Fillable %D8%B6%D9%85%DB%8C%D9%85%D9%87 %D8%B4%D9%85%D8%A7%D8%B1%D9%87 2-%D9%81%D9%88%D8%B1%D9%85 %D8%A7%D8%B1%D8%B2%DB%8C%D8%A7%D8%A8%DB%8C %D9%85%D8%A7%D9%85%D9%88%D8%B1 %D8%AE%D8%AF%D9%85%D8%A7%D8%AA %D9%85

Fill Online, Printable, Fillable, Blank %D8%B6%D9%85%DB%8C%D9%85%D9%87 %D8%B4%D9%85%D8%A7%D8%B1%D9%87 2-%D9%81%D9%88%D8%B1%D9%85 %D8%A7%D8%B1%D8%B2%DB%8C%D8%A7%D8%A8%DB%8C %D9%85%D8%A7%D9%85%D9%88%D8%B1 %D8%AE%D8%AF%D9%85%D8%A7%D8%AA %D9%85 Form

Use Fill to complete blank online OTHERS pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

%D8%B6%D9%85%DB%8C%D9%85%D9%87 %D8%B4%D9%85%D8%A7%D8%B1%D9%87 2-%D9%81%D9%88%D8%B1%D9%85 %D8%A7%D8%B1%D8%B2%DB%8C%D8%A7%D8%A8%DB%8C %D9%85%D8%A7%D9%85%D9%88%D8%B1 %D8%AE%D8%AF%D9%85%D8%A7%D8%AA %D9%85%D9%84%DA%A9%DB%8C

On average this form takes 11 minutes to complete

The %D8%B6%D9%85%DB%8C%D9%85%D9%87 %D8%B4%D9%85%D8%A7%D8%B1%D9%87 2-%D9%81%D9%88%D8%B1%D9%85 %D8%A7%D8%B1%D8%B2%DB%8C%D8%A7%D8%A8%DB%8C %D9%85%D8%A7%D9%85%D9%88%D8%B1 %D8%AE%D8%AF%D9%85%D8%A7%D8%AA %D9%85 form is 2 pages long and contains:

  • 0 signatures
  • 2 check-boxes
  • 45 other fields

Country of origin: OTHERS
File type: PDF

BROWSE OTHERS FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
(1 )
) هرﺎﻤﺷ ﻪﻤﻴﻤﺿ2( مرﻮﻓﻲﺑﺎﻳزراﻮﻣﺎﻣر ﻲﻜﻠﻣ تﺎﻣﺪﺧ
ﻦﻳرﻮﻣﺎﻣ(ب) ﻒﻳدرتارادا و ﺎﻫ ترازو ﻲﻠﺤﻣ يﺎﻫ ﺪﺣاو ﺰﻛﺮﻣ رد
دﺎﻌﻴﻣ تآاﺮﺟا ﻲﺑﺎﻳزرا: ﺦﻳرﺎﺗ زا
ـــــــــــ/ـــــــــــ /ـــــــــــ ﻲﻟا ـــــــــــ / ـــــــــــ / ـــــــــــ :ﺖﺴﺑ ﻲﺗﻼﻴﻜﺸﺗ دﻮﻛ......................................................................................................................................
ﻲﻣﻮﻤﻋ تﺎﻣﻮﻠﻌﻣ :لوا ﺶﺨﺑ
ﺮﺘﻓد ﺖﺷادﺮﻈﻧرد ﺎﺑ يﺮﺸﺑ ﻊﺑﺎﻨﻣ ﺖﺳﺎﻳر ﺎﻳ و هﺪﻧﻮﺷ ﻲﺑﺎﻳزرا ﻂﺳﻮﺗ ،هدﻮﺑ رﻮﻣﺎﻣ ﻲﻣﻮﻤﻋ تﺎﻣﻮﻠﻌﻣ ﻞﻣﺎﺷ ﺶﺨﺑ ﻦﻳاددﺮﮔ ﻲﻣ يﺮﭘ ﻪﻧﺎﺧ ﻞﻣﺎﻛ و ﻖﻴﻗد ترﻮﺼﺑ رﻮﻣﺎﻣ ﺢﻧاﻮﺳ .
ترازو/ هرادا:
1- ﻢﺳا :ﺺﻠﺨﺗ و 2- ﻢﺳا :رﺪﭘ 3- :ﻞﻴﺼﺤﺗ ﻪﺟرد
4- ﻪﺘﺷر :ﻞﻴﺼﺤﺗ 5- :ﻲﻠﻌﻓ ﻪﻔﻴﻇو رد رﺮﻘﺗ ﺦﻳرﺎﺗ 6- :ﻪﻔﻴﻇو ناﻮﻨﻋ
7- :ﺖﺴﺑ )( ) : مﺪﻗ ( 8- ﻪﻃﻮﺑﺮﻣ ﺖﻳﻻو: 9- :ﻲﺑﺎﻳزرا عﻮﻧ ﻲﺸﻳﺎﻣزآ ﻪﻧﻻﺎﺳ
ﺶﺨﺑمود :اﺪﻫا فﻲﺳﺎﺳا نﻼﭘﻪﻧﻻﺎﺳ رﻮﻣﺎﻣﻦﻳ تارادا و ﺎﻫ ترازو ﻲﻠﺤﻣ يﺎﻫ ﺪﺣاو (ب) ﻒﻳدر
) ﻞﻣﺎﺷ ﺶﺨﺑ ﻦﻳا8) ياراد ﺮﺜﻛا ﺪﺣ فﺪﻫ ﺮﻫ ﻪﻛ ﺖﺳا رﻮﻣﺎﻣ هﺪﺷ رﻮﻈﻨﻣ رﺎﻛ نﻼﭘ ﻲﺳﺎﺳا فاﺪﻫا درﻮﻣ (5 هﺮﻤﻧ (هدﻮﺑ ) ًﺎﻋﻮﻤﺠﻣ ﻪﻛ40( هﺮﻤﻧ.دﻮﺸﻴﻣ
هرﺎﻤﺷ يرﺎﻛ نﻼﭘ ﻲﺳﺎﺳا فاﺪﻫا رﻮﻣﺎﻣ هﺮﻤﻧ ﻢﻴﻘﺘﺴﻣ ﺮﻣآ هﺮﻤﻧ ﺶﻳﻮﺧ هﺮﻤﻧ درﻮﻣ رد ﻢﻴﻘﺘﺴﻣ ﺮﻣآ ﻞﻳﻻد
1
2
3
4
5
تاﺮﻤﻧ عﻮﻤﺠﻣ
يﺎﻫ ﺪﺣاو (ب) ﻒﻳدر ﻦﻳرﻮﻣﺎﻣ ياﺮﺑ فﺮﺻ يرادا دﺎﺴﻓ ﻪﻴﻠﻋ هزرﺎﺒﻣ و بﻮﺧ يراﺪﺘﻣﻮﻜﺣ ﻲﻠﺤﻣ تارادا و ﺎﻫ ترازو
6 و فاﺪﻫا ﻖﻘﺤﺗﻪﻃﻮﺑﺮﻣ ﻲﻓﺎﺸﻜﻧا يﺎﻫ هژوﺮﭘ و ﺎﻫ ﻪﻣﺎﻧﺮﺑ ﺮﻤﺜﻣ و ﺮﺛﺆﻣ ﺖﻳﺮﻳﺪﻣ و ﻲﻠﻣ يﮋﻴﺗاﺮﺘﺳا يﺎﻫ نﻼﭘ
7 ﻊﻗﻮﻣ ﻪﺑ تﺎﻣﻮﻠﻌﻣ ﻪﻳارا ﻪﺑ ﻪﻌﻣﺎﺟ ،ﻲﺘﻟود تارادا ناﺪﻧوﺮﻬﺷ و ﺎﻫ ﻪﻧﺎﺳر ،ﻲﻧﺪﻣ ﺖﺷادﺮﻈﻧ رد ﺎﺑ ﻪﺑ ﻲﺳﺮﺘﺳد نﻮﻧﺎﻗا تﺎﻋﻼﻃ وﭘهرادا ﻲﺴﻴﻟﺎ ﻪﻃﻮﺑﺮﻣ
8 نﻮﻧﺎﻗ ﻖﻴﺒﻄﺗ زا نﺎﻨﻴﻤﻃا لﻮﺼﺣ و ﺖﻳﺎﻋرتآاﺮﺟا رازآ ﻊﻨﻣ نﻮﻧﺎﻗ و يراداو لﺎﻔﻃا و نﺎﻧز ﺖﻳذاﻮﺑﺮﻣ يرﺎﻛ ﻪﺣﺎﺳ ردﻪﻃ
