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‫ﻧﻤﻮﺫﺝ ﺇﺧﻼء ﺍﻟﻄﺮﻑ‬

‫ﺍﻟﺴﺎﺩﺓ‪ /‬ﻗﻄﺎﻉ ﺍﻟﻌﻀﻮﻳﺔ ﺑﺎﻟﺒﻮﺭﺻﺔ ﺍﻟﻤﺼﺮﻳﺔ‬


‫ﻧﺸﻬﺪ ﻧﺤﻦ ﺷﺮﻛﺔ‪ ........................................./‬ﺑﺄﻧﻪ ﺗﻢ ﺇﺧﻼء ﻁﺮﻑ ﺍﻟﺴﻴﺪ‪..................................../‬‬
‫ﻣﻦ ﻭﻅﻴﻔﺔ‪ ......................... :‬ﻓﻲ ﺗﺎﺭﻳﺦ‪ ........../..../.... :‬ﻭﺃﻧﻪ ﻟﻴﺲ ﻟﺪﻳﻪ ﺃﻳﺔ ﻣﺘﻌﻠﻘﺎﺕ ﺃﻭ ﺇﻟﺘﺰﺍﻣﺎﺕ ﺗﺠﺎﻩ ﺟﻬﺔ‬
‫ﺍﻟﻌﻤﻞ ﻛﻤﻨﻔﺬ ﻋﻤﻠﻴﺎﺕ‪ /‬ﻣﺪﻳﺮ ﺣﺴﺎﺏ ﺑﺎﻟﺸﺮﻛﺔ‪.‬‬
‫‪/‬‬ ‫‪/‬‬ ‫ﺍﻟﺘﺎﺭﻳﺦ‪:‬‬
‫ﺻﻔﺘﻪ‪:‬‬ ‫ﺍﺳﻢ ﺍﻟﻤﻤﺜﻞ ﺍﻟﻘﺎﻧﻮﻧﻲ ﻟﻠﺠﻬﺔ‪:‬‬
‫ﺧﺘﻢ ﺍﻟﺠﻬﺔ‪:‬‬ ‫ﺍﻟﺘﻮﻗﻴﻊ‪:‬‬

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