T. C. DİYanet iŞleri başkanliği eğİTİm hiZMETleri genel müDÜRLÜĞÜ Program Geliştirme Daire Başkanlığı

MAKAM  ADI

                                             YER

Dilekçenin metni ...............................................................................................
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ADRES:......................                                                TARİH
................................                                                   İMZA
................................                                                   İSİM
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Tlf:

.(DİYANET İŞLERİ BAŞKANLIĞI MATBU DİLEKÇE ÖRNEĞİ )