Personal Details

Given Surname Passport

MONIKA KHATRI U3783245
name as as per Number
per passport
passport

Date of Nationality
1/01/1986 Indian
Birth

Licensing Authority Details

Customer Application Application

Department of Healthcare Dentist Additional
Category Type
Professions (DHP) ­ Minis
try of Public Health (MOP
H)

Service Type Component Select

Regular Service Employment
Category 5

Package
Additional Employment ­
Regular

Licensing Authority ­ Specific Details

Facility Other
OTHER FACILITY Hollywood smile De
Name Facility
ntal center ,Doha Q
atar

Name of the Employment Applicant’s

om dental lab jabalpur India DR Monika Khatri
Employer Country name as per
certificate

Period of Period of Job Title /

01/04/2016 27/09/2023 Prosthodontics
Employment Employment Designation
From To

Employment Did you enter Is there any

Permanent No No
Type Qatar during gap in
your time of employment
employment / break in
? service?

Employme
nt...
(Experience
Letter)

Letter Of Authorisation

Letter of
Authorisati
on