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Instructions to applicants 2 arabic

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R
Ryan Harkness

The translated Al Queda application form released by the Office of the Director of National Intelligence.

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1 ‫اﻟﺮﺣﯿﻢ‬ ‫اﻟﺮﺣﻤﻦ‬ ‫ﷲ‬ ‫ﺑﺴﻢ‬ : ‫اﻟﻜﺘﺎﺑﺔ‬ ‫ﻗﺒﻞ‬ ‫ھﺎﻣﺔ‬ ‫ﻣﻼﺣﻈﺎت‬ 1-. ‫وﺻﺪق‬ ‫واﻗﻌﯿﺔ‬ ‫ﺑﻜﻞ‬ ‫اﻟﻤﻄﻠﻮﺑﺔ‬ ‫اﻟﺒﯿﺎﻧﺎت‬ ‫ﺗﻌﺒﺌﺔ‬ ‫اﻟﺮﺟﺎء‬ 2-. ‫وﻣﻔﮭﻮم‬ ‫واﺿﺢ‬ ‫ﺑﺨﻂ‬ ‫اﻟﻜﺘﺎﺑﺔ‬ ‫اﻟﺮﺟﺎء‬ 3-. ‫اﻷخ‬ ‫ﯾﻌﺮﻓﮭﺎ‬ ‫اﻟﺘﻰ‬ ‫ﺑﺎﻟﻠﻐﺔ‬ ‫اﻹﺟﺎﺑﺔ‬ ‫ﻓﯿﻤﻜﻦ‬ ‫اﻟﻌﺮﺑﯿﺔ‬ ‫ﻟﻠﻐﺔ‬ ‫اﻷخ‬ ‫ﻣﻌﺮﻓﺔ‬ ‫ﻋﺪم‬ ‫ﺣﺎﻟﺔ‬ ‫ﻓﻰ‬ 4-‫ﻟﻠﺒﯿﺎﻧﺎ‬ ‫اﻟﺒﻌﺾ‬ ‫ﺑﻌﻀﮭﻢ‬ ‫اﻹﺧﻮة‬ ‫إطﻼع‬ ‫ﻋﺪم‬ ‫اﻟﺮﺟﺎء‬‫ﻷﻧﮭﺎ‬ ‫اﻹﺳﺘﻤﺎرة‬ ‫ﻓﻰ‬ ‫ﯾﻜﺘﺒﻮﻧﮭﺎ‬ ‫اﻟﺘﻰ‬ ‫ت‬ ‫أﻣﺎﻧﺔ‬‫ﻋﺰوﺟﻞ‬ ‫ﷲ‬ ‫أﻣﺎم‬. 5-‫ﻋ‬ ‫ﯾﻄﻠﻊ‬ ‫ﻻ‬ ‫اﻹﺳﺘﻤﺎرة‬ ‫ھﺬه‬ ‫أن‬ ‫اﻷخ‬ ‫ﯾﻌﻠﻢ‬ ‫أن‬ ‫ﯾﺠﺐ‬‫ﺳﻮى‬ ً‫ا‬‫أﺑﺪ‬ ‫أﺣﺪ‬ ‫ﻠﯿﮭﺎ‬‫اﻻﺧﺘﺼﺎص‬ ‫أھﻞ‬‫ﻣﻦ‬ ‫اﻟﺸﺄن‬ ‫ذوي‬. 6-‫أﺧﺎك‬ ‫ﺑﮫ‬ ‫ﺗﺨﺒﺮ‬ ‫أن‬ ‫وﺗﺴﺘﻄﯿﻊ‬ ‫ﺗﺘﺮدد‬ ‫ﻻ‬ ‫ﻋﻠﯿﮭﺎ‬ ‫اﻹدارة‬ ‫إطﻼع‬ ‫ﺗﻮد‬ ‫أﺧﺮى‬ ‫أﻣﻮر‬ ‫ھﻨﺎك‬ ‫ﻛﺎن‬ ‫إذا‬ ‫اﻟﻤﺴﺌﻮل‬‫اﻟﻤﺒﺎﺷﺮ‬. ‫ﻣﺸﺎﻓﮭﺔ‬ ‫م‬ / / ‫اﻟﻤﻮاﻓﻖ‬ ‫ھـ‬ / / :‫اﻟﺘﺎرﯾﺦ‬ :‫اﻟﯿﻮم‬ : ‫اﻟﻜـﻨـﯿـﺔ‬ *......................................... ‫اﻹﺳ‬ *‫ـ‬: ‫اﻷول‬ ‫ﻢ‬.....................................‫إﺳ‬ *‫ـ‬: ‫اﻷب‬ ‫ﻢ‬............................................ ‫إﺳ‬ *‫ـ‬‫اﻟﺠ‬ ‫ﻢ‬‫ـ‬: ‫ﺪ‬.......................................‫إﺳ‬ *‫ـ‬‫اﻟﻌ‬ ‫ﻢ‬‫ـ‬‫ﺎﺋ‬‫ـ‬: ‫ﻠﺔ‬....................................... : ‫اﻷب‬ ‫ﻋﻤﻞ‬ *......................................‫اﻷﺳﺮة‬ ‫ﻋﺪدأﻓﺮاد‬ *:................................. ‫اﻟﻌ‬ *‫ـ‬‫ﻤ‬‫ـ‬: ‫ﺮ‬..............................................‫اﻟﺤ‬ *‫ـ‬‫ﺎﻟ‬‫ـ‬‫اﻹﺟ‬ ‫ﺔ‬‫ـ‬‫ﺘ‬‫ـ‬‫ﻤ‬‫ـ‬‫ﺎﻋ‬‫ـ‬‫ﯿ‬‫ـ‬: ‫ﺔ‬..................... *‫اﻟﺒﻠﺪ‬:......................................*‫اﻟﻤـﮭـﻨـﺔ‬:................................................. *‫اﻟﻌﻨﻮان‬:‫اﻟﺪوﻟﺔ‬:.........................: ‫اﻟﻤﺪﯾﻨﺔ‬...........................: ‫اﻟﺤﻲ‬........................................ .....................................................‫اﻟﺠﮭﺎد‬ ‫أرض‬ ‫إﻟﻰ‬ ‫اﻟﻘﺪوم‬ ‫ﺗﺎرﯾﺦ‬ ‫اﻟﺴﺎﺣﺔ‬ ‫ﻓﻲ‬ ‫ﺗﻘﻀﯿﮭﺎ‬ ‫أن‬ ‫ﺗﻨﻮي‬ ‫اﻟﺘﻲ‬ ‫اﻟﻤﺪة‬ ‫ﻛﻢ‬...............................
