<p class="MsoNormal" align="center" style="margin-right:13.05pt;text-align:center"><br></p><p class="MsoNormal" align="center" style="margin-right:13.05pt;text-align:center"><span lang="AR-SA" dir="RTL" style="font-size:22.0pt;font-family:&quot;Calibri&quot;,&quot;sans-serif&quot;;mso-ascii-theme-font:minor-latin;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-latin;mso-ansi-font-weight:bold">تسجيل صادر</span></p><div align="right"><table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="624"> <tbody><tr style="mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes;  height:15.75pt">  <td width="93" style="width:69.4pt;padding:0cm 5.4pt 0cm 5.4pt;height:15.75pt">  <p class="MsoNormal" align="center" style="margin-right:13.05pt;text-align:center"><span style="font-size:10.0pt">&nbsp;</span></p>  </td>  <td width="92" style="width:69.35pt;padding:0cm 5.4pt 0cm 5.4pt;height:15.75pt">  <p class="MsoNormal" align="center" style="margin-right:13.05pt;text-align:center"><span style="font-size:10.0pt">&nbsp;</span></p>  </td>  <td width="95" valign="top" style="width:70.95pt;padding:0cm 5.4pt 0cm 5.4pt;  height:15.75pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><i><span lang="EN-GB" style="font-size:10.0pt;  mso-ansi-language:EN-GB">&nbsp;</span></i></p>  </td>  <td width="168" valign="top" style="width:126.25pt;padding:0cm 5.4pt 0cm 5.4pt;  height:15.75pt">  <p class="MsoNormal" style="margin-right:13.05pt"><span style="font-size:10.0pt">&nbsp;</span>27-1-2024</p></td><td width="105" style="width:78.8pt;padding:0cm 5.4pt 0cm 5.4pt;height:15.75pt"><p class="MsoNormal" align="center" style="margin-right:13.05pt;text-align:center"><span style="font-size:10.0pt">&nbsp;</span></p>  </td>  <td width="71" valign="top" style="width:53.25pt;padding:0cm 5.4pt 0cm 5.4pt;  height:15.75pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span lang="AR-SA" dir="RTL" style="font-size:10.0pt;mso-ansi-font-style:italic">التاريخ</span><i><span style="font-size:10.0pt"><o:p></o:p></span></i></p>  </td> </tr></tbody></table></div><p class="MsoNormal" style="margin-right:13.05pt"><span style="font-size:3.0pt">&nbsp;</span></p><div align="right"><table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="624"> <tbody><tr>  <td width="185" rowspan="2" style="width:138.7pt;border:none;border-bottom:solid black 1.0pt;  padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="center" style="margin-right:13.05pt;text-align:center"><span style="font-size:10.0pt">&nbsp;</span></p>  <p class="MsoNormal" align="center" style="margin-right:13.05pt;text-align:center"><span style="font-size:10.0pt">&nbsp;</span></p>  </td>  <td width="95" valign="top" style="width:71.05pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span lang="AR-SA" dir="RTL" style="font-size:10.0pt;mso-ansi-font-style:italic">الرقم  الوظيفي</span><span style="font-size:10.0pt"><o:p></o:p></span></p>  </td>  <td width="231" rowspan="2" valign="top" style="width:173.45pt;border:none;  border-bottom:solid black 1.0pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="center" style="margin-right:13.05pt;text-align:center"><span style="font-size:10.0pt">&nbsp;</span>أدمن مدير النظام</p>  </td>  <td width="113" valign="top" style="width:84.8pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span lang="AR-SA" dir="RTL" style="font-size:10.0pt;mso-ansi-font-style:italic">اسم  مقدم الطلب</span><span style="font-size:10.0pt"><o:p></o:p></span></p>  </td> </tr> <tr>  <td width="95" valign="top" style="width:71.05pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span style="font-size:10.0pt">Employee No.<o:p></o:p></span></p>  </td>  <td width="113" valign="top" style="width:84.8pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span style="font-size:10.0pt">Name of Applicant<o:p></o:p></span></p>  </td> </tr></tbody></table></div><p class="MsoNormal" style="margin-right:13.05pt"><span style="font-size:8.0pt">&nbsp;</span></p><table class="MsoNormalTable" border="1" cellspacing="0" cellpadding="0" width="643" style="margin-left: 19.95pt; border: none;"> <tbody><tr>  <td width="509" colspan="3" rowspan="2" valign="top" style="width:381.9pt;border:  solid black 1.0pt;mso-border-alt:solid black .5pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" style="margin-right:13.05pt;tab-stops:center 179.9pt left 239.5pt"><span style="font-size:10.0pt">&nbsp;</span></p>  </td>  <td