تاﺮﻤﻧ عﻮﻤﺠﻣ
عﻮﻤﺠﻣﻲﻣﻮﻤﻋ تاﺮﻤﻧ و يرﺎﻛ نﻼﭘ ﻲﺳﺎﺳا فاﺪﻫايرادا دﺎﺴﻓ ﻪﻴﻠﻋ هزرﺎﺒﻣ و بﻮﺧ يراﺪﺘﻣﻮﻜﺣ
*
ز
ا ﺪﻌﺑ
مرﻮ
ﻓ
ﻦ
ﻳا
ﻞ
ﻴﻤﻜﺗ) ه
ر
ﺎﻤﺷ ﻪﻤﻴﻤﺿ
مرﻮ
ﻓ1
(
ﻖ
ﻴﺒﻄﺗ
ﻞ
ﺑﺎﻗﺖﺳا
.
٠
٠
٠
(2 )
ﺶﺨﺑمﻮﺳﺎﺷ ﻲﺑﺎﻳزرا يﺎﻫ ﺺﺧﺎﺷ : ﺎﻫ ﻲﮕﺘﺴﻳ
ﺨﺑ ﻦﻳا) ﻞﻣﺎﺷ ﺶ6ﺺﺧﺎﺷ ( ) ياراد ﺮﺜﻛاﺪﺣ ﺺﺧﺎﺷ ﺮﻫ و هدﻮﺑ3هﺮﻤﻧ ( ﺎﻋﻮﻤﺠﻣ ﻪﻛ )18( .دﻮﺸﻴﻣ هﺮﻤﻧ
هرﺎﻤﺷﺎﻫ ﻲﮕﺘﺴﻳﺎﺷ ﻲﺑﺎﻳزرا يﺎﻫ ﺺﺧﺎﺷ رﻮﻣﺎﻣ هﺮﻤﻧﻢﻴﻘﺘﺴﻣ ﺮﻣآ هﺮﻤﻧ ﺶﻳﻮﺧ هﺮﻤﻧ درﻮﻣ رد ﻢﻴﻘﺘﺴﻣ ﺮﻣآ ﻞﻳﻻد
1
يﺮﺒﻫر كﺮﺤﺗ و ﺮﻴﻴﻐﺗ ،فاﺪﻫا ﻪﺑ نﺪﻴﺳر ﺮﻴﺴﻣ رد ﻦﻳرﻮﻣﺎﻣ نداد راﺮﻗ ،هﺰﻴﮕﻧا دﺎﺠﻳا) ﺮﺛﺆﻣ تﺎﻃﺎﺒﺗرا ﻦﻴﻣﺎﺗ و(
2
يﺮﻴﮔ ﻢﻴﻤﺼﺗ و يراﺬﮕﻧﻼﭘ) ،ﻲﺑﺎﻳ ﻪﻠﺌﺴﻣﻦﻴﻴﻌﺗ فاﺪﻫا ﺪﺻﺎﻘﻣ وﺎﻫ ﺖﻴﻟﺎﻌﻓ يﺪﻨﺑ ﺖﻳﻮﻟوا ، و درﻮﻣ ﻊﺑﺎﻨﻣ ﻲﻨﻴﺑ ﺶﻴﭘﻧ(زﺎﻴ
3
ﺖﻴﻗﻼﺧ ﺮﺘﻬﺑ رﺎﻛ ياﺮﺑ هﺰﻴﮕﻧا ﻦﺘﺷاد و يروآﻮﻧ و و ﺪﻳﺪﺟ يﺎﻫ حﺮﻃ ﻦﺘﺷاد)ارا،رﺎﻛ شور ﺮﻴﻴﻐﺗ ﻪﺑ ﺮﺠﻨﻣ ﻪﻛ نآ ﻪﺋ و نﺎﻣز ﺶﻫﺎﻛ ﻫ ﺔﻨﻳﺰ
(ددﺮﮔ ﺞﻳﺎﺘﻧ دﻮﺒﻬﺑ و ﺎﻫ رﺎﻛ مﺎﺠﻧا
4
ﻲﻧﺎﺳر ﺖﻣﺪﺧ ﻪﺑ ﻪﺟﻮﺗ)مدﺮﻣ ﻪﺑ ﻚﻤﻛ رﻮﻈﻨﻣ ﻪﺑ ﻲﻳﺎﻫ شور ﻦﺘﻓﺎﻳ ياﺮﺑ ﻪﻧﻻﺎﻌﻓ يﻮﺠﺘﺴﺟ ﻲﻳﺎﻧاﻮﺗ(
5
ﻲﺑﺎﻳزرا و ترﺎﻈﻧ) ﻲﺑﺎﻳزرا و ترﺎﻈﻧ ﻲﻳﺎﻧاﻮﺗﺮﺛا ﺖﺤﺗ ﻦﻳرﻮﻣﺎﻣ تآاﺮﺟادﻮﺧ يرﺎﻛ يﺎﻫ ﺖﻴﻟﺎﻌﻓ و ﺎﻫ ﻪﻣﺎﻧﺮﺑ روﺮﻣ ،(
6
ﻮﺗ و ﻪﻌﺳﻮﺗ يزﺎﺳ ﺪﻨﻤﻧا) و نارﺎﻜﻤﻫ /نﺎﺘﺳدﺮﻳز ﻲﻳﺎﻤﻨﻫاردﻮﺧ دﺮﻜﻠﻤﻋ و ﺖﻴﻓﺮﻇ ﺢﻄﺳ ندﺮﺑ ﺪﻨﻠﺑ(
تاﺮﻤﻧ عﻮﻤﺠﻣ
ﺶﺨﺑمرﺎﻬﭼزﺮﻃ : كﻮﻠﺳ
ﻞﻣﺎﺷ ﺶﺨﺑ ﻦﻳا)4 (ﺖﺳا دراﻮﻣ ﺮﻫ .درﻮﻣ ﺮﺜﻛا ﺪﺣ ياراد)3( ) ًﺎﻋﻮﻤﺠﻣ ﻪﻛ هدﻮﺑ هﺮﻤﻧ12 هﺮﻤﻧ (دﻮﺸﻴﻣ.
هرﺎﻤﺷ
زﺮﻃ كﻮﻠﺳ
ﺮﻤﻧ ه رﻮﻣﺎﻣ ﻢﻴﻘﺘﺴﻣ ﺮﻣآ هﺮﻤﻧ ﻞﻳﻻد هﺮﻤﻧ درﻮﻣ رد ﻢﻴﻘﺘﺴﻣ ﺮﻣآ ﺶﻳﻮﺧ
1 ﻦﻴﻌﺟاﺮﻣ و نارﺎﻜﻤﻫ ﺎﺑ كﻮﻠﺳ ﻦﺴﺣ
2 و ﻲﻜﻠﺴﻣ تآاﺮﺟا ﻪﻔﻴﻇو ﻪﺑ يﺪﻨﺑﺎﭘ
3 ﺖﻴﻓﺎﻔﺷ وﻲﻫﺪﺑﺎﺴﺣ
4 ﺖﻴﻧﻮﻧﺎﻗ ﻢﻴﻜﺤﺗ
تاﺮﻤﻧ عﻮﻤﺠﻣ
٠
٠
(3 )
ﺶﺨﺑﻢﺠﻨﭘ : ﻲﻳﺎﻬﻧ ﻪﺠﻴﺘﻧآاﺮﺟا ﻲﺑﺎﻳزرا ﻒﻳدر ﻦﻳرﻮﻣﺎﻣ ت(ب) تارادا و ﺎﻫ ترازو ﻲﻠﺤﻣ يﺎﻫ ﺪﺣاو
تادﺎﻬﻨﺸﻴﭘ ﻪﻣﺎﻧﺮﺑ ﻪﺑ رﻮﻣﺎﻣ ﻲﻓﺮﻌﻣ و تآاﺮﺟا دﻮﺒﻬﺑ رﻮﻈﻨﻣ ﻪﺑ ﻢﻴﻘﺘﺴﻣ ﺮﻣآ ﻲﺷزﻮﻣآ يﺎﻫ: .....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
