www.kau.edu.sa
١
KINGDOM OF SAUDI ARABIA Ministry of Higher Education KING ABDULAZIZ UNIVERSITY
Deanship of Scientific Research
ﻲﻤﻠﻌﻟﺍ ﺚﺤﺒﻟﺍ ﺓﺩﺎﻤﻋ
ﻱﺭﺴ
ﻱﺭﻭﺩ ﺭﻴﺭﻘﺘ ﻡﻴﻴﻘﺘ ﻰﻠﻋ ﺔﻘﻓﺍﻭﻤﻝﺍ ﺓﺭﺎﻤﺘﺴﺍ ﻡ
/
١ - ﺙــــﺤﺒﻝﺍ ﻡﻗﺭ :
/
٢ - ﻡﻴﻴﻘﺘﻝﺍ لﺎﺴﺭﺇ ﺩﻋﻭﻤ :
ﺭﻴﺭﻘﺘﻝﺍ ﻡﻼﺘﺴﺍ ﺦﻴﺭﺎﺘ ﻥﻤ ﻥﻴﻋﻭﺒﺴﺃ
٣ - ﻡـــﻴﻴﻘﺘﻝﺍ ﺓﺄﻓﺎﻜﻤ :
٣٠٠ لﺎﻴﺭ
٤ ﻴﻘﻤﻝﺍ ﻡﺴﺍ –
ــــ ﻡ
: ﻡﺴﻻﺍ
ﺏﻷﺍ
ﺔـﻠﺌﺎﻌﻝﺍ
... ... ...
ﺔﻅﺤﻼﻤ :
ﺔﺒﺎﺘﻜ ﻭﺠﺭﻨ ﻡﺴﻻﺍ
ﺔﻴﺯﻴﻠﺠﻨﻹﺍ ﺔﻐﻠﻝﺎﺒ ﹰﻼﻤﺎﻜ :
Middle Name
First Name
Last Name
...
...
...
٥ - ﻥﺍﻭﻨﻋ ﺔﻠﺴﺍﺭﻤﻝﺍ ...:
ﻑﺘﺎﻬــﻝﺍ ...:
ﻲﻨﻭﺭﺘﻜﻝﻹﺍ ﺩﻴﺭﺒﻝﺍ
...:
...
٦ - ﺩﺩﺤﻤﻝﺍ ﺩﻋﻭﻤﻝﺍ ﻲﻓ ﻡﻴﻴﻘﺘﻝﺍ ﻰﻠﻋ ﻕﻓﺍﻭﺃ .
٧ - ﻲﻝﺎﺘﻝﺍ ﻡﻴﻘﻤﻝﺍ ﻡﻜﻝ ﺢﺸﺭﺃﻭ ﺕﺎﻘﻓﺭﻤﻝﺍ ﻡﻜﻝ ﺩﺎﻌﻤﻭ ﺩﺩﺤﻤﻝﺍ ﺩﻋﻭﻤﻝﺍ ﻲﻓ ﻡﻴﻴﻘﺘﻝﺍ ﻰﻠﻋ ﻕﻓﺍﻭﺃ ﻻ :
ﻡــﺴﻻﺍ ...:
...
ﻥﺍﻭـﻨﻌﻝﺍ ...:
ﻬﻝﺍ ـ ﻑﺘﺎ : ...
