﻴﻬﺎ ﻓﻲ ﻫﺫﺍ ﺍﻝﻘﺎﻨﻭﻥ ﻝﻸﺸﺨﺎﺹ ﺍﻝﻤﻘﻴﻤﻴﻥ ﺨﺎﺭﺝ‬
‫ﺍﻗﻠﻴﻡ ﺍﻝﻭﻁﻥ‪.‬‬
‫ﻭﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬
‫ﻭﺇﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻤﺨﺎﻁﺏ ﺍﻝﻜل ﻁﺒﻘﺎ‬

‫‪.‬‬ ‫ﻝﻠﻘﺎﻨﻭﻥ‬ ‫‪17‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬

‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺃﻭﺒﺼﻤﺔ ﺍﻝﻤﺴﺘﻠﻡ‬
 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬
‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫‪elmouhami.com‬‬ ‫‪..........................‬‬ ‫ﺍﻷﺳﺘـﺎﺫ‪/‬‬
‫‪..........‬‬ ‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ‬
‫ﳏﻀـﺮ ﺗﺒﻠﻴــﻎ ﻗـــﺮﺍﺭ ﺣﻀـﻮﺭﻱ‬ ‫ﺑـ‪.................... :‬‬ ‫ﺍﻟﺬﻱ ﻣﻜﺘﺒﻪ‬
‫ﺍﻝﻤــﺎﺩﺓ ‪ 354‬ﻤﻥ ﻗﺎﻨــﻭﻥ ﺍﻹﺠــــﺭﺍﺀﺍﺕ‬
‫ﺍﻝﻤﺩﻨﻴــﺔﻭﺍﻹﺩﺍﺭﻴــــﺔ‬

‫ﺒﺘـﺎﺭﻴﺦ‪ ................ :‬ﻤﻥ ﺸﻬﺭ‪ ..................:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪............‬‬

‫‪..............................‬ﺍﻝﻘﺎﺌﻡ ﻓﻲ ﺤﻘﻪ ﺍﻷﺴﺘﺎﺫ‪......................../‬‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪............................................................................... :‬‬
‫ﺒﻌﺩ ﺍﻹﻁﻼﻉ ﻋﻠﻰ ﺍﻝﻤﻭﺍﺩ‪ 416، 407، 406 ،405 ،354 ،322 ،313:‬ﻤﻥ ﻗﺎﻨﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ‬
‫ﻭﺍﻹﺩﺍﺭﻴﺔ‪,‬‬
‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .............................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪................................‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــــﺎﻩ ـــــــــــــــــــــــــــــ‬
‫ﺒﻠﻐﻨﺎ ﺍﻝﻤﺩﻋـﻭ)ﺓ( ‪..................................................................................... :‬‬
‫ﺍﻝﺴــﺎﻜـﻥ )ﺓ( ‪...................................................................................... :‬‬
‫ﻭﻜﻨﺎ ﻤﺨـﺎﻁـﺒﻴﻥ‪................................ :‬ﺼﻔﺘــﻪ‪..........................................:‬‬
‫ﺍﻝﺤﺎﻤل)ﻝﺒﻁﺎﻗﺔ ﺍﻝﻬﻭﻴﺔ(‪.......................................:‬ﺭﻗــﻡ ‪..................................:‬‬
‫ﺍﻝﺼـــﺎﺩﺭﺓ ﺒﺘﺎﺭﻴــﺦ ‪ ....................................... :‬ﻋـﻥ‪.................................. :‬‬
‫ﺒﻨﺴﺨﺔ ﻤﻥ ﺍﻝﻘﺭﺍﺭ ﺍﻝﻤﺩﻨﻲ ﺍﻝﺤﻀﻭﺭﻱ ﺍﻝﺼﺎﺩﺭ ﻋﻥ ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪........... :‬ﺍﻝﻐﺭﻓﺔ‪............. :‬‬
‫ﺒﺘﺎﺭﻴﺦ ‪ ................... :‬ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ ‪ ....................:‬ﺭﻗﻡ ﺍﻝﺠﺩﻭل‪................... :‬‬
‫ﻭﺍﺨﺒﺭﻨﺎﻩ ﺒﺄﻨﻪ ﻁﺒﻘﺎ ﻝﻠﻤﺎﺩﺓ ‪ 354‬ﻤﻥ ﻕ ‪.‬ﺇ ﻡ‪.‬ﺇ ‪ ،‬ﻴﺭﻓﻊ ﺍﻝﻁﻌﻥ ﺒﺎﻝﻨﻘﺽ ﻓﻲ ﺍﺠل ﺸﻬﺭﻴﻥ )‪(02‬‬
‫ﻴﺒﺩﺃ ﻤﻥ ﺘﺎﺭﻴﺦ ﺍﻝﺘﺒﻠﻴﻎ ﺍﻝﺭﺴﻤﻲ ﻝﻠﻘﺭﺍﺭ ﺍﻝﻤﻁﻌﻭﻥ ﻓﻴﻪ ﺇﺫﺍ ﺘﻡ ﺸﺨﺼﻴﺎ ــــــــــــــ‬
‫ﻭﻴﻤﺩﺩ ﺍﺠل ﺍﻝﻁﻌﻥ ﺒﺎﻝﻨﻘﺽ ﺇﻝﻰ ﺜﻼﺜﺔ )‪ (03‬ﺃﺸﻬﺭ ‪ ،‬ﺇﺫﺍ ﺘـﻡ ﺍﻝﺘﺒﻠﻴـﻎ ﺍﻝﺭﺴﻤﻲ ﻓﻲ ﻤﻭﻁﻨـﻪ‬
‫ﺍﻝﺤﻘﻴﻘﻲ ﺃﻭ ﺍﻝﻤﺨﺘﺎﺭ ــــــــــــــــــــــــــــــــــــ‬
‫ﻭ ﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬
‫ﻭﺇﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻁﺎﻝﺏ ﺍﻝﻜل ﻁﺒﻘﺎ‬

‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺃﻭﺒﺼﻤﺔ ﺍﻝﻤﺒﻠﻎ ﻝﻪ‬ ‫‪18‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬

 ‫‪elmouhami.com‬‬

‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬

‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫ﺍﻷﺳﺘـﺎﺫ‪.......................... /‬‬
‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ ‪..........‬‬
‫ﺍﻟﺬﻱ ﻣﻜﺘﺒﻪ ﺑـ‪.................... :‬‬
‫ﳏﻀﺮ ﺣﺠﺰ ﺗﻨﻔﻴﺬﻱ ﻭﺟﺮﺩ‬
‫ﺍﳌـﻮﺍﺩ ‪،691 ،690 ، 689، 688، 687‬ﻭ ‪ ، 704‬ﻣﻦ ﻗﺎﻧـﻮﻥ ﺍﻹﺟــﺮﺍﺀﺍﺕ ﺍﳌﺪﻧﻴــﺔ ﻭ ﺍﻹﺩﺍﺭﻳــﺔ‬

‫ﺒﺘـﺎﺭﻴﺦ‪ ................ :‬ﻤﻥ ﺸﻬﺭ‪ ..................:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪............‬ﻭﻋﻠﻰ ﺍﻝﺴﺎﻋـﺔ‪,,,:‬‬

‫ﺒﻨﺎﺀ ﻋﻠﻰ ﻁﻠﺏ ﺍﻝﺴﻴﺩ)ﺓ(‪.............................................................................. :‬‬
‫ﺍﻝﺴـــــﺎﻜﻥ‪................................................................................ :‬‬
‫ﺍﻝﻤﺨﺘﺎﺭ ﻤﻭﻁﻨﻪ ﺒـ ‪,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,:‬‬
‫ﺒﻌﺩ ﺍﻹﻁﻼﻉ ﻋﻠﻰ ﺍﻝﻤﻭﺍﺩ‪ 704، 691،690 ،689 ، 688 ، 687 :‬ﻤﻥ ﻕ‪.‬ﺇ‪.‬ﻡ‪.‬ﺇ ـــــــــــ‬
‫ﺒﻨﺎﺀ ﻋﻠﻰ ﺍﻝﺴﻨﺩ ﺍﻝﺘﻨﻔﻴﺫﻱ ﺍﻝﻤﺒﻠﻎ ﺒﺘﺎﺭﻴﺦ ‪.............................................................‬‬
‫ﺒﻨﺎﺀ ﻋﻠﻰ ﺍﻤﺭ ﻋﻠﻰ ﻋﺭﻴﻀﺔ ﺍﻝﺼﺎﺩﺭ ﻋﻥ ﺭﺌﻴﺱ ﻤﺤﻜﻤﺔ ‪...........................................:‬‬
‫ﺒﺘﺎﺭﻴــــﺦ ‪ ................................. :‬ﺘـﺤـــﺕ ﺭﻗــــﻡ‪......................... :‬‬
‫ﺍﻝﻤﺘﻀﻤﻥ ‪............................................................................................... :‬‬
‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .............................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪..................................‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــــﺎﻩ ــــــــــــــــــــــــــــــ‬
‫ﺇﻨﺘﻘﻠﻨﺎ ﺒﺎﻝﺘﺎﺭﻴﺦ ﻭﺍﻝﺴﺎﻋﺔ ﺍﻝﻤﺫﻜﻭﺭﺓ ﺃﻋﻼﻩ ﺇﻝﻰ ﻤﻜﺎﻥ ﺍﻝﺤﺠﺯ ﻝﻠﻤﺩﻋﻭ)ﺓ( ‪.........................:‬‬
‫ﺍﻝﻜﺎﺌــﻥ‪.............................................................................................. :‬‬
‫ﻝﺘﻨﻔﻴﺫ ﻤﺎ ﺠﺎﺀ ﻓﻲ ﻨﺹ ﺍﻻﻤﺭ ﺍﻝﻤﺫﻜﻭﺭ ﺃﻋﻼﻩ ﻭﺤﺎل ﻭﺼﻭﻝﻨﺎ ﺇﻝﻰ ﻋﻴﻥ ﺍﻝﻤﻜﺎﻥ ‪:‬‬
‫ﻭﻜﻨﺎ ﻤﺨـﺎﻁـﺒﻴﻥ‪....................................................................................... :‬‬
‫ﻭﺒﻌﺩ ﺃﻥ ﻋﺭﻓﻨﺎﻩ ﺒﺼﻔﺘﻨﺎ ﻭﺍﻝﻐﺭﺽ ﻤﻥ ﻤﻬﻤﺘﻨﺎ‪ ،‬ﻭﻜﻠﻔﻨﺎﻩ ﺒﺎﻝﻭﻓﺎﺀ ﺤﺎﻻ ﺘﺤــﺕ ﺃﻴﺩﻴﻨـﺎ‬
‫)ﺒﺎﻝﻤﺒﺎﻝـﻎ ﺍﻝﻤﺤﻜﻭﻡ ﺒﻬﺎ‪+‬ﺍﻝﻤﺼﺎﺭﻴﻑ ﻭﺍﻝﻸﺘﻌﺎﺏ (‪ ،‬ﻭﺍﻝﺫﻱ ﺃﺠﺎﺒﻨﺎ ﺒﻤﺎ ﻴﻠﻲ ‪,,,,,,,,,,,,,,,,,,,,,:‬‬
‫ﻭﻋﻠﻴﻪ ﻗﻤﻨﺎ ﻓﻭﺭﺍ ﺒﻀﺭﺏ ﺤﺠﺯ ﺘﻨﻔﻴﺫﻱ ﻋﻠﻰ ﺍﻝﻤﻨﻘﻭﻻﺕ ﺍﻵﺘﻲ ﺠﺭﺩﻫﺎ‪):‬ﺘﻌﻴﻴﻥ ﺍﻷﺸﻴﺎﺀ ﺍﻝﻤﺤﺠﻭﺯﺓ ﺒﺘﻔﺼﻴل‬
‫ﻤﻊ ﺘﺤﺩﻴﺩ ﻨﻭﻋﻬﺎ ﻭﺃﻭﺼﺎﻓﻬﺎ ﻭﻤﻘﺩﺍﺭﻫﺎ ﻭﻭﺯﻨﻬﺎ ﻭﻤﻘﺎﺴﻬﺎ ﻭﻗﻴﻤﺘﻬﺎ ﺒﺎﻝﺘﻘﺭﻴﺏ(ﻓﻲ ﺤﻀﻭﺭ‪/‬ﺃﻭ ﻏﻴﺎﺏ ﺍﻝﻤﺩﻴﻥ‬
‫ﻭﻋﻴﻨﺎ ‪,,,,,,,,,,,,,,,,,,,,,,‬ﺤﺎﺭﺴﺎ ﻋﻠﻰ ﺍﻻﻤﻭﺍل ﺍﻝﻤﺤﺠﻭﺯﺓ‪،‬ﻭﻋﻠﻰ ﺜﻤﺎﺭﻫﺎ‪.‬‬
‫ﻭﻨﺒﻬﻨﺎﻩ ﺃﻨﻪ ﻴﺤﻅﺭ ﻋﻠﻴﻪ ﺇﺴﺘﻐﻼل ﺍﻷﻤﻭﺍل ﺍﻝﻤﺤﺠﻭﺯﺓ ﻭﻓﻲ ﺤﺎﻝﺔ ﺘﺒﺩﻴﺩﻫﺎ ﻴﺘﻌﺭﺽ ﻝﻠﻌﻘﻭﺒﺔ‬
‫ﺍﻝﻤﻘﺭﺭﺓ ﻓﻲ ﻗﺎﻨﻭﻥ ﺍﻝﻌﻘﻭﺒﺎﺕ ﻝﻠﺠﺭﺍﺌﻡ ﺍﻝﻤﺘﻌﻠﻘﺔ ﺒﺎﻷﻤﻭﺍل ﺍﻝﻤﺤﺠﻭﺯﺓ‪.‬‬
‫ﻜﻤﺎ ﻨﺒﻬﻨﺎﻩ‪/‬ﺒﺄﻥ ﺍﻷﻤﻭﺍل ﺍﻝﻤﺤﺠﻭﺯﺓ ﺴﺘﺒﺎﻉ ﺒﻌﺩ ﻤﻀﻲ ﻤﺩﺓ ﻋﺸﺭﺓ)‪(10‬ﺃﻴﺎﻡ ﺘﺴﺭﻱ ﻤﻥ ﺘﺎﺭﻴﺦ‬
‫ﺍﻝﺘﺒﻠﻴﻎ‪,‬‬
‫ﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬
‫ﺇﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻤﺨﺎﻁﺏ ﺍﻝﻜل ﻁﺒﻘﺎ ﻝﻠﻘﺎﻨﻭﻥ‬
‫
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‫‪19‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺃﻭ ﺒﺼﻤﺔﺃﻭ ﺭﻓﺽ ﺘﻭﻗﻴﻊ ﺍﻝﻤﺤﺠﻭﺯ ﻋﻠﻴﻪ‬
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‫ﻭﺇﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻁﺎﻝﺏ ﺍﻝﻜل ﻁﺒﻘﺎ‬

