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‫ص‪.‬ب‪ 23264 :‬اﻟﺪوﺣﺔ ﻗﻄﺮ‬

‫‪P.O. Box 23264 Doha Qatar‬‬

‫ﺗﻠﻔﻮن ‬ ‫ﻓﺎآﺲ‪ :‬‬ ‫اﻟﻤﺠﻠﺲ اﻷﻋﻠﻰ ﻟﻺﺗﺼﺎﻻت وﺗﻜﻨﻮﻟﻮﺟﻴﺎ اﻟﻤﻌﻠﻮﻣﺎت‬

‫‪7‬‬ ‫)‬

‫‪Supreme Council of Information & Communication‬‬ ‫‪Technology‬‬

‫‪ ‬‬

‫ﻁﻠﺏ ﺍﻟﺤﺼﻭل ﻋﻠﻰ ﺍﻟﺒﻁﺎﻗﺔ ﺍﻟﺫﻜﻴﺔ‬ ‫ﺒﻴﺎﻨﺎﺕ ﻤﺴﺘﺨﺩﻡ ﺍﻟﺒﻁﺎﻗﺔ ‪) :‬ﻴﺠﺏ ﺇﺭﻓﺎﻕ ﺼﻭﺭﺓ ﻤﻥ ﺍﻟﺒﻁﺎﻗﺔ ﺍﻟﺸﺨﺼﻴﺔ ﻟﻤﺴﺘﻠﻡ ﺍﻟﺒﻁﺎﻗﺔ(‬ ‫ﺭﻗﻡ ﺍﻟﺒﻁﺎﻗﺔ ﺍﻟﺸﺨﺼﻴﺔ ﻟﻠﻤﺴﺘﺨﺩﻡ ‪:‬‬ ‫ﺍﺴﻡ ﻤﺴﺘﺨﺩﻡ ﺍﻟﺒﻁﺎﻗﺔ )ﺒﺎﻟﻌﺭﺒﻴﺔ( ‪:‬‬

‫‪..........................................................................................‬‬

‫ﺍﺴﻡ ﻤﺴﺘﺨﺩﻡ ﺍﻟﺒﻁﺎﻗﺔ )ﺒﺎﻹﻨﺠﻠﻴﺯﻴﺔ( ‪:‬‬

‫‪..........................................................................................‬‬

‫ﻫﺎﺘﻑ‪:‬‬

‫ﺠﻭﺍل‪:‬‬

‫ﻓﺎﻜﺱ‪:‬‬

‫ﺹ‪.‬ﺏ‪:‬‬

‫ﺒﺭﻴﺩ ﺇﻟﻜﺘﺭﻭﻭﻨﻲ‪:‬‬ ‫ﺒﻴﺎﻨﺎﺕ ﺍﻟﻤﻨﺸﺄﺓ‪) : :‬ﻴﺠﺏ ﺇﺭﻓﺎﻕ ﺼﻭﺭﺓ ﻤﻥ ﺒﻁﺎﻗﺔ ﻗﻴﺩ ﺍﻟﻤﻨﺸﺄﺓ ﻁﺎﻟﺒﺔ ﺍﻟﺒﻁﺎﻗﺔ ﺍﻟﺫﻜﻴﺔ(‬ ‫ﺭﻗﻡ ﺍﻟﻤﻨﺸﺄﺓ ﻁﺎﻟﺒﺔ ﺍﻟﺒﻁﺎﻗﺔ‪:‬‬

‫‪-‬‬

‫‪-‬‬

‫ﺍﺴﻡ ﺍﻟﻤﻨﺸﺄﺓ )ﺒﺎﻟﻌﺭﺒﻴﺔ( ‪:‬‬

‫‪..................................................................................................‬‬

‫ﺍﺴﻡ ﺍﻟﻤﻨﺸﺄﺓ )ﺒﺎﻹﻨﺠﻠﻴﺯﻴﺔ( ‪:‬‬

‫‪..................................................................................................‬‬

‫ﺍﻟﺨﺩﻤﺎﺕ ﺍﻟﻤﻁﻠﻭﺒﺔ‪) :‬ﻴﺠﺏ ﻭﻀﻊ ﻋﻼﻤﺔ )√( ﺃﻤﺎﻡ ﻜل ﺨﺩﻤﺔ ﻤﻁﻠﻭﺒﺔ ﻭ ﻋﻼﻤﺔ )×( ﺃﻤﺎﻡ ﻜل ﺨﺩﻤﺔ ﻏﻴﺭ ﻤﻁﻠﻭﺒﺔ(‬ ‫ﺨﺩﻤﺎﺕ ﺍﻹﻗﺎﻤﺎﺕ‬

