Created in Canva
ﻲﻣﻮﻴﻟا ﺮﺘﻓﺪﻟا ﺔﻴﺒﻌﺸﻟا ﺔﻴﻃاﺮﻘﻤﻳﺪﻟا ﺔﻳﺮﺋاﺰﺠﻟا ﺔﻳرﻮﻬﻤﺠﻟا ﺔﻴﻨﻃﻮﻟا ﺔﻴﺑﺮﺘﻟوزارة ا .........ﺔﻳﻻﻮﻟ ﺔﻴﺑﺮﺘﻟا ﺔﻳﺮﻳﺪﻣ :ﺔﺳرﺪﻤﻟا ذة:ﺎﺘﺳﻷاى:ﻮﺘﺴﻤﻟا 2027/2026 ﺔﻴﺳراﺪﻟا ﺔﻨﺴﻟا :ﺔﻌﻃﺎﻘﻤﻟا
11 ﺔﻳﺂﻟا ﺔﻟدﺎﺠﻤﻟرة اﻮﺳ
: (ة) ذﺎﺘﺳﻸﻟ ﺔﻴﻨﻬﻤﻟا ﺔﻟﺎﺤﻟا : (ة) ذﺎﺘﺳﻸﻟ ﺔﻴﺼﺨﺸﻟا ﺔﻟﺎﺤﻟا ........................................:ﻢﺳﻹا ...................................... :ﺐﻘﻠﻟا ...... / ... / ... :دﻼﻴﻤﻟا ﺦﻳرﺎﺗ ............................... :دﻼﻴﻤﻟن اﺎﻜﻣ .......................................:ﺔﻳﻻﻮﻟا ..............................:ﺔﻴﻠﺋﺎﻌﻟا ﺔﻟﺎﺤﻟا ...................................:دﻻوﺄﯨا ﺪﻋ ..................................:وجﺰﻟا ﺔﻨﻬﻣ ..........................:ﻲﺼﺨﺸﻟان اﻮﻨﻌﻟا ...............................................................................1................................ 2................................ 4.................................. 3ﺔﻴﻤﻠﻌﻟت اﻼﻫﺆﻤﻟا ﺔﻴﻗﺮﺘﻟا ..... / ... / ... :ﺎﻬﻧﺎﻳﺮﺳ ﺦﻳرﺎﺗ ......... .................................... :ﺔﻴﻟﺎﺤﻟا ﺔﺟرﺪﻟا ............... ........... ................................. :ﺔﻣﺮﺼﻨﻤﻟا ﺔﻨﺴﻟا ﻲﻓ ﺪﻨﺴﻤﻟا ﻢﺴﻘﻟا ......... ................................ ...................... :ﺔﻨﺴﻟه اﺬﻫ ﻲﻓ ﺪﻨﺴﻤﻟا ﻢﺴﻘﻟا ﺔﻴﻨﻬﻤﻟو ا ﺔﻴﺼﺨﺸﻟا ﺔﻟﺎﺤﻟا ﺔﻗﺎﻄﺑ ..... /.... / ... :ﺶﻴﺘﻔﺗ ﺮﺧآ ﺦﻳرﺎﺗ .........................:رةﺎﻳﺰﻟع اﻮﻧ ........... :ﺔﻳﻮﺑﺮﺘﻟا ﺔﻄﻘﻨﻟا .............. : (ة) ﺶﺘﻔﻤﻟا (ة)ﺪﻴﺴﻟف اﺮﻃ ﻦﻣ .............................................. ...................................... :ﺔﺳرﺪﻤﺑ ..........................................:ﺔﻌﻃﺎﻘﻣ ............................................. :ﺔﻳﻻو ﺶﻴﺘﻔﺘﻟا .............................................:رﺎﻃﻹا .....................................:ﺲﻳرﺪﺘﻟا ﺔﻐﻟ ..../ ../ ..:ﻢﻴﻠﻌﺘﻟا ﻲﻓ مﻮﻳ أول ﺦﻳرﺎﺗ ..../ ../ ..:ﺔﺴﺳﺆﻤﻟا ﻲﻓ ﻦﻴﻴﻌﺘﻟا ﺦﻳرﺎﺗ
