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‫ﺍﻋﺘﺮﺍﺽ ﺑﺎﺯﻳﮕﺮﺍﻥ ﺑﺎﺯﺍﺭ ﺑﺮﻕ ﺍﻳﺮﺍﻥ ﺑﻪ ﺻﻮﺭﺗﺤﺴﺎﺏﻫﺎﻱ ﺻﺎﺩﺭﻩ‬

                 ‫ﻓﺮﻡ ﺍﻋﺘﺮﺍﺽ ﺷﻤﺎﺭﻩ ) ‪ (2‬ﺟﻬﺖ ﺍﺭﺟﺎﻉ ﺑﻪ ﻣﻌﺎﻭﻧﺖ ﺭﺍﻫﺒﺮﻱ ﻭ ﭘﺎﻳﺶ ﺷﺒﻜﻪ‬

        ‫ﺷﻤﺎﺭﻩ ‪:‬‬                                                                ‫ﺍﺯ‪ :‬ﺷﺮﻛﺖ ‪ /‬ﺳﺎﺯﻣﺎﻥ ‪:‬‬
        ‫ﺗﺎﺭﻳﺦ ‪:‬‬
                 ‫ﺑﻪ ‪ :‬ﺷﺮﻛﺖ ﻣﺪﻳﺮﻳﺖ ﺷﺒﻜﻪ ﺑﺮﻕ ﺍﻳﺮﺍﻥ – ﻣﻌﺎﻭﻧﺖ ﺭﺍﻫﺒﺮﻱ ﻭ ﭘﺎﻳﺶ ﺷﺒﻜﻪ‬
‫ﺷﻤﺎﺭﻩ ﻓﺎﻛﺲ ‪:‬‬
                                   ‫ﺷﻤﺎﺭﻩ ﺗﻤﺎﺱ ﻣﺴﺘﻘﻴﻢ ‪:‬‬                         ‫ﭘﺴﺖ ﺍﻟﻜﺘﺮﻭﻧﻴﻜﻲ ‪: Email‬‬

                                                        ‫‪ -1‬ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﻣﻮﺍﺭﺩ ﺯﻳﺮ ﻋﻨﻮﺍﻥ ﺍﻋﺘﺮﺍﺽ ﺧﻮﺩ ﺭﺍ ﻣﺸﺨﺺ ﻛﻨﻴﺪ‪.‬‬

 ‫ﻣﻴﺰﺍﻥ ﺗﻮﻟﻴﺪ ﻭﺍﺣﺪﻫﺎﻱ ﻧﻴﺮﻭﮔﺎﻫﻲ‬                                              ‫ﺗﻮﻟﻴﺪ ﻭﺍﺣﺪ ﺩﺭ ﺳﺎﻋﺖ ﭘﻴﻚ‬
‫ﻣﻘﺪﺍﺭ ﺫﺧﻴﺮﻩ ﮔﺮﺩﺍﻥ ﻭ ﻏﻴﺮ ﮔﺮﺩﺍﻥ‬                                                ‫ﻣﻘﺪﺍﺭ ﻗﺎﺑﻠﻴﺖ ﺗﻮﻟﻴﺪ ﻭﺍﺣﺪ‬

       ‫ﭘﻴﺶ ﺑﻴﻨﻲ ﻧﻴﺎﺯ ﺗﻮﺍﻥ ﺭﺍﻛﺘﻴﻮ‬                          ‫ﻛﺪ ﻭﺿﻌﻴﺖ ﻭﺍﺣﺪ ﻭ ﺁﺯﻣﻮﻥ ﻧﺎﻣﻮﻓﻖ ﻇﺮﻓﻴﺖ‬
     ‫ﻣﺸﺎﺭﻛﺖ ﺩﺭ ﻛﻨﺘﺮﻝ ﻓﺮﻛﺎﻧﺲ‬          ‫ﻛﺴﺮ ﺩﺭﺁﻣﺪ ﺧﺪﻣﺎﺕ ﺍﻧﺘﻘﺎﻝ ﻧﺎﺷﻲ ﺍﺯ ﻧﻮﺍﻗﺺ ﺍﻃﻼﻋﺎﺕ ﺳﻴﺴﺘﻢ ﺍﺳﻜﺎﺩﺍ‬
                                   ‫ﺍﻃﻼﻋﺎﺕ ﻣﺮﺑﻮﻁ ﺑﻪ ﺧﻄﻮﻁ ﻭ ﺗﺮﺍﻧﺴﻬﺎﻱ ﺍﻧﺘﻘﺎﻝ )‪ 230‬ﻭ ‪ 400‬ﻛﻴﻠﻮﻭﻟﺖ(‬
           ‫ﺟﺮﻳﻤﻪ ﻋﺪﻡ ﻫﻤﻜﺎﺭﻱ‬

‫ﺩﺭ ﺻﻮﺭﺗﻴﻜﻪ ﻋﻨﻮﺍﻥ ﺍﻋﺘﺮﺍﺽ ﺷﻤﺎ ﻫﻴﭻ ﻳﻚ ﺍﺯ ﻣﻮﺍﺭﺩ ﺫﻛﺮ ﺷﺪﻩ ﺩﺭ ﻓﻮﻕ ﺭﺍ ﺷﺎﻣﻞ ﻧﺸﻮﺩ‪ ،‬ﻋﻨﻮﺍﻥ ﺍﻋﺘﺮﺍﺽ ﺧﻮﺩ ﺭﺍ ﺑﻄﻮﺭ ﺑﻴﺎﻥ‬
                                                                                                          ‫ﻧﻤﺎﻳﻴﺪ‪.‬‬

