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‫اﻟﺠﻤﻬﻮرﻳﺔ اﻟﺘﻮﻧﺴﻴﺔ‬

‫وزارة اﻟﺸﺒﺎب واﻟﺮﻳﺎﺿﺔ واﻹدﻣﺎج اﻟﻤﻬﻨﻲ‬


‫اﻟﻮﻛﺎﻟﺔ اﻟﻮﻃﻨﻴﺔ ﻟﻠﺘﺸﻐﻴﻞ واﻟﻌﻤﻞ اﻟﻤﺴﺘﻘﻞ‬
‫ﻣﻜﺘﺐ اﻟﺘﺸﻐﻴﻞ واﻟﻌﻤﻞ اﻟﻤﺴﺘﻘﻞ ﺑ ـ ـ‪....................... :‬‬
‫أﳕﻮذج ﻋﺪد ‪4‬‬

‫ﲤﺪﻳﺪ اﻟﻌﻘﺪ‬
‫ﻣﻄﻠﺐ‬
‫ﻋﻘﺪ ﺛﺎن‬
‫ﻓﻲ إﻃﺎر ﺑﺮﻧﺎﻣﺞ " ﻋﻘﺪ إﻋﺪاد ﻟﻠﺤﻴﺎة اﻟﻤﻬﻨﻴﺔ"‬

‫أﺗﺸﺮف ﺑﺄن أﻃﻠﺐ ﻣﻨﻜﻢ اﻟﻨﻈﺮ ﰲ ﲤﺪﻳﺪ‪ /‬ﲡﺪﻳﺪ ﻋﻘﺪ إﻋﺪاد ﻟﻠﺤﻴﺎة اﳌﻬﻨﻴﺔ اﳌﱪم ﺑﲔ‪:‬‬
‫ﻣﺆﺳﺴﺔ ‪...........................................................................‬اﳌﻌﺮف اﳉﺒﺎﺋﻲ ‪.................................‬‬
‫واﻟﺴﻴﺪ)ة( ‪.................................................‬ﺻﺎﺣﺐ )ة( ﺑﻄﺎﻗﺔ اﻟﺘﻌﺮﻳﻒ اﻟﻮﻃﻨﻴﺔ رﻗﻢ‪.................................‬‬
‫‪ -‬ﺗﺎرﻳﺦ اﻧﺘﻬﺎء اﻟﻌﻘﺪ اﻟﺴﺎﺑﻖ ‪................................................................................................ :‬‬
‫‪-‬اﳌﺪة اﳌﻄﻠﻮﺑﺔ ‪ ........................... :‬أﺷﻬﺮ إﺿﺎﻓﻴﺔ ﺑﺪاﻳﺔ ﻣﻦ‪...................................‬‬
‫‪ -‬ﻟﻸﺳﺒﺎب اﻟﺘﺎﻟﻴﺔ ‪:‬‬
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‫رأي رﺋﻴﺲ اﻟﻤﻜﺘﺐ‪:‬‬
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‫اﻟﺘﺎرﻳﺦ ‪........................................................................................................ :‬‬

‫إﻣﻀﺎء اﳌﻨﺘﻔﻊ‬ ‫إﻣﻀﺎء وﺧﺘﻢ اﳌﺆﺳﺴﺔ‬


‫اﻷﺳﻢ واﻟﻠﻘﺐ‬

‫ﻣﻼﺣﻈﺔ‪ :‬ﻻ ﳝﻜﻦ ﲤﺪﻳﺪ أو ﲡﺪﻳﺪ ﻓﱰة اﻟﻌﻘﺪ ﺑﺎﻟﻨﺴﺒﺔ ﻟﻠﻤﻨﺘﻔﻌﲔ ﻣﻦ ﻏﲑ ﺣﺎﻣﻠﻲ ﺷﻬﺎدات اﻟﺘﻌﻠﻴﻢ اﻟﻌﺎﱄ أو ﻣﺆﻫﻞ اﻟﺘﻘﲏ اﻟﺴﺎﻣﻲ‬

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