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ﺍﻟﺠﺎﻣﻌــﺔ ﺍﻷﺭﺩﻧﻴــــﺔ
ﺃﻣﺎﻧﺔ ﺳﺮ ﺍﻟﻤﺠﺎﻟﺲ
ﻟﺠﻨﺔ ﺍﻟﺘﻌﻴﻴﻦ ﻭﺍﻟﺘﺮﻗﻴﺔ
* ﻣﻼﺣﻈﺎﺕ :
ﻻ ﻳﻨﻈﺮ ﺇﻻ ﻓﻲ ﺍﻟﻄﻠﺒﺎﺕ ﺍﻟﺘﻲ ﺗﺸﻤﻞ ﺟﻤﻴﻊ ﺍﻟﻤﻌﻠﻮﻣﺎﺕ ﻭﺍﻟﻮﺛﺎﺋﻖ ﺍﻟﻤﻄﻠﻮﺑﺔ ﻭﺍﻟﻤﻄﺎﺑﻘﺔ
ﻟﺸﺮﻭﻁ ﺍﻹﻋﻼﻥ .
ﻳﺮﻓﻖ ﺑﺎﻟﻄﻠﺐ ﻗﺎﺋﻤﺔ ﺗﻔﺼﻴﻠﻴﺔ ﺑﺎﻻﻧﺘﺎﺝ ﺍﻟﻌﻠﻤﻲ ﺍﻟﻤﻨﺸﻮﺭ ﺃﻭ ﺍﻟﻤﻘﺒﻮﻝ ﻟﻠﻨﺸﺮ .
ﻣﻄﺎﺑﻖ
ﻣﺨﺎﻟﻒ
ﺍﻟﻤﻌﻠﻮﻣﺎﺕ ﺍﻟﺸﺨﺼﻴﺔ
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ﺍﻻﺳﻢ ﺍﻟﻜﺎﻣﻞ ............................................................................ :
ﺍﺳﻢ ﺍﻻﻡ ﻗﺒﻞ ﺍﻟﺰﻭﺍﺝ ................................................................... :
ﺃﻧﺜﻰ ﺍﻟﺠﻨﺲ :ﺫﻛﺮ
ﺍﻟﺮﻗﻢ ﺍﻟﻮﻁﻨﻲ ........................................................................... :
ﻣﻜﺎﻥ ﺍﻟﻮﻻﺩﺓ ............................................................................ :
// ﺗﺎﺭﻳﺦ ﺍﻟﻮﻻﺩﺓ :
ﺍﻟﺠﻨﺴﻴﺔ ................................................................................. :
ﺍﻟﺪﻳﺎﻧﺔ .................................................................................... :
ﺭﻗﻢ ﺟﻮﺍﺯ ﺍﻟﺴﻔﺮ ...................... :ﻣﻜﺎﻥ ﻭﺗﺎﺭﻳﺦ ﺻﺪﻭﺭﻩ .......................................... :
ﺭﻗﻢ ﺩﻓﺘﺮ ﺍﻟﻌﺎﺋﻠﺔ ....................... :ﻣﻜﺎﻥ ﻭﺗﺎﺭﻳﺦ ﺻﺪﻭﺭﻩ ........................................ :
ﺍﻟﺤﺎﻟﺔ ﺍﻟﺼﺤﻴﺔ ......................... :ﺃﻳﺔ ﻋﻼﻣﺎﺕ ﻓﺎﺭﻗﺔ ............................................ :
ﺃﺧﺮﻯ .................ﻋﺪﺩ ﺍﻷﺑﻨﺎء ﻣﺘﺰﻭﺝ ﺍﻟﺤﺎﻟﺔ ﺍﻻﺟﺘﻤﺎﻋﻴﺔ :ﺃﻋﺰﺏ
ﺍﺳﻢ ﺍﻟﺰﻭﺝ /ﺍﻟﺰﻭﺟﺔ ........................................................................................ :
ﻣﻜﺎﻥ ﺍﻻﻗﺎﻣﺔ ( ﺍﻟﺪﺍﺋﻢ ) ...................................................................................... :
( ﺍﻟﺤﺎﻟﻲ ) .................................................................................... :
ﺍﻟﻌﻨﻮﺍﻥ ﺍﻟﺒﺮﻳﺪﻱ .............................................................................................. :
.....................................................................................................................
