‫الجمهورية الجزائرية الديمقراطية الشعبية‬

‫الديوان الوطني لالمتحانات و‬ ‫وزارة التربية الوطنية‬

‫المسابقات‬
‫اللقب ‪........................................:‬‬ ‫امتحان نهاية مرحلة التعليم الثانوي‬
‫االسم ‪....................................:‬‬ ‫دورة ‪....................................:‬‬
‫تاريخ و مكان االزدياد ‪................................:‬‬ ‫اختبار في مـادة ‪....................... :‬‬
‫يــوم ‪.....................................:‬‬
‫رقم التسجيــل‬

‫اسم و لقب و توقيع الحارسين ‪:‬‬

‫‪..............................................................- 1‬‬
‫‪.............................................................- 2‬‬

‫البد من ملء أعلى هذه الوثيقة ـ و يمنع التوقيع في آخر ورقة اإلجابة‬

‫اختبار في ‪............................................................ :‬‬

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 ‫ال يكتب أي شيء على هذا الجزء‬

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