‫‪.‬‬ ‫ﻝﻠﻘﺎﻨﻭﻥ‬

‫ﺍﻝﺨﺘـﻡ ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬

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 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬
‫‪elmouhami.com‬‬ ‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫ﺍﻷﺳﺘـﺎﺫ‪.......................... /‬‬
‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ ‪..........‬‬
‫ﺍﻟﺬﻱ ﻣﻜﺘﺒﻪ ﺑـ‪.................... :‬‬

‫ﳏﻀﺮ ﺇﻣﺘﻨﺎﻉ ﻋﻦ ﺍﻟﺘﻨﻔﻴﺬ‬

‫ﺒﺘـﺎﺭﻴﺦ‪ ......... :‬ﻤﻥ ﺸﻬﺭ‪ ............:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪(../.../..)........‬ﻭﻋﻠﻰ ﺍﻝﺴﺎﻋـﺔ‪:‬‬

‫ﻨﺤﻥ ﺍﻷﺴﺘﺈﺫ ‪ ...........*.................‬ﻤﺤﻀﺭ ﻗﻀﺄﺌﻲ ﻝﺩ‪ Q‬ﻤﺤﻜﻤﺔ &‪..‬‬

 ‫‪......&..............&......‬‬

‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــــﺎﻩ ــــــــــــــــــــــــــــــ‬

‫ﺒﻨﺎﺀ ﻋﻠﻰ ﻁـﺏ ﺍﻝﺴﻴﺩ)ﺓ(‪:‬‬

‫‪........,....................................................................‬‬

‫ﺍ‪Q‬ﺴـــــﺎﻜـــﻥ‪*......................... :‬‬

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 ‫‪............‬‬

‫ﺒﻨـﺎﺀ ﻋﻠﻰ
ﻓﺤﻀﺭ ﺘﺒﻠﻴﻎ ﺍﻝﺴﻨﺩ ﺍ‪R‬ﺘﻨﻔﻴﺫﻱ ‪............................:‬‬

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 ‫‪..&.....*................"........‬‬

‫‪Q‬ﻨـﺎﺀ ﻋﻠﻰ ﻤﺤﻀﺭ ﺍﻝﺘﻜﻠﻴﻑ ﺒﺎﻝﻭﻓﺎﺀ ‪....................................................................:‬‬

‫ﻨﺜﺒﺕ ﺃﻨﻪ ﺒﻌﺩ ﻓﻭﺍﺕ ﺍﻵﺠﺎل ﺍﻝﻘﺎﻨﻭﻨﻴﺔ ﺍﻝﻤﻨﻭﻩ ﻋﻨﻬﺎ ﻓﻲ ﻤﺤﻀﺭ ﺍﻝﺘﻜﻠﻴﻑ ﺒﺎﻝﻭﻓﺎﺀ ﺍﻝﻤﺫﻜﻭﺭ ﺃﻋﻼﻩ‬

‫ﻝﻡ ﻴﻤﺘﺜل ﻭﺇﻤﺘﻨﻊ ﺘﻤﺎﻤﺎ ﻋﻥ ﺍﻝﺘﻨﻔﻴﺫ‬

‫‪elmouhami.com‬‬

‫‪20‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬

‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬

‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫ﺍﻷﺳﺘـﺎﺫ‪.......................... /‬‬
‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ ‪..........‬‬
‫ﺍﺧﺘﺼﺎﺹ ﳎﻠﺲ ‪...............:‬‬
‫ﺍﻟﻜﺎﺋﻦ ﻣﻜﺘﺒﻪ ﺑـ‪................ :‬‬

‫ﳏﻀﺮ ﺗﺒﻠﻴﻎ ﺍﻣﺮ ﻋﻠﻰ ﻋﺮﻳﻀﺔ‬

‫ﺍﳌـﺎﺩﺓ ‪ ، 688‬ﻣﻦ ﻗﺎﻧـﻮﻥ ﺍﻹﺟــﺮﺍﺀﺍﺕ ﺍﳌﺪﻧﻴــﺔ ﻭ ﺍﻹﺩﺍﺭﻳــﺔ‬

‫ﺒﺘـﺎﺭﻴﺦ‪ ................ :‬ﻤﻥ ﺸﻬﺭ‪ ..................:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪(....../....../......)............‬‬

‫ﻭﻋﻠﻰ ﺍﻝﺴﺎﻋـﺔ‪(........ : ........).................................................................. :‬‬
‫ﺒﻨﺎﺀ ﻋﻠﻰ ﻁﻠﺏ ﺍﻝﺴﻴﺩ)ﺓ(‪.............................................................................. :‬‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪................................................................................ :‬‬
‫ﺒﻨـﺎﺀ ﻋﻠﻰ ﺍﻝﻤﺎﺩﺘﻴـﻥ ‪ 02‬ﻭ ‪ 12‬ﻤﻥ ﺍﻝﻘﺎﻨــﻭﻥ‪ ،03/06 :‬ﺍﻝﻤــﺅﺭﺥ ﻓــﻲ ‪،2006 /02/ 20‬‬
‫ﺍﻝﻤﺘﻀﻤـــﻥ ﺘﻨﻅﻴـــﻡ ﻤﻬﻨــﺔ ﺍﻝﻤﺤﻀـــﺭ ﺍﻝﻘﻀﺎﺌـــﻲ ـــــــــــــــ‬
‫ﺒﻨﺎﺀ ﻋﻠﻰ ﺍﻝﻤﻭﺍﺩ‪ ،688 ،416 ،407 ،406:‬ﻤﻥ ﻕ‪.‬ﺇ‪.‬ﻡ‪.‬ﺇ ــــــــــــــــــــــ‬
‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .............................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪
...............*.................‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــــﺎﻩ ــــــــــــــــــــــــــــ‬
‫ﺒﻠﻐﻨﺎ ﻭﺴﻠﻤﻨﺎ ﺍﻝﻤﺩﻋﻭ)ﺓ(‪...................&.................&......................*.................*..:‬‬
‫ﺍﻝﺴﺎﻜـــﻥ‪:‬‬

‫‪elmouhami.com‬‬
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‫ﻭﻜﻨﺎ ﻤﺨﺎﻁﺒﻴﻥ ﺤﺴﺏ ﺘﺼﺭﻴﺤﻪ ‪...............................................................:‬‬
‫‪.......................................................................................‬‬
‫ﺒﻨﺴﺨﺔ ﻤﻥ ﺍﻤﺭ ﻋﻠﻰ ﻋﺭﻴﻀﺔ ﺍﻝﺼﺎﺩﺭ ﻋﻥ ﺍﻝﺴﻴﺩ ‪ /‬ﺭﺌﻴﺱ ﻤﺤﻜﻤﺔ ‪...................‬‬
‫ﺒﺘﺎﺭﻴﺦ ‪......................... :‬ﺘﺤﺕ ﺭﻗﻡ ‪.................... :‬‬

‫ﻭﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬

‫ﺇﺜﺒـﺎﺘـﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭ ﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭ ﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻤﺨﺎﻁﺏ ‪،‬‬
‫ﺍﻝﻜل ﻁﺒﻘﺎ ﻝﻠﻘﺎﻨﻭﻥ‪.‬‬

‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺃﻭﺒﺼﻤﺔ ﺍﻝﻤﺒﻠﻎ ﻝﻪ‬

‫‪21‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬

‫‪elmouhami.com‬‬
 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬
‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫‪elmouhami.com‬‬ ‫ﺍﻷﺳﺘـﺎﺫ‪.......................... /‬‬
‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ ‪..........‬‬
‫ﺍﺧﺘﺼﺎﺹ ﳎﻠﺲ ‪...............:‬‬
‫ﺍﻟﻜﺎﺋﻦ ﻣﻜﺘﺒﻪ ﺑـ‪................ :‬‬

‫ﳏﻀﺮ ﺣﺠﺰ ﲢﻔﻈﻲ ﻭ ﺟﺮﺩ ﺍﻣﻮﺍﻝ ﻣﻨﻘﻮﻟﺔ‬

‫ﺍﳌـﺎﺩﺓ ‪ ، 665‬ﻣﻦ ﻕ ﺍ ﻡ ﺍ‬

‫ﺒﺘـﺎﺭﻴﺦ‪ ................ :‬ﻤﻥ ﺸﻬﺭ‪ ..................:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪............‬ﻭﻋﻠﻰ ﺍﻝﺴﺎﻋـﺔ‪..:‬‬

‫‪.‬‬ ‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ‪,,,,,,,,,,,,,,,,,,,,‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ‪,,,,,,,,,,,,,,,,‬ﺍﻝﻤﻭﻗﻊ ﺃﺩﻨﺎﻩ‪,‬‬
‫ﺍﻝﻜﺎﺌـــﻥ ﻤﻜﺘﺒﻨﺎ ﺒـ ‪..........................................................................:‬‬
‫ﺒﻁﻠﺏ ﻤﻥ ﺍﻝﺴﻴﺩ ‪,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, :‬‬
‫ﺍﻝﺴﺎﻜﻥ ﺒـ ‪,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,:‬‬
‫ﺒﻌﺩ ﺍﻹﻁﻼﻉ ﻋﻠﻰ ﺍﻝﻤﻭﺍﺩ‪ 665 ،661,660 , 659 :‬ﻤﻥ ﻗﺎﻨﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ ﻭ ﺍﻹﺩﺍﺭﻴﺔ‪,‬‬
‫ﺒﻨﺎﺀ ﻋﻠﻰ ﺍﻤﺭ ﻋﻠﻰ ﻋﺭﻴﻀﺔ ﺍﻝﺼﺎﺩﺭ ﻋﻥ ﺭﺌﻴﺱ ﻤﺤﻜﻤﺔ‪,,,,,,,,,,,,,,,,,,,‬ﺒﺘﺎﺭﻴﺦ ‪,,,,,,,,,,,,,,,,,:‬‬
‫ﺘﺤﺕ ﺭﻗﻡ ‪...............‬ﺍﻝﻤﺘﻀﻤﻥ‪........................‬ﻭ ﺍﻝﻤﺒﻠﻎ ﻝﻠﻤﺩﻴﻥ ﺒﺘﺎﺭﻴﺦ‪.............‬‬
‫ﺍﻨﺘﻘﻠﻨﺎ ﻋﻨﺩ ﺍﻝﻤﺩﻴﻥ ﺍﻝﺴﻴﺩ ‪.....................................................................:‬‬
‫ﺍﻝﺴﺎﻜـــﻥ ﺒـ ‪..........................................................................,,,:‬‬
‫ﻭﻜﻨﺎ ﻤﺨﺎﻁﺒﻴﻥ ﺤﺴﺏ ﺘﺼﺭﻴﺤﻪ ‪.....,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,................:‬‬
‫‪.................................................................................................‬‬
‫ﻭﺒﻌﺩ ﺃﻥ ﻋﺭﻓﻨﺎﻩ ﺒﺼﻔﺘﻨﺎ ﻭﺍﻝﻐﺭﺽ ﻤﻥ ﻤﻬﻤﺘﻨﺎ‪،‬ﺃﺠﺎﺒﻨﺎ ﻜﻤﺎ ﻴﻠﻲ ‪......................:‬‬
‫ﻗﻤﻨﺎ ﺒﺈﺠﺭﺍﺀ ﺤﺠﺯ ﺘﺤﻔﻅﻲ ﻋﻠﻰ ﺍﻷﻤﻭﺍل ﺍﻝﻤﻨﻘﻭﻝﺔ ﺘﺤﺕ ﻴﺩ ﺍﻝﻤﺩﻴﻥ ﻤﻊ ﺠﺭﺩﻫﺎ ﻜﺎﻷﺘﻲ‪:‬‬
‫)ﻓﻲ ﺤﻀﻭﺭ ﺃﻭ ﻏﻴﺎﺏ ﺍﻝﻤﺩﻴﻥ(‪......................................................‬‬
‫ﻭﻗﻤﻨﺎ ﺒﺘﻌﻴﻴﻥ ‪............................‬ﺒﺼﻔﺘﻪ ﺤﺎﺭﺴﺎ ﻋﻠﻰ ﺍﻝﻤﻨﻘﻭﻻﺕ ﺍﻝﻤﺤﺠﻭﺯﺓ‪.‬‬
‫ﻭ ﺃﺨﻁﺭﻨﺎﻩ ‪ ،‬ﺒﺄﻥ ﺍﻷﻤﻭﺍل ﺍﻝﻤﻨﻘﻭﻝﺔ ﺍﻝﻤﺤﺠﻭﺯﺓ ﺃﺼﺒﺤﺕ ﻤﻭﻀﻭﻋﺔ ﺘﺤﺕ ﻴﺩ ﺍﻝﻘﻀﺎﺀ ﻭ ﻴﻤﻨﻊ‬
‫ﻋﻠﻴﻪ ﺍﻝﺘﺼﺭﻑ ﻓﻴﻬﺎ ﻭ ﺇﻻ ﺘﻌﺭﺽ ﻝﻠﻌﻘﻭﺒﺎﺕ ﺍﻝﻤﺘﻌﻠﻘﺔ ﺒﺠﺭﺍﺌﻡ ﺍﻷﻤﻭﺍل ﺍﻝﻤﺤﺠﻭﺯﺓ ﺍﻝﻤﻨﺼﻭﺹ‬
‫ﻋﻠﻴﻬﺎ ﻓﻲ ﻗﺎﻨﻭﻥ ﺍﻝﻌﻘﻭﺒﺎﺕ‪.‬‬
‫ﻭ ﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬
‫ﺇﺜﺒـﺎﺘـﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭ ﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭ ﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻤﺨﺎﻁﺏ ‪،‬‬
‫ﺍﻝﻜل ﻁﺒﻘﺎ ﻝﻠﻘﺎﻨﻭﻥ‪.‬‬
‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺃﻭ ﺒﺼﻤﺔﺃﻭ ﺭﻓﺽ ﺘﻭﻗﻴﻊ ﺍﻝﻤﺤﺠﻭﺯ ﻋﻠﻴﻪ‬ ‫‪22‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬
‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫‪elmouhami.com‬‬ ‫ﺍﻷﺳﺘـﺎﺫ‪.......................... /‬‬
‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ ﻤﺠﻠﺱ‪..........‬‬
‫ﺍﻟﻜﺎﺋﻦ ﻣﻜﺘﺒﻪ ﺑـ‪.................... :‬‬

‫ﳏﻀﺮ ﺣﺠﺰ ﻣﺎ ﻟﻠﻤﺪﻳﻦ ﻟﺪﻯ ﺍﻟﻐﲑ‬

‫ﺍﳌـﺎﺩﺓ ‪ ، 669،672‬ﻣﻦ ﻕ ﺍ ﻡ ﺍ‬

‫ﺒﺘـﺎﺭﻴﺦ‪ ...... :‬ﻤﻥ ﺸﻬﺭ‪ ....:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪(....../....../......)............‬ﻋﻠﻰ ﺍﻝﺴﺎﻋـﺔ‪:‬‬

‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .............................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪............‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪.....‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــــﺎﻩ ـــــــــــــــــــــــــــــ‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻤﻠﻑ‪:‬‬
‫ﺍﻝﻜﺎﺌﻥ ﻤﻜﺘﺒﻪ ﺒـ‪................................................................................‬‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ‪:‬‬
‫ﺒﻨﺎﺀ ﻋﻠﻰ ﻁﻠﺏ ﺍﻝﺴﻴﺩ)ﺓ(‪.............................................................................. :‬‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪................................................................................ :‬‬
‫ﺒﻌﺩ ﺍﻹﻁﻼﻉ ﻋﻠﻰ ﺍﻝﻤﻭﺍﺩ‪669 ,416 ,407 , 406 :‬‬
‫ﺘﻨﻔﻴﺫﺍ ﻷﻤﺭ ﺤﺠﺯ ﻤﺎ ﻝﻠﻤﺩﻴﻥ ﻝﺩﻯ ﺍﻝﻐﻴﺭ‪ /‬ﺍﻝﺼﺎﺩﺭ ﻋﻥ ﺍﻝﺴﻴﺩ ﺭﺌﻴﺱ ﻤﺤﻜﻤﺔ‪.........‬‬
‫ﺒﺘﺎﺭﻴﺦ ‪..........‬ﺘﺤﺕ ﺭﻗﻡ ‪...........‬ﺍﻝﻤﺘﻀﻤﻥ ﺤﺠﺯ ﻤﺎ ﻝﻠﻤﺩﻴﻥ ﻝﺩﻯ ﺍﻝﻐﻴﺭ)ﺍﻝﻤﻨﻁﻭﻕ(‬
‫ﺒﺼﻔﺘﻪ ﻤﺢ‪،‬ﻭﺯ ﻝﺩﻴﻪ ﺒﺘﺎﺭﻴﺦ‬ ‫ﺍﻝﻤﺒﻠﻎ ﺇﻝﻰ ﺍﻝﺴﻴﺩ)ﺓ(‬
‫ﺍﻝﺴﺎﻜﻥ)ﺓ( ‪/‬‬
‫ﻭ ﻋﻠﻰ ﺍﻝﻔﻭﺭ ﺍﺨﻁﺭﻨﺎﻩ ﻱ‪Q‬ﻨﻨﺎ ﻨﺠﺭﻱ ﺤﺠﺯ ﻤﺎ ﻝﻠﻤﺩﻴﻥ ﻝﺩﻴﻪ ﻤﻥ ﺍﻤﻭﺍل ﻤﻨﻘﻭﻝﺔ ﻓﻲ ﺤﺩﻭﺩ )ﻤﺒﻠﻎ ﺍﻝﺩﻴﻥ ـ‬
‫ﺍﻝﻤﺼﺎﺭﻴﻑ ( ﻝﻔﺎﺌﺩﺓ ﺍﻝﺤﺎﺠﺯ†ﻭ ﺍﻋﺫﺭ‪Q‬ﺍﻩ ﺒﻌﺩﻡ ﺍﻝﺘﺨﻠﻲ ﻋﻥ ﺍﻻﻤﻭﺍل ﺍﻝﻤﺤﺠﻭﺯﺓ ﻭ ﻋﺩﻡ ﺘﺴﻠﻴﻤﻬﺎ ﺍﻝﻰ ﺍﻝﻤﺩﻴﻥ‬
‫ﺍﻭ ﻏﻴﺭﻩ ﺍﻻ ﺒﺼﺩﻭﺭ ﺍﻤﺭ ﻤﺨﺎﻝﻑ ﻁﺒﻘﺎ ﻻﺤﻜﺎﻡ ﺍﻝﻤﺎﺩﺓ ‪ 669‬ﻤﻥ ﻗﺎﻨﻭﻥ ﺍﻻﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ ﻭ ﺍﻻﺩﺍﺭﻴﺔ‪.‬ﻭ‬
‫ﻴﺘﻌﻴﻥ ﻋﻠﻴﻪ ﺘﻘﺩﻴﻡ ﺘﺼﺭﻴﺢ ﻤﻜﺘﻭﺒﺎ ﻋﻥ ﻤﻘﺩﺍﺭ ﺍﻝﻤﺒﻠﻎ ﺍﻝﻤﺎﻝﻲ ﺍﻝﻤﻭﺠﻭﺩ ﺍﻭ ﺍﻨﻌﺩﺍﻤﻪ ﺨﻼل ﺍﺠل ‪ 8‬ﺃﻴﺎﻡ ﺍﻝﺘﺎﻝﻴﺔ‬
‫ﻝﻠﺘﺒﻴﻠﻎ ﺃﻭ ﺇﻝﻰ ﻏﺎﻴﺔ ﺠﻠﺴﺔ ﺍﻝﺘﺨﺼﻴﺹ‪,‬‬
‫ﻭ ﻨﺒﻬﻨﺎﻩ ﺒﺄﻨﻪ ﻓﻲ ﺤﺎﻝﺔ ﻋﺩﻡ ﺍﻝﺘﺼﺭﻴﺢ ﺒﻤﺎ ﻋﻨﺩﻩ ﺃﻭ ﺘﻘﺩﻴﻡ ﺘﺼﺭﻴﺢ ﺒﻐﻴﺭ ﺤﻘﻴﻘﺔ ﺃﻭ ﺇﺨﻔﺎﺀ ﺍﻷﻭﺭﺍﻕ‬
‫ﺍﻝﻭﺍﺠﺏ ﺇﻴﺩﺍﻋﻬﺎ ﻝﺘﺄﻴﻴﺩ ﺍﻝﺘﺼﺭﻴﺢ ‪ ،‬ﺠﺎﺯ ﺍﻝﺤﻜﻡ ﻋﻠﻴﻪ ﺒﺎﻝﻤﺒﻠﻎ ﺍﻝﻤﺤﺠﻭﺯ ﻤﻥ ﺃﺠﻠﻪ ﻝﺼﺎﻝﺢ ﺍﻝﺩﺍﺌﻥ ﺍﻝﺤﺎﺠﺯ ﻭ‬
‫ﺫﻝﻙ ﺒﺩﻋﻭﻯ ﺍﺴﺘﻌﺠﺎﻝﻴﺔ ‪ ،‬ﻤﻊ ﺍﻝﺯﺍﻤﻪ ﺒﺎﻝﻤﺼﺎﺭﻴﻑ ﺍﻝﻘﻀﺎﺌﻴﺔ ﻜﻤﺎ ﻴﻤﻜﻥ ﺍﻝﺤﻜﻡ ﻋﻠﻴﻪ ﺒﺎﻝﺘﻌﻭﻴﻀﺎﺕ ﺍﻝﻤﺘﺭﺘﺒﺔ‬
‫ﻋﻠﻰ ﺘﻘﺼﻴﺭﻩ ﺃﻭ ﺘﺄﺨﻴﺭﻩ ﻓﻲ ﺘﻘﺩﻴﻡ ﺍﻝﺘﺼﺭﻴﺢ‪,‬‬
‫ﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬
‫ﻭﺍﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭ ﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻤﺨﺎﻁﺏ ‪ ،‬ﺍﻝﻜل ﻁﺒﻘﺎ‬
‫ﻝﻠﻘﺎﻨﻭﻥ‪,‬‬
‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺍﻝﻤﺒﻠﻎ ﻝﻪ‬ ‫‪23‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬
‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫ﺍﻷﺳﺘـﺎﺫ‪.......................... /‬‬
‫‪elmouhami.com‬‬
‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ ‪..........‬‬
‫ﺍﻟﺬﻱ ﻣﻜﺘﺒﻪ ﺑـ‪.................... :‬‬

