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    Dler Aliraqi
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    This document appears to be an application form submitted to the Commission of People with Disabilities and Special Needs in Iraq. It contains personal information about the applicant such as name, gender, date of birth, address, disability type and percentage. The form notes that the applicant has 90% disability due to partial paralysis and mobility issues. It thanks the applicant for submitting the form and states that they will be contacted later regarding an appointment.

    Original Description:

    Lola

    Original Title

    Application (1)

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    This document appears to be an application form submitted to the Commission of People with Disabilities and Special Needs in Iraq. It contains personal information about the applicant such as name, gender, date of birth, address, disability type and percentage. The form notes that the applicant has 90% disability due to partial paralysis and mobility issues. It thanks the applicant for submitting the form and states that they will be contacted later regarding an appointment.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    33 views2 pages

    Application

    Uploaded by

    Dler Aliraqi
    This document appears to be an application form submitted to the Commission of People with Disabilities and Special Needs in Iraq. It contains personal information about the applicant such as name, gender, date of birth, address, disability type and percentage. The form notes that the applicant has 90% disability due to partial paralysis and mobility issues. It thanks the applicant for submitting the form and states that they will be contacted later regarding an appointment.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 2

    ‫ﺑِﺴْـــﻢِ ﺍﷲِ ﺍﻟﺮﱠﺣْﻤﻦِ ﺍﻟﺮﱠﺣِﻴـﻢِ‬

    ‫‪REPUBLIC OF IRAQ‬‬ ‫ﺟﻤــﻬﻮﺭﻳـــﺔ ﺍﻟـﻌــﺮﺍﻕ‬

    ‫‪Ministry of Labor and Social Affairs‬‬ ‫ﻭﺯﺍﺭﺓ ﺍﻟﻌﻤﻞ ﻭﺍﻟﺸؤﻭﻥ ﺍﻷﺟﺘﻤﺎﻋﻴﺔ‬

    ‫‪Commission of People‬‬ ‫ﻫﻴﺌﺔ ﺫﻭﻱ ﺍﻹﻋﺎﻗﺔ‬


    ‫‪With Disabilities and Special Needs‬‬

    ‫(‬ ‫ﺇﺳﺘﻤﺎﺭﺓ ﺗﻘﺪﻳﻢ‬ ‫)‬

    ‫ﺩﻳﺎﻟﻰ‬ ‫ﺇﺳﻢ ﺍﻟﻤﺤﺎﻓﻈﺔ‪:‬‬ ‫ﺭﻗﻢ ﺍﻟﻄﻠﺐ‪670216881822014 :‬‬

    ‫(‬ ‫ﺍﻟﻤﻌﻠﻮﻣﺎﺕ ﺍﻟﺸﺨﺼﻴﺔ‬ ‫)‬

    ‫ﺍﻟﻜﺎﻛﻲ‬ ‫ﺍﻟﻠﻘﺐ‪:‬‬ ‫ﻳﺎﺭﺍﻥ ﺩﻟﻴﺮ ﺍﻛﺮﻡ ﻧﺼﺮﺍﻟﺪﻳﻦ‬ ‫ﺍﻻﺳﻢ ﺍﻟﺮﺑﺎﻋﻲ‪:‬‬

    ‫ﻓﺮﺣﻨﺎﺯ ﻣﺸﺘﺒﺎﻩ ﻋﺒﺪﺍﷲ‬ ‫ﺇﺳﻢ ﺍﻻﻡ ﺍﻟﺜﻼﺛﻲ‪:‬‬

    ‫ﺃﻋﺰﺏ‬ ‫ﺍﻟﺤﺎﻟﺔ ﺍﻻﺟﺘﻤﺎﻋﻴﺔ‪:‬‬ ‫ﺃﻧﺜﻰ‬ ‫ﺫﻛﺮ ✓‬ ‫ﺍﻟﺠﻨﺲ‪:‬‬

    ‫ﺩﻳﺎﻟﻰ‬ ‫ﻣﺤﻞ ﺍﻟﻮﻻﺩﺓ‪:‬‬ ‫ﺗﺎﺭﻳﺦ ﺍﻟﻮﻻﺩﺓ‪2016-05-15 :‬‬

    ‫‪2016-08-08‬‬ ‫ﺗﺎﺭﻳﺦ ﺍﻻﺻﺪﺍﺭ‪:‬‬ ‫ﻧﻮﻉ ﺍﻟﺒﻄﺎﻗﺔ‪ :‬ﻫﻮﻳﺔ ﺍﺣﻮﺍﻝ ﻣﺪﻧﻴﺔ‬

    ‫ﺧﺎﻧﻘﻴﻦ‬ ‫ﺟﻬﺔ ﺍﻻﺻﺪﺍﺭ‪:‬‬ ‫‪00170540‬‬ ‫ﺭﻗﻢ ﻫﻮﻳﺔ ﺍﻻﺣﻮﺍﻝ‪:‬‬

    ‫‪1202‬‬ ‫ﺭﻗﻢ ﺍﻟﺴﺠﻞ‪:‬‬ ‫‪00170540‬‬ ‫ﺭﻗﻢ ﺍﻟﺼﺤﻴﻔﺔ‪:‬‬

    ‫(‬ ‫ﻣﻌﻠﻮﻣﺎﺕ ﺍﻟﺴﻜﻦ‬ ‫)‬

    ‫‪‌0‬‬ ‫ﺍﻟﻨﺎﺣﻴﺔ‪:‬‬ ‫ﺍﻟﻘﻀﺎﺀ‪:‬‬ ‫ﺩﻳﺎﻟﻰ‬ ‫ﺍﻟﻤﺤﺎﻓﻈﺔ‪:‬‬

    ‫ﻣﺪﻳﻨﺔ‬ ‫ﺑﻴﺌﺔ ﺍﻟﺴﻜﻦ‪:‬‬ ‫ﺇﻳﺠﺎﺭ‬ ‫ﻧﻮﻉ ﺍﻟﺴﻜﻦ‪:‬‬ ‫‪3095754‬‬ ‫ﺭﻗﻢ ﺑﻄﺎﻗﺔ ﺍﻟﺴﻜﻦ‪:‬‬

    ‫‪0‬‬ ‫ﺩﺍﺭ‪:‬‬ ‫‪0‬‬ ‫ﺯﻗﺎﻕ‪:‬‬ ‫‪0‬‬ ‫ﻣﺤﻠﺔ‪:‬‬

    ‫ﻣﺤﻄﺔ ﺗﻌﺒﺌﺔ ﻭﻗﻮﺩ ﺍﻟﺤﻜﻮﻣﻴﺔ‬ ‫ﺍﻗﺮﺏ ﻧﻘﻄﺔ ﺩﺍﻟﺔ‪:‬‬

    ‫ﺩﻳﺎﻟﻰ‬ ‫ﻣﺤﺎﻓﻈﺔ ﺍﻻﺻﺪﺍﺭ‪:‬‬ ‫‪0391421‬‬ ‫ﺭﻗﻢ ﺍﻟﺒﻄﺎﻗﺔ ﺍﻟﺘﻤﻮﻳﻨﻴﺔ‪:‬‬

    ‫ﺧﺎﻧﻘﻴﻦ‬ ‫ﺇﺳﻢ ﻣﺮﻛﺰ ﺍﻟﺘﻤﻮﻳﻦ‪:‬‬

    ‫ﺷﻜﺮﺍً ﻟﺘﻘﺪﻳﻤﻜﻢ‪ ،‬ﺳﻴﺘﻢ ﺍﻟﺘﻮﺍﺻﻞ ﻣﻌﻜﻢ ﻻﺣﻘﺎً ﻹﻋﻼﻣﻜﻢ ﺑﻤﻮﻋﺪ ﺍﻟﻤﺮﺍﺟﻌﺔ‬

    ‫‪General Secretariat of Council of Ministers‬‬ ‫ﺍﻷﻣﺎﻧﺔ ﺍﻟﻌﺎﻣﺔ ﻟﻤﺠﻠﺲ ﺍﻟﻮﺯﺭﺍﺀ‪ /‬ﺩﺍﺋﺮﺓ ﻣﺮﻛﺰ ﺍﻟﺒﻴﺎﻧﺎﺕ ﺍﻟﻮﻃﻨﻲ‬
    ‫‪Mobile: 5599‬‬ ‫ﺑﻐﺪﺍﺩ ‪ -‬ﻛﺮﺍﺩﺓ ﻣﺮﻳﻢ‬
    ‫‪Email: info@ur.gov.iq‬‬
    ‫ﺑِﺴْـــﻢِ ﺍﷲِ ﺍﻟﺮﱠﺣْﻤﻦِ ﺍﻟﺮﱠﺣِﻴـﻢِ‬
    ‫‪REPUBLIC OF IRAQ‬‬ ‫ﺟﻤــﻬﻮﺭﻳـــﺔ ﺍﻟـﻌــﺮﺍﻕ‬

