‫ﻣﺤﻀﺮ ﺇﺣﺎﻟﺔ ﻟﻌﺪﻡ ﺣﻀﻮﺭ ﺍﻟﻤﺪﻋﻰ ﻋﻠﻴﻪ‪ -‬ﻗﻀﻴﺔ ﻓﺮﺩﻳﺔ‬

‫ﺭﻗﻢ ﺍﻟﺠﻠﺴﺔ‬ ‫ﻣﻮﻋﺪ ﺍﻟﺠﻠﺴﺔ‬ ‫ﺗﺎﺭﻳﺦ ﺗﺤﺮﻳﺮ ﺍﻟﻤﺤﻀﺮ‬ ‫ﺗﺎﺭﻳﺦ ﺇﻧﺸﺎﺀ ﺍﻟﺪﻋﻮﻯ‬ ‫ﺭﻗﻢ ﺍﻟﻘﻀﻴﺔ‬ ‫ﺭﻗﻢ ﺍﻟﻘﻴﺪ‬

‫‪2‬‬ ‫‪10:30‬ﺹ‬ ‫‪06/03/2025‬‬ ‫‪27/02/2025‬‬ ‫‪14460902458‬‬ ‫‪310537‬‬

‫ﻣﻜﺘﺐ ﺗﺴﻮﻳﺔ ﺍﻟﺮﻳﺎﺽ‬

‫ﻭﺑﺤﻀﻮﺭ ﻛﻞ ﻣﻦ‬
‫ﺍﻟﻤﺪﻋﻰ ﻋﻠﻴﻪ )ﺍﻟﻄﺮﻑ ﺍﻟﺜﺎﻧﻲ( ﺃﺻﺎﻟﺔ ‪ /‬ﻭﻛﺎﻟﺔ‬ ‫ﺍﻟﻤﺪﻋﻲ )ﺍﻟﻄﺮﻑ ﺍﻷﻭﻝ( ﺃﺻﺎﻟﺔ ‪ /‬ﻭﻛﺎﻟﺔ‬
‫ﺷﺮﻛﺔ ﺍﻟﺒﻮﺍﻧﻲ ﺍﻟﻤﺤﺪﻭﺩﻩ ﺷﺮﻛﺔ ﺷﺨﺺ ﻭﺍﺣﺪ‬ ‫ﺍﻻﺳﻢ‬ ‫‪WALI REHMAN MEHER‬‬ ‫ﺍﻻﺳﻢ‬
‫‪REHMAN‬‬ ‫ﺃﻃﺮﺍﻑ‬
‫‪----‬‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺑﺎﻛﺴﺘﺎﻥ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﺪﻋﻮﻯ‬
‫‪7001355929‬‬ ‫ﺍﻟﻬﻮﻳﺔ‬ ‫‪2440503825‬‬ ‫ﺍﺍﻟﻬﻮﻳﺔ‬
‫‪1010085518‬‬ ‫ﺍﻟﺴﺠﻞ ﺍﻟﺘﺠﺎﺭﻱ‬ ‫‪----‬‬ ‫ﺍﻟﺴﺠﻞ ﺍﻟﺘﺠﺎﺭﻱ‬

‫ﺩﺍﻟﻴﺎ ﻣﺄﻣﻮﻥ ﺣﺴﻦ ﻋﺒﻴﺪ‬ ‫ﺍﺳﻢ ﻣﻦ ﻳﻤﺜﻠﻪ‬ ‫ﺍﺳﻢ ﻣﻦ ﻳﻤﺜﻠﻪ‬

‫‪1084214954‬‬ ‫ﻫﻮﻳﺔ ﻣﻦ ﻳﻤﺜﻠﻪ‬ ‫ﻫﻮﻳﺔ ﻣﻦ ﻳﻤﺜﻠﻪ‬

‫‪462907751‬‬ ‫ﺑﻤﻮﺟﺐ ﺍﻟﻮﻛﺎﻟﺔ‬ ‫ﺑﻤﻮﺟﺐ ﺍﻟﻮﻛﺎﻟﺔ‬
‫‪20250306‬‬ ‫ﺍﻟﺘﺎﺭﻳﺦ‬ ‫ﺍﻟﺘﺎﺭﻳﺦ‬
‫ﺍﻟﺼﻠﺢ ﻭ ﺍﻹﺑﺮﺍﺀ ﻭ ﺍﻟﺘﻨﺎﺯﻝ‬ ‫ﺍﻟﻤﺨﻮﻝ ﻟﻪ ﻓﻴﻬﺎ‬ ‫ﺍﻟﻤﺨﻮﻝ ﻟﻪ ﻓﻴﻬﺎ‬
‫‪/‬‬ ‫ﺍﻟﻤﺘﺮﺟﻢ ‪ /‬ﻫﻮﻳﺘﻪ‬ ‫‪/‬‬ ‫ﺍﻟﻤﺘﺮﺟﻢ ‪ /‬ﻫﻮﻳﺘﻪ‬