width="133" valign="top" style="width:100.05pt;border-top:solid black 1.0pt;  border-left:none;border-bottom:none;border-right:solid black 1.0pt;  mso-border-left-alt:solid black .5pt;mso-border-top-alt:solid black .5pt;  mso-border-left-alt:solid black .5pt;mso-border-right-alt:solid black .5pt;  background:#F2F2F2;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span lang="AR-SA" dir="RTL" style="font-size:10.0pt;mso-ansi-font-style:italic">المسمى  الوظيفي</span><span style="font-size:10.0pt"><o:p></o:p></span></p>  </td> </tr> <tr>  <td width="133" valign="top" style="width:100.05pt;border-top:none;border-left:  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;  mso-border-left-alt:solid black .5pt;mso-border-left-alt:solid black .5pt;  mso-border-bottom-alt:solid black .5pt;mso-border-right-alt:solid black .5pt;  background:#F2F2F2;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span style="font-size:10.0pt">Job Title<o:p></o:p></span></p>  </td> </tr> <tr>  <td width="168" rowspan="2" valign="top" style="width:126.2pt;border:solid black 1.0pt;  border-top:none;mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt;  padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="center" style="margin-right:13.05pt;text-align:center"><span style="font-size:10.0pt">&nbsp;</span></p>  </td>  <td width="108" valign="top" style="width:81.35pt;border:none;border-right:solid black 1.0pt;  mso-border-top-alt:solid black .5pt;mso-border-left-alt:solid black .5pt;  mso-border-top-alt:solid black .5pt;mso-border-left-alt:solid black .5pt;  mso-border-right-alt:solid black .5pt;background:#F2F2F2;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span lang="AR-SA" dir="RTL" style="font-size:10.0pt;mso-ansi-font-style:italic">رقم  الهاتف/ تحويلة</span><span style="font-size:10.0pt"><o:p></o:p></span></p>  </td>  <td width="232" rowspan="2" valign="top" style="width:174.35pt;border-top:none;  border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;  mso-border-top-alt:solid black .5pt;mso-border-left-alt:solid black .5pt;  mso-border-alt:solid black .5pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="center" style="margin-right:13.05pt;text-align:center"><span style="font-size:10.0pt">&nbsp;</span></p>  </td>  <td width="133" valign="top" style="width:100.05pt;border:none;border-right:solid black 1.0pt;  mso-border-top-alt:solid black .5pt;mso-border-left-alt:solid black .5pt;  mso-border-top-alt:solid black .5pt;mso-border-left-alt:solid black .5pt;  mso-border-right-alt:solid black .5pt;background:#F2F2F2;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span lang="AR-SA" dir="RTL" style="font-size:10.0pt;mso-ansi-font-style:italic">الإدارة</span><span dir="LTR"></span><span dir="LTR"></span><i><span lang="AR-SA" style="font-size:10.0pt"><span dir="LTR"></span><span dir="LTR"></span>  </span></i><span style="font-size:10.0pt"><o:p></o:p></span></p>  </td> </tr> <tr>  <td width="108" valign="top" style="width:81.35pt;border-top:none;border-left:  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;  mso-border-left-alt:solid black .5pt;mso-border-left-alt:solid black .5pt;  mso-border-bottom-alt:solid black .5pt;mso-border-right-alt:solid black .5pt;  background:#F2F2F2;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span style="font-size:10.0pt">Tel/Ext<o:p></o:p></span></p>  </td>  <td width="133" valign="top" style="width:100.05pt;border-top:none;border-left:  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;  mso-border-left-alt:solid black .5pt;mso-border-left-alt:solid black .5pt;  mso-border-bottom-alt:solid black .5pt;mso-border-right-alt:solid black .5pt;  background:#F2F2F2;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span style="font-size:10.0pt">Department<o:p></o:p></span></p>  </td> </tr></tbody></table><p class="MsoNormal" style="margin-right:13.05pt"><br></p><table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="624"> <tbody><tr>  <td width="100" rowspan="2" style="width:75.35pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span style="font-size:10.0pt">&nbsp;&nbsp;&nbsp;&nbsp; <o:p></o:p></span></p>  </td>  <td width="91" rowspan="2" style="width:67.9pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="center" style="margin-right:13.05pt;text-align:center"><span style="font-size:10.0pt">&nbsp;</span></p>  </td>  <td width="67" valign="top" style="width:50.4pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span