‫ﺗﺼﺮﻳﺢ ﻋﻮﺩﺓ ﻣﻘﻴﻢ ﺧﺎﺭﺝ ﺍﻟﺪﻭﻟﺔ‬

Return Permit for Resident outside UAE

File No: 20120183421654 :‫ﺭﻗﻢ ﺍﻟﻤﻠﻒ‬

File Expiry Date: 2020-12-31 :‫ﺗﺎﺭﻳﺦ ﺍﻧﺘﻬﺎﺀ ﺍﻟﻤﻠﻒ‬

Return Permit Approval Date: 2020-07-23 :‫ﺗﺎﺭﻳﺦ ﺍﻟﻤﻮﺍﻓﻘﺔ ﻋﻠﻰ ﺗﺼﺮﻳﺢ ﺍﻟﻌﻮﺩﺓ‬

Return Permit Expiry Date: 2020-08-21 :‫ﺗﺎﺭﻳﺦ ﺍﻧﺘﻬﺎﺀ ﺗﺼﺮﻳﺢ ﺍﻟﻌﻮﺩﺓ‬

Personal Information ‫ﺍﻟﺒﻴﺎﻧﺎﺕ ﺍﻟﺸﺨﺼﻴﺔ‬

BASHAIR AHMED RANGOONWALA AHMED AMIN
Name: ‫ﺑﺸﺎﺋﺮ ﺍﺣﻤﺪ ﺭﺍﻧﻘﻮﻧﻮﺍﻻ ﺍﺣﻤﺪ ﺍﻣﻴﻦ ﺭﺍﻧﻘﻮﻧﻮﺍﻻ‬ :‫ﺍﻻﺳﻢ‬
RANGOONWALA

Nationality: PAKISTAN ‫ﺑﺎﻛﺴﺘﺎﻥ‬ :‫ﺍﻟﺠﻨﺴﻴﺔ‬

Profession: STUDENT / NOT ALLOWED TO WORK ‫ ﻏﻴﺮ ﻣﺴﻤﻮﺡ ﻟﻠﻌﻤﻞ‬/ ‫ ﺍﻟﻄﺎﻟﺒﺔ‬- ‫ﺍﻟﻄﺎﻟﺐ‬ :‫ﺍﻟﻤﻬﻨﺔ‬

Passport Number: AS1155393 :‫ﺭﻗﻢ ﺍﻟﺠﻮﺍﺯ‬

Sponsor Information ‫ﺑﻴﺎﻧﺎﺕ ﺍﻟﻜﻔﻴﻞ‬

AHMAD AMIN RANGOONWALA MOHAMMAD
Sponsor Name: ‫ﺍﺣﻤﺪ ﺍﻣﻴﻦ ﺭﺍﻧﻘﻮﻧﻮﺍﻻ ﻣﺤﻤﺪ ﺍﻣﻴﻦ‬ :‫ﺍﺳﻢ ﺍﻟﻜﻔﻴﻞ‬
AMIN

File No: 20120122481281 :‫ﺭﻗﻢ ﺍﻟﻤﻠﻒ‬ Sponsor Type: Resident ‫ﻣﻘﻴﻢ‬ :‫ﺳﻤﺔ ﺍﻟﻜﻔﻴﻞ‬

I, the undersigned, undertake to bear the expenses of quarantine,

‫ﺃﺗﻌﻬﺪ ﺑﺘﺤﻤﻞ ﻣﺼﺎﺭﻳﻒ ﺍﻟﺤﺠﺮ ﺍﻟﺼﺤﻲ ﻭﺍﻟﻌﻼﺝ ﻭﻛﺎﻓﺔ ﺍﻟﻨﻔﻘﺎﺕ ﺍﻟﻤﺘﺮﺗﺒﺔ ﻓﻲ ﺣﺎﻟﺔ‬
treatment and all expenses incurred if I am infected by COVID -19
.‫ ﻳﻮﻡ ﻣﻦ ﺗﺎﺭﻳﺦ ﺍﻟﺪﺧﻮﻝ‬14 ‫ ﺧﻼﻝ ﻓﺘﺮﺓ‬19 ‫ﺍﻹﺻﺎﺑﺔ ﺑﻤﺮﺽ ﻛﻮﻓﻴﺪ‬
disease during the 14-day period from the date of entry.
‫ﺍﻋﺘﻤﺎﺩ ﺍﻹﺩﺍﺭﺓ ﺍﻟﻌﺎﻣﺔ ﻟﻺﻗﺎﻣﺔ ﻭﺷﺆﻭﻥ ﺍﻷﺟﺎﻧﺐ – ﺩﺑﻲ‬