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Unformatted text preview: ‫‪12/18/2016‬‬ ‫‪ASUMRPT.htm‬‬ ‫‪ ‬ﺍﻟﺠــﺎﻣﻌﺔ‪ ‬ﺍﻟﻠﺒﻨــﺎﻧﻴـــﺔ‬ ‫‪ ‬‬ ‫ﺭﻗﻢ‪ ‬ﺍﻟﻤﻠﻒ‪15632 :‬‬ ‫ﻛﻠﻴﺔ‪ ‬ﺍﻵﺩﺍﺏ‪ ‬ﻭﺍﻟﻌﻠﻮﻡ‪ ‬ﺍﻻﻧﺴﺎﻧﻴﺔ‬ ‫ﺍﻟﻔﺮﻉ‪ ‬ﺍﻟﺜﺎﻟﺚ‪ ٬‬ﺍﻟﻘﺒﺔ­ﻁﺮﺍﺑﻠﺲ‬ ‫ﺭﻗﻢ‪ ‬ﺍﻟﺘﺴﺠﻴﻞ‪:‬‬ ‫ﻃﻠﺐ ﺗﺴﺠﻴﻞ ﻟﻠﻌﺎم اﻟﺠﺎﻣﻌﻲ ‪۲۰۱۷­۲۰۱٦ ‬‬ ‫ﻗﺪﻳﻢ‬ ‫ﺟﺪﻳﺪ‬ ‫ﺍﻧﺜﻰ‬ ‫ﺫﻛﺮ‬ ‫‪ -١‬ﻣﻌﻠﻮﻣﺎت ﺷﺨﺼﻴﺔ ﺣﺴﺐ ﺑﻄﺎﻗﺔ اﻟﻬﻮﻳﺔ‪:‬‬ ‫اﻹﺳﻢ واﻟﺸﻬﺮة‪ :‬ﺟﻨﻰ‪ ‬ﺟﻤﺎﻝ‬ ‫اﺳﻢ اﻷم وﺷﻬﺮ�‪Ꞵ‬ﺎ‪ :‬ﺑﺴﻤﻪ‪ ‬ﻛﻨﺞ‬ ‫اﺳﻢ اﻷب‪ :‬ﻋﺒﺪ‪ ‬ﺍﻟﺤﻤﻴﺪ‬ ‫‪Nom et Prénom: Jamal Jana‬‬ ‫‪Prénom du père: AbedElHamid‬‬ ‫ﺗﺎرﻳﺦ اﻟﻮﻻدة‪/۲۰ :‬ﺍﻳﻠﻮﻝ‪۱۹۹٤/‬‬ ‫ﻣﻜﺎن اﻟﻮﻻدة‪ :‬ﺑﺨﻌﻮﻥ‪ ٬‬ﺍﻟﻀﻨﻴﻪ‪ ٬‬ﻟﺒﻨﺎﻥ‬ ‫‪Date de Naissance: 20 /Sep /1994‬‬ ‫اﳉﻨﺴﻴﺔ‪ :‬ﺍﻟﻠﺒﻨﺎﻧﻴﺔ‬ ‫‪Lieu de Naissance: Bakhoun, Danniyeh, Liban‬‬ ‫رﻗﻢ اﻟﺴﺠﻞ‪۲۳٥ :‬‬ ‫اﶈﺎﻓﻈﺔ‪ :‬ﺷﻤﺎﻝ‪ ‬ﻟﺒﻨﺎﻥ‬ ‫رﻗﻢ ﺟﻮاز اﻟﺴﻔﺮ )ﻟﻼﺟﺎﻧﺐ(‪:‬‬ ‫اﻟﻘﻀﺎء‪ :‬ﺍﻟﻀﻨﻴﻪ‬ ‫اﻟﻮﺿﻊ اﻟﻌﺎﺋﻠﻲ‪ :‬ﻋﺰﺑﺎء‬ ‫اﻟﺒﻠﺪة‪ :‬ﺑﺨﻌﻮﻥ‬ ‫اﻟﱪﻳﺪ اﻻﻟﻜﱰوﱐ‪[email protected] :‬‬ ‫‪ -٢‬ﻋﻨﻮان اﻟﺴﻜﻦ اﻟﺤﺎﻟﻲ‪ :‬‬ ‫اﶈﺎﻓﻈﺔ‪ :‬ﺷﻤﺎﻝ‪ ‬ﻟﺒﻨﺎﻥ‬ ‫اﻟﻘﻀﺎء‪ :‬ﻁﺮﺍﺑﻠﺲ‬ ‫اﳌﻨﻄﻘﺔ‪ :‬ﻁﺮﺍﺑﻠﺲ‬ ‫اﻟﺸﺎرع‪ :‬ﻋﺰﻣﻲ‬ ‫ﻣﻠﻚ‪ :‬ﺿﺮﺍﺭ‪ ‬ﺍﻟﻴﻮﺳﻒ‬ ‫اﻟﺒﻠﺪة‪ :‬ﻁﺮﺍﺑﻠﺲ‬ ‫رﻗﻢ اﳍﺎﺗﻒ‪(۹٦۱) ۰٦۲۰۲٥۳۹ :‬‬ ‫اﻟﻄﺎﺑﻖ‪۲ :‬‬ ‫‪ -٣‬اﻟﺸﻬﺎدة اﻟﺜﺎﻧﻮﻳﺔ‪:‬‬ ‫اﻟﺒﻜﺎﻟﻮرﻳﺎ اﻟﻠﺒﻨﺎﻧﻴﺔ‪ -‬اﻻﺧﺘﺼﺎص‪ :‬ﻋﻠﻮﻡ‪ ‬ﺍﻟﺤﻴﺎﺓ‬ ‫رﻗﻢ اﻟﺸﻬﺎدة‪۱٥۲۷ :‬‬ ‫ﻣﺼﺪر اﻟﺸﻬﺎدة اﳌﻌﺎدﻟﺔ‪:‬‬ ‫ﺗﺎرﳜﻬﺎ‪/۰٦ :‬ﺁﺏ‪۲۰۱۲/‬‬ ‫رﻗﻤﻬﺎ‪:‬‬ ‫اﺳﻢ اﳌﺪرﺳﺔ اﻟﺜﺎﻧﻮﻳﺔ‪/‬اﳌﻌﻬﺪ‪ :‬ﺛﺎﻧﻮﻳﺔ‪ ‬ﺃﻧﺪﺭﻩ‪ ‬ﻧﺤﺎﺱ‪ ‬ﺍﻟﺮﺳﻤﻴﺔ‪ ‬ﻟﻠﺒﻨﺎﺕ‬ ‫ﺗﺎرﳜﻬﺎ‪:‬‬ ‫اﳌﻨﻄﻘﺔ‪ :‬ﺍﻟﻤﻴﻨﺎء‪ ٬‬ﻟﺒﻨﺎﻥ‬ ‫‪ ‬ﺧﺎﺻﺔ‬ ‫رﲰﻴﺔ‬ ‫‪ -٤‬اﻟﺸﻬﺎدة اﻟﺠﺎﻣﻌﻴﺔ اﻟﺴﺎﺑﻘﺔ‪:‬‬ ‫اﻟﺸﻬﺎدة اﳉﺎﻣﻌﻴﺔ‪:‬‬ ‫اﻻﺧﺘﺼﺎص‪:‬‬ ‫اﻟﻌﺎم اﳉﺎﻣﻌﻲ ﻟﻠﺘﺨﺮج‪:‬‬ ‫‪ ‬‬ ‫اﺳﻢ اﳌﺆﺳﺴﺔ )ﻣﺼﺪر اﻟﺸﻬﺎدة(‪:‬‬ ‫‪ ‬‬ ‫اﳌﻨﻄﻘﺔ‪:‬‬ ‫‪ -٥‬اﻟﺸﻬﺎدة اﻟﻤﺴﺘﻬﺪﻓﺔ‪:‬‬ ‫ﺍﻻﺧﺘﺼﺎﺹ‪ :‬ﺍﻟﻠﻐﺔ‪ ‬ﺍﻟﻔﺮﻧﺴﻴﺔ‪ ‬ﻭﺁﺩﺍﺑﻬﺎ‬ ‫ﺍﻟﻤﺴﺎﺭ‪ ‬ﺍﻟﺘﺨﺼﺼﻲ‪ :‬ﻟﻐﻮﻱ‬ ‫اﺳﻢ اﻟﺸﻬﺎدة‪ :‬ﺇﺟﺎﺯﺓ‬ ‫اﻟﺴﻨﺔ اﳌﻨﻬﺠﻴﺔ‪ :‬ﺍﻟﺴﻨﺔ‪ ‬ﺍﻟﺜﺎﻧﻴﺔ‬ ‫ﻟﻐﺎت أﺧﺮى‪:‬‬ ‫اﻟﻠﻐﺔ اﻻﺟﻨﺒﻴﺔ‪ :‬ﻓﺮﻧﺴﻲ‬ ‫ﺃﺭﺟﻮ‪ ‬ﻗﺒﻮﻝ‪ ‬ﺗﺴﺠﻴﻠﻲ‪ ﻭﺍﻧﻲ‪ ‬ﺃﺻﺮﺡ‪ ‬ﺑﺄﻥ‪ ‬ﺍﻟﻤﻌﻠﻮﻣﺎﺕ‪ ‬ﺍﻟﻮﺍﺭﺩﺓ‪ ‬ﺃﻋﻼﻩ‪ ‬ﻫﻲ‪ ‬ﺻﺤﻴﺤﺔ‪ ‬ﻭﻛﺎﻣﻠﺔ‪٬‬‬ ‫ﻛﻤﺎ‪ ‬ﺇﻧﻲ‪ ‬ﺍﺗﻌﻬﺪ‪ ‬ﺃﻟﺘﻘﻴﺪ‪ ‬ﺑﺎﻷﻧﻈﻤﺔ‪ ‬ﻭﺍﻟﻘﻮﺍﻧﻴﻦ‪ ‬ﺍﻟﻤﻌﻤﻮﻝ‪ ‬ﺑﻬﺎ‪ ‬ﻓﻲ‪ ‬ﺍﻟﺠﺎﻣﻌﺔ‪ ‬ﺍﻟﻠﺒﻨﺎﻧﻴﺔ‪.‬‬ ‫ﺧﺎص ﺑﺎﻻدارة‬ ‫رﻣﺰ اﳌﻜﻨﻨﺔ‪:‬‬ ‫رﻗﻢ اﻟﺘﻌﺮﻳﻒ اﻟﺸﺨﺼﻲ‪:‬‬ ‫ﻣﻌﻔﻰ ﻣﻦ اﻟﻀﻤﺎن؟‪:‬‬ ‫ﺳﺒﺐ اﻻﻋﻔﺎء‪:‬‬ ‫‪1/1‬‬ ‫‪ ‬‬ ‫‪201213285‬‬ ‫)ﺍﻟﺮﻣﺰ‪(52308 :‬‬ ‫‪JJ20091994987‬‬ ‫رﻗﻢ اﻟﺒﻄﺎﻗﺔ اﻟﺼﺤﻴﺔ‪:‬‬ ‫ﻧﻌﻢ‬ ‫)‪ ( ۸ ‬ﺍﺑﻦ‪) ‬ﺍﻭ‪ ‬ﺯﻭﺝ‪/‬ﺓ(‪ ‬ﻣﻮﻅﻒ‪/‬ﺓ‪ ‬ﻓﻲ‪ ‬ﺍﻟﺠﻤﺎﺭﻙ‬ ‫‪ ‬‬ ‫‪ ‬‬ ‫ﻓﻲ‪ / ۱۸ :‬ﻙ‪۲۰۱٦ / ۱‬‬ ‫ﺟﻨﻰ‪ ‬ﺟﻤﺎﻝ‬ ‫)ﻃﺎﺑﻊ ﺑﻘﻴﻤﺔ ‪ ١٠٠٠‬ل‪.‬ل‪(.‬‬ ‫‪ ‬‬ ‫‪ ‬‬ ‫‪ ‬‬ ‫‪ ‬‬ ‫ﺍﻹﻣﻀﺎء‬ ‫‪ ‬‬ ‫‪ ‬‬ ...
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  • Winter '15
  • Amir Alimohammad

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