‫يوم ‪ ................................................................................................... .

:‬الموافق لـ ‪:‬‬
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‫الفترة الصباحية من ‪ :‬سا ‪ 08:00‬إلى ‪ :‬سا ‪10:15‬‬

‫المــد‬
‫أ‬ ‫ح‬ ‫م‬ ‫مـــــــــــؤشــــــــــــــــــرات الكـــــفـــــــــــــــــاءة‬ ‫عنـوان الـدرس‬ ‫الميـــــــدان‬ ‫النشــــــاط‬ ‫ة‬
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‫‪....‬‬ ‫‪.....‬‬ ‫‪....‬‬ ‫‪ 45‬د‬
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‫إلى ‪ :‬سا ‪14:55‬‬ ‫الفترة المسائية من ‪ :‬سا ‪12:40‬‬

‫المــد‬
‫أ‬ ‫ح‬ ‫م‬ ‫مـــــــــــؤشــــــــــــــــــرات الكـــــفـــــــــــــــــاءة‬ ‫عنـوان الـدرس‬ ‫الميــــــــدان‬ ‫النشــــــاط‬ ‫ة‬

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‫‪......................................................................................................... .............................................. ..........................................................‬‬ ‫‪....................................‬‬ ‫‪.................. ..........‬‬ ‫‪................. .......‬‬ ‫د‬

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‫‪...................................................................................................................................................................................................................................................................................................................................‬‬ ‫مالحظات‬
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