‫‪.

‬ﺍﻁﻼﻋﺎﺕ ﺷﻤﺎ ﺑﺎ ﻣﻮﻓﻘﻴﺖ ﺛﺒﺖ ﺷﺪ‬

‫ﮐﺪﭘﻴﮕﻴﺮﯼ‬
‫‪x120C55M560‬‬

‫ﺯﻣﺎﻥ ﺍﺭﺳﺎﻝ‪1402/11/16­ 09:29 :‬‬

‫ﻓﺮﻡ ﺩﻋﻮﺕ ﺑﻪ ﻫﻤﮑﺎﺭﯼ‬

‫ﻣﺸﺨﺼﺎﺕ ﻓﺮﺩﯼ ﻭ ﻅﺎﻫﺮﯼ‬

‫‪0015017060‬‬ ‫ﮐﺪ ﻣﻠﯽ‬ ‫‪0015017060‬‬ ‫ﺷﻤﺎﺭﻩ ﺷﻨﺎﺳﻨﺎﻣﻪ‬ ‫ﺍﺣﺴﺎﻥ ﺣﺎﺟﻴﺎﻥ ﻧﮋﺍﺩ‬ ‫ﻧﺎﻡ ﻭ ﻧﺎﻡ ﺧﺎﻧﻮﺍﺩﮔﯽ‬

