/supportingform_ar

‫ﺍﻷﻤﺎﻨﺔ ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻻﺘﺤﺎﺩ ﺍﻟﻌﺭﺒﻲ ﻟﻸﺴﻤﺩﺓ‬ ‫ﺍﻟﻘﺎﻫﺭﺓ‬

‫ﻨﻤﻭﺫﺝ ﻁﻠﺏ ﺍﻻﻟﺘﺤﺎﻕ ﻟﻌﻀﻭﻴﺔ‬ ‫ﺍﻻﺘﺤﺎﺩ ﺍﻟﻌﺭﺒﻲ ﻟﻸﺴﻤﺩﺓ )ﻫﻴﺌﺔ ﻋﺭﺒﻴﺔ ﺩﻭﻟﻴﺔ(‬ ‫א (‬ ‫)‬ ‫ﺍﻟﺴﻴﺩ ﺍﻷﻤﻴﻥ ﺍﻟﻌﺎﻡ‬ ‫ﺍﻻﺘﺤﺎﺩ ﺍﻟﻌﺭﺒﻲ ﻟﻸﺴﻤﺩﺓ‬ ‫ﺘﺤﻴﺔ ﻁﻴﺒﺔ ﻭﺒﻌﺩ ‪،،،‬‬ ‫ﻴﺴــــــﺭ‪.....................................................................................‬‬ ‫ﻭﻋﻨﻭﺍﻨﻬﺎ ﺍﻟﺩﺍﺌﻡ ﻜﻤﺎ ﻫﻭ ﻤﺒﻴﻥ ﻓﻲ ﺍﻻﺴﺘﻤﺎﺭﺓ ﺍﻟﻤﺭﻓﻘﺔ‪ ،‬ﺃﻥ ﺘﻠﺘﺤﻕ ﻋﻀﻭﺍ ﻓﻲ ﺍﻻﺘﺤﺎﺩ ﺍﻟﻌﺭﺒﻲ ﻟﻸﺴﻤﺩﺓ ﺒﺩﺭﺠـﺔ‬ ‫"ﻋﻀﻭ ﻤﺅﺍﺯﺭ" ﻤﻊ ﺍﺴﺘﻌﺩﺍﺩﻨﺎ ﻟﺩﻓﻊ ﺍﻻﺸﺘﺭﺍﻙ ﺍﻟﺴﻨﻭﻱ ﺍﻟﺭﻤﺯﻱ ﻭﻗﺩﺭﻩ )‪ (500‬ﺨﻤﺴﻤﺎﺌﺔ ﺩﻭﻻﺭ‪ ،‬ﻭﻨﺘﻌﻬﺩ ﺒﺎﻟﻌﻤل‬ ‫ﻭﺍﻟﺘﻌﺎﻭﻥ ﻋﻠﻰ ﺘﺤﻘﻴﻕ ﺃﻫﺩﺍﻑ ﺍﻻﺘﺤﺎﺩ ﻓﻲ ﺘﻨﻤﻴﺔ ﻭﺘﻁﻭﻴﺭ ﺼﻨﺎﻋﺔ ﺍﻷﺴﻤﺩﺓ ﻭﺨﺎﻤﺎﺘﻬﺎ ﻭﺍﺴﺘﺨﺩﺍﻤﺎﺘﻬﺎ ﻭﺍﻻﻟﺘـﺯﺍﻡ‬ ‫ﻭﺘﺴﺩﻴﺩ ﺭﺴﻭﻡ ﺍﻟﻌﻀﻭﻴﺔ ﺒﺸﻜل ﻤﻨﺘﻅﻡ ﺴﻨﻭﻴﺎ ﻭﺍﻻﻟﺘﺯﺍﻡ ﺒﺎﻷﺴﺱ ﺍﻟﺘﺎﻟﻴﺔ ﻤﻥ ﺍﻷﺴﺎﺱ ﻟﻼﺘﺤﺎﺩ‪:‬‬ ‫ ﻤﺎﺩﺓ )‪ : (6‬ﺍﻟﺒﺎﺏ ﺍﻟﺜﺎﻟﺙ )ﺍﻟﻌﻀﻭﻴﺔ(‬‫ﻴﻘﺒل ﻜﻌﻀﻭ ﻤﺅﺍﺯﺭ ﻓﻰ ﺍﻹﺘﺤﺎﺩ ﻤﺭﺍﻜﺯ ﺍﻟﺒﺤﻭﺙ ﻓﻲ ﺼﻨﺎﻋﺔ ﺍﻷﺴﻤﺩﺓ ﺍﻟﻤﻌﺩﻨﻴﺔ ﻭﺍﻟﺸﺭﻜﺎﺕ ﺍﻟﻌﺎﻤﻠﺔ ﻓﻲ ﺘﺠﺎﺭﺓ ﺍﻻﺴﻤﺩﺓ‬ ‫ﻭﻤﺴﻠﺯﻤﺎﺘﻬﺎ ﺍﻟﺯﺭﺍﻋﻴﺔ ﻭﺇﻨﺘﺎﺝ ﻋﺒﻭﺍﺕ ﺍﻟﺒﻼﺴﺘﻴﻙ ﻭﺸﺭﻜﺎﺕ ﺍﻟﻨﻘل ﻭﺸﺤﻥ ﺍﻷﺴﻤﺩﺓ ﻭﺨﺎﻤﺎﺘﻬﺎ‪.‬‬ ‫ ﻤﺎﺩﺓ )‪ : (7‬ﺍﻟﺒﺎﺏ ﺍﻟﺜﺎﻟﺙ )ﺍﻟﻌﻀﻭﻴﺔ(‬‫‪• .1‬‬ ‫•‬