    ‫‪Ministry of Labor and Social Affairs‬‬ ‫ﻭﺯﺍﺭﺓ ﺍﻟﻌﻤﻞ ﻭﺍﻟﺸؤﻭﻥ ﺍﻷﺟﺘﻤﺎﻋﻴﺔ‬

    ‫‪Commission of People‬‬ ‫ﻫﻴﺌﺔ ﺫﻭﻱ ﺍﻹﻋﺎﻗﺔ‬


    ‫‪With Disabilities and Special Needs‬‬

    ‫(‬ ‫ﺇﺳﺘﻤﺎﺭﺓ ﺗﻘﺪﻳﻢ‬ ‫)‬

    ‫ﺩﻳﺎﻟﻰ‬ ‫ﺇﺳﻢ ﺍﻟﻤﺤﺎﻓﻈﺔ‪:‬‬ ‫ﺭﻗﻢ ﺍﻟﻄﻠﺐ‪670216881822014 :‬‬

    ‫(‬ ‫ﺍﻟﻤﻌﻠﻮﻣﺎﺕ ﺍﻟﺪﺭﺍﺳﻴﺔ‬ ‫)‬

    ‫ﺍﻟﺘﺨﺼﺺ‪:‬‬ ‫ﺃُﻣﻲ‬ ‫ﺍﻟﺘﺤﺼﻴﻞ ﺍﻟﺪﺭﺍﺳﻲ‪:‬‬

    ‫(‬ ‫ﻣﻌﻠﻮﻣﺎﺕ ﺍﻟﻌﻤﻞ‬ ‫)‬

    ‫ﻛﻼ‬ ‫✓‬ ‫ﻧﻌﻢ‬ ‫ﺭﺍﺗﺐ ﺭﻋﺎﻳﺔ ﺇﺟﺘﻤﺎﻋﻴﺔ‪:‬‬

    ‫ﺍﻟﻌﻤﻞ ﺍﻭ ﺍﻟﻮﻇﻴﻔﺔ‪:‬‬

    ‫(‬ ‫ﺍﻹﻋﺎﻗﺎﺕ‬ ‫)‬

    ‫‪90%‬‬ ‫ﻧﺴﺒﺔ ﺍﻟﻌﺠﺰ‪:‬‬

    ‫ﺍﻹﻋﺎﻗﺔ‬ ‫ﻧﻮﻉ ﺍﻹﻋﺎﻗﺔ‬


    ‫ﺷﻠﻞ ﻧﺼﻔﻲ‬ ‫ﺣﺮﻛﻴﺔ‬ ‫‪1‬‬

    ‫ﺷﻜﺮﺍً ﻟﺘﻘﺪﻳﻤﻜﻢ‪ ،‬ﺳﻴﺘﻢ ﺍﻟﺘﻮﺍﺻﻞ ﻣﻌﻜﻢ ﻻﺣﻘﺎً ﻹﻋﻼﻣﻜﻢ ﺑﻤﻮﻋﺪ ﺍﻟﻤﺮﺍﺟﻌﺔ‬

    ‫‪General Secretariat of Council of Ministers‬‬ ‫ﺍﻷﻣﺎﻧﺔ ﺍﻟﻌﺎﻣﺔ ﻟﻤﺠﻠﺲ ﺍﻟﻮﺯﺭﺍﺀ‪ /‬ﺩﺍﺋﺮﺓ ﻣﺮﻛﺰ ﺍﻟﺒﻴﺎﻧﺎﺕ ﺍﻟﻮﻃﻨﻲ‬
    ‫‪Mobile: 5599‬‬ ‫ﺑﻐﺪﺍﺩ ‪ -‬ﻛﺮﺍﺩﺓ ﻣﺮﻳﻢ‬
    ‫‪Email: info@ur.gov.iq‬‬

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