:ﻢﻴﻘﺘﺴﻣ ﺮﻣآ ﻢﺳا .......................................................................................................................... ﻪﻔﻴﻇو :............................................................................................................................................
ا :ءﺎﻀﻣ
.......................................................................................................................................................................................... ...... :ﺦﻳرﺎﺗ ____/____/____
فاﺪﻫا ﺶﺨﺑ تاﺮﻤﻧ عﻮﻤﺠﻣ ﺘﻣﻮﻜﺣ و يرﺎﻛ نﻼﭘ ﻲﺳﺎﺳارادا دﺎﺴﻓ ﻪﻴﻠﻋ هزرﺎﺒﻣ و بﻮﺧ يراﺪي
ﺶﺨﺑ تاﺮﻤﻧ عﻮﻤﺠﻣ ﺎﻫ ﻲﮕﺘﺴﻳﺎﺷ ﻲﺑﺎﻳزرا يﺎﻫ ﺺﺧﺎﺷ
كﻮﻠﺳ زﺮﻃ ﺶﺨﺑ تاﺮﻤﻧ عﻮﻤﺠﻣ
ﻢﻴﻘﺘﺴﻣ ﺮﻣآ تاﺮﻤﻧ عﻮﻤﺠﻣ
ﻪﻃﻮﺑﺮﻣ ﺖﻳﻻو ﻲﻟاو تاﺮﻤﻧ عﻮﻤﺠﻣ
ﻲﻣﻮﻤﻋ تاﺮﻤﻧ عﻮﻤﺠﻣ
ﻞﻳﻻد و تاﺮﻈﻧ ﻪﻳارا قﻮﻓﺎﻣ ﺮﻣآ ﻢﻴﻘﺘﺴﻣ ﺮﻣآ هﺮﻤﻧ درﻮﻣ رد فﺮﺻ: ﻲﻳﺎﻬﻧ هﺮﻤﻧ عﻮﻤﺠﻣ :قﻮﻓﺎﻣ ﺮﻣآ ) (
......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
........................................................................................................................................
ﻢﺳا :........................................................................................................................................................... :ﻪﻔﻴﻇو.............................................................................................................................................. ........:ءﺎﻀﻣا ...................................................................................................................................... ......... :ﺦﻳرﺎﺗ ____/____/____ ﺪﻴﺋﺎﺗ در