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‫ﻴﻜﻭﻥ ﺍﻨﻀﻤﺎﻡ ﺍﻷﻋﻀﺎﺀ ﻭ‪/‬ﺃﻭ ﺘﻐﻴﻴﺭ ﺍﻟﻌﻀﻭﻴﺔ ﺒﻘﺭﺍﺭ ﻤﻥ ﻤﺠﻠﺱ ﺇﺩﺍﺭﺓ ﺍﻹﺘﺤﺎﺩ ﺒﻨﺎﺀ ﻋﻠﻰ ﻁﻠﺏ ﺭﺴﻭﻡ ﻤﻥ ﺍﻟﻌﻀﻭ ﺍﻟﻤﻌﻨﻲ‬ ‫ﺘﻔﻌل ﺍﻟﻌﻀﻭﻴﺔ ﺒﻌﺩ ﺴﺩﺍﺩ ﺍﻻﺸﺘﺭﺍﻙ ﺍﻷﻭل ﻤﻊ ﺍﻻﻟﺘﺯﺍﻡ ﺒﺴﺩﺍﺩ ﺭﺴﻭﻡ ﺍﻟﻌﻀﻭﻴﺔ ﺒﺸﻜل ﻤﻨﺘﻅﻡ‪.‬‬ ‫ﻴﻠﺯﻡ ﺍﻟﻌﻀﻭ ﺒﻤﻌﺎﻭﻨﺔ ﺍﻹﺘﺤﺎﺩ ﻟﺘﺤﻘﻴﻕ ﺃﻫﺩﺍﻓﻪ‪ ،‬ﻭﻤﻭﺍﻓﺎﺕ ﺍﻹﺘﺤﺎﺩ ﺒﺎﻟﺒﻴﺎﻨﺎﺕ ﻭﺍﻻﺤﺼﺎﺀﺍﺕ ﺒﻤﺎ ﻴﺴﻤﺢ ﺒﺘﺤﻘﻴﻕ ﻫﺫﻩ ﺍﻻﻫﺩﺍﻑ‪.‬‬

‫ ﻤﺎﺩﺓ )‪ : (8‬ﺍﻟﺒﺎﺏ ﺍﻟﺜﺎﻟﺙ )ﺍﻟﻌﻀﻭﻴﺔ(‬‫‪ .2‬ﺘﺯﻭل ﺼﻔﺔ ﺍﻟﻌﻀﻭﻴﺔ ﺒﻘﺭﺍﺭ ﻤﻥ ﻤﺠﻠﺱ ﺍﻹﺩﺍﺭﺓ ﺒﻨﺎﺀ ﻋﻠﻰ ﺘﻭﺼﻴﺔ ﻤﻥ ﺍﻻﻤﺎﻨﺔ ﺍﻟﻌﺎﻤﺔ ﻓﻲ ﺍﻟﺤﺎﻻﺕ ﺍﻟﺘﺎﻟﻴﺔ‪-:‬‬ ‫•‬ ‫•‬ ‫•‬

