استمارة تسجيل1

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‫ﺍﻟﺠﻤﻬﻮﺭﻳﺔ ﺍﻟﺠﺰﺍﺋﺮﻳﺔ ﺍﻟﺪﻳﻤﻘﺮﺍﻃﻴﺔ ﺍﻟﺸﻌﺒﻴﺔ‬

‫ﻭﺯﺍﺭﺓ ﺍﻟﺘﺮﺑﻴﺔ ﺍﻟﻮﻃﻨﻴﺔ‬

‫ﺇﺳﺘﻤﺎﺭﺓ ﺍﻟﺘﺴﺠﻴﻞ‬

‫ﺃﻧﺎ ﺍﻟﻤﻤﻀﻲ )ﺓ( ﺃﺳﻔﻠﻪ ﺍﻟﺴﻴﺪ)ﺓ( ‪ :‬ﻋﻤﺎﺭﻧﺰﺍﺭ ﺳﻠﻴﻢ‬

‫ﺍﻟﻤﻮﻟﻮﺩ)ﺓ( ﺑﺘﺎﺭﻳﺦ ‪; 1964-12-30 :‬‬

‫ﺍﻟﻬﺎﺗﻒ ‪; :‬‬

‫ﺍﻟﻌﻨﻮﺍﻥ ‪- :‬‬

‫ﺍﻟﺒﺮﻳﺪ ﺍﻹﻟﻜﺘﺮﻭﻧﻲ ‪:‬‬

‫‪sihamou63@yahoo.fr‬‬

‫ﺃﺻﺮﺡ ﺃﻧﻨﻲ ﻭﻟﻲ )ﺓ( ﺍﻟﺘﻠﻤﻴﺬ)ﺓ( ‪ :‬ﻋﻤﺎﺭ ﻧﺰﺍﺭ ﺯﻛﺮﻳﺎ‬

‫ﺍﻟﻤﻮﻟﻮﺩ)ﺓ( ﺑﺘﺎﺭﻳﺦ ‪ 2006-05-20 :‬ﺑـــ‪ :‬ﻗﺴﻨﻄﻴﻨﺔ‬

‫ﺍﻟﻤﺘﻤﺪﺭﺱ ﺑـ ‪ :‬ﺛﺎﻧﻮﻳﺔ ﺗﻘﻲ ﺍﻟﺪﻳﻦ ﺃﺣﻤﺪ ﺍﺑﻦ ﺗﻴﻤﻴﺔ ‪-‬ﻗﺴﻨﻄﻴﻨﺔ‬

‫ﺑﺎﻟﻘﺴﻢ‪ :‬ﺛﺎﻧﻴﺔ ﺛﺎﻧﻮﻱ ﺗﺴﻴﻴﺮ ﻭﺍﻗﺘﺼﺎﺩ ‪1‬‬

‫ﺇﻣﻀﺎﺀ ﻭﻟﻲ ﺍﻷﻣﺮ‬

‫ﻭﺻﻞ ﺇﺳﺘﻼﻡ‬
‫ﺃﻧﺎ ﺍﻟﻤﻤﻀﻲ )ﺓ( ﺃﺳﻔﻠﻪ ﺍﻟﺴﻴﺪ)ﺓ(‪ :‬ﻣﺪﻳﺮ)ة(ﺛﺎﻧﻮﻳﺔ ﺗﻘﻲ ﺍﻟﺪﻳﻦ ﺃﺣﻤﺪ ﺍﺑﻦ ﺗﻴﻤﻴﺔ ‪-‬ﻗﺴﻨﻄﻴﻨﺔ‬

‫ﺃﺻﺮﺡ ﺑﺄﻧﻪ ﺗﻢ ﺗﺄﻛﻴﺪ ﻋﻼﻗﺔ ﺍﻟﻮﻟﻲ‪ :‬ﻋﻤﺎﺭﻧﺰﺍﺭ ﺑﺎﻟﺘﻠﻤﻴﺬ ‪ :‬ﻋﻤﺎﺭ ﻧﺰﺍﺭ ﺯﻛﺮﻳﺎ‬

‫ﺭﻗﻢ ﺍﻟﺘﻌﺮﻳﻒ ﺍﻟﻤﺪﺭﺳﻲ ‪:‬‬

‫‪1000625010772200‬‬

‫ﺍﻟﻤﺘﻤﺪﺭﺱ ﺑﺎﻟﻘﺴﻢ ‪ :‬ﺛﺎﻧﻴﺔ ﺛﺎﻧﻮﻱ ﺗﺴﻴﻴﺮ ﻭﺍﻗﺘﺼﺎﺩ ‪1‬‬

‫ﻓﻲ ﺍﻷﺭﺿﻴﺔ ﺍﻟﺮﻗﻤﻴﺔ ﻟﻮﺯﺍﺭﺓ ﺍﻟﺘﺮﺑﻴﺔ ﺍﻟﻮﻃﻨﻴﺔ‬

‫ﺧﺘﻢ ﻭ ﺇﻣﻀﺎﺀ ﻣﺪﻳﺮ)ﺓ( ﺍﻟﻤؤﺳﺴﺔ‬

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