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- Ji---osJl5rlj9
L.bour RC.tioG Oeerrunc* Ministrg of Labour
State of Qatar . :--frii a--J9:
- Jtc,a{" rasi'
Chang€ Emdopr Form

bJL=ll rla-e.ll 1..,-Lrc a ;ur;.ll ii.go c ,"1


$.,rU 99i,,r, J+--ll a4z ,i+iniJ e
:9,5X1 lia pr-rd'ry;ti u! pt-cll :=i g.=.7",

please note that the date of submission of this form to change emploger will be the start date of gour notice period
with gour current emploger.
Worl<eri data L,otoJliiUt# {

QrD. No Y-r1=.iJl
, ,.$il

Nationaiitg: iJ+/J-dJ I ;*,,,;#l Name: L*+;lt'-' J?t*J e*:l


"frr-P*'-.l
Mobile No: 5995 I I l? fs: Occupationl ' r5;l'll ;igol{

The emplogers narne: L;r^.fr-1J 94.;95 . =ir' --r-;l erg*r"a-r L-r .i^all u>Lro p.url

Duration of work with current Emploger :ii"a"l"ili ti-ra

Signature:
;grdJt

Newemplogerdata ii .* l+ll iledl49?,:UtX {


>
The emploger's name: PHOENIX STAR CLEANING AND HOSPITALITY SERVICES j,*ell r""'-Le p"u,l

Tel. No: 7 0021 146 .ff,s'r.") ?,ffi:[ili"**'


EnHEEHEE 'tmf;
QtD. No: (if rndivrduat Emptoeer) ilt]iltltliln[nnn :r:,g*rssllra*,ilr e"rr
E-mail: (Optional) (.s- It*-!) .r,eSJIl rs;'+l|
:E*6PJl
Seal: {lf .
;i,;, i ^ .-r;15 l:l)
,, :,oiill
t
Signature:

.n(

to linish gour application: ilrll-lt JLa.Siull.irglhajl t:Un .rlallg ril.rfiirrrsJl (

1 - Fill, print and attach this {orm to the submksion , +^t! ait6;le ai.t+bs A:e^nlli.o ai+d- 1

2 ' Please only rheck if thir appli*s: :' :{*k Esrbii .-


I will not complete mg noUce period because:

flj I agreed with mg current emploger not to fulfil the notice period" lf
lmH,H,ffi f*i,i
.rb *p).Jl+!itl5)in slclp ir. uJe Jf*lli;l .'^-f- 3 c,ia;t- 1=--1
checked, phase attach proof of this mutual agreement
.."llrAotl dlniJf tia a,r i]ti! 6til! .rer flplt li,a t,*6 61Lri,l,:r-ea9 -
Mg current emploger violated mg rights under the ernplolment
fj sils Ut^'lt ric qlA k*lc uognr"ll 1,o9o? tJt-ll i*sll q:'lo 'rl8i;1 f-l
contract and /or law- L--i
'OejGll

:ati:i g,rrill r;ar-

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