‫ﻁﻠﺏ ﺍﻻﻨﺴﺤﺎﺏ‬ ‫ﺘﻐﻴﻴﺭ ﻤﻴﺩﺍﻥ ﺍﻟﻌﻤل ﺃﻭ ﺍﻟﺤل ﺃﻭ ﺍﻻﻨﺩﻤﺎﺝ‬ ‫ﻋﺩﻡ ﺴﺩﺍﺩ ﺍﻻﺸﺘﺭﺍﻙ ﺍﻟﺴﻨﻭﻱ ﻗﺒل ﺍﻟﺜﻠﺙ ﺍﻻﺨﻴﺭ ﻤﻥ ﺍﻟﺴﻨﺔ ﻭﻋﺩﻡ ﺘﻘﺩﻴﻡ ﺘﻌﻬﺩ ﻜﺘﺎﺒﻲ ﺒﺴﺩﺍﺩ ﺍﻻﺸﺘﺭﺍﻙ ﺨﻼل ﺘﺎﺭﻴﺦ ﻤﺤﺩﺩ ﻤﻥ ﺍﻟﺴﻨﺔ‪.‬‬

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‫ﻋﺩﻡ ﻗﻴﺎﻡ ﺍﻟﻌﻀﻭ ﺒﺎﻟﺘﺯﺍﻤﺎﺘﻪ ﺃﻭ ﻤﺨﺎﻟﻔﺘﻪ ﻟﻠﻨﻅﺎﻡ ﺍﻻﺴﺎﺴﻲ ﻟﻺﺘﺤﺎﺩ‬

‫ﻭﻨﺭﻓﻕ ﻟﻜﻡ ﺘﻘﺭﻴﺭ ﻤﻔﺼﻼ ﻋﻥ ﻤﺠﺎﻻﺕ ﺍﻻﺨﺘﺼﺎﺹ ﻭﺍﻟﻌﻤل‪.‬‬ ‫ﻭﺘﻔﻀﻠﻭﺍ ﺒﻘﺒﻭل ﻓﺎﺌﻕ ﺍﻻﺤﺘﺭﺍﻡ ﻭﺍﻟﺘﻘﺩﻴﺭ‪،،‬‬ ‫ﺍﻟﻤﻔﻭﺽ ﺒﺎﻟﺘﻭﻗﻴﻊ‪:‬‬ ‫ﺍﻻﺴﻡ‬

‫‪.................................:‬‬

‫ﺍﻟﻭﻅﻴﻔﺔ‬

‫‪.................................:‬‬

‫ﺍﻟﺘﺎﺭﻴﺦ‬

‫‪.................................:‬‬

‫ﺍﻷﻤﺎﻨﺔ ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻻﺘﺤﺎﺩ ﺍﻟﻌﺭﺒﻲ ﻟﻸﺴﻤﺩﺓ‬ ‫ﺍﻟﻘﺎﻫﺭﺓ‬

‫ﺍﻟﻤﺘﻘﺩﻡ ﺒﺎﻟﻁﻠﺏ‬ ‫‪.................................................................................‬‬ ‫)ﺍﺴﻡ ﺍﻟﺸﺭﻜﺔ ﺒﺎﻟﻌﺭﺒﻴﺔ ﻭﺍﻻﻨﻜﻠﻴﺯﻴﺔ(‬ ‫‪................................................................................‬‬ ‫ﺍﻟﻌﻨﻭﺍﻥ ﺍﻟﺒﺭﻴﺩﻱ ‪................................................................‬‬ ‫ﺍﻟﺒﺭﻴﺩ ﺍﻻﻟﻜﺘﺭﻭﻨﻲ )‪.................................................. (E-mail‬‬ ‫ﺍﻟﻬﺎﺘﻑ ‪...................................................................... :‬‬ ‫ﺍﻟﻔﺎﻜﺱ ‪..................................................................... :‬‬ ‫ ﻤﺠﺎﻻﺕ ﺍﻟﺘﺨﺼﺹ‪:‬‬‫‪........................................................................ -1‬‬ ‫‪........................................................................ -2‬‬ ‫‪........................................................................ -3‬‬ ‫‪........................................................................ -4‬‬ ‫‪........................................................................ -5‬‬ ‫‪........................................................................ -6‬‬ ‫‪........................................................................ -7‬‬ ‫‪ .................... -8‬ﺫﻜﺭ ﻷﻫﻡ ﻤﺠﺎﻻﺕ ﺍﻟﻌﻤل ﻭﺍﻟﺘﺨﺼﺼﺎﺕ ‪.............‬‬ ‫‪ .................... -9‬ﻭﺒﺼﻭﺭﺓ ﻤﺨﺘﺼﺭﺓ ﻭﻋﻠﻰ ﺼﻔﺤﺔ ﻭﺍﺤﺩﺓ ﻓﻘﻁ ‪......‬‬ ‫‪ ................. -10‬ﺤﻴﺙ ﺴﻴﺘﻡ ﻨﺸﺭ ﻫﺫﻩ ﺍﻟﺼﻔﺤﺔ‪.....................‬‬ ‫‪................... -11‬ﻓﻲ ﻜﺘﻴﺏ ﺍﻷﻋﻀﺎﺀ ‪...............................‬‬