2 : ‫اﻟﺘﻌﻠﯿﻤﻲ‬ ‫اﻟﻤﺴﺘﻮى‬ *‫اﺑﺘﺪاﺋﻲ‬‫إﻋـﺪادي‬‫ﺛـﺎﻧـﻮي‬‫ﺟـﺎﻣـﻌـﻲ‬ ‫ﺑﺎﻟﮭﺪاﯾﺔ‬ ‫ﻋﻠﯿﻚ‬ ‫وﺗﻌﺎﻟﻰ‬ ‫ﺳﺒﺤﺎﻧﮫ‬ ‫ﷲ‬ ّ‫ﻣﻦ‬ ‫ﻣﺘﻰ‬ ‫ﻣﻨﺬ‬‫؟‬ ............................................................................................................................... ............................................................................................................................... ‫؟‬ ‫ﻣﻦ‬ ‫ﯾﺪ‬ ‫وﻋﻠﻰ‬ ‫؟‬ ‫اﻟﺸﺮﻋﻲ‬ ‫اﻟﻌﻠﻢ‬ ‫درﺳﺖ‬ ‫وھﻞ‬ ‫؟‬ ‫اﻟﻜﺮﯾﻢ‬ ‫اﻟﻘﺮآن‬ ‫ﻣﻦ‬ ‫ﺗﺤﻔﻆ‬ ‫ﻛﻢ‬ ............................................................................................................................... ............................................................................................................................... ‫ﺗﻘﺮأ‬ ‫أو‬ ‫ﺗﺴﻤﻊ‬ ‫اﻟﺬﯾﻦ‬ ‫اﻟﻤﺸﺎﯾﺦ‬ ‫أﻛﺜﺮ‬ ‫أھﻢ‬ ‫ﻣﻦ‬‫ﻟﮭﻢ‬‫؟‬ ............................................................................................................................... ............................................................................................................................... ‫؟‬ ‫اﻟﻤﺴﻠﻤﯿﻦ‬ ‫ﻓﻲ‬ ‫ﺗﺄﺛﯿﺮ‬ ‫ﻟﮭﻢ‬ ‫اﻟﺬﯾﻦ‬ ‫اﻟﻨﺎس‬ ‫ﻣﻦ‬ ‫أو‬ ‫؟‬ ‫اﻟﻤﺸﺎﯾﺦ‬ ‫ﻣﻦ‬ ‫ﺗﻌﺮف‬ ‫ﻣﻦ‬ ............................................................................................................................... ............................................................................................................................... ‫اﻟﻤﺠﺎﻻت‬ ‫ﻣﻦ‬ ‫ﻣﺠﺎل‬ ‫أي‬ ‫ﻓﻲ‬ ‫ﺑﺤﻮث‬ ‫أو‬ ‫إﺑﺘﻜﺎرات‬ ‫أي‬ ‫ﻟﺪﯾﻚ‬ ‫ھﻞ‬‫؟‬ ............................................................................................................................... ............................................................................................................................... ‫ھﻰ‬ ‫ﻣﺎ‬‫ﻓﺮاﻏﻚ‬ ‫وﻗﺖ‬ ‫ﻓﻰ‬ ‫ﺑﮭﺎ‬ ‫ﺗﻘﻮم‬ ‫اﻟﺘﻰ‬ ‫اﻷﻣﻮر‬‫؟‬ ........................................................................................................................... ............................................................................................................................... ‫ھﻰ‬ ‫ﻣﺎ‬‫ﻟﻐﺔ‬ ‫ﻛﻞ‬ ‫ﻓﻰ‬ ‫وﻣﺴﺘﻮاك‬ ‫ﺗﻌﺮﻓﮭﺎ‬ ‫اﻟﺘﻰ‬ ‫اﻟﻠﻐﺎت‬‫؟‬ ‫اﻟﻠﻐـــــﺔ‬‫ﻗـــــــــﺮاءة‬‫ﻛـ‬‫ــــﺘـــــــﺎﺑـــــﺔ‬‫ﻣــــﺤــــﺎدﺛــــﺔ‬
3 ‫ﺿﻌﯿﻒ‬‫ﺟﯿﺪ‬‫ﻣﻤﺘﺎز‬‫ﺿﻌﯿﻒ‬‫ﺟﯿﺪ‬‫ﻣﻤﺘﺎز‬‫ﺿﻌﯿﻒ‬‫ﺟﯿﺪ‬‫ﻣﻤﺘﺎز‬ ‫اﻟﻌﺮﺑﯿﺔ‬ ‫اﻟﻠﻐﺔ‬ ‫اﻹﻧﻜﻠﯿﺰﯾﺔ‬ ‫اﻟﻠﻐﺔ‬ : ‫أﺧﺮى‬ ‫ﻟﻐﺎت‬‫ﺿﻌﯿﻒ‬‫ﺟﯿﺪ‬‫ﻣﻤﺘﺎز‬‫ﺿﻌﯿﻒ‬‫ﺟﯿﺪ‬‫ﻣﻤﺘﺎز‬‫ﺿﻌﯿﻒ‬‫ﺟﯿﺪ‬‫ﻣﻤﺘﺎز‬ 1-.................... 2-.................... ‫وﻟﻤﺎذا‬ ‫؟‬ ‫ﺣﯿﺎﺗﻚ‬ ‫ﻓﻰ‬ ‫إﻟﯿﮭﺎ‬ ‫ﺳﺎﻓﺮت‬ ‫اﻟﺘﻰ‬ ‫اﻟﺪول‬ ‫ھﻰ‬ ‫ﻣﺎ‬‫؟‬ ............................................................................................................................... ............................................................................................................................... ‫اﻟﻐﺮب‬ ‫دول‬ ‫إﻟﻰ‬ ‫ﯾﺴﺎﻓﺮون‬ ‫اﻟﺬﯾﻦ‬ ‫ﻣﻦ‬ ً‫ا‬‫أﺣﺪ‬ ‫ﺗﻌﺮف‬ ‫ھﻞ‬‫؟‬ ............................................................................................................................... ............................................................................................................................... ‫؟‬ ‫إﻟﯿﮭﺎ‬ ‫ﺗﻤﯿﻞ‬ ‫اﻟﺘﻰ‬ ‫اﻷدﺑﯿﺔ‬ ‫أو‬ ‫اﻟﻌﻠﻤﯿﺔ‬ ‫اﻟﻤﻮاد‬ ‫ھﻰ‬ ‫ﻣﺎ‬ ............................................................................................................................... ............................................................................................................................... ‫؟