HAAD Letter of Authorization

I

an

on

 th

Th

de

is

pr

 I

di

fu

fo

 Pe(in

 Fu

Pa          

hereby auth

nd subsidiarie

n my applicati

he Health Auth

his informatio

egree / diplom

sue and any

rovided.

hereby releas

sclosure. I a

urther underst

ollowing its co

ersonal Detan BLOCK lette

ull Name

assport / Identit

Signature

orize the He

es, acting on

ion form inclu

hority of Abu

on / documen

ma certificatio

y other inform

se all person

m willing that

tand and ack

mpletion.

ails: ers)

: (La

ty Card Numbe

ealth Authorit

its behalf to

ding but not l

Dhabi or Data

tation may co

on, employme

mation deeme

ns or entities

t a photocopy

knowledge tha

ast / Surname)

er:

Letter

ty of Abu D

verify inform

imiting to edu

aFlow FZ LLC

ontain but is

ent title, emp

ed necessary

requesting o

y of this auth

at this Inform

)

of Authoriz

Dhabi or Data

ation, docum

ucation, emplo

C, its authoriz

not limited to

ployment tenu

y to conduct

r supplying s

horization be

mation Releas

(Fi

zation

aFlow FZ LL

mentation and

oyment and lic

zed affiliates, a

o grades, dat

ure, license a

the verificat

such informat

accepted wit

se Form will

rst Name)

LC, its autho

back ground

censes.

agents and su

tes of attenda

attained, statu

ion of the in

tion from any

th the same

remain valid

orized affiliat

d verification

ubsidiaries.

ance, grade p

us of the lice

formation / d

y liability arisi

authority as

for a period

(Middle

Date (d

tes, agents

presented

point average

ense, place o

documentation

ing from such

the original.

of two years

Name)

dd/mm/yyyy)

e,

of

n

h

I

s