‫اﻟﺠﻤﮭﻮرﯾﺔ اﻟﺠﺰاﺋﺮﯾﺔ اﻟﺪﯾﻤﻮﻗﺮاطﯿﺔ اﻟﺸﻌﺒﯿﺔ‬

‫‪REPUBLIQUE ALGERIENN E DEMOCRATIQUE ET POPULAIRE‬‬

‫وزارة اﻟﺘﻌﻠﯿﻢ اﻟﻌﺎﻟﻲ واﻟﺒﺤﺚ اﻟﻌﻠﻤﻲ‬
‫‪MINISTEREDE L’ENSEIGNEMENT S UPERIEUR‬‬
‫‪ET D E LA RECHERCHE SCIENTIFIQ UE‬‬
‫ﺟﺎﻣﻌﺔ اﻟﺠﺰاﺋﺮ ‪3‬‬
‫‪UNIVERSITE D’ALGER 03‬‬
‫ﻛﻠﯿﺔ اﻟﻌﻠﻮم اﻻﻗﺘﺼﺎدﯾﺔ و اﻟﻌﻠﻮم اﻟﺘﺠﺎرﯾﺔ وﻋﻠﻮم اﻟﺘﺴﯿﯿﺮ‬
‫‪FAC ULTE DES SC IENCES ECONOMIQ UES DES SCIENC ES COMMERCIALES‬‬
‫‪ET D ES SCIENC E DE GESTIO N‬‬

‫اﻟﺘﺨﺼﺺ ‪............................. :‬‬ ‫ﻣﺼﻠﺤﺔ اﻟﺘﺮﺑﺼﺎت واﻟﻤﺬﻛﺮات‬

‫اﻟﺮﻗﻢ ‪N° : .................................:‬‬ ‫ﻗﺴﻢ‪................................ :‬‬

‫إﻟﻰ اﻟﺴﻴﺪ ﻣﺪﻳﺮ اﻟﻤﺆﺳﺴﺔ اﻟﻤﺴﺘﻘﺒﻠﺔ‬

‫اﻟﻤﻮﺿﻮع‪ :‬ﻃﻠﺐ اﻟﺴﻤﺎح ﺑﺈﺟﺮاء ﺗﺮﺑﺺ ﺗﻄﺒﻴﻘﻲ )‪(Demande de stage pratique‬‬

‫ﻓﻲ إﻃﺎر اﻟﺘﻨﺴﻴﻖ ﺑﻴﻦ اﻟﺠﺎﻣﻌﺔ وﻣﺤﻴﻄﻬﺎ اﻟﺨﺎرﺟﻲ‪ ،‬وﺑﻬﺪف اﻟﺮﻓﻊ ﻣﻦ اﻟﻤﺴﺘﻮى اﻟﻌﻠﻤﻲ وﺗﻮﻃﻴﺪ اﻟﺘﻜﺎﻣﻞ ﺑﻴﻦ اﻟﻨﻈﺮﻳﺔ‬
‫واﻟﺘﻄﺒﻴﻖ‪ ،‬ﻓﺈﻧﻨﺎ ﻧﺮﺟﻮ ﻣﻨﻜﻢ اﻟﺴﻤﺎح ﻟﻠﻄﺎﻟﺐ )ة( اﻟﻤﺴﺠﻞ )ة( ﻓﻲ اﻟﺴﻨﺔ اﻟﺜﺎﻧﻴﺔ ﻣﺎﺳﺘﺮ‪:‬‬

‫ﻣﻜﺎن اﻻزدﻳﺎد‬ ‫ﺗﺎرﻳﺦ اﻟﻤﻴﻼد‬ ‫اﻟﻠﻘﺐ واﻻﺳﻢ‬ ‫اﻟﺮﻗﻢ اﻵﻟﻲ‬

‫ﻟﻠﻘﻴﺎم ﺑﺘﺮﺑﺺ ﺗﻄﺒﻴﻘﻲ ﻳﺴﻤﺢ ﻟﻬﻢ ﺑﺠﻤﻊ اﻟﻤﻌﻠﻮﻣﺎت وﺗﺤﻀﻴﺮ ﺗﻘﺮﻳﺮ اﻟﺘﺮﺑﺺ ) ‪ (Rapport de stage‬ﻋﻦ أﺣﺪ اﻷﻧﺸﻄﺔ‬
‫ﺑﻤﺆﺳﺴﺘﻜﻢ ﻟﻨﻴﻞ اﻟﺸﻬﺎدة اﻟﺠﺎﻣﻌﻴﺔ ﻣﺎﺳﺘﺮ ل م د ) ‪. ( LMD‬‬

‫ﻓﻲ اﻧﺘﻈﺎر إﻓﺎدﺗﻨﺎ ﺑﺎﻟﺮد‪ ،‬ﺗﻘﺒﻠﻮا ﻣﻨﺎ ﺳﻴﺎدة اﻟﻤﺪﻳﺮ ﻓﺎﺋﻖ اﻟﺘﻘﺪﻳﺮ واﻻﺣﺘﺮام‪.‬‬

‫اﻟﺠﺰاﺋﺮ ﻓﻲ‪.................................. :‬‬

‫ع‪ /‬ﻣﺪﻳﺮ اﻟﻤﺆﺳﺴﺔ اﻟﻤﺴﺘﻘﺒﻠﺔ‪:‬‬