‬ ‫اﻟﻤﺠﺎﻻت‬ ‫ﻣﻦ‬ ‫ﻣﺠﺎل‬ ‫أي‬ ‫ﻓﻲ‬ ‫ﻟﺪﯾﻚ‬ ‫اﻟﺘﻰ‬ ‫واﻟﻤﮭﺎرات‬ ‫اﻟﺨﺒﺮات‬ ‫ھﻰ‬ ‫ﻣﺎ‬ ............................................................................................................................... ............................................................................................................................... ‫اﻟﻤﺨﺘﺼﯿﻦ‬ ‫ﻣﻦ‬ ‫أﺣﺪ‬ ‫ﺗﻌﺮف‬ ‫ھﻞ‬‫ﻣﺠﺎل‬ ‫أي‬ ‫أو‬ ‫اﻹﺗﺼﺎﻻت‬ ‫أو‬ ‫اﻟﻜﯿﻤﯿﺎء‬ ‫ﻋﻠﻮم‬ ‫ﻓﻲ‬ ‫اﻟﻌﺎﻣﻠﯿﻦ‬ ‫أو‬ ‫آﺧﺮ‬‫؟‬ ............................................................................................................................... ............................................................................................................................... ‫اﻷﻗﺎرب‬ ‫ﻣﻦ‬ ‫أﺣﺪ‬ ‫ﻟﺪﯾﻚ‬ ‫ھﻞ‬‫أو‬‫ﻣﺴ‬ ‫ﯾﺴﺘﻄﯿﻊ‬ ‫وھﻞ‬ ‫اﻟﺤﻜﻮﻣﺔ‬ ‫ﻓﻲ‬ ‫ﯾﺸﺘﻐﻞ‬ ‫اﻷﺻﺪﻗﺎء‬‫ﺎ‬‫أو‬ ‫ﻋﺪﺗﻨﺎ‬ ‫؟‬ ‫ﻣﻌﻨﺎ‬ ‫اﻟﺘﻌﺎون‬
4 ............................................................................................................................... .............................................................................................................................. ‫؟‬ ‫اﻟﺴﻔﺮ‬ ‫ﻟﺬﻟﻚ‬ ‫اﻟﺪواﻋﻲ‬ ‫وﻣﺎھﻲ‬ ‫ﻟﺒﺎﻛﺴﺘﺎن‬ ‫ﺳﺎﻓﺮت‬ ‫ﻣﺮة‬ ‫ﻛﻢ‬ ............................................................................................................................... ............................................................................................................................... ‫ﻛﻨﺖ‬ ‫ھﻞ‬‫ﺗﻨﺘﻤﻰ‬‫؟‬ ‫اﻟﺴﺎﺑﻖ‬ ‫ﻓﻰ‬ ‫ﺟﻤﺎﻋﺔ‬ ‫أي‬ ‫إﻟﻰ‬ ............................................................................................................................... ............................................................................................................................... ‫ھﻞ‬‫اﻵن‬ ‫ﺟﻤﺎﻋﺔ‬ ‫ﻓﻰ‬ ‫ﻋﻀﻮ‬ ‫أﻧﺖ‬‫؟‬ ............................................................................................................................... ............................................................................................................................... ‫اﻟﺠﮭﺔ‬ ‫ھﻲ‬ ‫وﻣﺎ‬ ‫؟‬ ً‫ﺎ‬‫أﻣﻨﯿ‬ ‫ﻣﻄﻠﻮب‬ ‫أﻧﺖ‬ ‫ھﻞ‬‫ﺗﻄﻠﺒﻚ‬ ‫اﻟﺘﻲ‬‫؟‬ ‫ﻣﺘﻰ‬ ‫وﻣﻨﺬ‬ ‫؟‬‫وﻟﻤﺎذا‬‫؟‬ ............................................................................................................................... ............................................................................................................................... ‫؟‬ ً‫ﺎ‬‫ﺳﺎﺑﻘ‬ ‫اﻟﺴﺠﻦ‬ ‫دﺧﻠﺖ‬ ‫ھﻞ‬ ............................................................................................................................... ............................................................................................................................... ‫؟‬ ‫اﻟﻤﺎﺿﯿﺔ‬ ‫اﻷﻋﻮام‬ ‫ﺧﻼل‬ ‫ﺑﮭﺎ‬ ‫ﻗﻤﺖ‬ ‫اﻟﺘﻰ‬ ‫واﻷﻋﻤﺎل‬ ‫اﻟﻮظﺎﺋﻒ‬ ‫ھﻰ‬ ‫ﻣﺎ‬ ............................................................................................................................... ............................................................................................................................... ‫؟‬ ‫ﻋﺴﻜﺮﯾﺎ‬ ‫ﺗﺪرﯾﺒﺎ‬ ‫ﺗﻠﻘﯿﺖ‬ ‫ھﻞ‬ ............................................................................................................................... ............................................................................................................................... ‫ﺳﺒ‬ ‫ھﻞ‬‫ا‬ ‫ﺑﺴﺎﺣﺔ‬ ‫اﻻﻟﺘﺤﺎق‬ ‫ﻟﻚ‬ ‫ﻖ‬‫؟‬ ‫ﻣﺠﻤﻮﻋﺔ‬ ‫أي‬ ‫وﻋﻨﺪ‬ ‫ﺳﻨﺔ‬ ‫أي‬ ‫وﻓﻲ‬ ‫ﻓﻐﺎﻧﺴﺘﺎن‬ ...............................................................................................................................