ﺴﺭﺇ ﺔﻋﺭﺴﺒ ﻡﺭﻜﺘﻝﺍ ﻰﺠﺭﻴ لﺎ
ﺔﺤﻔﺼﻝﺍ ﻩﺫﻫ ﻡﻜﺘﻘﻓﺍﻭﻤ ﺭﻭﻓ
، ﻲﻝﺎﺘﻝﺍ ﻥﺍﻭﻨﻌﻝﺍ ﻰﻝﺇ ﻡﻴﻴﻘﺘﻝﺍ ﻰﻠﻋ :
ﺙﺎﺤﺒﻸﻝ ﻲﻤﻠﻌﻝﺍ ﺙﺤﺒﻝﺍ ﺓﺩﺎﻤﻋ لﻴﻜﻭ -
ﺏ ﺹ ﻲﻤﻠﻌﻝﺍ ﺙﺤﺒﻝﺍ ﺓﺩﺎﻤﻋ ٨٠٢٣٠
ﺓﺩﺠ ٢١٥٨٩ ﺔﻴﺩﻭﻌﺴﻝﺍ ﺔﻴﺒﺭﻌﻝﺍ ﺔﻜﻠﻤﻤﻝﺍ
ﻡﻗﺭ ﺱﻜﺎﻔﻝﺍ ﻰﻠﻋ ﻭﺃ :
٦٩٥١٢١٧ -
٢ - ٩٦٦ ﻲﻨﻭﺭﺘﻜﻝﻻﺍ ﺩﻴﺭﺒﻝﺍ ﺭﺒﻋ ﻭﺃ :
ﻊــــﻴﻗﻭﺘﻝﺍ
www.kau.edu.sa
٢
KINGDOM OF SAUDI ARABIA Ministry of Higher Education KING ABDULAZIZ UNIVERSITY
Deanship of Scientific Research
ﻲﻤﻠﻌﻟﺍ ﺚﺤﺒﻟﺍ ﺓﺩﺎﻤﻋ
ﻨ ﻡ ﻱﺭﻭﺩﻝﺍ ﺭﻴﺭﻘﺘﻝﺍ ﻡﻴﻴﻘﺘ ﺝﺫﻭﻤ /
ﺙﺤﺒﻝﺍ ﻡﻗﺭ )
( /
ﻭﺠﺭﻨ ﺏﺴﺎﻨﻤﻝﺍ ﺢﻴﻀﻭﺘﻝﺍ ﻡﻴﺩﻘﺘ ﻊﻤ ﺭﻴﺭﻘﺘﻝﺍ لﺎﻴﺤ ﻡﻜﺘﺎﻴﺌﺭﻤ ﻥﻋ ﺭﻴﺒﻌﺘﻠﻝ ﺔﺒﺴﺎﻨﻤ ﺎﻬﻨﻭﺭﺘ ﻲﺘﻝﺍ ﺔﺒﺎﺠﻹﺍ ﻰﻝﺇ ﺓﺭﺎﺸﻹﺍ
ﺔﻴﻝﺎﺘﻝﺍ ﺔﺤﻔﺼﻝﺍ ﻲﻓ :
١ ﻡﻴﻤﺼﺘﻭ ﻑﺍﺩﻫﺄﺒ ﻥﻴﺜﺤﺎﺒﻝﺍ ﻡﺍﺯﺘﻝﺍ ﻯﺩﻤ ﺙﺤﺒﻝﺍ
ﺔﺤﻀﻭﻤﻝﺍ ﺔﻴﻤﻠﻌﻝﺍ ﻕﺭﻁﻝﺍﻭ ﺙﺤﺒﻝﺍ ﻉﻭﺭﺸﻤﺒ
. ﻉﻭﺭﺸﻤﻝﺎﺒ ﺀﺎﺠ ﺎﻤﺒ ﻥﻴﺜﺤﺎﺒﻝﺍ ﻡﺍﺯﺘﻝﺍ
ﻪﻜﺭﺍﺩﺘ ﻥﻜﻤﻴ ﻁﻴﺴﺒ ﻑﺍﺭﺤﻨﺍ ﻙﺎﻨﻫ
ﻑﺍﺭﺤﻨﻻﺍ ﻙﺭﺍﺩﺘ ﻥﻴﺤ ﻰﻝﺇ ﺙﺤﺒﻝﺎﺒ لﻤﻌﻝﺍ ﻑﻗﻭ ﺏﺠﻴ
