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‫ﺍﻟﺠﻤﻬﻮﺭﻳﺔ ﺍﻟﺠﺰﺍﺋﺮﻳﺔ ﺍﻟﺪﻳﻤﻘﺮﺍﻃﻴﺔ ﺍﻟﺸﻌﺒﻴﺔ‬

‫ﻭﺯﺍﺭﺓ ﺍﻟﺘﺮﺑﻴﺔ ﺍﻟﻮﻃﻨﻴﺔ‬

‫ﺇﺳﺘﻤﺎﺭﺓ ﺍﻟﺘﺴﺠﻴﻞ‬

‫ﺃﻧﺎ ﺍﻟﻤﻤﻀﻲ )ﺓ( ﺃﺳﻔﻠﻪ ﺍﻟﺴﻴﺪ)ﺓ( ‪ :‬ﺑﻮﺩﻳﺴﺔ ﻋﻴﺴﻰ‬

‫ﺍﻟﻤﻮﻟﻮﺩ)ﺓ( ﺑﺘﺎﺭﻳﺦ ‪; 1978-02-04 :‬‬

‫ﺍﻟﻬﺎﺗﻒ ‪;0674153876 :‬‬

‫ﺍﻟﻌﻨﻮﺍﻥ ‪ :‬ﺣﻲ ﺍﻟﺒﺴﺎﺗﻴﻦ ‪ -‬ﻋﻴﻦ ﺍﻟﻤﻠﺢ‬

‫ﺍﻟﺒﺮﻳﺪ ﺍﻹﻟﻜﺘﺮﻭﻧﻲ ‪:‬‬

‫‪yacine2002625@gmail.com‬‬

‫ﺃﺻﺮﺡ ﺃﻧﻨﻲ ﻭﻟﻲ )ﺓ( ﺍﻟﺘﻠﻤﻴﺬ)ﺓ( ‪ :‬ﺑﻮﺩﻳﺴﺔ ﻣﺤﻤﺪ ﻳﺎﺳﻴﻦ‬

‫ﺍﻟﻤﻮﻟﻮﺩ)ﺓ( ﺑﺘﺎﺭﻳﺦ ‪ 2006-08-13 :‬ﺑـــ‪ :‬ﻋﻴﻦ ﺍﻟﻤﻠﺢ‬

‫ﺍﻟﻤﺘﻤﺪﺭﺱ ﺑـ ‪ :‬ﻣﺘﻮﺳﻄﺔ ﻋﺎﺷﻮﺭ ﺯﻳﺎﻥ ‪-‬ﻋﻴﻦ ﺍﻟﻤﻠﺢ‬

‫ﺑﺎﻟﻘﺴﻢ‪ :‬ﺭﺍﺑﻌﺔ ﻣﺘﻮﺳﻂ ‪4‬‬

‫ﺇﻣﻀﺎﺀ ﻭﻟﻲ ﺍﻷﻣﺮ‬

‫ﻭﺻﻞ ﺇﺳﺘﻼﻡ‬
‫ﺃﻧﺎ ﺍﻟﻤﻤﻀﻲ )ﺓ( ﺃﺳﻔﻠﻪ ﺍﻟﺴﻴﺪ)ﺓ(‪ :‬ﻣﺪﻳﺮ)ة(ﻣﺘﻮﺳﻄﺔ ﻋﺎﺷﻮﺭ ﺯﻳﺎﻥ ‪-‬ﻋﻴﻦ ﺍﻟﻤﻠﺢ‬

‫ﺃﺻﺮﺡ ﺑﺄﻧﻪ ﺗﻢ ﺗﺄﻛﻴﺪ ﻋﻼﻗﺔ ﺍﻟﻮﻟﻲ‪ :‬ﺑﻮﺩﻳﺴﺔ ﺑﺎﻟﺘﻠﻤﻴﺬ ‪ :‬ﺑﻮﺩﻳﺴﺔ ﻣﺤﻤﺪ ﻳﺎﺳﻴﻦ‬

‫ﺭﻗﻢ ﺍﻟﺘﻌﺮﻳﻒ ﺍﻟﻤﺪﺭﺳﻲ ‪:‬‬

‫‪1000628410102400‬‬

‫ﺍﻟﻤﺘﻤﺪﺭﺱ ﺑﺎﻟﻘﺴﻢ ‪ :‬ﺭﺍﺑﻌﺔ ﻣﺘﻮﺳﻂ ‪4‬‬

‫ﻓﻲ ﺍﻷﺭﺿﻴﺔ ﺍﻟﺮﻗﻤﻴﺔ ﻟﻮﺯﺍﺭﺓ ﺍﻟﺘﺮﺑﻴﺔ ﺍﻟﻮﻃﻨﻴﺔ‬

‫ﺧﺘﻢ ﻭ ﺇﻣﻀﺎﺀ ﻣﺪﻳﺮ)ﺓ( ﺍﻟﻤؤﺳﺴﺔ‬

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