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‫ﺍﻟﺠ ـﻤــﻬﻮﺭﻳــﺔ ﺍﻟﺠــﺰﺍﺋﺮﻳــﺔ ﺍﻟﺪﻳــﻤﻘﺮﺍﻃﻴــﺔ ﺍﻟ ـﺸ ـﻌــﺒﻴــﺔ‬

‫ﺇﺷﻌﺎﺭ ﺑﺈﺭﺳﺎﻝ ﻃﻠــﺐ ﺗﺼﺤﻴـﺢ ﺍﻷﺧﻄﺎﺀ ﺍﻟﻮﺍﺭﺩﺓ ﻓﻲ ﻭﺛﺎﺋﻖ ﺍﻟﺤﺎﻟﺔ ﺍﻟﻤﺪﻧﻴﺔ‬


‫ﺍﻟﻤﺘﻌﻠﻘﺔ ﺑـﺎﻟﻤﻴﻼﺩ‪ ،‬ﺍﻟﺰﻭﺍﺝ‪ ،‬ﺍﻟﻮﻓﺎﺓ‬
‫ﺭﻗﻢ ﺍﻟﻄﻠﺐ‪:‬‬
‫‪2019/2712/2‬‬
‫ﺍﻟﻠﻘﺐ‪ :‬ﺑﻮﺯﻳﺎﻥ‬
‫ﺍﻹﺳﻢ‪ :‬ﻋﺒﺪﺍﻟﻘﺎﺩﺭ‬
‫ﺍﻟﺠﻨﺲ‪ :‬ﺫﻛﺮ‬
‫ﺗﺎﺭﻳﺦ ﺍﻟﻤﻴﻼﺩ‪1999/07/20 :‬‬
‫ﻣﻜﺎﻥ ﺍﻟﻤﻴﻼﺩ‪ :‬ﺳﻴﺪﻱ ﻋﻠﻲ )ﺑﻠﺪﻳﺔ ﺳﻴﺪﻱ ﻋﻠﻲ‪ ،‬ﻭﻻﻳﺔ ﻣﺴﺘﻐﺎﻧﻢ(‬
‫ﺍﻟﺠﻨﺴﻴﺔ‪ :‬ﺟﺰﺍﺋﺮﻳﺔ‬
‫ﺇﺳﻢ ﺍﻷﺏ‪ :‬ﺃﻣﺤﻤﺪ‬
‫ﻟﻘﺐ ﻭ ﺇﺳﻢ ﺍﻷﻡ‪ :‬ﻋﺒﺪﺍﻟﺴﺘﺎﺭ ﻓﺎﻃﻤﺔ‬
‫ﺍﻟﻌﻨﻮﺍﻥ‪ :‬ﺩﻭﺍﺭ ﺍﻟﺼﻮﺍﺑﺮﻳﺔ‬
‫ﺭﻗﻢ ﺍﻟﻬﺎﺗﻒ ﺍﻟﻨﻘﺎﻝ‪0554351598 :‬‬
‫ﺍﻟﺼﻔﺔ‪ :‬ﺍﻟﻤﻌﻨﻲ‬

‫ﺍﻟﻮﺛﻴﻘﺔ ﺍﻟﻤﻌﻨﻴﺔ ﺑﺎﻟﺘﺼﺤﻴﺢ‪ :‬ﺍﻟﻤﻴﻼﺩ‬


‫ﺍﻟﺮﻗﻢ‪674 :‬‬
‫ﺍﻟﺒﻠﺪﻳﺔ ﺍﻟﻤﺴﺠﻞ ﺑﻬﺎ ﺍﻟﻌﻘﺪ‪ :‬ﺑﻠﺪﻳﺔ ﺳﻴﺪﻱ ﻋﻠﻲ‪ ،‬ﻭﻻﻳﺔ ﻣﺴﺘﻐﺎﻧﻢ‬
‫ﺍﻟﺨﺎﺹ ﺑﺎﻟﻄﺎﻟﺐ ﻧﻔﺴﻪ‬

‫ﺗﺤﺪﻳﺪ ﺍﻷﺧﻄﺎﺀ‬

‫ﺍﻟﺼﺤﻴﺢ‬ ‫ﺍﻟﺨﻄﺄ‬ ‫ﺍﻟﺒﻴﺎﻥ‬


‫ﺩﻭﺍﺭ ﺍﻟﺼﻮﺍﺑﺮﻳﺔ‬ ‫ﺭﻭﺍﻭﻧﺔ ﺑﻦ ﻋﺒﺪ ﺍﻟﻤﺎﻟﻚ ﺭﻣﻀﺎﻥ‬ ‫ﻣﻜﺎﻥ ﺇﻗﺎﻣﺔ ﺍﻟﻮﺍﻟﺪﻳﻦ‬

‫ﺍﻟﻮﺛﺎﺋﻖ ﺍﻟﻤﺮﻓﻘﺔ‬
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‫‪2019/11/09‬‬ ‫ﺃﺭﺳﻞ ﺍﻟﻄﻠﺐ ﺑﺘﺎﺭﻳﺦ‪:‬‬


‫ﻟﻘﺐ ﻭ ﺇﺳﻢ ﺍﻟﻄﺎﻟﺐ‬
‫ﺑﻮﺯﻳﺎﻥ ﻋﺒﺪ ﺍﻟﻘﺎﺩﺭ‬

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