ﺬﻴﻣﻼﺘﻠﻟ ﺔﻴﻤﺳﺈﻟا ﺔﻤﺋﺎﻘﻟا 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 ﻢﻗﺮﻟاﺬﻴﻤﻠﺘﻟا ﺐﻘﻟ و ﻢﺳاﺬﻴﻤﻠﺘﻟا ﺐﻘﻟ و ﻢﺳا ﻢﻗﺮﻟا 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
ﺔﺤﻔﺼﻟا ةﺪﻴﺼﻘﻟا ﻢﻗر ﺐﻴﺗﺮﺘﻟا 1 2 3 4 5 6 7 ﺔﺤﻔﺼﻟا ةﺪﻴﺼﻘﻟا ﻢﻗر ﺐﻴﺗﺮﺘﻟا 8 9 10 11 12 13 14 ﺔﺤﻔﺼﻟا دةﻮﺸﻧﻷا ﻢﻗر ﺐﻴﺗﺮﺘﻟا 1 2 3 4 5 6 7 ﺔﺤﻔﺼﻟا دةﻮﺸﻧﻷا ﻢﻗر ﺐﻴﺗﺮﺘﻟا 8 9 10 11 12 13 14 ت:ﺎﻇﻮﻔﺤﻤﻟا ﺔﻤﺋﺎﻗ :ﺪﻴﺷﺎﻧﺄﻟا ﺔﻤﺋﺎﻗ
ﺔﺤﻔﺼﻟا رةﻮﺴﻟا ﻢﻗر ﺐﻴﺗﺮﺘﻟا 1 2 3 4 5 6 7 ﺔﺤﻔﺼﻟا رةﻮﺴﻟا ﻢﻗر ﺐﻴﺗﺮﺘﻟا 8 9 10 11 12 13 14 ﺔﺤﻔﺼﻟا ﺚﻳﺪﺤﻟا ﻢﻗر ﺐﻴﺗﺮﺘﻟا 1 2 3 4 5 6 7 ﺔﺤﻔﺼﻟا ﺚﻳﺪﺤﻟا ﻢﻗر ﺐﻴﺗﺮﺘﻟا 8 9 10 11 12 13 14 :ﺔﻴﻧآﺮﻘﻟر اﻮﺴﻟا ﺔﻤﺋﺎﻗ :ﺔﻳﻮﺒﻨﻟا ﺚﻳدﺎﺣﺄﻟا ﺔﻤﺋﺎﻗ
ﺲﻴﻤﺨﻟاءﺎﻌﺑرﻷاءﺎﺛﻼﺜﻟاﻦﻴﻨﺛﻹاﺪﺣﻷاﺖﻴﻗﻮﺘﻟاﻰﻟإﻦﻣﺔﻴﺣﺎﺒﺼﻟة ااﺮﺘﻔﻟاﺔﻴﺋﺎﺴﻤﻟة ااﺮﺘﻔﻟاﻲﻋﺎﺴﻟا ﻢﺠﺤﻟا ﺺﺼﺤﻟد ااﺪﻋ دةﺎﻤﻟا ﻲﻋﺎﺴﻟاا ﻢﺠﺤﻟا ﺺﺼﺤﻟد ااﺪﻋ دةﺎﻤﻟا ........................... عﻮﻤﺠﻤﻟا ..... / ... / ... :ﺦﻳرﺎﺘﺑ ﻪﻴﻠﻋ دقﺎﺼﻣ ﻲﻋﻮﺒﺳﺄﻟا ﻲﻋﺎﺴﻟا ﻢﺠﺤﻟو ا ﺺﺼﺤﻟا ﺐﺴﺣ ادﻮﻤﻟا ﻊﻳ زﻮﺗ ﻲﻋﻮﺒﺳﻻا ﻲﻨﻣﺰﻟا ﻊﻳ زﻮﺘﻟا
ﺦﻳرﺎﺘﻟا ﺔﺒﺳﺎﻨﻤﻟا ﻢﻗﺮﻟا 01 02 03 04 05 06 07 08 09 10 2027/2026 :ﺔﻴﺳراﺪﻟا ﺔﻨﺴﻟا ....................................... ﻰﻟإ .............................. ﻦﻣ ﻒﻳﺮﺨﻟا ﺔﺣاﺮﺘﺳا ......................................... ﻰﻟإ .............................. ﻦﻣ ءﺎﺘﺸﻟا ﺔﺣاﺮﺘﺳا ......................................... ﻰﻟإ .............................. ﻦﻣ ﻊﻴﺑﺮﻟا ﺔﺣاﺮﺘﺳا ﺔﻴﻨﻃﻮﻟو ا ﺔﻴﻨﻳﺪﻟت اﺎﺒﺳﺎﻨﻤﻟا ﺔﻴﺳرﺪﻤﻟا ﻞﻄﻌﻟا .... /... / ... ﺦﻳرﺎﺘﺑ .......................:ﻢﻗزاري رﻮﻟار اﺮﻘﻟا
ﺔﻳﻮﺑﺮﺘﻟوات اﺪﻨﻟاوةﺪﻨﻟع ااﻮﺿﻮﻣ(ﻢﺴﻘﻟا) ىﻮﺘﺴﻤﻟا(ة) ﻖﺒﻄﻤﻟا (ة) ذﺎﺘﺳﻷاﻲﻘﻴﺒﻄﺘﻟرس ااﺪﻟاﺦﻳرﺎﺘﻟاﺐﻴﺗﺮﺘﻟاا ﻢﻗر01020304050607080910 ﺔﻴﺳراﺪﻟم اﺎﻳﻷاﻲﺳراﺪﻟم اﻮﻴﻟع اﻮﺿﻮﻣنﺎﻜﻤﻟاﺦﻳرﺎﺘﻟاﺐﻴﺗﺮﺘﻟاا ﻢﻗر01020304050607080910 تﺎﺼﺑﺮﺘﻟاﺺﺑﺮﺘﻟع اﻮﻧنﺎﻜﻤﻟاﺦﻳرﺎﺘﻟاﺐﻴﺗﺮﺘﻟاا ﻢﻗر01020304050607080910 تﺎﺼﺑﺮﺘﻟو ا ﺔﻴﺳراﺪﻟم اﺎﻳﺄﻟوات و اﺪﻨﻟا ﺔﻣﺎﻧرز