‫ﺗﻬﺮﺍﻥ‬ ‫ﻣﺤﻞ ﺗﻮﻟﺪ‬ ‫‪1371/04/08‬‬ ‫ﺗﺎﺭﻳﺦ ﺗﻮﻟﺪ‬ ‫ﻣﺮﺩ‬ ‫ﺟﻨﺴﻴﺖ‬

‫ﺍﺳﻼﻡ‬ ‫ﺩﻳﻦ‬ ‫ﺭﺿﺎ‬ ‫ﻧﺎﻡ ﭘﺪﺭ‬ ‫ﺗﻬﺮﺍﻥ‬ ‫ﺻﺎﺩﺭﻩ ﺍﺯ‬

‫‪185‬‬ ‫ﻗﺪ )ﺳﺎﻧﺘﻴﻤﺘﺮ(‬ ‫ﺑﻠﯽ‬ ‫ﺧﺎﻧﻮﺍﺩﻩ ﺍﻳﺜﺎﺭﮔﺮ‬ ‫ﺷﻴﻌﻪ‬ ‫ﻣﺬﻫﺐ‬

‫ﻗﻬﻮﻩ ﺍﯼ‬ ‫ﺭﻧﮓ ﭼﺸﻢ‬ ‫ﺳﻔﻴﺪ‬ ‫ﺭﻧﮓ ﭼﻬﺮﻩ‬ ‫‪90‬‬ ‫ﻭﺯﻥ )ﮐﻴﻠﻮﮔﺮﻡ(‬

‫ﻭﺿﻌﻴﺖ ﺗﺄﻫﻞ‬

‫ﻣﺠﺮﺩ‬ ‫ﻭﺿﻌﻴﺖ ﺗﺄﻫﻞ‬

‫ﻭﺿﻌﻴﺖ ﻧﻈﺎﻡ ﻭﻅﻴﻔﻪ ﻋﻤﻮﻣﯽ‬

‫ﻣﻮﺍﺭﺩ ﺧﺎﺹ‬ ‫ﻧﻮﻉ ﻣﻌﺎﻓﻴﺖ‬ ‫ﻣﻌﺎﻓﻴﺖ‬ ‫ﻭﺿﻌﻴﺖ ﻧﻈﺎﻡ ﻭﻅﻴﻔﻪ‬

‫ﻣﺸﺨﺼﺎﺕ ﻣﺤﻞ ﺳﮑﻮﻧﺖ‬

‫ﮐﺮﺝ‬ ‫ﺷﻬﺮﺳﺘﺎﻥ‬ ‫ﺍﻟﺒﺮﺯ‬ ‫ﺍﺳﺘﺎﻥ‬

‫ﺗﻤﻠﻴﮑﯽ‬ ‫ﻭﺿﻌﻴﺖ ﺗﻤﻠﮏ‬ ‫‪3139943635‬‬ ‫ﮐﺪ ﭘﺴﺘﯽ‬

‫ﮐﺮﺝ­ﺳﻪ ﺭﺍﻩ ﮔﻮﻫﺮﺩﺷﺖ­ﻳﺎﺳﺮ‪­5‬ﭘﻼﮎ‪­60‬ﺳﺎﺧﺘﻤﺎﻥ ﮔﻞ ﻣﺮﻳﻢ­ﻭﺍﺣﺪ‪9‬‬ ‫ﻧﺸﺎﻧﯽ‬

‫‪09125615961‬‬ ‫ﺷﻤﺎﺭﻩ ﻫﻤﺮﺍﻩ ﺿﺮﻭﺭﯼ‬ ‫‪09355564876‬‬ ‫ﺷﻤﺎﺭﻩ ﻫﻤﺮﺍﻩ‬ ‫ﺷﻤﺎﺭﻩ ﺛﺎﺑﺖ )ﺑﺎ ﺫﮐﺮ ﮐﺪ ﺷﻬﺮﺳﺘﺎﻥ( ‪02634885499‬‬

‫ﻣﺸﺨﺼﺎﺕ ﺷﻐﻞ ﻣﻮﺭﺩ ﺗﻘﺎﺿﺎ‬

‫ﻣﺘﺼﺪﯼ ﺩﻓﺘﺮ‬ ‫ﻋﻨﻮﺍﻥ ﺷﻐﻞ ﻣﻮﺭﺩ ﺗﻘﺎﺿﺎ‬

‫‪1396‬‬ ‫ﺳﺎﻝ ﺧﻮﺩﺭﻭ‬ ‫ﺗﻴﺒﺎ‪2‬‬ ‫ﻧﻮﻉ ﺧﻮﺩﺭﻭ‬ ‫ﺩﺍﺭﻡ‬ ‫ﺧﻮﺩﺭﻭﯼ ﺷﺨﺼﯽ )ﺩﺭ ﺻﻮﺭﺕ‬
‫ﺍﻧﺘﺨﺎﺏ ﺷﻐﻞ ﺭﺍﻧﻨﺪﻩ(‬

‫ﻣﻮﺗﻮﺭ ﺳﻴﮑﻠﺖ )ﺩﺭ ﺻﻮﺭﺕ‬

‫ﺍﻧﺘﺨﺎﺏ ﺷﻐﻞ ﺗﺤﺼﻴﻠﺪﺍﺭ(‬

‫ﮐﺮﺝ‬ ‫ﺷﻬﺮ ﻣﻮﺭﺩ ﺗﻘﺎﺿﺎ‬ ‫ﺍﻟﺒﺮﺯ‬ ‫ﺍﺳﺘﺎﻥ ﻣﻮﺭﺩ ﺗﻘﺎﺿﺎ‬

‫ﻣﺸﺨﺼﺎﺕ ﺍﻓﺮﺍﺩ ﺧﺎﻧﻮﺍﺩﻩ )ﭘﺪﺭ‪ ،‬ﻣﺎﺩﺭ‪ ،‬ﺧﻮﺍﻫﺮﺍﻥ ﻭ ﺑﺮﺍﺩﺭﺍﻥ( ﺑﻪ ﺗﺮﺗﻴﺐ ﺳﻦ‬

‫ﺑﺎﺯﻧﺸﺴﺘﻪ ﻭﺯﺍﺭﺕ ﺩﻓﺎﻉ ﺑﺎﺩﺭﺟﻪ ﺳﺮﺩﺍﺭﯼ)ﺳﺮﺩﺍﺭ‬ ‫ﺷﻐﻞ‬ ‫ﭘﺪﺭ‬ ‫ﻧﺴﺒﺖ‬ ‫ﺭﺿﺎﺣﺎﺟﻴﺎﻥ ﻧﮋﺍﺩ‬ ‫ﻧﺎﻡ ﻭ ﻧﺎﻡ ﺧﺎﻧﻮﺍﺩﮔﯽ‬
‫ﺳﭙﺎﻩ(‬

