‫שם משפחה‪___________________ :‬‬

‫שם פרטי‪_____________________ :‬‬

‫תאריך‪_______________________ :‬‬

‫בראשית פרק ____‬

‫נושא‪/‬י הפרק‪_________________________________________ :‬‬
‫תקציר הפרק‪:‬‬
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‫___________ _____________________________________________________________‬

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‫___________________ _____________________________________________________‬

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‫רעיונות ‪ /‬הצעות ‪ /‬השראות לכתיבת עבודת חקר‪:‬‬

‫הרעיונות‪ ,‬הצעות‪ ,‬השראות‬ ‫‪#‬‬