‫ﺗﺼﺮﻳﺢ ﻋﻮﺩﺓ ﻣﻘﻴﻢ ﺧﺎﺭﺝ ﺍﻟﺪﻭﻟﺔ‬

Return Permit for Resident outside UAE

File No: 20120187308061 :‫ﺭﻗﻢ ﺍﻟﻤﻠﻒ‬

File Expiry Date: 2021-09-24 :‫ﺗﺎﺭﻳﺦ ﺍﻧﺘﻬﺎﺀ ﺍﻟﻤﻠﻒ‬

Return Permit Approval Date: 2020-12-14 :‫ﺗﺎﺭﻳﺦ ﺍﻟﻤﻮﺍﻓﻘﺔ ﻋﻠﻰ ﺗﺼﺮﻳﺢ ﺍﻟﻌﻮﺩﺓ‬

Return Permit Expiry Date: 2021-01-12 :‫ﺗﺎﺭﻳﺦ ﺍﻧﺘﻬﺎﺀ ﺗﺼﺮﻳﺢ ﺍﻟﻌﻮﺩﺓ‬

Personal Information ‫ﺍﻟﺒﻴﺎﻧﺎﺕ ﺍﻟﺸﺨﺼﻴﺔ‬

Name: MAHENDER GUGILLA RAJESHAM GUGILLA ‫ﻣﺎﻫﻴﻨﺪﺭ ﺟﻮﺟﻴﻼ ﺭﺍﺟﻴﺸﺎﻡ ﺟﻮﺟﻴﻼ‬ :‫ﺍﻻﺳﻢ‬

Nationality: INDIA ‫ﺍﻟﻬﻨﺪ‬ :‫ﺍﻟﺠﻨﺴﻴﺔ‬

Profession: VEHICLE MECHANIC ASSISTANT ‫ﻣﺴﺎﻋﺪ ﻣﻴﻜﺎﻧﻴﻜﻰ ﻣﺮﻛﺒﺎﺕ‬ :‫ﺍﻟﻤﻬﻨﺔ‬

Passport Number: P3034425 :‫ﺭﻗﻢ ﺍﻟﺠﻮﺍﺯ‬

Sponsor Information ‫ﺑﻴﺎﻧﺎﺕ ﺍﻟﻜﻔﻴﻞ‬

THE EMIRATES GENERAL TRANSPORT AND
Sponsor Name: ‫ﻣﺆﺳﺴﻪ ﺍﻻﻣﺎﺭﺍﺕ ﺍﻟﻌﺎﻣﻪ ﻟﻠﻨﻘﻞ ﻭﺍﻟﺨﺪﻣﺎﺕ‬ :‫ﺍﺳﻢ ﺍﻟﻜﻔﻴﻞ‬
SERVICES CORPORATION

File No: 22031056 :‫ﺭﻗﻢ ﺍﻟﻤﻠﻒ‬ Sponsor Type: Establishment ‫ﻣﻨﺸﺄﺓ‬ :‫ﺳﻤﺔ ﺍﻟﻜﻔﻴﻞ‬

I, the undersigned, undertake to bear the expenses of quarantine,

‫ﺃﺗﻌﻬﺪ ﺑﺘﺤﻤﻞ ﻣﺼﺎﺭﻳﻒ ﺍﻟﺤﺠﺮ ﺍﻟﺼﺤﻲ ﻭﺍﻟﻌﻼﺝ ﻭﻛﺎﻓﺔ ﺍﻟﻨﻔﻘﺎﺕ ﺍﻟﻤﺘﺮﺗﺒﺔ ﻓﻲ ﺣﺎﻟﺔ‬
treatment and all expenses incurred if I am infected by COVID -19
.‫ ﻳﻮﻡ ﻣﻦ ﺗﺎﺭﻳﺦ ﺍﻟﺪﺧﻮﻝ‬14 ‫ ﺧﻼﻝ ﻓﺘﺮﺓ‬19 ‫ﺍﻹﺻﺎﺑﺔ ﺑﻤﺮﺽ ﻛﻮﻓﻴﺪ‬
disease during the 14-day period from the date of entry.
‫ﺍﻋﺘﻤﺎﺩ ﺍﻹﺩﺍﺭﺓ ﺍﻟﻌﺎﻣﺔ ﻟﻺﻗﺎﻣﺔ ﻭﺷﺆﻭﻥ ﺍﻷﺟﺎﻧﺐ – ﺩﺑﻲ‬