APPEAL FORM

Appeal Summary Details

Application Reference (REQ-JOIN
Number & ID Number)
Candidate Full Name

Result Status (Negative / Unable to

Complete)
Passport Number

Issuing Authority Name

Issuing Authority Country

Re – verification details

Personal Details
Provide your full name (as it appears on your Passport), other names/aliases if applicable. Maiden Name (Family Name / Last / Surname
before marriage / change) should be also specified.

*Complete Current Address

*Given Name (First Name) (Street, City / Stata)

*Middle Name *Country of Residence

*Family Name (Last Name / *Nationality

Surname)
Other Names/Nick Names: *Date of Birth (DD/MM/YY)

*Gender (Male/ Female) *Country of Birth

*Passport No *ID / Iqama Number

*Mobile Number * *Email Address:

 .

Educational Details

Provide complete information of the educational institute where your document was issued. ONLY complete information submitted will be
acceptable.

Select result type:

1. Negative
2. Unable to Check
* Your Name as it appears
on the educational
Certificate

* University/Institution
complete Name as appears
on the certificate

College Name (if applies)

* University/Institution
Complete Address

* Country
* City

* Qualification Major /
Type

Student ID / Roll number

Seat No. / Registration

number

Attendance dates - From

To (DD/MM/YY)
(DD/MM/YY)

* Qualification Award
Date (DD/MM/YY)
 Select item which document was provided

Clear complete copy of educational certificate

Transcripts / Mark sheets for all years

Signed consent form

New or different certificate submitted if any

Accreditation proof of the issuing source in the event of unaccredited issuing authority

Functional contact details of the Institute/University

Course completion certificate from issuing authority

Name change certificate (Marriage certificate, any other legal documet.)

Other supporting documents (Specify)

Signature Name
Signature of the Person Submitting this Form Name of the Person Submitting this Form (print)

Submittal Date
MM DD YY

OFFICIAL USE ONLY BY TADKEEK & QUADRABAY

Signature
Name and Signature of the Receiver

Date Received
MM DD YY
 Letter of Authorization
QuadraBay Verification Services needs your permission and your authorization to check and verify your
qualifications and background data; to share your data with a partner organization specializing in
verification services; and to obtain relevant verification information from issuing authorities. As
qualification verification has to deal with different kinds of institutions across all parts of the world, it is
necessary for QuadraBay Verification Services to work with a partner organization to offer a complete
service. This letter authorizes QuadraBay Verification Services and its partner organization to obtain
verification information about you from issuing authorities (such as universities, qualification awarding
bodies, employment, professional license, passport authorities, criminal check, and other issuing sources
as required…) worldwide.

1. I have read, and I fully understand this letter of authorization.

2. I have read, I understand, and I agree to the description of the service provided by QuadraBay
Verification Services; Terms and Conditions; and QuadraBay Verification Services Privacy Policy.
3. The details I have supplied above are true and correct.
4. I grant the authority for QuadraBay Verification Services to share all necessary data and
information relating to the uploaded qualification documentation and passport copy with
Quadrabay Verification Services partner verification organization, for the purposes of conducting
background checks with the relevant issuing authorities.
5. I hereby authorize QuadraBay Verification Services its partner verification organization, and their
authorized affiliates, agents and subsidiaries, to check and verify the information and documents
presented with my application form and to obtain all relevant verification information requested.
6. I confirm that a photocopy or scan of this authorization should be accepted with the same
authority as the original.

Please PRINT your full name: _____________________________________

Passport number: _____________________

signature: ________________________ Date: __________________