5 ............................................................................................................................... ‫ھﻞ‬‫اﻷﻗﺎرب‬ ‫أﺣﺪ‬ ‫ﻟﺪﯾﻚ‬‫اﻟﺴﺎﺣﺔ‬ ‫ﻓﻲ‬ ‫اﻷﺻﺪﻗﺎء‬ ‫أو‬‫؟‬ ............................................................................................................................... ............................................................................................................................... ‫ھﻰ‬ ‫ﻣﺎ‬‫ﻟﮭﺎ‬ ‫ﺳﻔﺮ‬ ‫ﺟﻮاز‬ ‫ﺗﺤﻤﻞ‬ ‫اﻟﺘﻰ‬ ‫اﻟﺪول‬‫؟‬‫أم‬ ‫ﻣﺰورا‬ ‫ﺣﺎﻟﯿﺎ‬ ‫ﺑﮫ‬ ‫ﺳﺎﻓﺮت‬ ‫اﻟﺬي‬ ‫اﻟﺠﻮاز‬ ‫وھﻞ‬ ‫؟‬ ‫أﺻﻠﻲ‬ ............................................................................................................................... ............................................................................................................................... ‫ﻣﺠﯿﺌﻚ‬ ‫ﻗﺼﺔ‬ ‫أذﻛﺮ‬‫ھﻨﺎ‬ ‫إﻟﻰ‬‫؟‬ ............................................................................................................................... ............................................................................................................................... ‫؟‬ ‫ھﻨﺎ‬ ‫إﻟﻰ‬ ‫اﻟﻄﺮﯾﻖ‬ ‫ﻓﻰ‬ ‫ﺻﻌﻮﺑﺎت‬ ‫أي‬ ‫واﺟﮭﺘﻚ‬ ‫ھﻞ‬ ............................................................................................................................... ............................................................................................................................... ‫ﺗﺮ‬ ‫ھﻞ‬‫إﺳﺘﺸﮭﺎدﯾﺔ‬ ‫ﺑﻌﻤﻠﯿﺔ‬ ‫اﻟﻘﯿﺎم‬ ‫ﻓﻰ‬ ‫ﻏﺐ‬‫؟‬ ............................................................................................................................... ............................................................................................................................... ‫ا‬ ‫ھﻰ‬ ‫ﻣﺎ‬‫ﻣﺴﯿﺮﺗﻚ‬ ‫ﻓﻰ‬ ‫ﺗﺤﻘﯿﻘﮭﺎ‬ ‫ﺗﻮد‬ ‫اﻟﺘﻰ‬ ‫ﻷھﺪاف‬‫اﻟﺠﮭﺎدﯾﺔ‬‫؟‬ ............................................................................................................................... ............................................................................................................................... ‫ھﻨﺎ‬ ‫ﷲ‬ ‫ﺳﺒﯿﻞ‬ ‫ﻓﻰ‬ ‫اﻟﺠﮭﺎد‬ ‫ﻋﻦ‬ ‫وراﺋﻚ‬ ‫وﻣﻦ‬ ‫أﻧﺖ‬ ‫وﺗﺼﻮرك‬ ‫ﻓﻜﺮﺗﻚ‬ ‫ھﻰ‬ ‫ﻣﺎ‬‫؟‬ ‫اﻷ‬: ‫ﺳﺮة‬...............................................................................................................................
