ﺍﻟﻨﻴﺎﺑــــﺔ ﺍﻹﺩﺍﺭﻳــــﺔ
ﺍﻠﺲ ﺍﻷﻋﻠﻰ ﻟﻠﻨﻴﺎﺑﺔ ﺍﻹﺩﺍﺭﻳﺔ ﺍﻷﻣﺎﻧـــﺔ ﺍﻟﻌـﺎﻣــﺔ
ﺍﺳﺘﻤﺎﺭﺓ ﺑﻴﺎﻧﺎﺕ
ﺍﳌﺘﻘﺪﻣﲔ ﻟﺸﻐﻞ ﻟﻮﻇﻴﻔﺔ ﻣﻌﺎﻭﻥ ﻧﻴﺎﺑﺔ ﺇﺩﺍﺭﻳﺔ ﺩﻓﻌﺔ ٢٠١٢ ========================
ﺍﺳﻢ
ﺍﳌﺘﻘﺪﻡ..........................................................................:
ﺍﻟﺮﻗﻢ ﺍﻟﻘﻮﻣﻰ:
ﺗﺎﺭﻳﺦ ﻭﳏﻞ ﺍﳌﻴﻼﺩ ..........................................................................ﺍﳉﺎﻣﻌﺔ
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ﺍﻤﻮﻉ ﺍﳊﺎﺻﻞ ﻋﻠﻴﻪ .......................................ﺍﻤﻮﻉ ﺍﻟﻜﻠﻰ ..............................ﺍﻟﻨﺴﺒﺔ%........................ ﳏﺎﻓﻈﺔ ﺇﻗﺎﻣﺔ ﺍﳌﺘﻘﺪﻡ
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ﳏﻞ ﺇﻗﺎﻣﺔ ﺍﳌﺘﻘﺪﻡ ﺑﺎﻟﺘﻔﺼﻴﻞ:
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ﺍﺳﻢ ﺍﻟﻮﺍﻟﺪ ............................................................................ﺗﺎﺭﻳﺦ ﻣﻴﻼﺩ ﺍﻟﻮﺍﻟﺪ ﻭﻇﻴﻔﺔ ﺍﻟﻮﺍﻟﺪ
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ﺍﺳﻢ ﺍﻟﻮﺍﻟﺪﺓ ..........................................................................ﺗﺎﺭﻳﺦ ﻣﻴﻼﺩ ﻭﻇﻴﻔﺔ
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ﺍﻟﻮﺍﻟﺪﺓ................................................
ﺍﻟﻮﺍﻟﺪﺓ................................................................
ﺗﻠﻴﻔﻮﻥ ﻣــــﱰﻝ ..................................................... : ١ﺗﻠﻴﻔﻮﻥ ﻣــــﱰﻝ ٢
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ﺗﻠﻴﻔﻮﻥ ﺍﶈﻤﻮﻝ .................................................... : ١ﺗﻠﻴﻔﻮﻥ ﺍﶈﻤﻮﻝ ٢
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ﺭﻗﻢ ﺗﻠﻴﻔﻮﻥ ﺃﺣﺪ ﺍﻷﻗﺎﺭﺏ ﺍﻟﺬﻳﻦ ﳝﻜﻦ ﺍﻻﺗﺼﺎﻝ
ﻢ .........................................................................................
ﺃﻗﺮ ﺍﻧﺎ ﺍﳌﻮﻗﻊ ﺃﺩﻧﺎﻩ ﺑﺼﺤﺔ ﺍﻟﺒﻴﺎﻧﺎﺕ ﺑﻌﺎﻟﻴﻪ ﺍﻻﺳﻢ
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ﺍﻟﺘﻮﻗﻴﻊ ............................................ /