تصريح بضياع وثائق الدراجة النارية Word

أنا الموقعة أسفله

السيدة:

الحاملة لبطاقة التعريف الوطنية رقم:

والساكنة ب:

أشهد على نفسي شهادة الطوع والرضا وأنا في كامل قواي العقلية وأقر أنني أصرح بشرفي أنه ضاعت مني بطاقة التأمين والبطاقة الرمادية الخاصة بدراجتي النارية في ظروف غامضة، بيانات الدراجة النارية:

النوع : ……

رقم الإطار الحديدي : …………….

الصنف: …………..

وبهذا أصرح وعليه امضي.

تحميل Word

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البحث

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\u064a\u0643\u0648\u0646 \u062d\u0642\u0644 \u0627\u0644\u0631\u0633\u0627\u0644\u0629 \u0641\u0627\u0631\u063a\u064b\u0627.', 'title': '\u0646\u0645\u0648\u0630\u062c \u0627\u0644\u0627\u062a\u0635\u0627\u0644', 'blogId': '7774673206035171072', 'contactFormNameMsg': '\u0627\u0644\u0627\u0633\u0645', 'contactFormEmailMsg': '\u0628\u0631\u064a\u062f \u0625\u0644\u0643\u062a\u0631\u0648\u0646\u064a', 'contactFormMessageMsg': '\u0631\u0633\u0627\u0644\u0629', 'contactFormSendMsg': '\u0625\u0631\u0633\u0627\u0644', 'contactFormToken': 'AOuZoY4NgqlPd5HGRJelkRNDpDDW88yX3w:1738752617943', 'submitUrl': 'https://www.blogger.com/contact-form.do'}, 'displayModeFull'));

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تصريح بضياع وثائق الدراجة النارية Word

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