6 : ‫اﻟﻤﺠﺘﻤﻊ‬............................................................................................................................... ‫ﻣﺰﻣﻨﺔ‬ ‫أﻣﺮاض‬ ‫ﻣﻦ‬ ‫ﺗﻌﺎﻧﻲ‬ ‫ھﻞ‬‫أو‬‫وراﺛﯿﺔ‬‫؟‬ ............................................................................................................................... ............................................................................................................................... ‫ﻓﻰ‬ ‫ﺑﮭﺎ‬ ‫ﻧﺘﺼﻞ‬ ‫اﻟﺘﻰ‬ ‫اﻟﺠﮭﺔ‬ ‫ھﻰ‬ ‫ﻣﺎ‬‫؟‬ ‫إﺳﺘﺸﮭﺎدك‬ ‫ﺣﺎل‬ ‫اﻟﻌﻨ‬: ‫ﻮان‬............................................................................................................................... ‫اﻟﺘﻠﻔﻮﻧﺎت‬ ‫أرﻗﺎم‬:1............................................ 2............................................ 3........................................... 4.......................................... 5.......................................... ‫اﻟﻌﺎﻟﻤﯿﻦ‬ ‫رب‬ ‫واﻟﺤﻤﺪ‬

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Instructions to applicants 2 arabic

  • 1. 1 ‫اﻟﺮﺣﯿﻢ‬ ‫اﻟﺮﺣﻤﻦ‬ ‫ﷲ‬ ‫ﺑﺴﻢ‬ : ‫اﻟﻜﺘﺎﺑﺔ‬ ‫ﻗﺒﻞ‬ ‫ھﺎﻣﺔ‬ ‫ﻣﻼﺣﻈﺎت‬ 1-. ‫وﺻﺪق‬ ‫واﻗﻌﯿﺔ‬ ‫ﺑﻜﻞ‬ ‫اﻟﻤﻄﻠﻮﺑﺔ‬ ‫اﻟﺒﯿﺎﻧﺎت‬ ‫ﺗﻌﺒﺌﺔ‬ ‫اﻟﺮﺟﺎء‬ 2-. ‫وﻣﻔﮭﻮم‬ ‫واﺿﺢ‬ ‫ﺑﺨﻂ‬ ‫اﻟﻜﺘﺎﺑﺔ‬ ‫اﻟﺮﺟﺎء‬ 3-. ‫اﻷخ‬ ‫ﯾﻌﺮﻓﮭﺎ‬ ‫اﻟﺘﻰ‬ ‫ﺑﺎﻟﻠﻐﺔ‬ ‫اﻹﺟﺎﺑﺔ‬ ‫ﻓﯿﻤﻜﻦ‬ ‫اﻟﻌﺮﺑﯿﺔ‬ ‫ﻟﻠﻐﺔ‬ ‫اﻷخ‬ ‫ﻣﻌﺮﻓﺔ‬ ‫ﻋﺪم‬ ‫ﺣﺎﻟﺔ‬ ‫ﻓﻰ‬ 4-‫ﻟﻠﺒﯿﺎﻧﺎ‬ ‫اﻟﺒﻌﺾ‬ ‫ﺑﻌﻀﮭﻢ‬ ‫اﻹﺧﻮة‬ ‫إطﻼع‬ ‫ﻋﺪم‬ ‫اﻟﺮﺟﺎء‬‫ﻷﻧﮭﺎ‬ ‫اﻹﺳﺘﻤﺎرة‬ ‫ﻓﻰ‬ ‫ﯾﻜﺘﺒﻮﻧﮭﺎ‬ ‫اﻟﺘﻰ‬ ‫ت‬ ‫أﻣﺎﻧﺔ‬‫ﻋﺰوﺟﻞ‬ ‫ﷲ‬ ‫أﻣﺎم‬. 5-‫ﻋ‬ ‫ﯾﻄﻠﻊ‬ ‫ﻻ‬ ‫اﻹﺳﺘﻤﺎرة‬ ‫ھﺬه‬ ‫أن‬ ‫اﻷخ‬ ‫ﯾﻌﻠﻢ‬ ‫أن‬ ‫ﯾﺠﺐ‬‫ﺳﻮى‬ ً‫ا‬‫أﺑﺪ‬ ‫أﺣﺪ‬ ‫ﻠﯿﮭﺎ‬‫اﻻﺧﺘﺼﺎص‬ ‫أھﻞ‬‫ﻣﻦ‬ ‫اﻟﺸﺄن‬ ‫ذوي‬. 6-‫أﺧﺎك‬ ‫ﺑﮫ‬ ‫ﺗﺨﺒﺮ‬ ‫أن‬ ‫وﺗﺴﺘﻄﯿﻊ‬ ‫ﺗﺘﺮدد‬ ‫ﻻ‬ ‫ﻋﻠﯿﮭﺎ‬ ‫اﻹدارة‬ ‫إطﻼع‬ ‫ﺗﻮد‬ ‫أﺧﺮى‬ ‫أﻣﻮر‬ ‫ھﻨﺎك‬ ‫ﻛﺎن‬ ‫إذا‬ ‫اﻟﻤﺴﺌﻮل‬‫اﻟﻤﺒﺎﺷﺮ‬. ‫ﻣﺸﺎﻓﮭﺔ‬ ‫م‬ / / ‫اﻟﻤﻮاﻓﻖ‬ ‫ھـ‬ / / :‫اﻟﺘﺎرﯾﺦ‬ :‫اﻟﯿﻮم‬ : ‫اﻟﻜـﻨـﯿـﺔ‬ *......................................... ‫اﻹﺳ‬ *‫ـ‬: ‫اﻷول‬ ‫ﻢ‬.....................................‫إﺳ‬ *‫ـ‬: ‫اﻷب‬ ‫ﻢ‬............................................ ‫إﺳ‬ *‫ـ‬‫اﻟﺠ‬ ‫ﻢ‬‫ـ‬: ‫ﺪ‬.......................................‫إﺳ‬ *‫ـ‬‫اﻟﻌ‬ ‫ﻢ‬‫ـ‬‫ﺎﺋ‬‫ـ‬: ‫ﻠﺔ‬....................................... : ‫اﻷب‬ ‫ﻋﻤﻞ‬ *......................................‫اﻷﺳﺮة‬ ‫ﻋﺪدأﻓﺮاد‬ *:................................. ‫اﻟﻌ‬ *‫ـ‬‫ﻤ‬‫ـ‬: ‫ﺮ‬..............................................‫اﻟﺤ‬ *‫ـ‬‫ﺎﻟ‬‫ـ‬‫اﻹﺟ‬ ‫ﺔ‬‫ـ‬‫ﺘ‬‫ـ‬‫ﻤ‬‫ـ‬‫ﺎﻋ‬‫ـ‬‫ﯿ‬‫ـ‬: ‫ﺔ‬..................... *‫اﻟﺒﻠﺪ‬:......................................*‫اﻟﻤـﮭـﻨـﺔ‬:................................................. *‫اﻟﻌﻨﻮان‬:‫اﻟﺪوﻟﺔ‬:.........................: ‫اﻟﻤﺪﯾﻨﺔ‬...........................: ‫اﻟﺤﻲ‬........................................ .....................................................‫اﻟﺠﮭﺎد‬ ‫أرض‬ ‫إﻟﻰ‬ ‫اﻟﻘﺪوم‬ ‫ﺗﺎرﯾﺦ‬ ‫اﻟﺴﺎﺣﺔ‬ ‫ﻓﻲ‬ ‫ﺗﻘﻀﯿﮭﺎ‬ ‫أن‬ ‫ﺗﻨﻮي‬ ‫اﻟﺘﻲ‬ ‫اﻟﻤﺪة‬ ‫ﻛﻢ‬...............................
