‫اﻟﺠﻤﻬﻮرﻳﺔ اﻟﺠﺰاﺋﺮﻳﺔ اﻟﺪﻳﻤﻘﺮاﻃﻴﺔ اﻟﺸﻌﺒﻴﺔ‬

‫وزارة اﻟﺘﺮﺑﻴﺔ اﻟﻮﻃﻨﻴﺔ‬

‫اﻟﺴﻴﺪ‪ /‬ﻣﻔﺘﺶ اﻟﺘﺮﺑﻴﺔ و اﻟﺘﻌﻠﻴﻢ‬ ‫ﻣﺪﻳﺮﻳﺔ اﻟﺘﺮﺑﻴﺔ ﻟﻮﻻﻳﺔ ‪..........................‬‬

‫ﻟﻤﺎدة‪....................................... :‬‬ ‫ﻣﺘﻮﺳﻄﺔ‪........................................... :‬‬

‫ﻋﺪد اﻟﻤﻨﺎﺻﺐ اﻟﻤﻔﺘﻮﺣﺔ ‪............. :‬‬ ‫‪.................................................‬‬

‫ﻋﺪد اﻟﻤﻨﺎﺻﺐ اﻟﻤﺸﻐﻮﻟﺔ ‪............ :‬‬
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‫‪:‬‬ ‫
‪  -‬ت  ا‬

‫اﺳﻢ اﻟﻤﺪﻳﺮ ‪................. :‬ﺑﻠﺪﻳﺔ ‪.................. :‬داﺋﺮة ‪.................... :‬اﻟﻬﺎﺗﻒ ‪.................. :‬ﻧﻈﺎﻣﻬﺎ ‪.............. :‬‬
‫اﻷﻓﻮاج اﻟﺘﺮﺑﻮﻳﺔ‪ ..................... :‬اﻟﻌﺪد اﻹﺟﻤﺎﻟﻲ ﻟﻠﺘﻼﻣﻴﺬ ‪.......................... :‬اﻷﺳﺘﺎذ اﻟﻤﺴﺆول ﻋﻦ اﻟﻤﺎدة ‪..................... :‬‬

‫ﻋﺪد اﻟﺤﺠﺮات ‪.................. :‬ﻋﺪد اﻟﻤﺨﺎﺑﺮ‪ ............. :‬اﻟﻤﺪرج‪.................... :‬اﻟﻮﺳﺎﺋﻞ اﻟﻌﻠﻤﻴﺔ ‪................ :‬اﻟﻤﺨﺒﺮي‪........... :‬‬

‫‪  -‬ت   ة ادة ‪:‬‬

‫ا ‪4'3/‬‬ ‫ا '‬ ‫ر‪"#‬‬

‫ا* م‬ ‫ا‪56‬‬ ‫ر‪"#‬‬ ‫ا ه‪,‬‬ ‫ا& ا ('‬ ‫ر‪ "#‬و !ن‬
‫ا‪06‬ب‬ ‫أول‬ ‫ا‪/0‬‬ ‫ا  و ا‬ ‫ا‬
‫ا ‪+6‬ة‬ ‫ادار‪#‬‬ ‫ا‪56‬‬ ‫ا‪3‬ر‪"#‬‬ ‫ا‪+‬ر‪:‬‬ ‫ر‪"#‬‬ ‫ا‪' 3‬‬ ‫ا ‪.‬‬ ‫و ‪+‬د ا*و)د‬ ‫ازد‪#‬د‬
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‫>=<ت اى ‪..................................................................................................................................... :‬‬