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Engineers & Consulting Offices Accrediting Coommittee
11/08/2014
Date:______
______________ Form (44)
(4) ___________________ :
Specialty
Nationality
Name
: Current employeer
INDIAN
.Gulf Lifa Co
Notaarized copy
Graduation yeear
Coountry
University
Qualifications
Yes
2010
India
Mumbai
B.E
Country
Coursee's organizer
Ending on
Stating on
Cerrtified
Years of expperience
Period
Year
Month
To
From
Till date
09/07/2011
Sr.
1
2
Trainiing course name
Sr.
1
2
3
Third: Experience
CCommittee's remarks
Nature of work
Country
Employer
MEP
Engineer
Qatar
Gulf Lifa Co
Sr.
1
2
3
4
5
6
7
I, the undersigned cconfirm that the above menntioned data and enclosed documents
d
are correct and cconform to authenticity. I aalso, officially
acknowledged the provisions of Law No. (199) of the year 2005 concerning regulating the practtice of engineering professsions and its )
2005 ( 19)
implementing regullations. I also, acknowledgeed that after submitting appplication to committee or haaving the interview, I wouldd not provide
.
( .....
any further documeents (qualifications or experiience certificates, training courses,
c
etc.)
Appliicant signature ...
Auditor signatuure
Audditing date
Auditor name
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