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ﺧــﺎﺹ ﺑﺎﻟﻤﺘﻌﻠــــﻢ
NOM : HACHELAF ﺍﻟﻠﻘﺐ :ﺣﺸﻼﻑ
PRENOM : NADDIR ﺍﻹﺳﻢ :ﻧﺬﻳﺮ
ﺍﻟﻬﺎﺗﻒ 0773527518 : ﺗﺎﺭﻳﺦ ﻭ ﻣﻜﺎﻥ ﺍﻟﻤﻴﻼﺩ 1996-03-29 :ﺑــ :ﺗﻐﻨﻴﻒ
ﺍﻟﻌﻨﻮﺍﻥ :ﺣﻲ ﺳﻴﺪﻱ ﺳﻨﻮﺳﻲ ﺷﺎﺭﻉ ﺧﻠﻴﻞ ﺍﻟﻤﺎﺣﻲ
ﺍﻟﻮﻻﻳﺔ -ﺍﻟﺪﺍﺋﺮﺓ -ﺍﻟﺒﻠﺪﻳـــﺔ :ﻣﻌﺴﻜﺮ -ﺗﻐﻨﻴﻒ -ﺗﻐﻨﻴﻒ
ﻧﻮﻉ ﺍﻟﺪﺭﻭﺱ :ﺃﺭﺿﻴﺔ ﺍﻟﺘﻌﻠﻴﻢ ﺍﻹﻟﻜﺘﺮﻭﻧﻴ)ﻠﻠﺠﺪﺩ( ﺍﻟﻤﺴﺘﻮﻯ ﻭ ﺍﻟﺸﻌﺒﺔ :ﺛﺎﻟﺜﺔ ﺛﺎﻧﻮﻱ ﻫﻨﺪﺳﺔ ﻛﻬﺮﺑﺎﺋﻴﺔ 353
ﺍﻟﺒﻜﺎﻟﻮﺭﻳﺎ /ﺷ.ﺘ.ﻢ :ﻧﻌﻢ ﻧﻮﻉ ﺍﻟﻄﺎﻟﺐ :ﻣﺘﻌﻠﻢ ﻋﺎﺩﻱ ﻫﻞ ﺃﻧﺖ ﻣﺴﺠﻞ ﺑﺜﺎﻧﻮﻳﺔ ﺃﻭ ﻣﺘﻮﺳﻄﺔ :ﻻ
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ﻣﻼﺣﻈﺔ:
ﺗﺼﺮﻳﺢ ﺷﺮﻓﻲ ﻳﻤﻀﻰ ﻣﻦ ﻃﺮﻑ ﺍﻟﻤﻌﻨﻲ ﻭ ﻳﺼﺎﺩﻕ ﻋﻠﻴﻪ ﻓﻲ ﺍﻟﺒﻠﺪﻳﺔ ،ﻭ ﻳﻘﺺ ﻭ ﻳﻮﺩﻉ ﻓﻲ ﺍﻟﻤﺮﻛﺰ ﺍﻟﻮﻻﺋﻲ ﻣﻊ ﻣﻠﻒ ﺍﻟﺘﺴﺠﻴﻞ.
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ﺗﺼﺮﻳﺢ ﺷﺮﻓﻲ
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ﻓـﻲ ﺇﻃـﺎﺭ ﺍﻹﺟﺮﺍءﺍﺕ ﺍﻟﻘﺎﻧﻮﻧﻴﺔ ﺍﻟﻤﻌﻤﻮﻝ ﺑﻬﺎ ،ﻭﻋﻤﻼ ﺑﺎﻟﻤﻨﺸﻮﺭ ﺭﻗﻢ 444ﺍﻟﻤؤﺭﺥ ﻓﻲ 29ﺟﻮﻳﻠﻴﺔ ، 2000ﻭ ﺍﻟﺼﺎﺩﺭ ﻋﻦ ﻣﺼﺎﻟﺢ ﺭﺋﻴﺲ
ﺍﻟﺤﻜﻮﻣﺔ ،ﺍﻟﻤﺪﻳﺮﻳﺔ ﺍﻟﻌﺎﻣﺔ ﻟﻠﻮﻇﻴﻒ ﺍﻟﻌﻤﻮﻣﻲ ،ﻭﺍﻟﻤﺘﻌﻠﻖ ﺑﺘﻮﺛﻴﻖ ﺍﻟﻤؤﻫﻼﺕ ﻭﺍﻟﺸﻬﺎﺩﺍﺕ ﻭ ﺣﻔﺎﻇﺎ ﻋﻠﻰ ﻣﺼﺪﺍﻗﻴﺔ ﻣؤﺳﺴﺎﺗﻨﺎ ﺍﻟﺘﺮﺑﻮﻳﺔ
ﻭﺍﻟﺘﻌﻠﻴﻤﻴﺔ ،ﻧﻄﻠﺐ ﻣﻦ ﺳﻴﺎﺩﺗﻜﻢ ﺍﻟﻤﺤﺘﺮﻣﺔ ﺇﻓﺎﺩﺗﻨﺎ ﺑﻤﺪﻯ ﺻﺤﺔ ﺍﻟﺸﻬﺎﺩﺓ ﺍﻟﻤﺪﺭﺳﻴﺔ ﺍﻟﻤﻘﺪﻣﺔ ﻣﻦ ﻃﺮﻑ .
