‫لــ‪..........................................................................:‬‬ ‫الموافق‬ ‫‪....................................................................................

:‬‬ ‫يـــــــوم‬
‫من ‪.........................................‬إلــــى‪...............................................‬‬ ‫الفتـــــــــرة الصـبـــاحيــــة‬
‫المقــــطع الحصــة‬ ‫الهـــدف التـــعليـــمي‬ ‫المـــوضـوع‬ ‫النشـــاط‬ ‫الزمـــــن‬
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‫من ‪.........................................‬إلــــى‪...............................................‬‬ ‫الفتـــــــــرة المســــائــيــــــة‬

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‫مالحظــــات‪.............................................................................................................................................................................................................................................:‬‬
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