طلب رخصة تجديد الذخيرة

‫ملحق ‪2‬‬ ‫الجمهوريــــــة الجزائريـــــــة الديمقراطيـــــــة الشعبيـــــــــة‬ ‫وزارة الداخلية والجماعات المحلية والتهيئة العمرانية‬ ‫‪(1)...........................................................................‬‬ ‫‪:‬‬

‫طلب رخصة تجديد الذخيرة‬ ‫‪...................................................................................................................................................................................................................................................................................................................‬‬ ‫الممضي أسفله‪:‬‬ ‫‪...................................................................................................................................................................................................................................................................................................................‬‬ ‫هوية صاحب الطلب(‪:)2‬‬ ‫‪............................................................................................................................... ...................................................................‬‬‫بـ‪:‬‬ ‫‪...............................................................................................................................‬‬ ‫المولود(ة) بتاريخ‪:‬‬ ‫‪.............................................................................................................................................................................................................................................................................................................................................................................‬‬ ‫ابن‪:‬‬ ‫‪..............................................................................................................................................................................................................................................................................................................................................................................‬‬ ‫و‪:‬‬ ‫‪.............................................................................................................................................................................................................................................................................................................................................................................‬‬ ‫الجنسية‪:‬‬ ‫‪.............................................................................................................................................................................................................................................................................................................................................................................‬‬ ‫العنوان‪:‬‬ ‫‪.............................................................................................................................................................................................................................................................................................................................................................................‬‬ ‫المهنة‪:‬‬

‫‪....................................................................................................................................................................................................................................................................................‬‬ ‫صاحب رخصة حيازة السالح رقم‪:‬‬ ‫‪............................................................................................. .....................................‬‬ ‫من طرف‪:‬‬ ‫المسلمة بتاريخ‪:‬‬ ‫‪............................................................................................. .....................................‬‬

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