  • 2. 2 : ‫اﻟﺘﻌﻠﯿﻤﻲ‬ ‫اﻟﻤﺴﺘﻮى‬ *‫اﺑﺘﺪاﺋﻲ‬‫إﻋـﺪادي‬‫ﺛـﺎﻧـﻮي‬‫ﺟـﺎﻣـﻌـﻲ‬ ‫ﺑﺎﻟﮭﺪاﯾﺔ‬ ‫ﻋﻠﯿﻚ‬ ‫وﺗﻌﺎﻟﻰ‬ ‫ﺳﺒﺤﺎﻧﮫ‬ ‫ﷲ‬ ّ‫ﻣﻦ‬ ‫ﻣﺘﻰ‬ ‫ﻣﻨﺬ‬‫؟‬ ............................................................................................................................... ............................................................................................................................... ‫؟‬ ‫ﻣﻦ‬ ‫ﯾﺪ‬ ‫وﻋﻠﻰ‬ ‫؟‬ ‫اﻟﺸﺮﻋﻲ‬ ‫اﻟﻌﻠﻢ‬ ‫درﺳﺖ‬ ‫وھﻞ‬ ‫؟‬ ‫اﻟﻜﺮﯾﻢ‬ ‫اﻟﻘﺮآن‬ ‫ﻣﻦ‬ ‫ﺗﺤﻔﻆ‬ ‫ﻛﻢ‬ ............................................................................................................................... ............................................................................................................................... ‫ﺗﻘﺮأ‬ ‫أو‬ ‫ﺗﺴﻤﻊ‬ ‫اﻟﺬﯾﻦ‬ ‫اﻟﻤﺸﺎﯾﺦ‬ ‫أﻛﺜﺮ‬ ‫أھﻢ‬ ‫ﻣﻦ‬‫ﻟﮭﻢ‬‫؟‬ ............................................................................................................................... ............................................................................................................................... ‫؟‬ ‫اﻟﻤﺴﻠﻤﯿﻦ‬ ‫ﻓﻲ‬ ‫ﺗﺄﺛﯿﺮ‬ ‫ﻟﮭﻢ‬ ‫اﻟﺬﯾﻦ‬ ‫اﻟﻨﺎس‬ ‫ﻣﻦ‬ ‫أو‬ ‫؟‬ ‫اﻟﻤﺸﺎﯾﺦ‬ ‫ﻣﻦ‬ ‫ﺗﻌﺮف‬ ‫ﻣﻦ‬ ............................................................................................................................... ............................................................................................................................... ‫اﻟﻤﺠﺎﻻت‬ ‫ﻣﻦ‬ ‫ﻣﺠﺎل‬ ‫أي‬ ‫ﻓﻲ‬ ‫ﺑﺤﻮث‬ ‫أو‬ ‫إﺑﺘﻜﺎرات‬ ‫أي‬ ‫ﻟﺪﯾﻚ‬ ‫ھﻞ‬‫؟‬ ............................................................................................................................... ............................................................................................................................... ‫ھﻰ‬ ‫ﻣﺎ‬‫ﻓﺮاﻏﻚ‬ ‫وﻗﺖ‬ ‫ﻓﻰ‬ ‫ﺑﮭﺎ‬ ‫ﺗﻘﻮم‬ ‫اﻟﺘﻰ‬ ‫اﻷﻣﻮر‬‫؟‬ ........................................................................................................................... ............................................................................................................................... ‫ھﻰ‬ ‫ﻣﺎ‬‫ﻟﻐﺔ‬ ‫ﻛﻞ‬ ‫ﻓﻰ‬ ‫وﻣﺴﺘﻮاك‬ ‫ﺗﻌﺮﻓﮭﺎ‬ ‫اﻟﺘﻰ‬ ‫اﻟﻠﻐﺎت‬‫؟‬ ‫اﻟﻠﻐـــــﺔ‬‫ﻗـــــــــﺮاءة‬‫ﻛـ‬‫ــــﺘـــــــﺎﺑـــــﺔ‬‫ﻣــــﺤــــﺎدﺛــــﺔ‬
  • 3. 3 ‫ﺿﻌﯿﻒ‬‫ﺟﯿﺪ‬‫ﻣﻤﺘﺎز‬‫ﺿﻌﯿﻒ‬‫ﺟﯿﺪ‬‫ﻣﻤﺘﺎز‬‫ﺿﻌﯿﻒ‬‫ﺟﯿﺪ‬‫ﻣﻤﺘﺎز‬ ‫اﻟﻌﺮﺑﯿﺔ‬ ‫اﻟﻠﻐﺔ‬ ‫اﻹﻧﻜﻠﯿﺰﯾﺔ‬ ‫اﻟﻠﻐﺔ‬ : ‫أﺧﺮى‬ ‫ﻟﻐﺎت‬‫ﺿﻌﯿﻒ‬‫ﺟﯿﺪ‬‫ﻣﻤﺘﺎز‬‫ﺿﻌﯿﻒ‬‫ﺟﯿﺪ‬‫ﻣﻤﺘﺎز‬‫ﺿﻌﯿﻒ‬‫ﺟﯿﺪ‬‫ﻣﻤﺘﺎز‬ 1-.................... 2-.................... ‫وﻟﻤﺎذا‬ ‫؟‬ ‫ﺣﯿﺎﺗﻚ‬ ‫ﻓﻰ‬ ‫إﻟﯿﮭﺎ‬ ‫ﺳﺎﻓﺮت‬ ‫اﻟﺘﻰ‬ ‫اﻟﺪول‬ ‫ھﻰ‬ ‫ﻣﺎ‬‫؟‬ ............................................................................................................................... ............................................................................................................................... ‫اﻟﻐﺮب‬ ‫دول‬ ‫إﻟﻰ‬ ‫ﯾﺴﺎﻓﺮون‬ ‫اﻟﺬﯾﻦ‬ ‫ﻣﻦ‬ ً‫ا‬‫أﺣﺪ‬ ‫ﺗﻌﺮف‬ ‫ھﻞ‬‫؟‬ ............................................................................................................................... ............................................................................................................................... ‫؟‬ ‫إﻟﯿﮭﺎ‬ ‫ﺗﻤﯿﻞ‬ ‫اﻟﺘﻰ‬ ‫اﻷدﺑﯿﺔ‬ ‫أو‬ ‫اﻟﻌﻠﻤﯿﺔ‬ ‫اﻟﻤﻮاد‬ ‫ھﻰ‬ ‫ﻣﺎ‬ ............................................................................................................................... ............................................................................................................................... ‫؟