

\documentclass{article}
\usepackage[left=2.5cm,right=2.5cm,top=2.5cm,bottom=2.5cm]{geometry}
\usepackage{xtab}
\usepackage{tikz}
\usepackage{xepersian}
\settextfont{XB Niloofar}
\begin{document}

 \tablefirsthead{%
  \multicolumn{3}{c}{%
    \noindent
  \begin{tikzpicture}
\node (table) [inner sep=0pt] {
  \begin{tabular}{p{0.28\textwidth} p{0.28\textwidth}|p{0.28\textwidth}}
  ??? ? ??? ????????:
\dotfill
  &
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  &
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\qquad/1390/3\\
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\dotfill&&
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????: ???& &
  \end{tabular}
  };
\draw [rounded corners=.5em] (table.north west) rectangle (table.south east);
\end{tikzpicture}
  } 
  \\ \hline
  \multicolumn{1}{|c|}{\textbf{????}} &
                        \multicolumn{1}{c|}{\textbf{??????}}&\multicolumn{1}{c|}{\textbf{????}} \\ \hline }
 \tablehead{\multicolumn{3}{c}%
            {{\bfseries -- ????? ?? ???? ???}} \\
            \hline \multicolumn{1}{|c|}{\textbf{????}} &
                        \multicolumn{1}{c|}{\textbf{??????}}&\multicolumn{1}{c|}{\textbf{????}} \\ \hline }
 \tablelasthead{\multicolumn{3}{c}%
            {{\bfseries -- ????? ?? ???? ???}} \\
            \hline \multicolumn{1}{|c|}{\textbf{????}} &
                        \multicolumn{1}{c|}{\textbf{??????}}&\multicolumn{1}{c|}{\textbf{????}} \\ \hline }
 \tabletail{\hline \multicolumn{3}{|l|}{{????? ?? ???? ???}} \\ \hline}
\tablelasttail{\hline}


\begin{center}
\begin{xtabular}{|c|p{0.8\textwidth}|c|}
1&
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\begin{enumerate}
\item
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\item
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\item
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\item \ldots
\end{enumerate}
&$1.5$\\
\end{xtabular}
\end{center}
\end{document}
