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[ior ee) Federal Benefits UNITED STATES OF AMERICA UN ¢/ Seciat Security, MINISTRY OF LABOUR AND iy ‘SOCIAL SECURITY MINISTRY OF LABOUR AND SOCIAL SECURITY WORK PERMIT/EXEMPTION APPLICATION FORM Foreign Nationals and Commonwealth Citizens Employment Act 1961) Please indicate the type of application: DF Work Permit CG Exemption PARTI ‘TO BE COMPLETED BY PROSPECTIVE EMPLOYEE. 1 Fea MGHMAMED =" RADY Milde lnc! MABROWK =A EAMES SABAMAAT= GIZA _| Scenikr TDacathah [5 Comin EQUBT -Sohata sT. Home nesatl| A O 1986/8/32 | Phcc of Binh Male_ Female Yrvanypp | GIZA, None 7. Namber OF Chive | © Maral Sates EDYPTIAN Derensem Say | o Sine Divorced Marist Separated TH Daan HYDRAULIC VECHWICAL OFFICIAL USE ONLY Sas Ta Faspon Exan We Fespon Sinks 20623638 Dae YARD, DO NOT FILL THIS SECTION Bo2yPors. TR Raion Ree TPO BSS nL, TO.Nome of Emptonee TI, Ailiew of Emplover TEWoN ESI Ta WydNAGME awd Weavy | STATIN CQUIPme ond FULLY EXePaved Te RePait any wa eee TR wn : WydKanli dC equremesty cyanes - avd equiPmrent di gaya: a Sed CREASES haa fot ‘Applicants Work | 2 Expiry Dane nit Number Yyvvanvon Same of Employer Tia ALD MANTOAD NED Te Aairew a Enon ELOLL WANES TRAINS Ta oT A TST ceo Whe ewt of my Knowledge and bolic: hake above Information Ie coma Zell rif/6 verano LoHAMED MARR ine epics Sau

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