1. ‫ﺑﺴﻤﻪ ﺗﻌﺎﻟﻲ‬
‫....................................‬ ‫ﺗﺎرﻳﺦ ﺗﺤﻮﻳﻞ‬ ‫ﺳﺮي ................................‬ ‫درس .........................................‬ ‫ﺗﻤﺮﻳﻦ‬
‫..................................................‬ ‫ﺷﻤﺎره داﻧﺸﺠﻮﻳﻲ‬ ‫ﺧﺎﻧﻮادﮔﻲ ......................................................‬ ‫ﻧﺎم و ﻧﺎم‬