‫ﺍﻟﻮﻗﺎﺋﻊ‬
‫ﺍﻓﺘﺘﺤﺖ ﺍﻟﺠﻠﺴﺔ ﺑﺤﻀﻮﺭ ﺍﻟﻤﺪﻋﻲ‪/‬ـﺔ ﻭﻟﻌﺪﻡ ﺣﻀﻮﺭ ﺍﻟﻤﺪﻋﻰ ﻋﻠﻴﻪ ﺃﻭ ﻣﻦ ﻳﻤﺜﻠﻪ ﺧﻼﻝ ﺍﻟﻤﺪﺓ ﺍﻟﻤﻘﺮﺭﺓ ﻧﻈﺎﻣﺎ ﻭﺍﺳﺘﻨﺎﺩﺍ ﻟﻠﻘﻮﺍﻋﺪ ﻭﺍﻹﺟﺮﺍﺀﺍﺕ ﺍﻟﻤﻨﻈﻤﺔ‬
‫ﻟﻠﺘﺴﻮﻳﺔ ﺍﻟﻮﺩﻳﺔ ﻓﻲ ﺍﻟﺨﻼﻓﺎﺕ ﺍﻟﻌﻤﺎﻟﻴﺔ ﺗﻢ ﺇﺻﺪﺍﺭ ﻫﺬﺍ ﺍﻟﻤﺤﻀﺮ‪ ،‬ﻭﻳﺠﻮﺯ ﻟﻠﻤﺪﻋﻲ ﺑﻤﻮﺟﺒﻪ ﺍﺳﺘﻜﻤﺎﻝ ﺇﺟﺮﺍﺀﺍﺕ ﺭﻓﻊ ﺍﻟﺪﻋﻮﻯ ﻟﺪﻯ ﺍﻟﻤﺤﻜﻤﺔ ﺍﻟﻌﻤﺎﻟﻴﺔ‬
‫ﻭﻓﻘﺎً ﻟﻺﺟﺮﺍﺀﺍﺕ ﺍﻟﻤﻌﺘﻤﺪﺓ ﻣﻦ ﻭﺯﺍﺭﺓ ﺍﻟﻌﺪﻝ‪.‬‬
‫‪-‬‬

‫ﻳﻤﻜﻦ ﺍﻟﺘﺤﻘﻖ ﻣﻦ ﺻﺤﺔ ﺍﻟﻤﺤﻀﺮ ﻣﻦ ﺧﻼﻝ ﺯﻳﺎﺭﺓ ﺍﻟﺮﺍﺑﻂ ﺍﻟﺘﺎﻟﻲ ‪http://hrsd.gov.sa/en/query/verivcationcase :‬‬

‫•ﻳﻌﺘﺒﺮ ﻫﺬﺍ ﺍﻟﻤﺤﻀﺮ ﻣﺼﺪﻕ ﻣﻦ ﺇﺩﺍﺭﺓ ﺍﻟﺘﺴﻮﻳﺔ ﺍﻟﻮﺩﻳﺔ ﻭﻻ ﻳﺤﺘﺎﺝ ﺇﻟﻰ ﺗﻮﻗﻴﻊ ﺃﻭ ﺧﺘﻢ‪.‬‬
‫•ﻳﺠﻮﺯ ﻟﻠﻤﺪﻋﻲ ﺍﺳﺘﻜﻤﺎﻝ ﺇﺟﺮﺍﺀﺍﺕ ﺍﻟﺪﻋﻮﻯ ﻟﺪﻯ ﺍﻟﻤﺤﻜﻤﺔ ﺍﻟﻌﻤﺎﻟﻴﺔ ﻋﻠﻰ ﻧﻈﺎﻡ ﻧﺎﺟﺰ ﺧﻼﻝ ‪ 5‬ﺃﻳﺎﻡ ﻋﻤﻞ ﻣﻦ ﺗﺎﺭﻳﺦ ﺍﺻﺪﺍﺭ ﻫﺬﺍ ﺍﻟﻤﺤﻀﺮ‪.‬‬
‫•ﺃﻱ ﺗﻌﺪﻳﻞ ﺃﻭ ﺗﺤﺮﻳﻒ ﻋﻠﻰ ﻫﺬﺍ ﺍﻟﻤﺤﻀﺮ ﻳﻌﺘﺒﺮ ﻣﻠﻐﻲ‪.‬‬
 ‫ﻧﻤﻮﺫﺝ ﺭﻓﻊ ﺩﻋﻮﻯ‬
‫ﺗﺎﺭﻳﺦ ﺍﻟﺪﻋﻮﻯ‪2025/02/27/‬‬ ‫ﺭﻗﻢ ﺍﻟﺪﻋﻮﻯ‪CS-4052460 /‬‬