‫ﳏﻀﺮ ﺗﺒﻠﻴﻎ ﺍﻣﺮ ﻋﻠﻰ ﻋﺮﻳﻀﺔ ﳊﺠﺰ‬

‫ﺗﻨﻔﻴﺬﻱ ﻣﺎ ﻟﻠﻤﺪﻳﻦ ﻟﺪﻯ ﺍﻟﻐﲑ‬
‫ﺍﳌـﺎﺩﺓ ‪ ، 669‬ﻣﻦ ﻕ ﺍ ﻡ ﺍ‬

‫ﺒﺘـﺎﺭﻴﺦ‪ ......... :‬ﻤﻥ ﺸﻬﺭ‪ .............:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪(.../../...)...........‬ﻋﻠﻰ ﺍﻝﺴﺎﻋـﺔ‪....... :‬‬

‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .............................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪............‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪.....‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــــﺎﻩ ـــــــــــــــــــــــــــــ‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻤﻠﻑ‪:‬‬
‫ﺍﻝﻜﺎﺌﻥ ﻤﻜﺘﺒﻪ ﺒـ‪.......................................................................................‬‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ‪:‬‬

‫ﺒﻨﺎﺀ ﻋﻠﻰ ﻁﻠﺏ ﺍﻝﺴﻴﺩ)ﺓ(‪........................................................................... :‬‬

‫ﺍﻝﺴـــــﺎﻜـــﻥ‪.............................................................................. :‬‬

‫ﺒﻨـﺎﺀ ﻋﻠﻰ ﺍﻝﻤﻭﺍﺩ‪ 669 ,416 ,407 , 406 :‬ﻤﻥ ﻕ ﺇ ﻡ ﺇ ــــــــــــــــــــ‬

‫ﺒﻠﻐﻨﺎ ﻭﺴﻠﻤﻨﺎ ‪/‬ﻨﺴﺨﺔ ﻤﻥ ﺍﻤﺭ ﻋﻠﻰ ﻋﺭﻴﻀﺔ ﺼﺎﺩﺭ ﻋﻥ ﺍﻝﺴﻴﺩ ﺭﺌﻴﺱ ﻤﺤﻜﻤﺔ ‪......................‬‬
‫ﺒﺘﺎﺭﻴﺦ ‪..............................................‬ﺘﺤﺕ ﺭﻗﻡ ‪...............................‬‬
‫ﺘﺘﻀﻤﻥ ﺤﺠﺯ ﺘﻨﻔﻴﺫﻱ ﻤﺎ ﻝﻠﻤﺩﻴﻥ ﻝﺩﻯ ﺍﻝﻐﻴﺭ‬
‫ﺇﻝﻰ ﺍﻝﺴﻴﺩ)ﺓ( ‪.................................. .................................. :‬‬
‫ﺍﻝﺴﺎﻜﻥ‪/‬ﺏ ‪.................................. .................................. :‬‬

‫ﻭ ﻟﻜـﻰ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬

‫ﻭﺍﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭ ﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻤﺨﺎﻁﺏ ‪ ،‬ﺍﻝﻜل ﻁﺒﻘﺎ‬
‫ﻝﻠﻘﺎﻨﻭﻥ‪,‬‬
‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺍﻝﻤﺒﻠﻎ ﻝﻪ‬ ‫‪24‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬
‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫‪elmouhami.com‬‬
‫ﺍﻷﺳﺘـﺎﺫ‪.......................... /‬‬
‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ ‪..........‬‬
‫ﺍﻟﺬﻱ ﻣﻜﺘﺒﻪ ﺑـ‪.................... :‬‬

‫ﳏﻀﺮ ﺍﻳﺪﺍﻉ ﺍﻟﻌﺮﺽ‬

‫ﺍﳌـﺎﺩﺓ ‪ ، 585 ,584‬ﻣﻦ ﻕ ﺍ ﻡ ﺍ‬

‫ﺒﺘـﺎﺭﻴﺦ‪ ................ :‬ﻤﻥ ﺸﻬﺭ‪ ..................:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪(....../....../......)............‬‬

‫ﻭﻋﻠﻰ ﺍﻝﺴﺎﻋـﺔ‪(........ : ........).................................................................. :‬‬
‫ﺒﻨﺎﺀ ﻋﻠﻰ ﻁﻠﺏ ﺍﻝﺴﻴﺩ)ﺓ(‪.............................................................................. :‬‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪................................................................................ :‬‬
‫ﺒﻨـﺎﺀ ﻋﻠﻰ ﺍﻝﻤﻭﺍﺩ‪ ، 585 ، 584 :‬ﻤﻥ ﻕ ﺇ ﻡ ﺇ ــــــــــــــــــــــــــ‬
‫ﺒﻨﺎﺀﺍ ﻋﻠﻰ ﻤﺤﻀﺭ ﺍﻝﻌﺭﺽ ‪ ............‬ﻓﻲ ‪..............‬ﻭﺍﻝﻤﺘﻀﻤﻥ ﺘﺨﺼﻴﺹ ﺍﻝﻌﺭﺽ‬
‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .............................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪..................................‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــﺎﻩ ـــــــــــــــــــــــــــــــ‬
‫ﺤﻀﺭ ﺍﻝﻰ ﻤﻜﺘﺏ ﺍﻝﻁﺎﻝﺏ ﻭﺍﻭﺩﻉ ) ﺘﺤﺩﻴﺩ ﺍﻻﺸﻴﺎﺀ ﺍﻝﻤﻭﺩﻋﺔ ﺒﺩﻗﺔ ( ‪..................................‬‬
‫ﺒﺎﻝﻤﻜﺘﺏ ﺍﻭﺍﻱ ﻤﻜﺎﻥ ﺍﺨﺭ ﻁﺒﻘﺎ ﻝﻠﻤﺎﺩﺓ ‪ 585‬ﻕ ﺍ ﻡ ﺍ‬
‫ﺍﻝﻤﺘﻀﻤﻥ ﺍﻝﺤﻀﻭﺭ ﻝﺠﻠﺴﺔ ﺍﻝﺘﺨﺼﻴﺹ ﺒﻤﻜﺘﺏ‬ ‫ﻤﺨﺎﻁﺒﺎ ﺤﺴﺏ ﺘﺼﺭﻴﺤﺔ‬
‫ﻭ ﺣﺘـﻰ ﻻ ﳚـﻬـﻞ‬
‫ﺒﻌﺩ ﺍﻨﻘﻀﺎﺀ ﺍﺠل ﺍﻝﺴﻨﺔ ‪ 01‬ﻤﻥ ﺘﺤﺭﻴﺭ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﺒﺎﻤﺭ ﻋﻠﻰ ﻋﺭﻴﻀﺔ‬
‫ﻜﻤﺎ ﺍﺨﻁﺭﻨﺎﻩ ﺍﻨﻪ ﻴﻤﻜﻥ ﺍﺴﺘﺭﺠﺎﻉ ﺍﻝﻤﺒﻠﻎ ‪.........‬ﺍﻝﻌﺭﻭﺽ ‪ ......‬ﻭﺍﺜﺒﺎﺘﺎ ﻝﻤﺎ ﺘﻘﺩﻡ‬
‫ﻭﺍﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺤﺭﺭﻨﺎ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻨﻪ‬ ‫ﻤﻊ ﺴﺎﺌﺭ ﺍﻝﺘﺤﻔﻅﺎﺕ‬

‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺍﻝﻤﺒﻠﻎ ﻝﻪ‬ ‫‪25‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬

 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻊ‪Q‬ﻳـﺔ‬
‫ۙﺍﺩﻳﻮ‪Q‬ﻕ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﺸﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫ﺍﻷﺳﺘـﺎﺫ‪......... /‬‬

‫‪elmouhami.com‬‬
 ‫‪elmouhami.com‬‬ ‫‪................‬‬
‫‪..........‬‬‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ‬
‫ﺍﻟﺬﻱ ﻣﻜﺘﺒﻪ ﺑـ‪.................... :‬‬
‫ﳏﻀﺮ ﺗﻜﻠﻴﻒ ﺑﺎﻟﻮﻓﺎﺀ‬
‫ﺍﳌـﺎﺩﺓ ‪ ، 613 ,612‬ﻣﻦ ﻕ ﺍ ﻡ ﺍ‬

‫ﺒﺘـﺎﺭﻴﺦ‪ ........... :‬ﻤﻥ ﺸﻬﺭ‪ ...........:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪(.../..../....)........‬ﻋﻠﻰ ﺍﻝﺴﺎﻋـﺔ‪:‬‬

‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .............................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪............‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪.....‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــــﺎﻩ ـــــــــــــــــــــــــــــ‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻤﻠﻑ‪:‬‬
‫ﺍﻝﻜﺎﺌﻥ ﻤﻜﺘﺒﻪ ﺒـ‪.....................................................................................‬‬ ‫‪09/‬‬ ‫ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ‪:‬‬
‫ﺒﻨﺎﺀ ﻋﻠﻰ ﻁﻠﺏ ﺍﻝﺴﻴﺩ)ﺓ(‪......................................................................... :‬‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪.......................................................................... :‬‬
‫ﺒﻌﺩ ﺍﻹﻁﻼﻉ ﻋﻠﻰ ﺍﻝﻤﻭﺍﺩ‪ 406 ،613 ,612 :‬ﺇﻝﻰ ‪ 416‬ﻤﻥ ﻕ ﺇ ﻡ ﺇ ــــــــــــــــ‬
‫ﺒﻨﺎﺀﺍ ﻋﻠﻰ ﺍﻝﺴﻨﺩ ﺍﻝﺘﻨﻔﻴﺫﻱ ﺍﻝﺼﺎﺩﺭ ‪,,,‬ﻤﻥ ‪....‬ﺒﺘﺎﺭﻴﺦ ‪,,,‬ﺘﺤﺕ ﺭﻗﻡ‪,,,,‬ﺍﻝﻤﻤﻬﻭﺭ ﺒﺎﻝﺼﻴﻐﺔ ﺍﻝﺘﻨﻔﻴﺫﻴﺔ‬
‫‪.‬ﺍﻝﻤﺒﻠﻎ ﻓﻲ‪,,,,‬‬
‫ﻜﻠﻔﻨﺎ ﺍﻝﺴﻴﺩ‪/‬‬
‫ﺍﻝﺴﺎﻜﻥ‬
‫ﺤﺴﺏ ﺘﺼﺭﻴﺤﻪ‬ ‫ﻤﺨﺎﻁﺒﻴﻥ‪)/‬ﺍﻝﻤﻌﻨﻲ‪،‬ﺃﻭ ﻤﻥ ﻴﻨﻭﺒﻪ‪،‬ﺸﺨﺹ ﻤﻌﻨﻭﻱ ﺫﻜﺭ ﺼﻔﺘﻪ(‬
‫ﺍﻝﺤﺎﻤل )ﻨﻭﻉ ﺒﻁﺎﻗﺔ ﺍﻝﻬﻭﻴﺔ( ‪...........................................................‬‬
‫ﺒﺩﻓﻊ ﺍﻝﻤﺒﺎﻝﻎ ﺍﻝﺘﺎﻝﻴﺔ)ﺃﻭﺍﻝﻘﻴﺎﻡ ﺒﺎﻝﻌﻤل( ﻤﻘﺎﺒل ﻭﺼل ﻋﻥ ﻫﺫﺍ ﺍﻻﺩﺍﺀ ﻤﺒﻠﻎ ﺍﺼل ﺍﻝﺩﻴﻥ‬
‫ﺍﻝﻤﺼﺎﺭﻴﻑ ﺍﻝﻤﺴﺘﺤﻘﺔ)ﻤﺼﺎﺭﻴﻑ ﺍﻝﺘﻨﻔﻴﺫ ) ﺘﻔﺼل ﺤﺴﺏ ﺍﻝﺤﺎﻝﺔ ( ﺍﻝﺤﻘﻭﻕ ﺍﻝﺘﻨﺎﺴﺒﻴﺔ‬ ‫‪-‬‬
‫‪ -.‬ﺍﻝﺭﺴﻡ ﻋﻠﻰ ﺍﻝﻘﻴﻤﺔ ﺍﻝﻤﻀﺎﻓﺔ‪،‬ﺍﺭﺴﻡ ﺍﻝﻁﺎﺒﻊ ﺍﻝﺤﺠﻤﻲ‪,,,,,,,‬ﺍﻝﻤﺠﻤﻭﻉ ‪/‬ﺒﺎﻝﺤﺭﻭﻑ‪.‬‬
‫‪.‬ﻭﺍﻷﺭﻗﺎﻡ‪............................‬‬
‫ﻭﻨﺒﻬﻨﺎﻩ‪ /‬ﺒﺄﻥ ﻝﻪ ﻤﻬﻠﺔ ‪ 15‬ﻴﻭﻤﺎ ﻝﻠﻭﻓﺎﺀ ﺘﺴﺭﻱ ﻤﻥ ﺘﺎﺭﻴﺦ ﺘﺒﻠﻴﻐﻪ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻭﺍﻻ ﻨﻔﺫ ﻋﻠﻴﻪ ﺠﺒﺭﺍ‬
‫ﺒﻜﺎﻓﺔ ﺍﻝﻁﺭﻕ ﻗﺎﻨﻭﻨﻴﺔ‬

‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــــﺎﻩ ــــــــــــــــــــــــــــــ‬

‫ﻭ ﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬

‫ﻭﺍﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻤﺨﺎﻁﺏ ﺍﻝﻜل ﻁﺒﻘﺎ‬
‫ﻝﻠﻘﺎﻨﻭﻥ‬
‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺍﻝﻤﺒﻠﻎ ﻝﻪ‬ ‫‪26‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬
‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫‪elmouhami.com‬‬ ‫ﺍﻷﺳﺘـﺎﺫ‪.......................... /‬‬
‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ ‪..........‬‬
‫ﺍﻟﺬﻱ ﻣﻜﺘﺒﻪ ﺑـ‪.................... :‬‬
‫ﳏﻀﺮ ﺗﻜﻠﻴﻒ ﺑﺎﻟﻮﻓﺎﺀ‬
‫ﺍﳌـﺎﺩﺓ ‪ ، 613،614 ,612‬ﻣﻦ ﻕ ﺍ ﻡ ﺍ‬

‫ﺭﻗﻡ ﺍﻝﻤﻠﻑ‪09/:‬‬
‫ﺒﺘـﺎﺭﻴﺦ‪ ........... :‬ﻤﻥ ﺸﻬﺭ‪ ...........:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪(.../..../....)........‬ﻋﻠﻰ ﺍﻝﺴﺎﻋـﺔ‪:‬‬ ‫ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ‪/:‬‬
‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ ......................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪.........‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪..‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــﺎﻩ ـــــــــــــــــــــــــــــ‬
‫ﺒﻨﺎﺀ ﻋﻠﻰ ﻁﻠﺏ ﺍﻝﺴﻴﺩ)ﺓ(‪.............................................................................. :‬‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪................................................................................ :‬‬
‫ﺒﻌﺩ ﺍﻹﻁﻼﻉ ﻋﻠﻰ ﺍﻝﻤﻭﺍﺩ‪613،614 ,612 :‬‬
‫ﺒﻨﺎﺀﺍ ﻋﻠﻰ ﺍﻝﺴﻨﺩ ﺍﻝﺘﻨﻔﻴﺫﻱ ﺍﻝﺼﺎﺩﺭ ‪,,,‬ﻤﻥ ‪....‬ﺒﺘﺎﺭﻴﺦ ‪,,,‬ﺘﺤﺕ ﺭﻗﻡ‪,,,,‬ﺍﻝﻤﻤﻬﻭﺭ ﺒﺎﻝﺼﻴﻐﺔ ﺍﻝﺘﻨﻔﻴﺫﻴﺔ‬
‫‪.‬ﺍﻝﻤﺒﻠﻎ ﻓﻲ‪,,,,‬‬
‫ﻜﻠﻔﻨﺎ ﺍﻝﺴﻴﺩ‪/‬‬
‫ﺍﻝﺴﺎﻜﻥ‬
‫ﺤﺴﺏ ﺘﺼﺭﻴﺤﻪ‬ ‫ﻤﺨﺎﻁﺒﻴﻥ‪)/‬ﺍﻝﻤﻌﻨﻲ‪،‬ﺃﻭ ﻤﻥ ﻴﻨﻭﺒﻪ‪،‬ﺸﺨﺹ ﻤﻌﻨﻭﻱ ﺫﻜﺭ ﺼﻔﺘﻪ(‬
‫ﺍﻝﺤﺎﻤل )ﻨﻭﻉ ﺒﻁﺎﻗﺔ ﺍﻝﻬﻭﻴﺔ(‬
‫‪.................................................................................................‬‬
‫ﺒﺩﻓﻊ ﺍﻝﻤﺒﺎﻝﻎ ﺍﻝﺘﺎﻝﻴﺔ)ﺃﻭﺍﻝﻘﻴﺎﻡ ﺒﺎﻝﻌﻤل( ﻤﻘﺎﺒل ﻭﺼل ﻋﻥ ﻫﺫﺍ ﺍﻻﺩﺍﺀ‬
‫‪ -‬ﻤﺒﻠﻎ ﺍﺼل ﺍﻝﺩﻴﻥ‬
‫‪ -‬ﺍﻝﻤﺼﺎﺭﻴﻑ ﺍﻝﻤﺴﺘﺤﻘﺔ)‬
‫‪ -‬ﻤﺼﺎﺭﻴﻑ ﺍﻝﺘﻨﻔﻴﺫ ) ﺘﻔﺼل ﺤﺴﺏ ﺍﻝﺤﺎﻝﺔ (‬
‫‪ -‬ﺍﻝﺤﻘﻭﻕ ﺍﻝﺘﻨﺎﺴﺒﻴﺔ‬
‫‪ -.‬ﺍﻝﺭﺴﻡ ﻋﻠﻰ ﺍﻝﻘﻴﻤﺔ ﺍﻝﻤﻀﺎﻓﺔ‪،‬ﺍﺭﺴﻡ ﺍﻝﻁﺎﺒﻊ ﺍﻝﺤﺠﻤﻲ‪,,,,,,,‬‬
‫ﺍﻝﻤﺠﻤﻭﻉ‪/‬ﺒﺎﻝﺤﺭﻭﻑ‪..‬ﻭﺍﻷﺭﻗﺎﻡ‪...............................................‬‬

‫ﻭﻨﺒﻬﻨﺎﻩ‪ /‬ﺒﺄﻨﻪ ﺇﺫﺍ ﻝﻡ ﻴﻤﺘﺜل ﻓﻭﺭﺍ ﻝﻤﺤﺘﻭﻯ ﺍﻝﺴﻨﺩ ﺍﻝﺘﻨﻔﻴﺫﻱ ﺍﻝﻤﺫﻜﻭﺭ ﺃﻋﻼﻩ ﻨﻔﺫ ﻋﻠﻴﻪ ﺠﺒﺭﺍ ﺒﻜﺎﻓﺔ ﺍﻝﻁﺭﻕ‬
‫ﻗﺎﻨﻭﻨﻴﺔ‬

‫ﻭ ﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬

‫ﻭﺍﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻤﺨﺎﻁﺏ ﺍﻝﻜل ﺍ‬
‫ﻁﺒﻘﺎ ﻝﻠﻘﺎﻨﻭﻥ‬

‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺃﻭ ﺒﺼﻤﺔ ﺍﻝﻤﺴﺘﻠﻡ‬

‫‪27‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬
‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫ﺍﻷﺳﺘـﺎﺫ‪.......................... /‬‬
‫‪elmouhami.com‬‬
‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ ‪..........‬‬
‫ﺍﻟﺬﻱ ﻣﻜﺘﺒﻪ ﺑـ‪.................... :‬‬
‫ﳏﻀﺮ ﺗﻜﻠﻴﻒ ﺑﺎﻟﻮﻓﺎﺀ‬
‫ﺍﳌـﺎﺩﺓ ‪ ، 613،625 ,612‬ﻣﻦ ﻕ ﺍ ﻡ ﺍ‬

‫ﺭﻗﻡ ﺍﻝﻤﻠﻑ‪09/:‬‬
‫ﺒﺘـﺎﺭﻴﺦ‪ ........... :‬ﻤﻥ ﺸﻬﺭ‪ ...........:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪(.../..../....)........‬ﻋﻠﻰ ﺍﻝﺴﺎﻋـﺔ‪:‬‬ ‫ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ‪/:‬‬
‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ ......................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪.........‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪..‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــﺎﻩ ـــــــــــــــــــــــــــــ‬
‫ﺒﻨﺎﺀ ﻋﻠﻰ ﻁﻠﺏ ﺍﻝﺴﻴﺩ)ﺓ(‪.............................................................................. :‬‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪................................................................................ :‬‬
‫ﺒﻌﺩ ﺍﻹﻁﻼﻉ ﻋﻠﻰ ﺍﻝﻤﻭﺍﺩ‪ 613،625 ,612 :‬ﻤﻥ ﻕ ﺇ ﻡ ﺇ ـــــــــــــــــــــ‬
‫ﺒﻨﺎﺀﺍ ﻋﻠﻰ ﺍﻝﺴﻨﺩ ﺍﻝﺘﻨﻔﻴﺫﻱ ﺍﻝﺼﺎﺩﺭ ‪,,,‬ﻤﻥ ‪....‬ﺒﺘﺎﺭﻴﺦ ‪,,,‬ﺘﺤﺕ ﺭﻗﻡ‪,,,,‬ﺍﻝﻤﻤﻬﻭﺭ ﺒﺎﻝﺼﻴﻐﺔ ﺍﻝﺘﻨﻔﻴﺫﻴﺔ‬
‫‪.‬ﺍﻝﻤﺒﻠﻎ ﻓﻲ‪,,,,‬‬
‫ﻜﻠﻔﻨﺎ ﺍﻝﺴﻴﺩ‪/‬‬
‫ﺍﻝﺴﺎﻜﻥ‬
‫ﺤﺴﺏ ﺘﺼﺭﻴﺤﻪ‬ ‫ﻤﺨﺎﻁﺒﻴﻥ‪)/‬ﺍﻝﻤﻌﻨﻲ‪،‬ﺃﻭ ﻤﻥ ﻴﻨﻭﺒﻪ‪،‬ﺸﺨﺹ ﻤﻌﻨﻭﻱ ﺫﻜﺭ ﺼﻔﺘﻪ(‬
‫ﺍﻝﺤﺎﻤل )ﻨﻭﻉ ﺒﻁﺎﻗﺔ ﺍﻝﻬﻭﻴﺔ(‬
‫‪.................................................................................................‬‬
‫ﺒﺘﻨﻔﻴﺫ‪ /‬ﻤﺤﺘﻭﻯ ﺍﻝﺴﻨﺩ ﺍﻝﺘﻨﻔﻴﺫﻱ ﺍﻝﻤﺫﻜﻭﺭ ﺃﻋﻼﻩ ﻓﻭﺭﺍ‪،‬ﻭﺩﻓﻊ ﺍﻝﻤﺼﺎﺭﻴﻑ ﺍﻝﺘﺎﻝﻴﺔ ﻤﻘﺎﺒل ﻭﺼل ﻋﻠﻰ ﺍﻷﺩﺍﺀ‬
‫‪ -‬ﺍﻝﻤﺼﺎﺭﻴﻑ ﺍﻝﻤﺴﺘﺤﻘﺔ‬
‫‪ -‬ﻤﺼﺎﺭﻴﻑ ﺍﻝﺘﻨﻔﻴﺫ ) ﺘﻔﺼل ﺤﺴﺏ ﺍﻝﺤﺎﻝﺔ (‬
‫‪ -.‬ﺍﻝﺭﺴﻡ ﻋﻠﻰ ﺍﻝﻘﻴﻤﺔ ﺍﻝﻤﻀﺎﻓﺔ‪،‬ﺍﺭﺴﻡ ﺍﻝﻁﺎﺒﻊ ﺍﻝﺤﺠﻤﻲ‪,,,,,,,‬‬
‫ﺍﻝﻤﺠﻤﻭﻉ‪/‬ﺒﺎﻝﺤﺭﻭﻑ‪..‬ﻭﺍﻷﺭﻗﺎﻡ‪...............................................‬‬