lang="AR-SA" dir="RTL" style="font-size:10.0pt;mso-ansi-font-style:italic">التاريخ</span><span style="font-size:10.0pt"><o:p></o:p></span></p>  </td>  <td width="16" valign="top" style="width:11.7pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span style="font-size:10.0pt">&nbsp;</span></p>  </td>  <td width="220" valign="top" style="width:164.65pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span style="font-size:10.0pt">&nbsp;</span></p>  </td>  <td width="131" valign="top" style="width:98.0pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span lang="AR-SA" dir="RTL" style="font-size:10.0pt;mso-ansi-font-style:italic">توقيع  الموظف</span><span dir="LTR"></span><span dir="LTR"></span><i><span lang="AR-SA" style="font-size:10.0pt"><span dir="LTR"></span><span dir="LTR"></span> </span></i><span style="font-size:10.0pt"><o:p></o:p></span></p>  </td> </tr> <tr>  <td width="67" valign="top" style="width:50.4pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span style="font-size:10.0pt">Date<o:p></o:p></span></p>  </td>  <td width="16" valign="top" style="width:11.7pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span style="font-size:10.0pt">&nbsp;</span></p>  </td>  <td width="220" valign="top" style="width:164.65pt;border:none;border-bottom:  solid black 1.0pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span style="font-size:10.0pt">&nbsp;</span></p>  </td>  <td width="131" valign="top" style="width:98.0pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span style="font-size:10.0pt">Employee’s Signature<o:p></o:p></span></p>  </td> </tr></tbody></table><p class="MsoNormal" style="margin-right:13.05pt"><br></p><table class="MsoNormalTable" border="1" cellspacing="0" cellpadding="0" width="643" style="margin-left: 19.95pt; border: none;"> <tbody><tr>  <td width="383" colspan="3" rowspan="2" valign="top" style="width:287.55pt;  border:solid black 1.0pt;border-right:none;mso-border-top-alt:solid black .5pt;  mso-border-left-alt:solid black .5pt;mso-border-bottom-alt:solid black .5pt;  background:#F2F2F2;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" style="margin-right:13.05pt"><span lang="EN-GB" style="font-size:10.0pt;mso-ansi-language:EN-GB">&nbsp;</span></p>  </td>  <td width="259" colspan="2" valign="top" style="width:194.4pt;border-top:solid black 1.0pt;  border-left:none;border-bottom:none;border-right:solid black 1.0pt;  mso-border-top-alt:solid black .5pt;mso-border-right-alt:solid black .5pt;  background:#F2F2F2;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span lang="AR-SA" dir="RTL" style="font-size:10.0pt;mso-ansi-font-style:italic">رأي  المدير المباشر</span><span style="font-size:10.0pt"><o:p></o:p></span></p>  </td> </tr> <tr>  <td width="259" colspan="2" valign="top" style="width:194.4pt;border-top:none;  border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;  mso-border-bottom-alt:solid black .5pt;mso-border-right-alt:solid black .5pt;  background:#F2F2F2;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span style="font-size:10.0pt">Immediate Supervisor’s recommendation<o:p></o:p></span></p>  </td> </tr> <tr style="mso-yfti-irow:2;height:34.05pt">  <td width="338" colspan="2" valign="top" style="width:253.85pt;border-top:none;  border-left:solid black 1.0pt;border-bottom:none;border-right:solid black 1.0pt;  mso-border-top-alt:solid black .5pt;mso-border-top-alt:solid black .5pt;  mso-border-left-alt:solid black .5pt;mso-border-right-alt:solid black .5pt;  padding:0cm 5.4pt 0cm 5.4pt;height:34.05pt">  <p class="MsoNormal" style="margin-right:13.05pt"><span style="font-size:1.0pt">&nbsp;</span></p>  </td>  <td width="220" colspan="2" valign="top" style="width:164.85pt;border:none;  mso-border-top-alt:solid black .5pt;mso-border-left-alt:solid black .5pt;  padding:0cm 5.4pt 0cm 5.4pt;height:34.05pt">  <p class="MsoNormal" style="margin-right:13.05pt"><span style="font-size:1.0pt">&nbsp;</span></p>  </td>  <td width="84" valign="top" style="width:63.25pt;border:none;border-right:solid black 1.0pt;  mso-border-top-alt:solid black .5pt;mso-border-top-alt:solid black .5pt;  mso-border-right-alt:solid black .5pt;padding:0cm 5.4pt 0cm 5.4pt;height:  34.05pt">  <p class="MsoNormal" style="margin-right:13.05pt"><span style="font-size:1.0pt">&nbsp;</span></p>  </td> </tr> <tr>  <td width="338" colspan="2" valign="top" style="width:253.85pt;border-top:none;  