القائمة الرئيسية

الصفحات

تصريح بضياع شهادة الخطوبة

تصريح بضياع شهادة الخطوبة

التصريح (مكتوب)

تــــصـــريـــــح

أنا الموقع أسفله

السيد: ............

الحامل لبطاقة التعريف الوطنية رقم:.................

الساكن ب: ......................

أصرح و ألتزم أنني قد تسلمت شهادة الخطوبة خلال شهر ......... سنة .......... من مقدم الحي و قد ضاعت مني في ظروف غامضة وأنني لم أستعملها لعقد الزواج كما أصرح أنني عازب إلى يومنا هذا و لم يسبق لي الزواج من قبل.

وهذا ما يؤكده الشاهدين الموقعين أسفله.

و بهذا أصرح و عليه أمضي.

الإمضاء:

الشاهد الأول

الإسم: ...........

رقم بطاقة التعريف الوطنية:...............

الإمضاء:

الشاهد الثاني

الإسم: ................

رقم بطاقة التعريف الوطنية: ..............

الإمضاء:

التصريح (بصيغة الوورد Word)

تــــــحـــمــــــيـــل

أخر المواضيع من قسم : تصاريح

تعليقات

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