نموذج تصريح بضياع وثائق مثل بطاقة التعريف الوطنية

02 ديسمبر 2020

نموذج تصريح بضياع وثائق مثل بطاقة التعريف الوطنية

تصريح بالضياع

انأ الموقع أسفله:

السيد:....................... الحامل لبطاقة التعريف الوطنية رقم.......................... الساكن ب: .....................................

اشهد وأصرح وبشرف أنني أضعت في مكان مجهول وفي ظروف غير محددة وغامضة الوثائق التالية:

-...............................................................

وأتحمل كامل المسؤولية في حالة إثبات عكس ذلك، وتوقيعي أسفله يحملني كامل المسؤولية الإدارية والقانونية.

وعليه حررت هذا الإشهاد وسلمته لدى من يجب قصد الإدلاء به عند الحاجة.

إمضاء:

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