Upload
dr-usman-khan
View
509
Download
4
Embed Size (px)
DESCRIPTION
authority letter
Citation preview
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