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نموذج تصريح بضياع وثائق دراجة نارية

تصريح بضياع وثائق دراجة نارية

أنا الموقع أسفله :

v السيد(ة) : …………… ،مغربي (ة)، كامل الأهلية و الحامل لبطاقة التعريف الوطنية رقم : …………….. والساكن (ة) ……………..

بمقتضى توقيعي على هذه الوثيقة وتحت كافة الضمانات الفعلية والقانونية أشهد على نفسي وأصرح و أنا بكامل قواي العقلية و الجسدية بأن جميع الوثائق الخاصة بالدراجة النارية نوع ……………. رقم إطارها الحديدي: ……………… بما فيها بطاقة التعريف الوطنية ورخصة السياقة رقم ………………….قد ضاعوا مني في ظروف خارج عن إرادتي.

تصريح تام و صحيح متحملا بذلك كافة المسؤوليات القانونية الناتجة عنه

حرر ب ……………

التوقيع: ………….

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