‫ﻣﻌﻠﻢ ﺑﺎﺯﻧﺸﺴﺘﻪ‬ ‫ﺷﻐﻞ‬ ‫ﻣﺎﺩﺭ‬ ‫ﻧﺴﺒﺖ‬ ‫ﻣﻨﺼﻮﺭﻩ ﻋﻮﺽ ﺁﺑﺎﺩﻳﺎﻥ‬ ‫ﻧﺎﻡ ﻭ ﻧﺎﻡ ﺧﺎﻧﻮﺍﺩﮔﯽ‬

‫ﺩﺍﻧﺸﺠﻮ‬ ‫ﺷﻐﻞ‬ ‫ﺑﺮﺍﺩﺭ‬ ‫ﻧﺴﺒﺖ‬ ‫ﺣﺎﻣﺪﺣﺎﺟﻴﺎﻥ ﻧﮋﺍﺩ‬ ‫ﻧﺎﻡ ﻭ ﻧﺎﻡ ﺧﺎﻧﻮﺍﺩﮔﯽ‬

‫ﻣﺸﺨﺼﺎﺕ ﺑﺴﺘﮕﺎﻥ ﺷﺎﻏﻞ‪/‬ﺑﺎﺯﻧﺸﺴﺘﻪ ﺩﺭ ﺑﺎﻧﮏ ﺭﻓﺎﻩ‬

‫ﺷﺎﻏﻞ‬ ‫ﻧﻮﻉ ﺍﺭﺗﺒﺎﻁ ﺑﺎ ﺳﺎﺯﻣﺎﻥ‬ ‫ﺷﻮﻫﺮﺧﺎﻟﻪ‬ ‫ﻧﺴﺒﺖ‬ ‫ﻣﺤﺴﻦ ﺷﺎﻣﺎﻧﯽ‬ ‫ﻧﺎﻡ ﻭ ﻧﺎﻡ ﺧﺎﻧﻮﺍﺩﮔﯽ‬

‫ﻣﺸﺨﺼﺎﺕ ﻣﻌﺮﻑ‬

‫ﺷﻮﻫﺮﺧﺎﻟﻪ‬ ‫ﻧﺴﺒﺖ‬ ‫ﻣﺤﺴﻦ ﺷﺎﻣﺎﻧﯽ‬ ‫ﻧﺎﻡ ﻭ ﻧﺎﻡ ﺧﺎﻧﻮﺍﺩﮔﯽ‬

‫ﺗﺤﺼﻴﻼﺕ‬

‫ﺻﻨﻌﺘﯽ‬ ‫ﮔﺮﺍﻳﺶ‬ ‫ﻣﺪﻳﺮﻳﺖ‬ ‫ﺭﺷﺘﻪ ﯼ ﺗﺤﺼﻴﻠﯽ‬ ‫ﻟﻴﺴﺎﻧﺲ‬ ‫ﻣﻘﻄﻊ ﺗﺤﺼﻴﻠﯽ‬

‫‪1395/06/31‬‬ ‫ﺗﺎﺭﻳﺦ ﺍﺧﺬ ﻣﺪﺭﮎ‬ ‫ﻗﺰﻭﻳﻦ‬ ‫ﺷﻬﺮﺳﺘﺎﻥ ﻣﺤﻞ ﺗﺤﺼﻴﻞ‬ ‫ﻧﺎﻡ ﺩﺍﻧﺸﮕﺎﻩ‪/‬ﻣﺆﺳﺴﻪ ﯼ ﺁﻣﻮﺯﺷﯽ ﺁﺯﺍﺩﻗﺰﻭﻳﻦ‬