‫ﻭﻨﺒﻬﻨﺎﻩ‪ /‬ﺒﺄﻥ ﻝﻪ ﻤﻬﻠﺔ ﺨﻤﺴﺔ ﻋﺸﺭ ﻴﻭﻤﺎ )‪ ( 15‬ﻝﻠﻭﻓﺎﺀ ﺘﺴﺭﻱ ﻤﻥ ﺘﺎﺭﻴﺦ ﺘﺒﻠﻴﻐﻪ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻭﺍﻻ ﻨﻔﺫ‬
‫ﻋﻠﻴﻪ ﺠﺒﺭﺍ ﺒﻜﺎﻓﺔ ﺍﻝﻁﺭﻕ ﻗﺎﻨﻭﻨﻴﺔ‬
‫ﻭﻨﺒﻬﻨﺎﻩ‪ /‬ﺒﺄﻨﻪ ﺇﺫﺍ ﻝﻡ ﻴﻤﺘﺜل ﻓﻭﺭﺍ ﻝﻤﺤﺘﻭﻯ ﺍﻝﺴﻨﺩ ﺍﻝﺘﻨﻔﻴﺫﻱ ﺍﻝﻤﺫﻜﻭﺭ ﺃﻋﻼﻩ ﻨﻔﺫ ﻋﻠﻴﻪ ﺠﺒﺭﺍ ﺒﻜﺎﻓﺔ ﺍﻝﻁﺭﻕ‬
‫ﻗﺎﻨﻭﻨﻴﺔ‬

‫ﻭ ﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬

‫ﻭﺍﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻤﺨﺎﻁﺏ ﺍﻝﻜل‬
‫ﻁﺒﻘﺎ ﻝﻠﻘﺎﻨﻭﻥ‬
‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺍﻭ ﺒﺼﻤﺔ ﺍﻝﻤﺴﺘﻠﻡ‬
‫‪28‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬
‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫‪elmouhami.com‬‬ ‫ﺍﻷﺳﺘـﺎﺫ‪.......................... /‬‬
‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ ‪..........‬‬
‫ﺍﻟﺬﻱ ﻣﻜﺘﺒﻪ ﺑـ‪.................... :‬‬
‫ﳏﻀﺮ ﺗﻜﻠﻴﻒ ﺑﺎﻟﻮﻓﺎﺀ‬
‫ﺍﳌـﺎﺩﺓ ‪ ، 613،614،625 ,612‬ﻣﻦ ﻕ ﺍ ﻡ ﺍ‬

‫ﺭﻗﻡ ﺍﻝﻤﻠﻑ‪09/:‬‬
‫ﺒﺘـﺎﺭﻴﺦ‪ ........... :‬ﻤﻥ ﺸﻬﺭ‪ ...........:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪(.../..../....)........‬ﻋﻠﻰ ﺍﻝﺴﺎﻋـﺔ‪:‬‬ ‫ﺭﻗﻡ ﺍﻝﻔﻬﺭﺱ‪/:‬‬
‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ ......................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪.........‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪..‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــﺎﻩ ـــــــــــــــــــــــــــــ‬
‫ﺒﻨﺎﺀ ﻋﻠﻰ ﻁﻠﺏ ﺍﻝﺴﻴﺩ)ﺓ(‪.............................................................................. :‬‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪................................................................................ :‬‬
‫ﺒﻌﺩ ﺍﻹﻁﻼﻉ ﻋﻠﻰ ﺍﻝﻤﻭﺍﺩ‪613،614،625 ,612 :‬‬
‫ﺒﻨﺎﺀﺍ ﻋﻠﻰ ﺍﻝﺴﻨﺩ ﺍﻝﺘﻨﻔﻴﺫﻱ ﺍﻝﺼﺎﺩﺭ ‪,,,‬ﻤﻥ ‪....‬ﺒﺘﺎﺭﻴﺦ ‪,,,‬ﺘﺤﺕ ﺭﻗﻡ‪,,,,‬ﺍﻝﻤﻤﻬﻭﺭ ﺒﺎﻝﺼﻴﻐﺔ ﺍﻝﺘﻨﻔﻴﺫﻴﺔ‬
‫‪.‬ﺍﻝﻤﺒﻠﻎ ﻓﻲ‪,,,,‬‬
‫ﻜﻠﻔﻨﺎ ﺍﻝﺴﻴﺩ‪/‬‬
‫ﺍﻝﺴﺎﻜﻥ‬
‫ﺤﺴﺏ ﺘﺼﺭﻴﺤﻪ‬ ‫ﻤﺨﺎﻁﺒﻴﻥ‪)/‬ﺍﻝﻤﻌﻨﻲ‪،‬ﺃﻭ ﻤﻥ ﻴﻨﻭﺒﻪ‪،‬ﺸﺨﺹ ﻤﻌﻨﻭﻱ ﺫﻜﺭ ﺼﻔﺘﻪ(‬
‫ﺍﻝﺤﺎﻤل )ﻨﻭﻉ ﺒﻁﺎﻗﺔ ﺍﻝﻬﻭﻴﺔ(‬
‫‪.................................................................................................‬‬
‫ﺒﺘﻨﻔﻴﺫ‪ /‬ﻤﺤﺘﻭﻯ ﺍﻝﺴﻨﺩ ﺍﻝﺘﻨﻔﻴﺫﻱ ﺍﻝﻤﺫﻜﻭﺭ ﺃﻋﻼﻩ ﻓﻭﺭﺍ‪،‬ﻭﺩﻓﻊ ﺍﻝﻤﺼﺎﺭﻴﻑ ﺍﻝﺘﺎﻝﻴﺔ ﻤﻘﺎﺒل ﻭﺼل ﻋﻠﻰ ﺍﻷﺩﺍﺀ‬
‫‪ -‬ﺍﻝﻤﺼﺎﺭﻴﻑ ﺍﻝﻤﺴﺘﺤﻘﺔ‬
‫‪ -‬ﻤﺼﺎﺭﻴﻑ ﺍﻝﺘﻨﻔﻴﺫ ) ﺘﻔﺼل ﺤﺴﺏ ﺍﻝﺤﺎﻝﺔ (‬
‫‪ -.‬ﺍﻝﺭﺴﻡ ﻋﻠﻰ ﺍﻝﻘﻴﻤﺔ ﺍﻝﻤﻀﺎﻓﺔ‪،‬ﺍﺭﺴﻡ ﺍﻝﻁﺎﺒﻊ ﺍﻝﺤﺠﻤﻲ‪,,,,,,,‬‬
‫ﺍﻝﻤﺠﻤﻭﻉ‪/‬ﺒﺎﻝﺤﺭﻭﻑ‪..‬ﻭﺍﻷﺭﻗﺎﻡ‪...............................................‬‬

‫ﻭﻨﺒﻬﻨﺎﻩ‪ /‬ﺒﺄﻨﻪ ﺇﺫﺍ ﻝﻡ ﻴﻤﺘﺜل ﻓﻭﺭﺍ ﻝﻤﺤﺘﻭﻯ ﺍﻝﺴﻨﺩ ﺍﻝﺘﻨﻔﻴﺫﻱ ﺍﻝﻤﺫﻜﻭﺭ ﺃﻋﻼﻩ ﻨﻔﺫ ﻋﻠﻴﻪ ﺠﺒﺭﺍ ﺒﻜﺎﻓﺔ ﺍﻝﻁﺭﻕ‬
‫ﻗﺎﻨﻭﻨﻴﺔ‬

‫ﻭ ﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬

‫ﻭﺍﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻤﺨﺎﻁﺏ ﺍﻝﻜل‬
‫ﻁﺒﻘﺎ ﻝﻠﻘﺎﻨﻭﻥ‬
‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺍﻭ ﺒﺼﻤﺔ ﺍﻝﻤﺴﺘﻠﻡ‬
‫‪28‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬
‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫ﺍﻷﺳﺘـﺎﺫ‪.......................... /‬‬
‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ ‪..........‬‬
‫‪elmouhami.com‬‬
‫ﺍﺧﺘﺼﺎﺹ ﳎﻠﺲ ﻗﻀﺎﺀ‪...........:‬‬
‫ﺍﻟﻜﺎﺋﻦ ﻣﻜﺘﺒﻪ ﺑـ ‪.................:‬‬

‫ﳏﻀﺮﺗﺒﻠﻴﻎ ﺍﻣﺮ ﻋﻠﻰ ﻋﺮﻳﻀﺔ ﳊﺠﺰ ﲢﻔﻈﻲ ﻋﻠﻰ ﺍﻣﻮﺍﻝ ﻣﻨﻘﻮﻟﺔ‬

‫ﺍﳌـﺎﺩﺓ ‪ ، 688 ,659‬ﻣﻦ ﻕ ﺍ ﻡ ﺍ‬

‫ﺒﺘـﺎﺭﻴﺦ‪ ................ :‬ﻤﻥ ﺸﻬﺭ‪ ..................:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪ ..........‬ﻭﻋﻠﻰ ﺍﻝﺴﺎﻋـﺔ‪....:‬‬ ‫ﻤﻠﻑ ﺭﻗﻡ ‪:‬‬
‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .............................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪.............................‬‬ ‫ﻓﻬﺭﺱ ﺭﻗﻡ ‪:‬‬
‫ﺍﻝﻜﺎﺌﻥ ﻤﻜﺘﺒﻨﺎ ﺒـ ‪............................................................................:‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــﺎﻩ ـــــــــــــــــــــــــــــ‬
‫ﺒﻨﺎﺀ ﻋﻠﻰ ﻁﻠﺏ ﺍﻝﺴﻴﺩ)ﺓ(‪.............................................................................. :‬‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪................................................................................ :‬‬
‫ﺒﻌﺩ ﺍﻹﻁﻼﻉ ﻋﻠﻰ ﺍﻝﻤﻭﺍﺩ‪ 688 ,659 ,416 ,407 ,406 :‬ﻤﻥ ﻗﺎﻨﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ ﻭ ﺍﻹﺩﺍﺭﻴﺔ‪.‬‬
‫ﺒﻠﻐﻨﺎ ﻭﺴﻠﻤﻨﺎ ﻝﻠﺴﻴﺩ ‪..............................................................................:‬‬
‫ﺍﻝﺴﺎﻜﻥ ﺒـ ‪.................................................................................. :‬‬
‫ﺤﺴﺏ ﺘﺼﺭﻴﺤﻪ‬ ‫ﻤﺨﺎﻁﺒﻴﻥ‪)/‬ﺍﻝﻤﻌﻨﻲ‪،‬ﺃﻭ ﻤﻥ ﻴﻨﻭﺒﻪ‪،‬ﺸﺨﺹ ﻤﻌﻨﻭﻱ ﺫﻜﺭ ﺼﻔﺘﻪ(‬
‫ﺍﻝﺤﺎﻤل )ﻨﻭﻉ ﺒﻁﺎﻗﺔ ﺍﻝﻬﻭﻴﺔ(‬
‫ﻨﺴﺨﺔ ﻤﻥ ﺍﻤﺭ ﻋﻠﻰ ﻋﺭﻴﻀﺔ ﺼﺎﺩﺭ ﻋﻥ ﺍﻝﺴﻴﺩ ﺭﺌﻴﺱ ﻤﺤﻜﻤﺔ‪,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,‬‬
‫ﺒﺘﺎﺭﻴﺦ‪.................................‬ﺘﺤﺕ ﺭﻗﻡ ‪......‬ﺍﻝﻤﺘﻀﻤﻨﺔ ) ﻤﻌﻨﻰ ﺍﻻﻤﺭ (‬

‫ﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬

‫ﻭﺍﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻤﺨﺎﻁﺏ ﺍﻝﻜل ﻁﺒﻘﺎ‬
‫ﻝﻠﻘﺎﻨﻭﻥ‪.‬‬
‫‪29‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺍﻭ ﺒﺼﻤﺔ ﺍﻝﻤﺒﻠﻎ ﻝﻪ‬
 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬
‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫ﺍﻷﺳﺘـﺎﺫ‪.......................... /‬‬
‫‪elmouhami.com‬‬
‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ ‪..........‬‬
‫ﺍﺧﺘﺼﺎﺹ ﳎﻠﺲ ﻗﻀﺎﺀ‪...........:‬‬
‫ﺍﻟﻜﺎﺋﻦ ﻣﻜﺘﺒﻪ ﺑـ ‪.................:‬‬