ﺍﻟﺒﺮﻳﺪ ﺍﻹﻟﻜﺘﺮﻭﻧﻲ................................................................................................
ﺭﻗﻢ ﺍﻟﻬﺎﺗﻒ .................................................................................................... :
ﺍﻟﻤﺆﻫﻼﺕ ﺍﻟﻌﻠﻤﻴﺔ
ﺍﻟﺪﺭﺟﺎﺕ
ﺍﻟﺠﺎﻣﻌﺔ ﺍﻟﻜﻠﻴﺔ / ﺳﻨﺔ ﺍﻟﻤﻌﺪﻝ ﻋﺪﺩ ﺍﻟﻌﻠﻤﻴﺔ
ﻭﻣﻜﺎﻧﻬﺎ ﺍﻟﻤﻌﻬﺪ ﻭﺍﻟﺘﻘﺪﻳﺮ ﺳﻨﻮﺍﺕ ﺍﻟﺘﺨﺮﺝ
ﺍﻟﺘﺨﺼﺺ
ﺍﻟﺪﻗﻴﻖ ﺍﻟﺪﺭﺍﺳﺔ
ﺍﻟﺜﺎﻧﻮﻳﺔ ﺍﻟﻌﺎﻣﺔ ﺃﻭ ﻣﺎ
ﻳﻌﺎﺩﻟﻬﺎ
ﺍﻟﺒﻜﺎﻟﻮﺭﻳﻮﺱ
ﺍﻟﻤﺎﺟﺴﺘﻴﺮ
ﺍﻟﺪﻛﺘﻮﺭﺍﻩ
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ﻣﻮﺿﻮﻉ
ﻣﺪﺗﻬﺎ ﺍﻟﺒﻠﺪ ﺟﻬﺔ ﺍﻟﺪﻭﺭﺓ
ﻋﻘﺪﻫ
ﺎ
ﺍﻟﻰ ﻣ
ﻦ
3
ﻣﺤﺎﺩﺛﺔ ﻛﺘﺎﺑﺔ ﻗﺮﺍءﺓ ﺍﻟﻠﻐﺔ
ﻣﻘﺒﻮﻝ ﺟﻴﺪ ﻣﻤﺘﺎﺯ ﻣﻘﺒﻮﻝ ﺟﻴﺪ ﻣﻤﺘﺎﺯ ﻣﻘﺒﻮﻝ ﺟﻴﺪ ﻣﻤﺘﺎﺯ
ﺍﺳﻤﺎء ﻭﻋﻨﺎﻭﻳﻦ ﺛﻼﺛﺔ ﻣﻌﺮﻓﻴﻦ ﻣﻤﻦ ﻟﻬﻢ ﺍﻁﻼﻉ ﻋﻠﻰ ﻧﺸﺎﻁﺎﺗﻚ ﺍﻟﻌﻠﻤﻴﺔ
ﻭﺍﻟﺘﻌﻠﻴﻤﻴﺔ
ﺍﻻﺳﻢ
ﺍﻟﻌﻨﻮﺍﻥ
ﺍﻟﻤﻌﻠﻮﻣﺎﺕ ﺍﻟﻤﺪﺭﺟﺔ ﻓﻲ ﻫﺬﺍ ﺍﻟﻄﻠﺐ ﺻﺤﻴﺤﺔ ﻭﺃﺗﺤﻤﻞ ﻣﺴﺆﻭﻟﻴﺔ ﻋﺪﻡ ﻣﻄﺎﺑﻘﺘﻬﺎ ﻟﻠﻮﺍﻗﻊ.
ﺍﻟﺘﻮﻗﻴﻊ .................................
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