‫‪15‬‬ ‫ﻣﻌﺪﻝ‬

‫ﺍﻁﻼﻋﺎﺕ ﺩﺍﻧﺸﺠﻮﻳﺎﻥ‬

‫ﺩﺭ ﺻﻮﺭﺗﯽ ﮐﻪ ﻣﺸﻐﻮﻝ ﺑﻪ ﺗﺤﺼﻴﻞ ﻫﺴﺘﻴﺪ‪ ،‬ﺍﻁﻼﻋﺎﺕ ﺩﺭﺧﻮﺍﺳﺘﯽ ﺭﺍ ﭘﺎﺳﺦ ﺩﻫﻴﺪ‪.‬‬

 ‫ﺩﺭ ﺻﻮﺭﺗﯽ ﮐﻪ ﻣﺸﻐﻮﻝ ﺑﻪ ﺗﺤﺼﻴﻞ ﻫﺴﺘﻴﺪ‪ ،‬ﺍﻁﻼﻋﺎﺕ ﺩﺭﺧﻮﺍﺳﺘﯽ ﺭﺍ ﭘﺎﺳﺦ ﺩﻫﻴﺪ‪.‬‬
‫ﺭﺷﺘﻪ ﻭ ﮔﺮﺍﻳﺶ ﺗﺤﺼﻴﻠﯽ‬ ‫ﻣﻘﻄﻊ ﺗﺤﺼﻴﻠﯽ‬ ‫ﺧﻴﺮ‬ ‫ﺁﻳﺎ ﺩﺭ ﺣﺎﻝ ﺣﺎﺿﺮ ﻣﺸﻐﻮﻝ ﺑﻪ‬
‫ﺗﺤﺼﻴﻞ ﻫﺴﺘﻴﺪ؟‬