‫ﳏﻀﺮﻣﻌـــــﺎﻳﻨــﺔ‬
‫)ﺍﳌـﺎﺩﺓ ‪ 12‬ﻣﻦ ‪ :‬ﻕ ﻡ‪.‬ﻡ ‪.‬ﻕ(‬

‫ﺒﺘـﺎﺭﻴﺦ‪ ................ :‬ﻤﻥ ﺸﻬﺭ‪ ..................:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪.................................‬‬ ‫ﻤﻠﻑ ﺭﻗﻡ ‪:‬‬
‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ ....................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪....................‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪.....‬‬ ‫ﻓﻬﺭﺱ ﺭﻗﻡ ‪:‬‬
‫ﺍﻝﻜﺎﺌﻥ ﻤﻜﺘﺒﻨﺎ ﺒـ ‪..............................................................................:‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــﺎﻩ ـــــــــــــــــــــــــــــ‬
‫ﺒﻨﺎﺀ ﻋﻠﻰ ﻁﻠﺏ ﺍﻝﺴﻴﺩ)ﺓ(‪ ) :‬ﺍﻝﻬﻭﻴﺔ ﺍﻝﻜﺎﻤﻠﺔ (‪..........................................................‬‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪............................................................................ :‬‬
‫ﺍﻝﺭﺍﻤﻲ ﺇﻝﻰ ﺇﺠﺭﺍﺀ ﻤﻌﺎﻴﻨﺔ ﻤﺎﺩﻴﺔ ﺒﺤﺘﺔ ﺒﺨﺼﻭﺹ ‪........................................:‬‬
‫‪.........................................................................................‬‬
‫ﻭ ﺒﻨﺎﺀ ﻋﻠﻰ ﺍﻝﻤﺎﺩﺓ ‪ 12 :‬ﺍﻝﻔﻘﺭﺓ ‪ 4‬ﻤﻥ ﺍﻝﻘﺎﻨﻭﻥ ﺭﻗﻡ ‪ 03-06 :‬ﺍﻝﻤﺅﺭﺥ ﻓﻲ ‪ 20 :‬ﻓﺒﺭﺍﻴﺭ ‪2006‬‬
‫ﺍﻝﻤﺘﻀﻤﻥ ﺘﻨﻅﻴﻡ ﻤﻬﻨﺔ ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‪.‬‬
‫ا(‪%& '%‬ر‪ "#‬ا! م  ا‪...............................................................................................‬‬
‫إ ‪-.)........................................................................................................‬ن ا‪.(#*+‬‬
‫'!م &‪ #*+‬ا‪ & 2+‬أ‪./0‬‬
‫و =ل و‪ ،  :‬إ !‪ 9‬ا‪-+‬ن ‪ ،‬ا‪8‬ي د !‪ 5‬ا‪: 3# . # ، 42‬‬
‫‪.....................................................................................................................................‬‬
‫‪.....................................................................................................................................‬‬
‫‪.....................................................................................................................................‬‬
‫‪.....................................................................................................................................‬‬
‫‪.....................................................................................................................................‬‬

‫و ‪ BC‬أ(‪ %+A. !A‬و ا(@? ‪ 9.‬ا>‪B= 3D -.‬ود ا ‪..............................................................‬‬

‫= ‪ J.‬آ‪ D‬ا‪GH@%‬ت =‬

‫و إ‪B'P . K- P?Q‬م ‪M= ،‬ر( ه‪8‬ا ا‪ MN@+‬و ‪ 5& K+* ، 42 5. L( +‬و‪ (' 'D‬ن‪.‬‬

‫ا‪ MN@+‬ا'‪: 3RN‬‬

‫‪30‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬
‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫‪elmouhami.com‬‬ ‫ﺍﻷﺳﺘـﺎﺫ‪.......................... /‬‬
‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ ‪..........‬‬
‫ﺍﺧﺘﺼﺎﺹ ﳎﻠﺲ ﻗﻀﺎﺀ‪...........:‬‬
‫ﺍﻟﻜﺎﺋﻦ ﻣﻜﺘﺒﻪ ﺑـ ‪.................:‬‬

‫ﳏﻀﺮﻣﻌـﺎﻳﻨﺔ ﺑﺄﻣﺮ‬
‫)ﺍﳌـﺎﺩﺓ ‪ 311 ، 310‬ﻭ ‪ 312‬ﻣﻦ ‪ :‬ﻕ‪ .‬ﺇ‪..‬ﻡ ‪.‬ﺇ(‬

‫ﺒﺘـﺎﺭﻴﺦ‪ ................ :‬ﻤﻥ ﺸﻬﺭ‪ ..................:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪.................................‬‬ ‫ﻤﻠﻑ ﺭﻗﻡ ‪:‬‬
‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ ....................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪....................‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪.....‬‬ ‫ﻓﻬﺭﺱ ﺭﻗﻡ ‪:‬‬
‫ﺍﻝﻜﺎﺌﻥ ﻤﻜﺘﺒﻨﺎ ﺒـ ‪..............................................................................:‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــﺎﻩ ـــــــــــــــــــــــــــــ‬
‫ﺒﻨﺎﺀ ﻋﻠﻰ ﻁﻠﺏ ﺍﻝﺴﻴﺩ)ﺓ(‪ ):‬ﺍﻝﻬﻭﻴﺔ ﺍﻝﻜﺎﻤﻠﺔ (‪..........................................................‬‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪............................................................................ :‬‬
‫ﻭ ﺒﻤﻭﺠﺏ ﺃﻤﺭ ﻋﻠﻰ ﻋﺭﻴﻀﺔ ﺍﻝﺼﺎﺩﺭ ﻋﻥ ﺍﻝﺴﻴﺩ ﺭﺌﻴﺱ ﻤﺤﻜﻤﺔ‪............................‬‬
‫ﺒﺘﺎﺭﻴﺦ ‪....................:‬ﺘﺤﺕ ﺭﻗﻡ ‪.............:‬ﺍﻝﻤﺘﻀﻤﻥ ‪) :‬ﻨﺹ ﺍﻷﻤﺭ(‬
‫‪.........................................................................................‬‬
‫ﻭ ﺒﻨﺎﺀ ﻋﻠﻰ ﺍﻝﻤﺎﺩﺓ ‪ 12 :‬ﺍﻝﻔﻘﺭﺓ ‪ 4‬ﻤﻥ ﺍﻝﻘﺎﻨﻭﻥ ﺭﻗﻡ ‪ 03-06 :‬ﺍﻝﻤﺅﺭﺥ ﻓﻲ ‪ 20 :‬ﻓﺒﺭﺍﻴﺭ ‪2006‬‬
‫ﺍﻝﻤﺘﻀﻤﻥ ﺘﻨﻅﻴﻡ ﻤﻬﻨﺔ ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ ‪ ،‬ﻭ ﺍﻝﻤﻭﺍﺩ ﻤﻥ ‪ 310‬ﺇﻝﻰ ‪ 312‬ﻤﻥ ﻗﺎﻨﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ‬
‫ﺍﻝﻤﺩﻨﻴﺔ ﻭ ﺍﻹﺩﺍﺭﻴﺔ‪.‬‬
‫ا(‪%& '%‬ر‪ "#‬ا! م  ا‪............................................................................................‬‬
‫إ ‪-.)........................................................................................................‬ن ا‪.(#*+‬‬
‫‪U . 8!H%‬ء ‪ S( 3D‬ا>‪ M.‬ا‪8+‬آ ر أ‪./0‬‬
‫و =ل و‪ ،  :‬إ !‪ 9‬ا‪-+‬ن ‪ ،‬و‪ (BU‬ا!‪ ) : B‬ﺍﻝﻬﻭﻴﺔ ﺍﻝﻜﺎﻤﻠﺔ (‪........................................‬‬
‫و &*‪ . B‬أ‪ %HX& /+‬و ا‪MW‬ض ‪ 9. L( 5 + ، %+A. 9.‬ا>‪  M.‬ا*‪ N#M‬ا‪8+‬آ ر أ‪، /0‬‬
‫و &*‪ B‬ا‪ D +C ، 5Y%.‬را &‪ #*+‬ا‪: !%‬‬
‫‪.....................................................................................................................................‬‬
‫‪.....................................................................................................................................‬‬
‫‪.....................................................................................................................................‬‬
‫‪.....................................................................................................................................‬‬
‫‪.....................................................................................................................................‬‬

‫و ‪ BC‬أ(‪ %+A. !A‬و ا(@? ‪ 9.‬ا>‪B= 3D -.‬ود ا ‪..............................................................‬‬

‫= ‪ J.‬آ‪ D‬ا‪GH@%‬ت =‬

‫و إ‪B'P . K- P?Q‬م ‪M= ،‬ر( ه‪8‬ا ا‪ MN@+‬و ‪ 5& K+* ، 5. L( +‬و‪ (' 'D‬ن‪.‬‬
‫‪31‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
‫ا‪ MN@+‬ا'‪: 3RN‬‬
 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬
‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫ﺍﻷﺳﺘـﺎﺫ‪.......................... /‬‬
‫‪elmouhami.com‬‬ ‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ ‪..........‬‬
‫ﺍﺧﺘﺼﺎﺹ ﳎﻠﺲ ﻗﻀﺎﺀ‪...........:‬‬
‫ﺍﻟﻜﺎﺋﻦ ﻣﻜﺘﺒﻪ ﺑـ ‪.................:‬‬

‫ﳏﻀﺮﺗﺒﻠﻴﻎ ﺍﻣﺮ ﻋﻠﻰ ﻋﺮﻳﻀﺔ‬

‫ﺍﳌﻮﺍﺩ ‪ 406‬ﺇﱃ ‪ ،416‬ﻣﻦ ﻕ ﺍ ﻡ ﺍ‬

‫ﺒﺘـﺎﺭﻴﺦ‪ ................ :‬ﻤﻥ ﺸﻬﺭ‪ ..................:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪ ..........‬ﻭﻋﻠﻰ ﺍﻝﺴﺎﻋـﺔ‪....:‬‬ ‫ﻤﻠﻑ ﺭﻗﻡ ‪:‬‬
‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ .............................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪.............................‬‬ ‫ﻓﻬﺭﺱ ﺭﻗﻡ ‪:‬‬
‫ﺍﻝﻜﺎﺌﻥ ﻤﻜﺘﺒﻨﺎ ﺒـ ‪............................................................................:‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــﺎﻩ ـــــــــــــــــــــــــــــ‬
‫ﺒﻨﺎﺀ ﻋﻠﻰ ﻁﻠﺏ ﺍﻝﺴﻴﺩ)ﺓ(‪.............................................................................. :‬‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪................................................................................ :‬‬
‫ﺒﻌﺩ ﺍﻹﻁﻼﻉ ﻋﻠﻰ ﺍﻝﻤﻭﺍﺩ ﻤﻥ ‪ 406 :‬ﺇﻝﻰ ‪ 416‬ﻤﻥ ﻗﺎﻨﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﺩﻨﻴﺔ ﻭ ﺍﻹﺩﺍﺭﻴﺔ‪.‬‬
‫ﺒﻠﻐﻨﺎ ﻭﺴﻠﻤﻨﺎ ﻝﻠﺴﻴﺩ ‪............................................................................:‬‬
‫ﺍﻝﺴﺎﻜﻥ ﺒـ ‪.................................................................................... :‬‬
‫ﺤﺴﺏ ﺘﺼﺭﻴﺤﻪ‬ ‫ﻤﺨﺎﻁﺒﻴﻥ‪)/‬ﺍﻝﻤﻌﻨﻲ‪،‬ﺃﻭ ﻤﻥ ﻴﻨﻭﺒﻪ‪،‬ﺸﺨﺹ ﻤﻌﻨﻭﻱ ﺫﻜﺭ ﺼﻔﺘﻪ(‬
‫ﺍﻝﺤﺎﻤل )ﻨﻭﻉ ﺒﻁﺎﻗﺔ ﺍﻝﻬﻭﻴﺔ(‬
‫ﻨﺴﺨﺔ ﻤﻥ ﺍﻤﺭ ﻋﻠﻰ ﻋﺭﻴﻀﺔ ﺼﺎﺩﺭ ﻋﻥ ﺍﻝﺴﻴﺩ ﺭﺌﻴﺱ ﻤﺤﻜﻤﺔ‪,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,‬‬
‫ﺒﺘﺎﺭﻴﺦ‪.................................‬ﺘﺤﺕ ﺭﻗﻡ ‪..........‬ﺍﻝﻤﺘﻀﻤﻨﺔ ) ﻨﺹ ﺍﻻﻤﺭ (‬

