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‫ﻣﺆﺳﺴﺔ ﺍﻣﻴﻦ ﺍﻻﻣﺎﻥ ﻻﺩﻭﺍﺕ‬ ‫ﺍﺳﻢ ﺍﻟﺸﺮﻛﺔ‪/‬ﺍﻟﻤﺆﺳﺴﺔ ‪:‬‬

‫ﻭﻣﻮﺍﺩ ﺍﻟﺴﻼﻣﺔ‬
‫ﺑﺴﻤﻪ ﺃﺣﻤﺪ ﻋﻮﺩﺓ ﺍﻟﻠﻪ ﺍﻟﻌﻨﺰﻱ‬ ‫ﺍﺳﻢ ﺍﻟﻤﺴﺆﻭﻝ ‪:‬‬
‫ﺳﻼﻣﺔ‬
‫‪Salamah‬‬
‫‪966545311368‬‬ ‫ﺭﻗﻢ ﺍﻟﺠﻮﺍﻝ‪:‬‬

‫‪amen.alman2022@gmail.com‬‬ ‫ﺍﻟﺒﺮﻳﺪ ﺍﻹﻟﻜﺘﺮﻭﻧﻲ‪:‬‬

‫ﺷﻬﺎﺩﺓ ﺗﺮﻛﻴﺐ ﺃﺩﻭﺍﺕ ﺍﻟﻮﻗﺎﻳﺔ ﻭﺍﻟﺤﻤﺎﻳﺔ ﻣﻦ ﺍﻟﺤﺮﻳﻖ )ﻓﺎﺗﻮﺭﺓ ﺳﻼﻣﺔ(‬


‫ﻋﻠﻰ ﻣﻨﺸﺂﻩ ﻟﻨﺸﺎﻁ ﻓﻮﺭﻱ ﻓﻘﻂ‬
‫‪100442429‬‬ ‫ﺭﻗﻢ ﺍﻟﺸﻬﺎﺩﺓ‪:‬‬

‫‪1445-05-01‬‬ ‫ﺗﺎﺭﻳﺦ ﺇﺻﺪﺍﺭ ﺍﻟﺸﻬﺎﺩﺓ‪:‬‬

‫ﺑﻴﺎﻧﺎﺕ ﺻﺎﺣﺐ ﺍﻟﻤﻨﺸﺄﺓ )ﺍﻟﻤﺴﺘﺜﻤﺮ(‬

‫ﺍﻟﺴﺠﻞ ﺍﻟﺘﺠﺎﺭﻱ‪:‬‬ ‫ﺍﻟﻌﻨﻮﺍﻥ ﺍﻟﻮﻃﻨﻲ‪:‬‬ ‫ﺭﻗﻢ ﻭﺯﺍﺭﺓ ﺍﻟﺪﺍﺧﻠﻴﺔ‪:‬‬ ‫ﺍﺳﻢ ﺍﻟﻤﺴﺘﺜﻤﺮ‪:‬‬

‫‪3550145895‬‬ ‫ﺍﻟﻨﻬﻀﺔ‬ ‫‪7029906810‬‬ ‫ﻣﺆﺳﺴﺔ ﺳﻤﺎ ﺍﻳﺎﻥ ﻟﻠﻤﻘﺎﻭﻻﺕ‬


‫ﺍﻟﻤﻌﻤﺎﺭﻳﺔ ﺍﻟﻌﺎﻣﺔ‬
‫ﺍﻟﻤﺪﻳﻨﺔ‪:‬‬ ‫ﺍﻟﻤﻨﻄﻘﺔ‪:‬‬ ‫ﺍﺳﻢ ﺍﻟﻔﺮﻉ‪:‬‬ ‫ﺍﺳﻢ ﺍﻟﻤﻨﺸﺄﺓ‪:‬‬

‫ﺗﺒﻮﻙ‬ ‫ﻣﻨﻄﻘﺔ ﺗﺒﻮﻙ‬ ‫ﻣﺆﺳﺴﺔ ﺳﻤﺎ ﺍﻳﺎﻥ ﻟﻠﻤﻘﺎﻭﻻﺕ‬ ‫ﻣﺆﺳﺴﺔ ﺳﻤﺎ ﺍﻳﺎﻥ ﻟﻠﻤﻘﺎﻭﻻﺕ‬
