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    This document is a withdrawal form from Prince Sattam bin Abdulaziz University for a student named Shujon Saud Ghazi Alotaibi. It provides her student ID number, university ID number, college of Applied Studies, major of Computer Programming and Science, contact phone number, mobile number, email, semester of enrollment, student status of suspended, date of withdrawal, and educational level of Diploma. The form was approved on 19/09/2023 by the dean of the college, dean of student affairs administration of rewards, dean of student affairs administration of student fund, and dean of library affairs.

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    CR_f095b26e-47e7-4435-9eeb-6eb8f4a343fc

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    This document is a withdrawal form from Prince Sattam bin Abdulaziz University for a student named Shujon Saud Ghazi Alotaibi. It provides her student ID number, university ID number, college of Applied Studies, major of Computer Programming and Science, contact phone number, mobile number, email, semester of enrollment, student status of suspended, date of withdrawal, and educational level of Diploma. The form was approved on 19/09/2023 by the dean of the college, dean of student affairs administration of rewards, dean of student affairs administration of student fund, and dean of library affairs.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    5 views1 page

    CR

    Uploaded by

    shjonAlotaibi33
    This document is a withdrawal form from Prince Sattam bin Abdulaziz University for a student named Shujon Saud Ghazi Alotaibi. It provides her student ID number, university ID number, college of Applied Studies, major of Computer Programming and Science, contact phone number, mobile number, email, semester of enrollment, student status of suspended, date of withdrawal, and educational level of Diploma. The form was approved on 19/09/2023 by the dean of the college, dean of student affairs administration of rewards, dean of student affairs administration of student fund, and dean of library affairs.

    Copyright:

    © All Rights Reserved
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    ‫‪Kingdom Of Saudi Arabia‬‬ ‫ﺍﻟﻤﻤﻠﻜﺔ ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﺴﻌﻮﺩﻳﺔ‬

    ‫‪Ministry of Education‬‬ ‫ﻭﺯﺍﺭﺓ ﺍﻟﺘﻌﻠﻴﻢ‬

    ‫‪Prince Sattam bin Abdulaziz University‬‬ ‫ﺟﺎﻣﻌﺔ ﺍﻻﻣﻴﺮ ﺳﻄﺎﻡ ﺑﻦ ﻋﺒﺪﺍﻟﻌﺰﻳﺰ‬

    ‫‪Deanship of Admission and Registration‬‬ ‫ﻋﻤﺎﺩﺓ ﺍﻟﻘﺒﻮﻝ ﻭﺍﻟﺘﺴﺠﻴﻞ‬

    ‫ﻧﻤﻮﺫﺝ ﺇﺧﻼﺀ ﻃﺮﻑ ﻣﻦ ﺍﻟﺠﺎﻣﻌﺔ‬

    ‫‪1131230946‬‬ ‫ﺭﻗﻢ ﺍﻟﻬﻮﻳﺔ‪:‬‬ ‫ﺍﺳﻢ ﺍﻟﻄﺎﻟﺐ‪ :‬ﺷﺠﻮﻥ ﺳﻌﻮﺩ ﻏﺎﺯﻱ ﺍﻟﻌﺘﻴﺒﻲ‬

    ‫‪444953113‬‬ ‫ﺍﻟﺮﻗﻢ ﺍﻟﺠﺎﻣﻌﻲ‪:‬‬ ‫ﺍﻟﺘﻄﺒﻴﻘﻴﺔ‬ ‫ﺍﻟﻜﻠﻴﺔ‪:‬‬

    ‫ﺍﻟﺘﺨﺼﺺ‪ :‬ﺍﻟﺒﺮﻣﺠﺔ ﻭﻋﻠﻮﻡ ﺍﻟﺤﺎﺳﺐ‬ ‫ﺭﻗﻢ ﺍﻟﻬﺎﺗﻒ‪0112312711 :‬‬

    ‫ﺭﻗﻢ ﺍﻟﺠﻮﺍﻝ‪0563005861 :‬‬ ‫ﺍﻟﺒﺮﻳﺪ ﺍﻻﻟﻜﺘﺮﻭﻧﻲ‪shjonALotaibi33@gmail.com :‬‬

    ‫ﻓﺼﻞ ﺍﻻﻟﺘﺤﺎﻕ‪ :‬ﺍﻟﻔﺼﻞ ﺍﻟﺜﺎﻧﻲ ‪1444‬ﻫـ‬ ‫ﻣﻄﻮﻱ ﻗﻴﺪﻩ‬ ‫ﺣﺎﻟﺔ ﺍﻟﻄﺎﻟﺐ‪:‬‬

    ‫‪20/09/2023‬‬ ‫ﺗﺎﺭﻳﺦ ﺇﺧﻼﺀ ﺍﻟﻄﺮﻑ‪:‬‬ ‫ﺍﻟﺪﺭﺟﺔ ﺍﻟﻌﻠﻤﻴﺔ‪ :‬ﺩﺑﻠﻮﻡ ﻣﺘﻮﺳﻂ‬

    ‫ﺗﺎﺭﻳﺦ ﺍﻟﻤﻮﺍﻓﻘﺔ‬ ‫ﺍﻟﺠﻬــــﺔ‬ ‫ﺕ‬


    ‫‪19/09/2023‬‬ ‫ﺍﻟﺘﻄﺒﻴﻘﻴﺔ‬ ‫‪1‬‬
    ‫‪19/09/2023‬‬ ‫ﻋﻤﺎﺩﺓ ﺷﺆﻭﻥ ﺍﻟﻄﻼﺏ ‪ -‬ﺇﺩﺍﺭﺓ ﺍﻟﻤﻜﺎﻓﺂﺕ‬ ‫‪2‬‬
    ‫‪19/09/2023‬‬ ‫ﻋﻤﺎﺩﺓ ﺷﺆﻭﻥ ﺍﻟﻄﻼﺏ ‪ -‬ﺇﺩﺍﺭﺓ ﺻﻨﺪﻭﻕ ﺍﻟﻄﻼﺏ‬ ‫‪3‬‬
    ‫‪19/09/2023‬‬ ‫ﻋﻤﺎﺩﺓ ﺷﺆﻭﻥ ﺍﻟﻤﻜﺘﺒﺎﺕ‬ ‫‪4‬‬

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