ﺍﻟﻤﺘﻌﻠﻢ )ﺓ( :ﺣﺸﻼﻑ ﻧﺬﻳﺮ
ﺗﺎﺭﻳﺦ ﻭ ﻣﻜﺎﻥ ﺍﻟﻤﻴﻼﺩ 1996-03-29 :ﺑــ :ﺗﻐﻨﻴﻒ
ﺍﻟﺴﻨﺔ ﺍﻟﺪﺭﺍﺳﻴﺔ .................................... : ﻣﺴﺠﻞ )ﺓ( ﻓﻲ ﺍﻟﻤﺴﺘﻮﻯ .................................... :
ﺍﺳﻢ ﻭ ﻟﻘﺐ ﻭﺧﺘﻢ ﻭ ﺇﻣﻀﺎﺀ ﻣﺪﻳﺮ )ﺓ( ﺍﻟﻤﺮﻛﺰ ﺍﻟﻮﻻﺋﻲ
ﺍﻟﻤﺘﻌﻠﻢ )ﺓ( ﺍﻟﻤﺬﻛﻮﺭ ﺃﻋﻼﻩ ﻣﺴﺠﻞ )ﺓ( ﺑﺎﻟﺴﺠﻴﻼﺕ ﺍﻟﺮﺳﻤﻴﺔ ﻟﻤؤﺳﺴﺘﻨﺎ ﺗﺤﺖ ﺭﻗﻢ ............... :
ﻟﻠﺴﻨﺔ ﺍﻟﺪﺭﺍﺳﻴﺔ .............. :ﻟﻤﺴﺘﻮﻯ . ...............................
ﺍﻟﻤﻌﺪﻝ ﺍﻟﻌﺎﻡ ﺍﻟﺴﻨﻮﻱ .........:ﺗﺎﺭﻳﺦ ﺍﻟﺨﺮﻭﺝ ...................:ﻭ ﻋﻠﻴﻪ ﺍﻟﺸﻬﺎﺩﺓ ﺍﻟﻤﺪﺭﺳﻴﺔ ﻟﻠﻤﻌﻨﻲ )ﺓ( .............. :
ﺍﻟﻤﺘﻌﻠﻢ )ﺓ( ﺍﻟﻤﺬﻛﻮﺭ ﺃﻋﻼﻩ ﻏﻴﺮ ﻣﺴﺠﻞ )ﺓ( ﺑﺎﻟﺴﺠﻴﻼﺕ ﺍﻟﺮﺳﻤﻴﺔ ﻟﻤؤﺳﺴﺘﻨﺎ ﻭ ﺷﻬﺎﺩﺓ ﻣﺪﺭﺳﻴﺔ ...............
ﺃﻛﺘﺐ ﻓﻲ ﺍﻹﻃﺎﺭ ﺍﻟﺘﺎﻟﻲ :ﺷﻬﺎﺩﺓ ﻣﺪﺭﺳﻴﺔ ﺻﺎﺩﻗﺔ ﺃﻭ ﺷﻬﺎﺩﺓ ﻣﺪﺭﺳﻴﺔ ﻏﻴﺮ ﺻﺎﺩﻗﺔ
-ﺑﻌﺪ ﺍﻟﺨﺘﻢ ﻭ ﺍﻟﻤﺼﺎﺩﻗﺔ ﻋﻠﻰ ﻫﺬﻩ ﺍﻟﻮﺛﻴﻘﺔ ﺗﺮﺟﻊ ﻛﺎﻣﻠﺔ ﺩﻭﻥ ﻗﺼﻬﺎ .