‬ ‫اﻟﻤﺠﺎﻻت‬ ‫ﻣﻦ‬ ‫ﻣﺠﺎل‬ ‫أي‬ ‫ﻓﻲ‬ ‫ﻟﺪﯾﻚ‬ ‫اﻟﺘﻰ‬ ‫واﻟﻤﮭﺎرات‬ ‫اﻟﺨﺒﺮات‬ ‫ھﻰ‬ ‫ﻣﺎ‬ ............................................................................................................................... ............................................................................................................................... ‫اﻟﻤﺨﺘﺼﯿﻦ‬ ‫ﻣﻦ‬ ‫أﺣﺪ‬ ‫ﺗﻌﺮف‬ ‫ھﻞ‬‫ﻣﺠﺎل‬ ‫أي‬ ‫أو‬ ‫اﻹﺗﺼﺎﻻت‬ ‫أو‬ ‫اﻟﻜﯿﻤﯿﺎء‬ ‫ﻋﻠﻮم‬ ‫ﻓﻲ‬ ‫اﻟﻌﺎﻣﻠﯿﻦ‬ ‫أو‬ ‫آﺧﺮ‬‫؟‬ ............................................................................................................................... ............................................................................................................................... ‫اﻷﻗﺎرب‬ ‫ﻣﻦ‬ ‫أﺣﺪ‬ ‫ﻟﺪﯾﻚ‬ ‫ھﻞ‬‫أو‬‫ﻣﺴ‬ ‫ﯾﺴﺘﻄﯿﻊ‬ ‫وھﻞ‬ ‫اﻟﺤﻜﻮﻣﺔ‬ ‫ﻓﻲ‬ ‫ﯾﺸﺘﻐﻞ‬ ‫اﻷﺻﺪﻗﺎء‬‫ﺎ‬‫أو‬ ‫ﻋﺪﺗﻨﺎ‬ ‫؟‬ ‫ﻣﻌﻨﺎ‬ ‫اﻟﺘﻌﺎون‬
  • 4. 4 ............................................................................................................................... .............................................................................................................................. ‫؟‬ ‫اﻟﺴﻔﺮ‬ ‫ﻟﺬﻟﻚ‬ ‫اﻟﺪواﻋﻲ‬ ‫وﻣﺎھﻲ‬ ‫ﻟﺒﺎﻛﺴﺘﺎن‬ ‫ﺳﺎﻓﺮت‬ ‫ﻣﺮة‬ ‫ﻛﻢ‬ ............................................................................................................................... ............................................................................................................................... ‫ﻛﻨﺖ‬ ‫ھﻞ‬‫ﺗﻨﺘﻤﻰ‬‫؟‬ ‫اﻟﺴﺎﺑﻖ‬ ‫ﻓﻰ‬ ‫ﺟﻤﺎﻋﺔ‬ ‫أي‬ ‫إﻟﻰ‬ ............................................................................................................................... ............................................................................................................................... ‫ھﻞ‬‫اﻵن‬ ‫ﺟﻤﺎﻋﺔ‬ ‫ﻓﻰ‬ ‫ﻋﻀﻮ‬ ‫أﻧﺖ‬‫؟‬ ............................................................................................................................... ............................................................................................................................... ‫اﻟﺠﮭﺔ‬ ‫ھﻲ‬ ‫وﻣﺎ‬ ‫؟‬ ً‫ﺎ‬‫أﻣﻨﯿ‬ ‫ﻣﻄﻠﻮب‬ ‫أﻧﺖ‬ ‫ھﻞ‬‫ﺗﻄﻠﺒﻚ‬ ‫اﻟﺘﻲ‬‫؟‬ ‫ﻣﺘﻰ‬ ‫وﻣﻨﺬ‬ ‫؟‬‫وﻟﻤﺎذا‬‫؟‬ ............................................................................................................................... ............................................................................................................................... ‫؟‬ ً‫ﺎ‬‫ﺳﺎﺑﻘ‬ ‫اﻟﺴﺠﻦ‬ ‫دﺧﻠﺖ‬ ‫ھﻞ‬ ............................................................................................................................... ............................................................................................................................... ‫؟‬ ‫اﻟﻤﺎﺿﯿﺔ‬ ‫اﻷﻋﻮام‬ ‫ﺧﻼل‬ ‫ﺑﮭﺎ‬ ‫ﻗﻤﺖ‬ ‫اﻟﺘﻰ‬ ‫واﻷﻋﻤﺎل‬ ‫اﻟﻮظﺎﺋﻒ‬ ‫ھﻰ‬ ‫ﻣﺎ‬ ............................................................................................................................... ............................................................................................................................... ‫؟‬ ‫ﻋﺴﻜﺮﯾﺎ‬ ‫ﺗﺪرﯾﺒﺎ‬ ‫ﺗﻠﻘﯿﺖ‬ ‫ھﻞ‬ ............................................................................................................................... ............................................................................................................................... ‫ﺳﺒ‬ ‫ھﻞ‬‫ا‬ ‫ﺑﺴﺎﺣﺔ‬ ‫اﻻﻟﺘﺤﺎق‬ ‫ﻟﻚ‬ ‫ﻖ‬‫؟‬ ‫ﻣﺠﻤﻮﻋﺔ‬ ‫أي‬ ‫وﻋﻨﺪ‬ ‫ﺳﻨﺔ‬ ‫أي‬ ‫وﻓﻲ‬ ‫ﻓﻐﺎﻧﺴﺘﺎن‬ ...............................................................................................................................