border-left:solid black 1.0pt;border-bottom:none;border-right:solid black 1.0pt;  mso-border-left-alt:solid black .5pt;mso-border-right-alt:solid black .5pt;  padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" style="margin-right:13.05pt"><span style="font-size:1.0pt">&nbsp;</span></p>  </td>  <td width="304" colspan="3" valign="top" style="width:228.1pt;border:none;  border-right:solid black 1.0pt;mso-border-left-alt:solid black .5pt;  mso-border-left-alt:solid black .5pt;mso-border-right-alt:solid black .5pt;  padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" style="margin-right:13.05pt"><span style="font-size:1.0pt">&nbsp;</span></p>  </td> </tr> <tr>  <td width="206" rowspan="2" valign="top" style="width:154.6pt;border:solid black 1.0pt;  mso-border-alt:solid black .5pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="center" style="margin-right:13.05pt;text-align:center"><span style="font-size:10.0pt">&nbsp;</span></p>  </td>  <td width="132" valign="top" style="width:99.25pt;border-top:solid black 1.0pt;  border-left:none;border-bottom:none;border-right:solid black 1.0pt;  mso-border-left-alt:solid black .5pt;mso-border-top-alt:solid black .5pt;  mso-border-left-alt:solid black .5pt;mso-border-right-alt:solid black .5pt;  background:#F2F2F2;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="center" style="margin-right:13.05pt;text-align:center"><span lang="AR-SA" dir="RTL" style="font-size:10.0pt;mso-ansi-font-style:italic">المسمى  الوظيفي</span><span style="font-size:10.0pt"><o:p></o:p></span></p>  </td>  <td width="220" colspan="2" valign="top" style="width:164.85pt;border-top:solid black 1.0pt;  border-left:none;border-bottom:none;border-right:solid black 1.0pt;  mso-border-left-alt:solid black .5pt;mso-border-top-alt:solid black .5pt;  mso-border-left-alt:solid black .5pt;mso-border-right-alt:solid black .5pt;  padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="center" style="margin-right:13.05pt;text-align:center"><span style="font-size:10.0pt">&nbsp;</span></p>  </td>  <td width="84" valign="top" style="width:63.25pt;border-top:solid black 1.0pt;  border-left:none;border-bottom:none;border-right:solid black 1.0pt;  mso-border-left-alt:solid black .5pt;mso-border-top-alt:solid black .5pt;  mso-border-left-alt:solid black .5pt;mso-border-right-alt:solid black .5pt;  background:#F2F2F2;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span lang="AR-SA" dir="RTL" style="font-size:10.0pt;mso-ansi-font-style:italic">الاسم</span><span style="font-size:10.0pt"><o:p></o:p></span></p>  </td> </tr> <tr>  <td width="132" valign="top" style="width:99.25pt;border-top:none;border-left:  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;  mso-border-left-alt:solid black .5pt;mso-border-left-alt:solid black .5pt;  mso-border-bottom-alt:solid black .5pt;mso-border-right-alt:solid black .5pt;  background:#F2F2F2;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="center" style="margin-right:13.05pt;text-align:center"><span style="font-size:10.0pt">Job Title<o:p></o:p></span></p>  </td>  <td width="220" colspan="2" style="width:164.85pt;border-top:none;border-left:  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;  mso-border-left-alt:solid black .5pt;mso-border-left-alt:solid black .5pt;  mso-border-bottom-alt:solid black .5pt;mso-border-right-alt:solid black .5pt;  padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" style="margin-right:13.05pt"><span style="font-size:10.0pt">&nbsp;</span></p>  </td>  <td width="84" valign="top" style="width:63.25pt;border-top:none;border-left:  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;  mso-border-left-alt:solid black .5pt;mso-border-left-alt:solid black .5pt;  mso-border-bottom-alt:solid black .5pt;mso-border-right-alt:solid black .5pt;  background:#F2F2F2;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span style="font-size:10.0pt">Name<o:p></o:p></span></p>  </td> </tr> <!--[if !supportMisalignedColumns]--> <tr height="0">  <td width="206" style="border:none"></td>  <td width="132" style="border:none"></td>  <td width="45" style="border:none"></td>  <td width="175" style="border:none"></td>  <td width="84" style="border:none"></td> </tr> <!--[endif]--></tbody></table><table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="624"> <tbody><tr>  <td width="101" rowspan="2" style="width:75.6pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span style="font-size:10.0pt">&nbsp;&nbsp;&nbsp;&nbsp; <o:p></o:p></span></p>  </td>  <td width="91" rowspan="2" style="width:68.5pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="center" style="margin-right:13.05pt;text-align:center"><span style="font-size:10.0pt">/&nbsp;&nbsp;&nbsp;&nbsp; /<o:p></o:p></span></p>  </td>  <td width="67" valign="top" style="width:50.45pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span lang="AR-SA" dir="RTL" style="font-size:10.0pt;mso-ansi-font-style:italic">التاريخ</span><span style="font-size:10.0pt"><o:p></o:p></span></p>  </td>  <td width="16" valign="top" style="width:11.7pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span style="font-size:10.0pt">&nbsp;</span></p>  </td>  <td width="220" valign="top" style="width:165.15pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span style="font-size:10.0pt">&nbsp;</span></p>  </td>  <td width="129" valign="top" style="width:96.6pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span lang="AR-SA" dir="RTL" style="font-size:10.0pt;mso-ansi-font-style:italic">توقيع المدير  المباشر</span><span style="font-size:10.0pt"><o:p></o:p></span></p>  </td> </tr> <tr>  <td width="67" valign="top" style="width:50.45pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span style="font-size:10.0pt">Date<o:p></o:p></span></p>  </td>  <td width="16" valign="top" style="width:11.7pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span style="font-size:10.0pt">&nbsp;</span></p>  </td>  <td width="220" valign="top" style="width:165.15pt;border:none;border-bottom:  solid black 1.0pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span style="font-size:10.0pt">&nbsp;</span></p>  </td>  <td width="129" valign="top" style="width:96.6pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span style="font-size:10.0pt">Line manger’s Signature<o:p></o:p></span></p>  </td> </tr></tbody></table><p class="MsoNormal" style="margin-right:13.05pt"><span style="font-size:8.0pt">&nbsp;</span></p><table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="624"> <tbody><tr>  <td width="101" rowspan="2" style="width:75.65pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span style="font-size:10.0pt">&nbsp;&nbsp;&nbsp;&nbsp; <o:p></o:p></span></p>  </td>  <td width="91" rowspan="2" style="width:68.55pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="center" style="margin-right:13.05pt;text-align:center"><span style="font-size:10.0pt">/&nbsp;&nbsp;&nbsp;&nbsp; /<o:p></o:p></span></p>  </td>  <td width="67" valign="top" style="width:50.5pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span lang="AR-SA" dir="RTL" style="font-size:10.0pt;mso-ansi-font-style:italic">التاريخ</span><span style="font-size:10.0pt"><o:p></o:p></span></p>  </td>  <td width="16" valign="top" style="width:11.7pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span style="font-size:10.0pt">&nbsp;</span></p>  </td>  <td width="222" valign="top" style="width:166.8pt;border:none;border-bottom:solid black 1.0pt;  padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span style="font-size:10.0pt">&nbsp;</span></p>  </td>  <td width="126" valign="top" style="width:94.8pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span lang="AR-SA" dir="RTL" style="font-size:10.0pt;mso-ansi-font-style:italic">توقيع  مدير الإدارة</span><span dir="LTR"></span><span dir="LTR"></span><i><span lang="AR-SA" style="font-size:10.0pt"><span dir="LTR"></span><span dir="LTR"></span> </span></i><span style="font-size:10.0pt"><o:p></o:p></span></p>  </td> </tr> <tr>  <td width="67" valign="top" style="width:50.5pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span style="font-size:10.0pt">Date<o:p></o:p></span></p>  </td>  <td width="16" valign="top" style="width:11.7pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span style="font-size:10.0pt">&nbsp;</span></p>  </td>  <td width="349" colspan="2" valign="top" style="width:261.6pt;padding:0cm 5.4pt 0cm 5.4pt">  <p class="MsoNormal" align="right" style="margin-right:13.05pt;text-align:right"><span style="font-size:10.0pt">Department Manager Signature<o:p></o:p></span></p>  </td> </tr></tbody></table><p class="MsoNormal" align="center" style="text-align:center"></p><p class="MsoNormal" style="margin-right:13.05pt"><span lang="AR-DZ" dir="RTL" style="font-size:8.0pt;mso-ansi-language:FR;mso-bidi-language:AR-DZ"><o:p>&nbsp;</o:p></span></p>