‫ﺗﺎﺭﻳﺦ ﺷﺮﻭﻉ ﺗﺤﺼﻴﻞ‬ ‫ﻧﺎﻡ ﺩﺍﻧﺸﮕﺎﻩ‪/‬ﻣﺆﺳﺴﻪ ﯼ ﺁﻣﻮﺯﺷﯽ‬

‫ﺭﺯﻭﻣﻪ ﻣﺘﻘﺎﺿﯽ‬
‫ﺧﻮﺏ‬ ‫ﺁﺷﻨﺎﻳﯽ ﺑﺎ ﮐﺎﻣﭙﻴﻮﺗﺮ‬ ‫ﺧﻮﺏ‬ ‫ﺁﺷﻨﺎﻳﯽ ﺑﺎ ﺯﺑﺎﻥ ﺍﻧﮕﻠﻴﺴﯽ‬

‫ﺧﻮﺏ‬ ‫ﺁﺷﻨﺎﻳﯽ ﺑﺎ ‪Excel‬‬ ‫ﺧﻮﺏ‬ ‫ﺁﺷﻨﺎﻳﯽ ﺑﺎ ‪Word‬‬

‫ﺗﺠﺮﺑﻪ ﮐﺎﺭﯼ ﻭ ﺳﺎﺑﻘﮥ ﺷﻐﻠﯽ )ﺷﺮﮐﺖ ﻫﺎ‪ ،‬ﺳﺎﺯﻣﺎﻥ ﻫﺎ‪ ،‬ﻣﺆﺳﺴﺎﺕ ﺩﻭﻟﺘﯽ ﻳﺎ ﻏﻴﺮ ﺩﻭﻟﺘﯽ(‬

‫ﺍﭘﺮﺍﺗﻮﺭﺧﻂ ﺗﻮﻟﻴﺪ‬ ‫ﻋﻨﻮﺍﻥ ﺷﻐﻠﯽ‬ ‫ﺷﺮﮐﺖ ﮐﺎﻟﻪ‬ ‫ﻧﺎﻡ ﺳﺎﺯﻣﺎﻥ‬

‫ﺷﺮﺡ ﻭﻅﺎﻳﻒ ﺷﻤﺎ‬

‫ﮐﻤﮏ ﺣﺴﺎﺑﺪﺍﺭ‬ ‫ﻋﻨﻮﺍﻥ ﺷﻐﻠﯽ‬ ‫ﺷﺮﮐﺖ ﺳﺮﻣﺎﻳﮕﺎﻥ‬ ‫ﻧﺎﻡ ﺳﺎﺯﻣﺎﻥ‬

‫ﺷﺮﺡ ﻭﻅﺎﻳﻒ ﺷﻤﺎ‬

‫ﻭﺍﺣﺪﺑﺮﻧﺎﻣﻪ ﺭﻳﺰﯼ ﺗﻮﻟﻴﺪ‬ ‫ﻋﻨﻮﺍﻥ ﺷﻐﻠﯽ‬ ‫ﺷﺮﮐﺖ ﺯﺭﻣﺎﮐﺎﺭﻭﻥ‬ ‫ﻧﺎﻡ ﺳﺎﺯﻣﺎﻥ‬

‫ﺷﺮﺡ ﻭﻅﺎﻳﻒ ﺷﻤﺎ‬

‫ﻋﻀﻮﻳﺖ ﻳﺎ ﺷﺮﻛﺖ ﺩﺭ ﺟﻤﻌﻴﺖ ﻫﺎﯼ ﻋﻠﻤﯽ‪ ،‬ﺩﻳﻨﯽ‪ ،‬ﺍﻧﻘﻼﺑﯽ‪ ،‬ﺳﻴﺎﺳﯽ‪ ،‬ﻓﺮﻫﻨﮕﯽ‪ ،‬ﻫﻨﺮﯼ‪ ،‬ﻭﺭﺯﺷﯽ‪ ،‬ﺍﺟﺘﻤﺎﻋﯽ ﻭ ﻳﺎ ﻣﻮﺍﺭﺩ ﺩﻳﮕﺮ‬

‫ﻋﻀﻮﻓﻌﺎﻝ ﻭﻋﺎﺩﯼ ﺑﺴﻴﺞ‬ ‫ﻧﻮﻉ ﻓﻌﺎﻟﻴﺖ ﺷﻤﺎ‬ ‫ﺑﺴﻴﺞ ﻣﺤﻼﺕ ﻭﺩﺍﻧﺸﮕﺎﻩ ﻭﻣﺪﺭﺳﻪ‬ ‫ﻧﺎﻡ ﺍﻧﺠﻤﻦ ﻳﺎ ﻛﺎﻧﻮﻥ‬