‫ﺍﻟﻤﻌﻤﺎﺭﻳﺔ ﺍﻟﻌﺎﻣﺔ‬ ‫ﺍﻟﻤﻌﻤﺎﺭﻳﺔ ﺍﻟﻌﺎﻣﺔ‬
‫ﺭﻗﻢ ﺍﻟﻤﺨﻄﻂ ﺍﻟﺘﻨﻈﻴﻤﻲ‪:‬‬ ‫ﺭﻗﻢ ﺍﻟﻘﻄﻌﺔ‪:‬‬ ‫ﻣﺴﺎﺣﺔ ﺍﻟﻤﺤﻞ ﺍﻟﻔﻌﻠﻴﺔ‪:‬‬ ‫ﺍﻟﺸﺎﺭﻉ‪:‬‬ ‫ﺍﻟﺤﻲ‪:‬‬

‫‪8561‬‬ ‫‪3740‬‬ ‫‪50‬‬ ‫ﺍﺳﻌﺪ ﺑﻦ ﻋﺒﻴﺪ‬ ‫ﺍﻟﻨﻬﻀﺔ‬

‫ﻧﻮﻉ ﺍﻟﻨﺸﺎﻁ‪:‬‬ ‫ﻛﻮﺩ ﺍﻻﻳﺰﻙ‪:‬‬ ‫ﻣﺴﺎﺣﺔ ﺍﻟﻤﺒﻨﻰ ﺣﺴﺐ ﺭﺧﺼﺔ ﺍﻟﺒﻨﺎﺀ‪ :‬ﻧﺸﺎﻁ ﺍﻻﻳﺰﻙ‪:‬‬

‫ﻣﻜﺘﺐ‬ ‫‪410010‬‬ ‫ﺍﻹﻧﺸﺎﺀﺍﺕ ﺍﻟﻌﺎﻣﺔ ﻟﻠﻤﺒﺎﻧﻲ‬ ‫‪50‬‬


‫ﺍﻟﺴﻜﻨﻴﺔ‬

‫ﺑﻴﺎﻧﺎﺕ ﺍﻟﻤﻨﺘﺠﺎﺕ‬

‫ﺍﻟﻜﻤﻴﺔ‬ ‫ﻧﻮﻉ ﺍﻟﻤﻨﺘﺞ‬

‫‪2‬‬ ‫ﻃﻔﺎﻳﺔ ﺣﺮﻳﻖ‬

‫‪4‬‬ ‫ﺃﺧﺮﻯ‬

‫* ﻻ ﺗﺘﺤﻤﻞ ﺍﻟﻤﺪﻳﺮﻳﺔ ﺍﻟﻌﺎﻣﺔ ﻟﻠﺪﻓﺎﻉ ﺍﻟﻤﺪﻧﻲ ﺃﻱ ﻣﺴﺆﻭﻟﻴﺔ ﻣﻦ ﺣﻴﺚ ﻋﺪﻡ ﺩﻗﺔ ﺍﻟﺒﻴﺎﻧﺎﺕ ﺍﻟﻤﺴﺠﻠﺔ ﻭﺍﻻﻋﻴﺎﻥ )ﺍﻟﻤﻨﺘﺠﺎﺕ ﺍﻟﻤﺒﺎﻋﺔ( ﻭﺃﻱ ﺧﻄﺄ ﻓﻲ ﺍﻟﻤﺪﺧﻼﺕ ﺍﻭ ﻓﻲ‬
‫ﺣﺎﻝ ﻭﺟﻮﺩ ﻧﻘﺺ ﻓﻲ ﺍﻟﻤﺘﻄﻠﺒﺎﺕ ﺍﻟﻤﻄﻠﻮﺑﺔ ﻓﺈﻧﻬﺎ ﺗﻘﻊ ﺗﺤﺖ ﻣﺴﺆﻭﻟﻴﺔ ﺻﺎﺣﺐ ﺍﻟﻤﻨﺸﺄﺓ ﻭﺍﻟﺸﺮﻛﺔ ‪/‬ﺍﻟﻤﺆﺳﺴﺔ ﺍﻟﻤﺼﺪﺭﺓ ﻟﻠﺸﻬﺎﺩﺓ‪.‬‬

‫ﺻﻔﺤﺔ ‪ 1‬ﻣﻦ ‪1‬‬

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