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اشهاد و تصريح بضياع رخصة سياقة

اشهاد و تصريح بضياع رخصة سياقة

الاشهاد (مكتوب):

إشهاد و تصريح

انا الموقع اسفله

السيد:..................

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

الساكن ب : ................................

اشهد و انا في كامل قواي العقلية و اصرح ان السيد: ..................... الحامل لبطاقة التعريف الوطنية رقم ................. الساكن ب: ........................ بالمنزل الكائن بالعنوان أعلاه وخلال فترة استضافته بمنزلي ضاعت منه رخصة السياقة الخاصة به والتي تحمل رقم: ......./..... والمسلمة بتاريخ ..../...../...... في ظروف غامضة.

و بهذا اشهد على نفسي و أصرح و عليه امضي

الإمضاء

الاشهاد بصيغة الوورد Word :

تـــــحــمـــيـــل

التزامات

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