                                                        ‫‪ -2‬ﻣﻮﺭﺩ ﺍﻋﺘﺮﺍﺽ ﺧﻮﺩ ﺭﺍ ﺑﻄﻮﺭ ﻣﺨﺘﺼﺮ ﺷﺮﺡ ﺩﻫﻴﺪ‪.‬‬

           ‫‪ -3‬ﻣﺪﺍﺭﻛﻲ ﺭﺍ ﻛﻪ ﺟﻬﺖ ﺗﺎﻳﻴﺪ ﺍﺩﻋﺎﻫﺎﻱ ﻣﻄﺮﺡ ﺷﺪﻩ ﺑﻪ ﻫﻤﺮﺍﻩ ﻓﺮﻡ ﺍﻋﺘﺮﺍﺽ ﺿﻤﻴﻤﻪ ﻧﻤﻮﺩﻩ ﺍﻳﺪ ﺑﻪ ﺗﺮﺗﻴﺐ ﺫﻛﺮ ﻧﻤﺎﻳﻴﺪ‪.‬‬

‫ﺍﻳﻨﺠﺎﻧﺐ ‪.................‬ﺑﻪ ﻧﻤﺎﻳﻨﺪﮔﻲ ﺍﺯ ﺷﺮﻛﺖ‪ /‬ﻣﻮﺳﺴﻪ ‪ .................‬ﺍﻋﺘﺮﺍﺽ ﻛﺘﺒﻲ ﺧﻮﺩ ﺭﺍ ﻧﺴﺒﺖ ﺑـﻪ ﻋﻨـﻮﺍﻥ ﺍﻋﺘـﺮﺍﺽ‬
‫ﻣﺸﺨﺺ ﺷﺪﻩ ﺩﺭ ﺍﻳﻦ ﻓﺮﻡ‪،‬ﺍﻋﻼﻡ ﺩﺍﺷﺘﻪ ﻭ ﺍﺯ ﻣﻌﺎﻭﻧﺖ ﻣﺤﺘﺮﻡ ﺭﺍﻫﺒﺮﻱ ﻭ ﭘﺎﻳﺶ ﺷﺒﻜﻪ ﺗﻘﺎﺿﺎﻱ ﭘﻴﮕﻴﺮﻱ ﻭ ﺍﻗـﺪﺍﻣﺎﺕ ﻻﺯﻡ ﺩﺭ ﺍﻳـﻦ‬

                                                                                                         ‫ﺯﻣﻴﻨﻪ ﺭﺍ ﺩﺍﺭﻡ‪.‬‬

                                                                               ‫ﺗﺎﺭﻳﺦ ﻭ ﺍﻣﻀﺎء‬
                                       ‫ﺍﻳﻦ ﻗﺴﻤﺖ ﺗﻮﺳﻂ ﺑﺮﺭﺳﻲ ﻛﻨﻨﺪﻩ ﺍﻋﺘﺮﺍﺽ ﺗﻜﻤﻴﻞ ﻣﻲﮔﺮﺩﺩ‪.‬‬

                                                    ‫ﺍﺯ‪ :‬ﺷﺮﻛﺖ ﻣﺪﻳﺮﻳﺖ ﺷﺒﻜﻪ ﺑﺮﻕ ﺍﻳﺮﺍﻥ – ﻣﻌﺎﻭﻧﺖ ﺭﺍﻫﺒﺮﻱ ﻭ ﭘﺎﻳﺶ ﺷﺒﻜﻪ‬
                    ‫ﺑﻪ ‪ :‬ﺷﺮﻛﺖ ﻣﺪﻳﺮﻳﺖ ﺷﺒﻜﻪ ﺑﺮﻕ ﺍﻳﺮﺍﻥ – ﻣﻌﺎﻭﻧﺖ ﺑﺎﺯﺍﺭ ﺑﺮﻕ – ﺩﻓﺘﺮ ﻣﻄﺎﻟﻌﺎﺕ ﺍﻗﺘﺼﺎﺩﻱ ﻭ ﺗﻮﺳﻌﻪ ﺑﺎﺯﺍﺭ ﺑﺮﻕ‬

                                      ‫ﻧﺘﻴﺠﻪ ﺑﺮﺭﺳﻲ ﺍﻋﺘﺮﺍﺽ ﺟﻬﺖ ﺍﻃﻼﻉ ﻭ ﺍﻗﺪﺍﻣﺎﺕ ﺑﻌﺪﻱ ﺑﻪ ﺷﺮﺡ ﺫﻳﻞ ﺑﻪ ﺍﻃﻼﻉ ﻣﻲﺭﺳﺪ‪.‬‬

                 ‫ﻣﺪﻳﺮ ﺗﺎﺋﻴﺪ ﻛﻨﻨﺪﻩ‬  ‫ﻛﺎﺭﺷﻨﺎﺱ ﺑﺮﺭﺳﻲ ﻛﻨﻨﺪﻩ‬          ‫ﺍﻋﺘﺮﺍﺽ ﻣﻮﺭﺩ ﺗﺎﺋﻴﺪ ﻧﻴﺴﺖ‬
                 ‫ﺗﺎﺭﻳﺦ ﻭ ﺍﻣﻀﺎء‬        ‫ﺗﺎﺭﻳﺦ ﻭ ﺍﻣﻀﺎء‬              ‫ﺍﻋﺘﺮﺍﺽ ﻣﻮﺭﺩ ﺗﺎﺋﻴﺪ ﺍﺳﺖ‬
                                                        ‫ﺑﺨﺸﻲ ﺍﺯ ﺍﻋﺘﺮﺍﺽ ﻣﻮﺭﺩ ﺗﺎﺋﻴﺪ ﺍﺳﺖ‬

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