‫ﺻﺎﺣﺐ ﺍﻟﻌﻤﻞ‬ ‫ﻋﺎﻣﻞ‬

‫ﺍﻟﻤﻮﻋﺪ‬
‫‪06/03/2025‬‬ ‫ﺍﻟﺘﺎﺭﻳﺦ‬ ‫ﺹ ‪10:30‬‬ ‫ﺍﻟﻮﻗﺖ‬

‫ﺗﺘﻢ ﺗﻌﺒﺌﺔ ﺍﻟﺤﻘﻮﻝ ﺃﺩﻧﺎﻩ ﻣﻦ ﻗﺒﻞ ﺍﻟﻤﺘﻘﺪﻡ ﻟﺮﻓﻊ ﺍﻟﺪﻋﻮﻯ )ﻋﺎﻣﻞ ‪/‬ﺍﻟﻤﻨﺸﺄﺓ(‬
‫ﺗﻔﺎﺻﻴﻞ ﺍﻟﻤﻨﺸﺄﺓ‬ ‫ﻣﻌﻠﻮﻣﺎﺕ ﺍﻟﻌﺎﻣﻞ‬
‫ﺷﺮﻛﺔ ﺍﻟﺒﻮﺍﻧﻲ ﺍﻟﻤﺤﺪﻭﺩﻩ‬ ‫‪WALI REHMAN‬‬
‫ﺍﺳﻢ ﺍﻟﻤﻨﺸﺎﺓ‬ ‫ﺍﻻﺳﻢ ﺍﻟﻜﺎﻣﻞ‬
‫ﺷﺮﻛﺔ ﺷﺨﺺ ﻭﺍﺣﺪ‬ ‫‪MEHER REHMAN‬‬
‫‪1010085518‬‬
‫‪2440503825‬‬ ‫ﺭﻗﻢ ﺍﻟﻬﻮﻳﺔ ‪ /‬ﺍﻻﻗﺎﻣﺔ‬
‫ﺑﺎﻛﺴﺘﺎﻥ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬
‫ﺭﻗﻢ ﺍﻟﺴﺠﻞ ﺍﻟﺘﺠﺎﺭﻱ‬ ‫‪22/10/1988‬‬ ‫ﺗﺎﺭﻳﺦ ﺍﻟﻤﻴﻼﺩ)ﻣﻴﻼﺩﻱ(‬
‫ﻣﺤﻤﺪ ﺑﻦ ﺣﻤﺪ ﺑﻦ‪19,‬‬
‫ﻓﺎﺭﺱ‪,‬ﻣﻨﻄﻘﺔ ﺍﻟﺮﻳﺎﺽ‪,‬‬
‫ﻋﻨﻮﺍﻥ ﺍﻟﻌﺎﻣﻞ‬
‫ﺍﻟﻴﺎﺳﻤﻴﻦ‪,‬ﺍﻟﺮﻳﺎﺽ‪13342 ,‬‬