‫ﺍﻷﻤﺎﻨﺔ ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻻﺘﺤﺎﺩ ﺍﻟﻌﺭﺒﻲ ﻟﻸﺴﻤﺩﺓ‬ ‫ﺍﻟﻘﺎﻫﺭﺓ‬

‫ﺍﺴﺘﻤﺎﺭﺓ ﺍﻻﻨﻀﻤﺎﻡ ﻟﻺﺘﺤﺎﺩ ﺒﺩﺭﺠﺔ ﻋﻀﻭ ﻤﺅﺍﺯﺭ‬ ‫‪ .1‬ﺍﺴﻡ ﺍﻟﺸﺭﻜﺔ‪ /‬ﺍﻟﻤﺅﺴﺴﺔ‬ ‫‪ .2‬ﺍﻟﻌﻨﻭﺍﻥ ﺍﻟﺩﺍﺌﻡ ﻟﻠﻤﺭﺍﺴﻼﺕ‬ ‫‪.3‬‬ ‫‪.4‬‬ ‫‪.5‬‬ ‫‪.6‬‬

‫ﺍﻟﻔﺎﻜﺱ‬ ‫ﺍﻟﺒﺭﻴﺩ ﺍﻻﻟﻴﻜﺘﺭﻭﻨﻰ )‪(E-mail‬‬ ‫ﺃﺭﻗﺎﻡ ﺍﻟﺘﻠﻴﻔﻭﻨﺎﺕ‬ ‫ﺍﻟﻨﺸﺎﻁ ﺍﻟﺭﺌﻴﺴﻲ‬

‫‪ .7‬ﺍﻷﻨﺸﻁﺔ ﺍﻟﻔﺭﻋﻴﺔ‬ ‫ﻨﺤﻥ ﻨﺴﻤﻲ ﺍﻟﺴﻴﺩ‪......................................................... /‬‬

‫‪ .8‬ﺍﻟﻤﻤﺜل ﺍﻟﻤﺨﻭل‪:‬‬

‫ﺍﻟﺫﻱ ﻴﻌﻤل ﻓﻲ ﻭﻅﻴﻔﺔ‪........................................................‬‬ ‫ﻜﻤﻤﺜل ﻟﻠﺸﺭﻜﺔ ﻁﺒﻘﺎ ﻟﻠﺸﺭﻭﻁ ﻭﺍﻟﻘﻭﺍﻨﻴﻥ ﺍﻟﻤﻌﻤﻭل ﺒﻬﺎ ﻓﻲ ﺍﻻﺘﺤﺎﺩ ﺍﻟﻌﺭﺒﻲ ﻟﻼﺴﻤﺩﺓ‬

‫ﺍﻟﻤﻔﻭﺽ ﺒﺎﻟﺘﻭﻗﻴﻊ‪:‬‬

‫‪ .9‬ﺍﻟﺨﺎﺘﻡ ﺍﻟﺭﺴﻤﻲ‬

‫ﺍﻟﻭﻅﻴﻔﺔ‪:‬‬ ‫ﺍﻟﺘﺎﺭﻴﺦ‪:‬‬

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‫اﻟﻌﻨﻮان اﻟﺪاﺋﻢ‪ :‬اﻷﻣﺎﻧﺔ اﻟﻌﺎﻣﺔ – اﻟﻘﺎهﺮة – ﺟﻤﻬﻮرﻳﺔ ﻣﺼﺮ اﻟﻌﺮﺑﻴﺔ‬ ‫‪ 9‬ﺣﺪاﺋﻖ راﻣﻮ ‪ -‬ﻃﺮﻳﻖ اﻟﻨﺼﺮ – ص‪ .‬ب ‪ 8109‬ﻣﺪﻳﻨﺔ ﻧﺼﺮ )‪ (11371‬اﻟﻘﺎهﺮة – ﻣﺼﺮ ﺗﻠﻴﻔﻮن‪ Tel:+20-2-4172347-49-50 :‬ﻓﺎآﺲ‪Fax: +20-2-4172350 - 4173721 :‬‬ ‫‪Permanent Address: General Secretariat – Cairo – Egypt‬‬ ‫‪9 Ramo Buildings, Al Nasr Road- PO Box: 8109 Nasr City (11371) - Tel:+20-2-4172347-49-50 Fax: +20 2 4173721 - 4172350‬‬ ‫‪E-mail: info@afa.com.eg - www.afa.com.eg‬‬