‫ﳐﻀﺮ ﺍﻟﺘﺤﺎﻕ‬

‫اﻟﻣوﺳم اﻟﺗﻛوﯾﻧﻲ ‪2023/2022‬‬

‫ﻣﺣﺿر اﻻﻟﺗﺣﺎق ﺑﺎﻟﺗﻛوﯾن‬

‫)اﻟﻧﺎﺟﺣون ﻓﻲ ﻣﺑﺎراة ﺗوظﯾف أﺳﺎﺗذة اﻟﺗﻌﻠﯾم اﻻﺑﺗداﺋﻲ ﻣن اﻟدرﺟﺔ اﻟﺛﺎﻧﯾﺔ وأﺳﺎﺗذة اﻟﺗﻌﻠﯾم اﻟﺛﺎﻧوي ﻣن اﻟدرﺟﺔ اﻟﺛﺎﻧﯾﺔ‬
‫اﻷطر اﻟﻧظﺎﻣﯾﺔ ﻟﻸﻛﺎدﯾﻣﯾﺎت اﻟﺟﮭوﯾﺔ ﻟﻠﺗرﺑﯾﺔ واﻟﺗﻛوﯾن – دورة ﻧوﻧﺑر ‪(2022‬‬
‫أﻧﺎ اﻟﻣوﻗﻊ أﺳﻔﻠﮫ‪:‬‬
‫ﺑﺻﻔﺗﻲ ﻣدﯾرا ﻟﻠﻣرﻛز اﻟﺟﮭوي ﻟﻣﮭن اﻟﺗرﺑﯾﺔ واﻟﺗﻛوﯾن ﻟﺟﮭﺔ اﻟداﺧﻠﺔ واﺟدي اﻟذھب‬

‫أﺷﮭد ﺑﺄن اﻟﺳﯾد )ة(‪:‬‬

‫اﻻﺳم اﻟﺷﺧﺻﻲ واﻟﻌﺎﺋﻠﻲ‪................................................................................................ :‬‬
‫‪NOM ET PRENOM:.....................................................................................‬‬
‫ﺗﺎرﯾﺦ وﻣﻛﺎن اﻻزدﯾﺎد‪.................................... :‬‬ ‫رﻗم اﻟﺑطﺎﻗﺔ اﻟوطﻧﯾﺔ ﻟﻠﺗﻌرﯾف‪........................ :‬‬
‫ﻣدﯾرﯾﺔ اﻟﺗرﺷﯾﺢ‪ /‬اﻟﻣدﯾرﯾﺔ اﻹﻗﻠﯾﻣﯾﺔ ل‪................................................................................... :‬‬
‫اﻻﻛﺎدﯾﻣﯾﺔ اﻟﺟﮭوﯾﺔ ﻟﻠﺗرﺑﯾﺔ واﻟﺗﻛوﯾن ﻟﺟﮭﺔ‪.............................................................................. :‬‬
‫ﺗﺎرﯾﺦ اﻻﻟﺗﺣﺎق ﺑﻣﻘر اﻟﻣرﻛز )اﻧطﻼق اﻟﺗﻛوﯾن(‪........................................................................ :‬‬
‫أرﻣل )ة(‬ ‫ﻣطﻠق )ة(‬ ‫ﻣﺗزوج )ة(‬ ‫اﻟﺣﺎﻟﺔ اﻟﻌﺎﺋﻠﯾﺔ‪ :‬ﻋﺎزب )ة(‬
‫اﻟﺳﻠك‪.................................................................................................................... :‬‬
‫اﻟﺗﺧﺻص‪............................................................................................................... :‬‬
‫اﻟﻌﻧوان اﻟﺷﺧﺻﻲ‪.......................................................................................................... :‬‬
‫رﻗم اﻟﮭﺎﺗف‪................................................................................................................. :‬‬
‫اﻟﻌﻧوان اﻻﻟﻛﺗروﻧﻲ‪....................................................................................................... :‬‬
‫ﺣرر ﺑﺎﻟداﺧﻠﺔ ﻓﻲ‪............. /............/........ :‬‬
‫اﺳم وﺗوﻗﯾﻊ اﻟﻣﻌﻧﻲ )ة( ﺑﺎﻷﻣر‪:‬‬
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‫ﺧﺎﺗم وﺗوﻗﯾﻊ‬
‫اﻟﺳﯾد ﻣدﯾر اﻟﻣرﻛز اﻟﺟﮭوي ﻟﻣﮭن اﻟﺗرﺑﯾﺔ واﻟﺗﻛوﯾن‬