‫ﺍﻟﺒﻴﺎﻧﺎﺕ ﺍﻟﻌﺎﻣﺔ‬
‫ﻧﺸﺎﻁ ﺍﻟﻤﻨﺸﺄﺓ‬ ‫ﺍﻟﻬﻨﺪﻳﺔ‬ ‫ﺍﻟﻠﻐﺔ‬
‫ﻋﺒﺪﺍﻟﻠﻪ ﺑﻦ ﻋﻘﻴﻞ ﺑﻦ ﻋﺒﺪﺍﻟﻠﻪ‬ ‫ﻣﻨﻄﻘﺔ ﺍﻟﺮﻳﺎﺽ‬
‫ﻣﻮﻗﻊ ﺍﻟﻌﻤﻞ‬
‫ﺍﻟﻌﻘﻴﻞ‬
‫ﻣﺪﻳﺮ ﺍﻟﻤﻨﺸﺄﺓ‬
‫‪17/07/2024‬‬ ‫ﺗﺎﺭﻳﺦ ﺑﺪﺍﻳﺔ‬
‫ﺍﻟﻌﻤﻞ‬
‫ﺍﻟﻌﻤﻞ ﺍﻷﺧﻴﺮ‬
‫‪0‬‬ ‫‪06/07/2025‬‬ ‫ﺗﺎﺭﻳﺦ ﻧﻬﺎﻳﺔ‬
‫ﺭﻗﻢ ﻫﺎﺗﻒ ﺍﻟﻤﻨﺸﺄﺓ‬
‫ﺍﻟﻌﻤﻞ‬
‫ﻃﺮﻳﻖ ﺻﻼﺡ ﺍﻟﺪﻳﻦ‪9,‬‬ ‫ﻓﻨﻲ ﻛﻬﺮﺑﺎﺋﻲ ﺗﻤﺪﻳﺪﺍﺕ‬
‫ﺍﻟﻤﻬﻨﺔ‬
‫ﺍﻻﻳﻮﺑﻲ‪,‬ﻣﻨﻄﻘﺔ ﺍﻟﺮﻳﺎﺽ‪,‬‬ ‫ﻋﻨﻮﺍﻥ ﺍﻟﻤﻨﺸﺄﺓ‬ ‫ﻛﻬﺮﺑﺎﺋﻴﺔ‬
‫ﺍﻟﻴﺎﺳﻤﻴﻦ‪,‬ﺍﻟﺮﻳﺎﺽ‪12627,‬‬ ‫ﺍﻟﻤﻬﻨﺔ ﺍﻟﻔﻌﻠﻴﺔ‬
‫ﻳﺎﻧﺎﺕ ﺍﻟﻮﻛﻴﻞ‬ ‫‪0‬‬ ‫ﺍﻟﺮﺍﺗﺐ‬
‫‪0593122169‬‬
‫ﺻﺎﺣﺐ ﺍﻟﻌﻤﻞ‬

‫ﺍﻟﻤﺪﻋﻰ ﻋﻠﻴﻪ‬ ‫ﺭﻗﻢ ﺍﻟﺠﻮﺍﻝ‬

‫ﻣﺆﺳﺴﺔ‬

‫ﺍﻟﺸﺮﻛﺔ‬

‫ﺍﺻﻴﻞ‬
‫ﻣﻤﺜﻞ ﺍﻟﻤﺪﻋﻰ ﻋﻠﻴﻪ‬ ‫ﺭﻗﻢ ﺍﺿﺎﻓﻲ‬

‫ﻭﻛﻴﻞ‬

‫ﻣﻮﺿﻮﻋﺎﺕ ﺍﻟﺪﻋﻮﻯ‬
‫ﺍﻟﻔﺌﺔ ﺍﻟﺮﺋﻴﺴﺔ‬ ‫ﺍﻟﻔﺌﺔ ﺍﻟﻔﺮﻋﻴﺔ‬
‫ﺩﻋﻮﻯ ﻃﻠﺐ ﻣﻜﺎﻓﺄﺓ ﻧﻬﺎﻳﺔ ﺧﺪﻣﺔ‬ ‫ﻃﻠﺐ ﻣﻜﺎﻓﺄﺓ ﻧﻬﺎﻳﺔ ﺧﺪﻣﺔ‬
‫ﺩﻋﻮﻯ ﻃﻠﺐ ﺗﺬﺍﻛﺮ ﺳﻔﺮ‬ ‫ﻃﻠﺐ ﺗﺬﺍﻛﺮ ﺳﻔﺮ‬
‫ﺩﻋﻮﻯ ﻃﻠﺐ ﺗﻌﻮﻳﺾ‬ ‫ﻃﻠﺐ ﺃﺟﺮ ﺇﺟﺎﺯﺓ‬
‫ﺩﻋﻮﻯ ﻃﻠﺐ ﺗﻌﻮﻳﺾ‬ ‫ﻃﻠﺐ ﺍﺟﺮ ﺳﺎﻋﺎﺕ ﻋﻤﻞ ﺍﺿﺎﻓﻴﺔ‬