‫ﻓﻌﺎﻟﻴﺘﻬﺎﯼ ﺩﻳﻨﯽ‪ ،‬ﻭﺭﺯﺷﯽ‪ ،‬ﻫﻨﺮﯼ‪ ،‬ﺍﺩﺑﯽ ﻭ ﻧﻈﺎﻳﺮ ﺁﻥ‬

‫ﻓﻮﺗﺒﺎﻝ‬ ‫ﺭﺷﺘﻪ ﻓﻌﺎﻟﻴﺖ‬ ‫ﻭﺭﺯﺷﯽ‬ ‫ﻧﻮﻉ ﻓﻌﺎﻟﻴﺖ‬

‫ﺗﻌﻬﺪ‬

‫ﺗﻮﺟﻪ‪ :‬ﺗﮑﻤﻴﻞ ﺍﻳﻦ ﻓﺮﻡ ﻫﻴﭽﮕﻮﻧﻪ ﺗﻌﻬﺪﯼ ﺩﺭ ﺟﺬﺏ ﻭ ﺑﻪ ﮐﺎﺭﮔﻴﺮﯼ ﺷﺮﮐﺖ ﺧﺪﻣﺎﺗﯽ ﭘﺸﺘﻴﺒﺎﻧﯽ ﺭﻓﺎﻩ ﭘﺮﺩﻳﺲ ﺍﻳﺠﺎﺩ ﻧﻤﯽ ﮐﻨﺪ‪.‬‬
‫ﺍﻳﻨﺠﺎﻧﺐ ﺑﺎ ﺻﺪﺍﻗﺖ ﮐﺎﻣﻞ ﻣﺘﻌﻬﺪ ﻣﯽ ﺷﻮﻡ‪ ،‬ﺗﻤﺎﻣﯽ ﺍﻁﻼﻋﺎﺗﯽ ﮐﻪ ﺩﺭ ﻁﻮﻝ ﺗﮑﻤﻴﻞ ﻓﺮﻡ ﺍﻁﻼﻋﺎﺕ ﻣﺘﻘﺎﺿﻴﺎﻥ ﺍﺳﺘﺨﺪﺍﻣﯽ ﺑﻪ ﺑﺎﻧﮏ ﺭﻓﺎﻩ ﺍﺭﺍﺋﻪ ﻧﻤﻮﺩﻩ ﺍﻡ‪ ،‬ﺑﺎ‬
‫ﻭﺍﻗﻌﻴﺖ ﺍﻧﻄﺒﺎﻕ ﮐﺎﻣﻞ ﺩﺍﺭﺩ ﻭ ﻗﺒﻮﻝ ﻣﯽ ﮐﻨﻢ ﭼﻨﺎﻧﭽﻪ ﺑﻪ ﺗﺸﺨﻴﺺ ﻣﺴﺌﻮﻻﻥ ﺑﺎﻧﮏ ﺑﻪ ﻫﺮ ﻧﺤﻮﯼ ﺧﻼﻑ ﺁﻥ ﺛﺎﺑﺖ ﺷﻮﺩ ﺑﺎﻧﮏ ﻣﺠﺎﺯ ﻭ ﻣﺨﺘﺎﺭ ﺍﺳﺖ ﺩﺭ ﻫﺮ‬
‫ﻣﻘﻄﻊ ﻭ ﺑﺪﻭﻥ ﻫﻴﭽﮕﻮﻧﻪ ﺗﺸﺮﻳﻔﺎﺕ ﺍﺩﺍﺭﯼ ﻭ ﺣﻘﻮﻗﯽ‪ ،‬ﺭﻭﻧﺪ ﺍﺳﺘﺨﺪﺍﻡ ﺍﻳﻨﺠﺎﻧﺐ ﺭﺍ ﻣﺘﻮﻗﻒ ﺳﺎﺧﺘﻪ ﻭ ﺩﺭ ﺻﻮﺭﺗﻴﮑﻪ ﺧﻼﻑ ﻭﺍﻗﻊ ﺑﻮﺩﻥ ﺍﻁﻼﻋﺎﺕ ﺍﺭﺍﺋﻪ‬
‫ﺷﺪﻩ ﺑﻌﺪ ﺍﺯ ﺍﺳﺘﺨﺪﺍﻡ ﻧﻴﺰ ﻣﺸﺨﺺ ﮔﺮﺩﺩ‪ ،‬ﺭﺃﺳ ًﺎ ﺑﻪ ﺧﺪﻣﺘﻢ ﺧﺎﺗﻤﻪ ﺩﻫﺪ ﻭ ﺍﻳﻨﺠﺎﻧﺐ ﺣﻖ ﻫﺮﮔﻮﻧﻪ ﺍﺩﻋﺎ ﻭ ﺍﻋﺘﺮﺍﺿﯽ ﺩﺭ ﺧﺼﻮﺹ ﺗﺼﻤﻴﻤﺎﺕ ﻣﺴﺌﻮﻻﻥ‬
‫ﺑﺎﻧﮏ ﺭﺍ ﺍﺯ ﺧﻮﺩ ﺳﻠﺐ ﻭ ﺳﺎﻗﻂ ﻣﯽ ﮐﻨﻢ‪.‬‬