نموذج طلب التزام وتصريح بالشرف للضمان الاجتماعي

التوجيهات والفرص المتاحة عبر بوابة الوظيفة العمومية في المغرب

اخر تحديث :

نموذج طلب التزام وتصريح بالشرف للضمان الاجتماعي

قم بتحميل النموذج بصيغة PDF بالضغط على زر تحميل النموذج PDF أو تحميل النموذج بصيغة وورد WORD بالضغط على زر تحميل النموذج WORD , بعد التحميل قم بالتعديل على النموذج حسب حاجتك بمعلوماتك الخاصة بالإضافة إلى نوع النموذج.

التـــزام وتصريح بالشرف

أنا الموقع أسفله:

السيد: …………….، المزداد ……………….، مغربي، كامل الأهلية والحامل لبطاقة التعريف الوطنية رقم : ............... رقم التسجيل بالضمان الاجتماعي: ................

بموجب هذه الوثيقة وبكافة الضمانات الفعلية والقانونية أشهد على نفسي و أصرح وأنا بكامل قواي العقلية والجسدية بأنه بتاريخ …………. في تمام الساعة ………….. قد سقطت وتعرضت لجرح على مستوى الركبة استوجب علي من خلاله خياطته وذلك قرب ……. ………….

التزام وتصريح تام و صحيح وقعته بعد الإطلاع و الفهم التامين له متحملا بذلك كافة المسؤوليات القانونية الناتجة عنه في حالة ثبوت عكس ذلك

حرر ……………

إمضاء: ……………

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