٢ ﻲﻨﻤﺯﻝﺍ لﻭﺩﺠﻝﺎﺒ ﻥﻴﺜﺤﺎﺒﻝﺍ ﻡﺍﺯﺘﻝﺍ ﻯﺩﻤ
ﺢﻀﻭﻤﻝﺍ ﺒ
ﺙﺤﺒﻝﺍ ﻉﻭﺭـﺸﻤ
ﻲﻨﻤﺯﻝﺍ لﻭﺩﺠﻝﺍ ﻕﻓﻭ ﺭﻴﺴﻴ ﺙﺤﺒﻝﺎﺒ لﻤﻌﻝﺍ
ﻁـﻴﺴﺒ ﺭﻴﺨﺄﺘ ﻙﺎﻨﻫ
ﻲﻨﻤﺯﻝﺍ لﻭﺩﺠﻝﺍ ﻥﻋ ﺍﺩﺠ ﺭﺨﺄﺘﻤ ﺙﺤﺒﻝﺎﺒ لﻤﻌﻝﺍ
٣ ﺎﻬﻴﻝﺇ لﺼﻭﺘﻝﺍ ﻡﺘ ﻲﺘﻝﺍ ﺞﺌﺎﺘﻨﻠﻝ ﻲﻤﻠﻌﻝﺍ ﻯﻭﺘﺴﻤﻝﺍ
ﺯﺎﺘﻤﻤ
ﹰﺍﺩﺠ ﺩﻴﺠ
ﺩﻴﺠ
لﻭﺒﻘﻤ
ﻑﻴﻌﻀ
٤ ﺔﺸﻗﺎﻨﻤﻝﺍﻭ ﺭﻴﺭﻘﺘﻝﺍ ﺩﺍﺩﻋﺇ ﻯﻭﺘﺴﻤ
ﻡﺌﻼﻤ ﻡﺌﻼﻤ ﺭﻴﻏ
٥ ﺭﻴﺭﻘﺘﻝﺍ لﻭﺒﻗ
لﻭﺒﻘﻤ
ﺔﺤﻔﺼﻝﺍ ﻲﻓ ﺔﺤﻀﻭﻤﻝﺍ ﺕﻼﻴﺩﻌﺘﻝﺍ ﺀﺍﺭﺠﺇ ﺩﻌﺒ لﺒﻘﻴ
ﺔﻴﻝﺎﺘﻝﺍ ﻯﺭﺨﺃ ﺓﺭﻤ ﻡﺩﻘﻴ ﻥﺃ ﺏﺠﻴﻭ لﻭﺒﻘﻤ ﺭﻴﻏ ﺭﻴﺭﻘﺘﻝﺍ
ﺔﻴﻝﺎﺘﻝﺍ ﺔﺤﻔﺼﻝﺍ ﻲﻓ ﺔﺤﻀﻭﻤﻝﺍ ﺏﺎﺒﺴﻸﻝ
ﻡﻴﻘﻤﻝﺍ ﻡﺴﺍ :
ﻊﻴﻗﻭﺘﻝﺍ
:
ﺦﻴﺭﺎﺘﻝﺍ
:
www.kau.edu.sa
٣
KINGDOM OF SAUDI ARABIA Ministry of Higher Education KING ABDULAZIZ UNIVERSITY
Deanship of Scientific Research
ﻲﻤﻠﻌﻟﺍ ﺚﺤﺒﻟﺍ ﺓﺩﺎﻤﻋ
ﻼﻀﻓ ﺔﻘﺒﺎﺴﻝﺍ ﺕﺍﺭﻴﺩﻘﺘﻝﺍ ﻙﻌﻀﻭ ﺏﺎﺒﺴﺃ ﺵﻗﺎﻨﻭ ﺢﻀﻭ ﻭﺃ
ﻌﻤ ﻱﺃ ﻊﻤ ﺏﺴﺎﻨﺘﺘ ﻯﺭﺨﺃ ﺭﻴﻴﺎ
ﻜﺘﺎﻴﺌﺭﻤ ﻡ ﻰﻠﻋ ﺭﻴﺭﻘﺘﻝﺍ ﺔﻠﺼﻔﻨﻤ ﺔﻗﺭﻭ ﻲﻓ ﻱﺭﻭﺩﻝﺍ
) ﺒ ﻡﺭﻜﺘﻝﺍ لﻤﺄﻨ ﺔﻋﺎﺒﻁﻝﺎ
(