ﺮﻈﻧ رﻮﻣﺎﻣ ﻲﺑﺎﻳزرا ﻪﺠﻴﺘﻧ درﻮﻣ رد تآاﺮﺟا: :ﻢﺳا .............................................................................................................................................................. :ءﺎﻀﻣا ................................................................................................................................................... :ﺦﻳرﺎﺗ ____/____/____ ﺖﻋﺎﻨﻗ مﺪﻋﺖﻋﺎﻨﻗ
ياﺮﺑ ﻲﻳﺎﻬﻧ ﻪﺠﻴﺘﻧ ﻦﻳرﻮﻣﺎﻣ ﻒﻳدر (ب)تارادا و ﺎﻫ ترازو ﻲﻠﺤﻣ يﺎﻫ ﺪﺣاو : 85 ﻲﻟا100 ﺮﺗﻻﺎﺑ مﺪﻗ ﻪﺑ ءﺎﻘﺗرا ،هﺮﻤﻧ 56 ﻲﻟا84 ،هﺮﻤﻧ ﻇو ماود ﻲﻠﻌﻓ مﺪﻗ رد ﻪﻔﻴ 55 ﺖﺴﺑ زا لﺎﺼﻔﻧا ،ﺮﺘﻨﻴﺋﺎﭘ و هﺮﻤﻧ
ﺮﻈﻧ ﺖﻳﺮﻳﺪﻣ زا ترﺎﻈﻧ سﺎﻨﺷرﺎﻛتآاﺮﺟاﻲﻜﻠﻣ تﺎﻣﺪﺧ و يرادا تﺎﺣﻼﺻا ﻞﻘﺘﺴﻣ نﻮﻴﺴﻴﻤﻛ:
...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
:ﻢﺳا ............................................................................................................................................................................................... ناﻮﻨﻋ :ﻪﻔﻴﻇو..................................................................................................................................................................... ........ ﻀﻣاﺎء: ........................................................................................................................................................... :ﺦﻳرﺎﺗ ____/____/____
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

%D8%B6%D9%85%DB%8C%D9%85%D9%87 %D8%B4%D9%85%D8%A7%D8%B1%D9%87 2-%D9%81%D9%88%D8%B1%D9%85 %D8%A7%D8%B1%D8%B2%DB%8C%D8%A7%D8%A8%DB%8C %D9%85%D8%A7%D9%85%D9%88%D8%B1 %D8%AE%D8%AF%D9%85%D8%A7%D8%AA %D9%85%D9%84%DA%A9%DB%8C

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 28 March 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document