J)fp AL-HIND FOREIGN SERVICE AGENCY No.

No.73, Main Road, Near State Bank, Zakir Nagar, New Delhi-110 025 (India)
Ph:0091-11-26983980, 26983981,26988375 I 76, Fax:0091-11-26983982
E-mail: _info@al-hind.com, Web: www.al-hind.com
FOR OFFICIAL USE ONLY

Registration Date: I I Registration No: (Paste recent

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CLINICAL PHARMACIST CONSULTANT / SPECIALIST

I POSITION APPLIED FOR:
I
Full Name SYED HUSSAIN ASAF

Fathers Name
SAIDAMIAN Mothers Name
RASHIDA
--

MARRIED DR ARSHIYA MALE ISLAM

Marital Status Spouse Name Sex Religion

INDIA 24/06/1976 44
Place of Birth Date of Birth Age __ _ _ yrs Nationality INDIAN
Address: 20,MEERAN MOHIDIN STREET,OPP DR KALYANA SUNDARAM CLINIC,

City: ERODE Pin: 638001

Phone No:
9789482128 Mobile No: 9789482038 Email: SYEDASAF@YAHOO.COM

PASSPORT TYPE D ECNR DeeR

Passport No: T9863546 Place of Issue: CHENNAI Date of Issue: 25/10/2019 Date of Expiry: 24/10/2029
EDUCATIONAL QUALIFICATION
Month & Year Passing
S# Course Name Specialisation I Subject Institute Name & Location
(Month /Year)

1 M PHARM PHARMACY PRACTICE(clinical pharmacy) JKKR,KOMARAPALAYAM,SALEM Dt. 2014

2
B PHARM PHARMACY NANDHA,ERODE,INDIA 1998

EXPERIENCE DETAIL Total Years of Experience

From To
S# Employer's Detail Department
(Date/Month/Year) (Date/Month/Year)

1 APOLLO HOSPITALS ENT LTD CLINICAL PHARMACOLOGY

PHARMACY DEPT 21/11/2014 TILL DATE
2
PRINCE SULTAN BIN ABDULAZIZ HOSPITA PHARMACY 18/012003 06/02/2012

3 C K HOSPITAL PHARMACY 01/10/1998 01/10/2002

4

DECELERATION

A. I hereby declare, that all the information given above is true and genuine .
B. I authorize, M/s AL-HIND FOREIGN SERVICE AGENCY to submit my original certificates (Educational Certificate & Work Experience) for
verification from the issuing university and Attestation from the Ministry of External Affairs, Cultural Attache Office and Royal Embassy of Saudi Date: 17/07/2020
Arabia, for the purpose of visa endorsement.
c. I hereby declare, that after selection/issue of my visa/visa endorsement in my passport, if for any reason I cannot travel to country of my
employment, I will be liable to pay the consultancy and visa cancelation service charges as per commitment & wait till the authorities cancel the visa.
D. I hereby declare, that I will be fully responsible if I resign my current job in India after applying for overseas employment and if for any reason
employer wants to cancel the visa, then that agency is not responsible, and the money expenditure on Government fees is not refundable. Signature:
E. I hereby declare, that I have read and understand the above and have been explained to me properly.

Interview Remarks :

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0Accepted

Interviewer Name:
0Rejected

Signature: Date: