Approval to Import Personal Medicines

Permit Number DCPU-2020-000255 Issue Date 14/01/2020 Expiry Date 13/04/2020

Patient Personal Details
Name Márcia Cristina Mendonca
Nationality Brazil
ID Number FP811100
Emirate Non-UAE Resident
Address in the UAE Carlos Miterhofer 105
Importing Country Brazil
Mobile +5532988768793
E-Mail marcia@dynamiccad.com.br
Information about the medicines
Serial No. Trader name Pack Type Pack Size Number of Total Unit Remark
Packs Quantity

1 EMS Permition Box 1 1 1 Tablets

2 Medley Box 1 1 1 Tablets
Permition
3 Libbs Velija Box 1 1 1 Tablets
Permition
• I hereby confirm that all information provided and documents attached are genuine and the medication carried will be under my
own responsibility. UAE – MOHAP is not responsible for any side effects that may occur due to above mentioned medicines.
• Note: All medicines will be inspected by inspectors and if the requirements are not fulfilled the medicine entry will be rejected by
authorities.

Pass Code: 108637 ‫ﻫﺬﻩ ﺍﻟﺸﻬﺎﺩﺓ ﺻﺎﺩﺭﺓ ﻣﻦ ﻭﺯﺍﺭﺓ ﺍﻟﺼﺤﺔ ﻭﻭﻗﺎﻳﺔ ﺍﻟﻤﺠﺘﻤﻊ ﻭﺗﻌﺘﺒﺮ ﻣﻦ ﺍﻟﻮﺛﺎﺋﻖ ﺍﻟﺤﻜﻮﻣﻴﺔ ﺍﻟﺮﺳﻤﻴﺔ ﻭﻻ ﺗﺤﺘﺎﺝ ﺇﻟﻰ‬
‫ ﻭﻳﺤﻈﺮ ﻗﻄﻌﻴﺎ ﺗﻘﻠﻴﺪﻫﺎ ﺃﻭ ﺇﺩﺧﺎﻝ ﺃﻱ ﺗﻌﺪﻳﻼﺕ ﻋﻠﻴﻬﺎ ﺳﻮﺍءﹰ ﺑﺎﻹﺿﺎﻓﺔ ﺃﻭ ﺍﻟﺤﺬﻑ ﺃﻭ ﺍﻟﺘﻐﻴﻴﺮ ﻓﻲ ﺑﻴﺎﻧﺎﺗﻬﺎ ﺃﻭ ﻏﻴﺮ‬،‫ﺗﻮﻗﻴﻊ‬
‫ ﻟﻠﺘﺄﻛﺪ ﻣﻦ ﺻﻼﺣﻴﺔ ﺍﻟﺸﻬﺎﺩﺓ ﻳﺮﺟﻰ ﺍﻟﻤﺴﺢ‬.‫ ﻭﺗﻌﺪ ﺍﻟﺸﻬﺎﺩﺓ ﻻﻏﻴﺔ ﺇﺫﺍ ﺷﺎﺑﻬﻬﺎ ﺷﻲء ﻣﻦ ﺫﻟﻚ‬،‫ﺫﻟﻚ ﻣﻦ ﺃﻧﻮﺍﻉ ﺍﻟﺘﻌﺪﻳﻞ‬
.‫ﺍﻟﻀﻮﺋﻲ ﻟﻠﺮﻣﺰ ﺛﻨﺎﺋﻲ ﺍﻷﺑﻌﺎﺩ‬

This certificate is generated by MOHAP Drug Department, it is official

government document and does not require signature, it is strictly prohibited to
imitate or amend to this certificate. Any attempt to change, delete, erase or add
will cause this certificate to be rendered invalid. To verify this certificate
validity, please scan the QR Code.

TEL +971 4 230 1000 ‫ ﻫﺎﺗﻒ‬FAX +971 4 230 1929 ‫ ﻓﺎﻛﺲ‬DUBAI, UNITED ARAB EMIRATES ‫ ﺍﻻﻣﺎﺭﺍﺕ ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﻤﺘﺤﺪﺓ‬، ‫ ﺩﺑﻲ‬P.O. Box 1853 ‫ﺏ‬.‫ﺹ‬
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