‫ﺇﺼﺩﺍﺭ ﺇﻗﺎﻤﺔ ﺠﺩﻴﺩﺓ‬

‫ﻤﻁﻠﻭﺒﺔ‬

‫ﻏﻴﺭ ﻤﻁﻠﻭﺒﺔ‬

‫ﺘﺠﺩﻴﺩ ﺍﻹﻗﺎﻤﺔ‬

‫‪ ‬‬

‫ﺨﺩﻤﺎﺕ ﺍﻟﺘﺄﺸﻴﺭﺍﺕ‬

‫ﺇﺼﺩﺍﺭ ﺘﺄﺸﻴﺭﺓ ﺃﺴﺘﻘﺩﺍﻡ ﻟﻠﻌﻤل‬

‫ﻤﻁﻠﻭﺒﺔ‬

‫ﻏﻴﺭ ﻤﻁﻠﻭﺒﺔ‬

‫ﺇﺼﺩﺍﺭ ﺘﺄﺸﻴﺭﺓ ﺭﺠﺎل ﺍﻷﻋﻤﺎل‬

‫ﺇﺼﺩﺍﺭ ﺘﺄﺸﻴﺭﺓ ﺭﺴﻤﻴﺔ )ﻟﻠﺠﻬﺎﺕ ﺍﻟﺤﻜﻭﻤﻴﺔ(‬

‫ﺇﻟﻐﺎﺀ ﺍﻹﻗﺎﻤﺔ‬

‫ﺇﺼﺩﺍﺭ ﺘﺄﺸﻴﺭﺓ ﺴﻴﺎﺤﻴﺔ‬

‫ﺇﻋﺎﺩﺓ ﺘﻔﻌﻴل ﺍﻹﻗﺎﻤﺔ‬

‫ﺇﺼﺩﺍﺭ ﺘﺄﺸﻴﺭﺓ ﻤﺭﻭﺭ ﺍﻟﺒﺤﺎﺭﺓ‬

‫ﻨﻘل ﺍﻹﻗﺎﻤﺔ ﻤﻥ ﺠﻭﺍﺯ ﻵﺨﺭ‬

‫ﺇﺼﺩﺍﺭ ﺘﺄﺸﻴﺭﺓ ﺴﺎﺌﻘﻲ ﺍﻟﺸﺎﺤﻨﺎﺕ ﺍﻟﺜﻘﻴﻠﺔ‬

‫ﻓﺼل ﻤﺭﺍﻓﻘﻲ ﺍﻟﺠﻭﺍﺯ‬

‫ﻨﻘل ﺍﻟﻜﻔﺎﻟﺔ‬

‫ﺘﺼﺎﺭﻴﺢ ﺍﻟﺴﻔﺭ‬

‫ﺘﺼﺎﺭﻴﺢ ﺘﺠﺎﻭﺯ ﺍﻹﻗﺎﻤﺔ‬ ‫ﺇﺼﺩﺍﺭ ﺇﻗﺎﻤﺔ ﺍﻟﻤﻭﺍﻟﻴﺩ‬

‫ﺒﻴﺎﻨﺎﺕ ﺍﻟﻤﻔﻭﺽ ﺒﺎﻟﺘﻭﻗﻴﻊ‪) :‬ﺃﻱ ﻤﻔﻭﺽ ﺒﺎﻟﺘﻭﻗﻴﻊ ﻓﻲ ﺒﻁﺎﻗﺔ ﻗﻴﺩ ﺍﻟﻤﻨﺸﺄﺓ(‬ ‫ﺍﺴﻡ ﺍﻟﻤﻔﻭﺽ ﺒﺎﻟﺘﻭﻗﻴﻊ‪:‬‬

‫‪ ...................................................................‬ﺍﻟﻤﻬﻨﺔ‪................................ :‬‬

‫ﺍﻟﺭﻗﻡ ﺍﻟﺸﺨﺼﻲ‪:‬‬ ‫ﺍﻟﺘﻭﻗﻴﻊ‪:‬‬

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‫ﺍﻟﺨﺘﻡ‪:‬‬

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Ashfaque  

Testing issuu

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