‫ﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬

‫ﻭﺍﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻤﺨﺎﻁﺏ ﺍﻝﻜل ﻁﺒﻘﺎ‬
‫ﻝﻠﻘﺎﻨﻭﻥ‪.‬‬
‫‪32‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺍﻭ ﺒﺼﻤﺔ ﺍﻝﻤﺒﻠﻎ ﻝﻪ‬
 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬
‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫ﺍﻷﺳﺘـﺎﺫ‪.......................... /‬‬
‫‪elmouhami.com‬‬
‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ ‪..........‬‬
‫ﺍﺧﺘﺼﺎﺹ ﳎﻠﺲ ﻗﻀﺎﺀ‪...........:‬‬
‫ﺍﻟﻜﺎﺋﻦ ﻣﻜﺘﺒﻪ ﺑـ ‪.................:‬‬

‫ﳏﻀﺮﺗﺒﻠﻴﻎ ﺇﻧﺬﺍﺭ‬
‫)ﺍﳌـﺎﺩﺓ ‪ 12‬ﻣﻦ ‪ :‬ﻕ‪ .‬ﻡ‪.‬ﻡ ‪.‬ﻕ(‬

‫ﺒﺘـﺎﺭﻴﺦ‪ ................ :‬ﻤﻥ ﺸﻬﺭ‪ ..................:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪.................................‬‬ ‫ﻤﻠﻑ ﺭﻗﻡ ‪:‬‬
‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ ....................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪....................‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪.....‬‬ ‫ﻓﻬﺭﺱ ﺭﻗﻡ ‪:‬‬
‫ﺍﻝﻜﺎﺌﻥ ﻤﻜﺘﺒﻨﺎ ﺒـ ‪..............................................................................:‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــﺎﻩ ـــــــــــــــــــــــــــــ‬
‫ﺒﻨﺎﺀ ﻋﻠﻰ ﻁﻠﺏ ﺍﻝﺴﻴﺩ)ﺓ(‪ ) :‬ﺍﻝﻬﻭﻴﺔ ﺍﻝﻜﺎﻤﻠﺔ (‪..........................................................‬‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪............................................................................ :‬‬
‫ﺍﻝﺭﺍﻤﻲ ﺇﻝﻰ ﺘﺒﻠﻴﻎ ﺇﻨﺫﺍﺭ ‪.................................................................:‬‬
‫‪.........................................................................................‬‬
‫ﻭ ﺒﻨﺎﺀ ﻋﻠﻰ ﺍﻝﻤﺎﺩﺓ ‪ 12 :‬ﺍﻝﻔﻘﺭﺓ ‪ 4‬ﻤﻥ ﺍﻝﻘﺎﻨﻭﻥ ﺭﻗﻡ ‪ 03-06 :‬ﺍﻝﻤﺅﺭﺥ ﻓﻲ ‪ 20 :‬ﻓﺒﺭﺍﻴﺭ ‪2006‬‬
‫ﺍﻝﻤﺘﻀﻤﻥ ﺘﻨﻅﻴﻡ ﻤﻬﻨﺔ ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‪.‬‬
‫&‪ 9. L( W‬إ(‪8‬ار ‪M@.‬ر و ‪M] 9. JC .‬ف ا‪[. 42‬رخ ‪.................................................: 3D‬‬
‫‪ _@P‬ر‪....................................................................................................................: ^C‬‬
‫!‪)B‬ﺓ(‪ ) :‬ﺍﻝﻬﻭﻴﺔ ﺍﻝﻜﺎﻤﻠﺔ (‪...........................................................................‬‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ)ﺓ(‪......................................................................... :‬‬
‫ﺤﺴﺏ ﺘﺼﺭﻴﺤﻪ‬ ‫ﻤﺨﺎﻁﺒﻴﻥ‪)/‬ﺍﻝﻤﻌﻨﻲ‪،‬ﺃﻭ ﻤﻥ ﻴﻨﻭﺒﻪ‪،‬ﺸﺨﺹ ﻤﻌﻨﻭﻱ ﺫﻜﺭ ﺼﻔﺘﻪ(‬
‫ﺍﻝﺤﺎﻤل )ﻨﻭﻉ ﺒﻁﺎﻗﺔ ﺍﻝﻬﻭﻴﺔ(‬
‫ا‪).................................: 9+N%+‬أ(‪ +N. MG‬ن ا`(‪8‬ار(‪..........................................................‬‬
‫ﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬
‫ﻭﺍﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻤﺨﺎﻁﺏ ﺍﻝﻜل ﻁﺒﻘﺎ‬
‫ﻝﻠﻘﺎﻨﻭﻥ‪.‬‬
‫‪33‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺍﻭ ﺒﺼﻤﺔ ﺍﻝﻤﺒﻠﻎ ﻝﻪ‬
 ‫ﺍﳉﻤﻬﻮﺭﻳـﺔ ﺍﳉﺰﺍﺋﺮﻳـﺔ ﺍﻟﺪﳝﻘﺮﺍﻃﻴـﺔ ﺍﻟﺸﻌﺒﻴـﺔ‬
‫ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﻌﻤﻮﻣﻲ ﻟﻠﻤﺤﻀﺮ ﺍﻟﻘﻀﺎﺋﻲ‬
‫ﺍﻷﺳﺘـﺎﺫ‪.......................... /‬‬
‫‪elmouhami.com‬‬ ‫ﳏﻀﺮ ﻗﻀﺎﺋﻲ ﻟﺪﻯ ﳏﻜﻤﺔ ‪..........‬‬
‫ﺍﺧﺘﺼﺎﺹ ﳎﻠﺲ ﻗﻀﺎﺀ‪...........:‬‬
‫ﺍﻟﻜﺎﺋﻦ ﻣﻜﺘﺒﻪ ﺑـ ‪.................:‬‬

‫ﳏﻀﺮﺍﺳﺘﺠﻮﺍﺏ ﺑﺄﻣﺮ‬
‫)ﺍﳌـﺎﺩﺓ ‪ 311 ، 310‬ﻭ ‪ 312‬ﻣﻦ ‪ :‬ﻕ‪ .‬ﺇ‪..‬ﻡ ‪.‬ﺇ(‬

‫ﺒﺘـﺎﺭﻴﺦ‪ ................ :‬ﻤﻥ ﺸﻬﺭ‪ ..................:‬ﺴﻨﺔ ﺃﻝﻔﻴﻥ ﻭ‪.................................‬‬ ‫ﻤﻠﻑ ﺭﻗﻡ ‪:‬‬
‫ﻨﺤﻥ ﺍﻷﺴﺘﺎﺫ ‪ ....................‬ﻤﺤﻀﺭ ﻗﻀﺎﺌﻲ ﻝﺩﻯ ﻤﺤﻜﻤﺔ ‪....................‬ﻤﺠﻠﺱ ﻗﻀﺎﺀ‪.....‬‬ ‫ﻓﻬﺭﺱ ﺭﻗﻡ ‪:‬‬
‫ﺍﻝﻜﺎﺌﻥ ﻤﻜﺘﺒﻨﺎ ﺒـ ‪..............................................................................:‬‬
‫ﺍﻝﻤـــﻭﻗـــــﻊ ﺃﺩﻨــــﺎﻩ ـــــــــــــــــــــــــــــ‬
‫ﺒﻨﺎﺀ ﻋﻠﻰ ﻁﻠﺏ ﺍﻝﺴﻴﺩ)ﺓ(‪ ):‬ﺍﻝﻬﻭﻴﺔ ﺍﻝﻜﺎﻤﻠﺔ (‪..........................................................‬‬
‫ﺍﻝﺴـــــﺎﻜـــﻥ‪............................................................................ :‬‬
‫ﻭ ﺒﻤﻭﺠﺏ ﺃﻤﺭ ﻋﻠﻰ ﻋﺭﻴﻀﺔ ﺍﻝﺼﺎﺩﺭ ﻋﻥ ﺍﻝﺴﻴﺩ ﺭﺌﻴﺱ ﻤﺤﻜﻤﺔ‪............................‬‬
‫ﺒﺘﺎﺭﻴﺦ ‪....................:‬ﺘﺤﺕ ﺭﻗﻡ ‪.............:‬ﺍﻝﻤﺘﻀﻤﻥ ‪) :‬ﻨﺹ ﺍﻷﻤﺭ(‬
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‫ﻭ ﺒﻨﺎﺀ ﻋﻠﻰ ﺍﻝﻤﺎﺩﺓ ‪ 12 :‬ﺍﻝﻔﻘﺭﺓ ‪ 4‬ﻤﻥ ﺍﻝﻘﺎﻨﻭﻥ ﺭﻗﻡ ‪ 03-06 :‬ﺍﻝﻤﺅﺭﺥ ﻓﻲ ‪ 20 :‬ﻓﺒﺭﺍﻴﺭ ‪2006‬‬
‫ﺍﻝﻤﺘﻀﻤﻥ ﺘﻨﻅﻴﻡ ﻤﻬﻨﺔ ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ ‪ ،‬ﻭ ﺍﻝﻤﻭﺍﺩ ﻤﻥ ‪ 310‬ﺇﻝﻰ ‪ 312‬ﻤﻥ ﻗﺎﻨﻭﻥ ﺍﻹﺠﺭﺍﺀﺍﺕ‬
‫ﺍﻝﻤﺩﻨﻴﺔ ﻭ ﺍﻹﺩﺍﺭﻴﺔ‪.‬‬
‫ا(‪%& '%‬ر‪ "#‬ا! م  ا‪............................................................................................‬‬
‫إ ‪-.)........................................................................................................‬ن ا‪.(#*+‬‬
‫‪U . 8!H%‬ء ‪ S( 3D‬ا>‪ M.‬ا‪8+‬آ ر أ‪./0‬‬
‫و =ل و‪ ،  :‬إ !‪ 9‬ا‪-+‬ن ‪ ،‬و‪ (BU‬ا!‪ ) : B‬ﺍﻝﻬﻭﻴﺔ ﺍﻝﻜﺎﻤﻠﺔ (‪........................................‬‬
‫و &*‪ . B‬أ‪ %HX& /+‬و ا‪MW‬ض ‪ 9. L( 5 + ، %+A. 9.‬ا>‪  M.‬ا*‪ N#M‬ا‪8+‬آ ر أ‪، /0‬‬
‫و &*‪ B‬ا‪ a%‬ا&‪ ، 5‬أ‪: 3# +& &U‬‬
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‫و ‪ BC‬أ(‪ %+A. !A‬و ا(@? ‪ 9.‬ا>‪B= 3D -.‬ود ا ‪..............................................................‬‬

‫ﻟﻜﻲ ﻻ ﳚـﻬـﻞ ﻣﺎ ﺗﻘﺪﻡ‬ ‫= ‪ MR _@P‬ا‪GH@%‬ت =‬

‫ﻭﺍﺜﺒﺎﺘﺎ ﻝﺫﻝﻙ ﺒﻠﻐﻨﺎ ﻭﺘﻜﻠﻤﻨﺎ ﻜﻤﺎ ﺫﻜﺭ ﺃﻋﻼﻩ ﻭﺴﻠﻤﻨﺎ ﻨﺴﺨﺔ ﻤﻥ ﻫﺫﺍ ﺍﻝﻤﺤﻀﺭ ﻝﻠﻤﺨﺎﻁﺏ ﺍﻝﻜل ﻁﺒﻘﺎ‬
‫ﻝﻠﻘﺎﻨﻭﻥ‪.‬‬
‫‪34‬‬ ‫ﻍ‪.‬ﻭ‪.‬ﻡ‪.‬ﻕ‪/‬ﻥ‬
‫ﺍﻝﻤﺤﻀﺭ ﺍﻝﻘﻀﺎﺌﻲ‬ ‫ﺘﻭﻗﻴﻊ ﺍﻭ ﺒﺼﻤﺔ ﺍﻝﻤﺒﻠﻎ ﻝﻪ‬