  • 5. 5 ............................................................................................................................... ‫ھﻞ‬‫اﻷﻗﺎرب‬ ‫أﺣﺪ‬ ‫ﻟﺪﯾﻚ‬‫اﻟﺴﺎﺣﺔ‬ ‫ﻓﻲ‬ ‫اﻷﺻﺪﻗﺎء‬ ‫أو‬‫؟‬ ............................................................................................................................... ............................................................................................................................... ‫ھﻰ‬ ‫ﻣﺎ‬‫ﻟﮭﺎ‬ ‫ﺳﻔﺮ‬ ‫ﺟﻮاز‬ ‫ﺗﺤﻤﻞ‬ ‫اﻟﺘﻰ‬ ‫اﻟﺪول‬‫؟‬‫أم‬ ‫ﻣﺰورا‬ ‫ﺣﺎﻟﯿﺎ‬ ‫ﺑﮫ‬ ‫ﺳﺎﻓﺮت‬ ‫اﻟﺬي‬ ‫اﻟﺠﻮاز‬ ‫وھﻞ‬ ‫؟‬ ‫أﺻﻠﻲ‬ ............................................................................................................................... ............................................................................................................................... ‫ﻣﺠﯿﺌﻚ‬ ‫ﻗﺼﺔ‬ ‫أذﻛﺮ‬‫ھﻨﺎ‬ ‫إﻟﻰ‬‫؟‬ ............................................................................................................................... ............................................................................................................................... ‫؟‬ ‫ھﻨﺎ‬ ‫إﻟﻰ‬ ‫اﻟﻄﺮﯾﻖ‬ ‫ﻓﻰ‬ ‫ﺻﻌﻮﺑﺎت‬ ‫أي‬ ‫واﺟﮭﺘﻚ‬ ‫ھﻞ‬ ............................................................................................................................... ............................................................................................................................... ‫ﺗﺮ‬ ‫ھﻞ‬‫إﺳﺘﺸﮭﺎدﯾﺔ‬ ‫ﺑﻌﻤﻠﯿﺔ‬ ‫اﻟﻘﯿﺎم‬ ‫ﻓﻰ‬ ‫ﻏﺐ‬‫؟‬ ............................................................................................................................... ............................................................................................................................... ‫ا‬ ‫ھﻰ‬ ‫ﻣﺎ‬‫ﻣﺴﯿﺮﺗﻚ‬ ‫ﻓﻰ‬ ‫ﺗﺤﻘﯿﻘﮭﺎ‬ ‫ﺗﻮد‬ ‫اﻟﺘﻰ‬ ‫ﻷھﺪاف‬‫اﻟﺠﮭﺎدﯾﺔ‬‫؟‬ ............................................................................................................................... ............................................................................................................................... ‫ھﻨﺎ‬ ‫ﷲ‬ ‫ﺳﺒﯿﻞ‬ ‫ﻓﻰ‬ ‫اﻟﺠﮭﺎد‬ ‫ﻋﻦ‬ ‫وراﺋﻚ‬ ‫وﻣﻦ‬ ‫أﻧﺖ‬ ‫وﺗﺼﻮرك‬ ‫ﻓﻜﺮﺗﻚ‬ ‫ھﻰ‬ ‫ﻣﺎ‬‫؟‬ ‫اﻷ‬: ‫ﺳﺮة‬...............................................................................................................................
  • 6. 6 : ‫اﻟﻤﺠﺘﻤﻊ‬............................................................................................................................... ‫ﻣﺰﻣﻨﺔ‬ ‫أﻣﺮاض‬ ‫ﻣﻦ‬ ‫ﺗﻌﺎﻧﻲ‬ ‫ھﻞ‬‫أو‬‫وراﺛﯿﺔ‬‫؟‬ ............................................................................................................................... ............................................................................................................................... ‫ﻓﻰ‬ ‫ﺑﮭﺎ‬ ‫ﻧﺘﺼﻞ‬ ‫اﻟﺘﻰ‬ ‫اﻟﺠﮭﺔ‬ ‫ھﻰ‬ ‫ﻣﺎ‬‫؟‬ ‫إﺳﺘﺸﮭﺎدك‬ ‫ﺣﺎل‬ ‫اﻟﻌﻨ‬: ‫ﻮان‬............................................................................................................................... ‫اﻟﺘﻠﻔﻮﻧﺎت‬ ‫أرﻗﺎم‬:1............................................ 2............................................ 3........................................... 4.......................................... 5.......................................... ‫اﻟﻌﺎﻟﻤﯿﻦ‬ ‫رب‬ ‫واﻟﺤﻤﺪ‬