‫ﺍﺧﺮﻯ‬

‫ﺗﻔﺼﻴﻞ ﺍﻟﻄﻠﺒﺎﺕ‬

‫‪Non-malicious Prosecution Affidavit‬‬ ‫ﺇﻗﺮﺍﺭ ﺑﺄﻥ ﺍﻟﺪﻋﻮﻯ ﻏﻴﺮ ﻛﻴﺪﻳﺔ‬

‫‪I read Article (3/2) of the Shari’a Proceedings System, which is part of‬‬ ‫ﺍﻃﻠﻌﺖ ﻋﻠﻰ ﻣﺎ ﺗﻀﻤﻨﺘﻪ ﺍﻟﻤﺎﺩﺓ )ﺍﻟﺜﺎﻟﺜﺔ‪ 2) /‬ﻣﻦ ﻧﻈﺎﻡ ﺍﻟﻤﺮﺍﻓﻌﺎﺕ ﺍﻟﺸﺮﻋﻴﺔ ﺍﻟﺼﺎﺩﺭ ﺑﺎﻟﻤﺮﺳﻮﻡ‬
‫‪the Royal Decree No. (M/1) dated 1/22/1435. It states that the court has‬‬ ‫ﺍﻟﻤﻠﻜﻲ ﺭﻗﻢ ( ﻡ‪ 1 ) /‬ﺑﺘﺎﺭﻳﺦ‪ 22 / 1 / 1435‬ﺍﻟﺘﻲ ﻧﺼﺖ ﻋﻠﻰ " ﺇﻥ ﻇﻬﺮ ﻟﻠﻤﺤﻜﻤﺔ ﺃﻥ‬
‫‪the authority to judge the person found guilty of the lawsuit if it appears‬‬ ‫ﺍﻟﺪﻋﻮﻯ ﺻﻮﺭﻳﺔ ﺃﻭ ﻛﻴﺪﻳﺔ ﻭﺟﺐ ﻋﻠﻴﻬﺎ ﺭﻓﻀﻬﺎ‪ ،‬ﻭﻟﻬﺎ ﺍﻟﺤﻜﻢ ﻋﻠﻰ ﻣﻦ ﻳﺜﺒﺖ ﻋﻠﻴﻪ ﺫﻟﻚ‬
‫‪to be false or malicious. This is done under caution. Consequently, in the‬‬ ‫ﺑﺘﻌﺰﻳﺮ"‪ ،‬ﻭﺑﻨﺎﺀ ﻋﻠﻴﻪ ﻓﺈﻧﻲ ﺃﺗﻌﻬﺪ ﺑﺘﺤﻤﻞ ﻛﺎﻓﺔ ﺍﻟﻤﺴﺆﻭﻟﻴﺎﺕ ﺍﻟﻤﺘﺮﺗﺒﺔ ﻋﻠﻰ ﻫﺬﻩ ﺍﻟﺪﻋﻮﻯ ﻓﻲ‬
‫‪event that it turns out that this lawsuit is malicious, I promise to take full‬‬ ‫ﺣﺎﻟﺔ ﺍﺗﻀﺢ ﻛﻴﺪﻳﺘﻬﺎ‬
‫‪responsibility for any consequences.‬‬

‫ﺍﺭﺷﺎﺩﺍﺕ‪:‬‬
‫ﻳﺠﺐ ﻋﻠﻰ ﻣﻘﺪﻡ ﺍﻟﺪﻋﻮﻯ ﺍﺭﻓﺎﻕ ﺍﻵﺗﻲ‪:‬‬
 ‫ﺻﻮﺭﺓ ﻣﻦ ﺍﻹﻗﺎﻣﺔ‪/‬ﺍﻟﻬﻮﻳﺔ )ﺇﻥ ﻛﺎﻥ ﺍﻟﻤﺪﻋﻲ ﻋﺎﻣﻠًﺎ(‬
‫ﺻﻮﺭﺓ ﻣﻦ ﺍﻟﺴﺠﻞ ﺍﻟﺘﺠﺎﺭﻱ )ﺇﻥ ﻛﺎﻥ ﺍﻟﻤﺪﻋﻲ ﻣﻤﺜﻞ ﻣﻨﺸﺄﺓ(‬
‫ﻧﺴﺨﺔ ﻣﻦ ﻋﻘﺪ ﺍﻟﻌﻤﻞ‬
‫ﺻﻮﺭﺓ ﻣﻦ ﺍﻟﻤﺴﺘﻨﺪﺍﺕ ﺍﻟﺘﻲ ﺗﺜﺒﺖ ﺻﺤﺔ ﺍﻟﺪﻋﻮﻯ‬
‫ﺃﺻﻞ ﺍﻟﻮﻛﺎﻟﺔ ﺍﻟﺸﺮﻋﻴﺔ ﻟﻠﻮﻛﻴﻞ‬