Pk informed a : 1 it if praseed with submitted, Dear Applicant, Thank you for your application for employment at Al Ain Hospital which is one of the hospitals of Abu Dhabi Health Services Company-SEHA Network. Please be informed that we are in the process of reviewing your application for an open vacancy and would appreciate it if you could kindly provide us with the information mentioned below. This will help us in the CY screening process and to have a better understanding of your background. Name Mohaumed Rashid Shams. Date of birth/ Gender + (Mild “Female Nationality : Oman Martalsiuno attend Ma cried , 3 Yords ‘Rlepone number | 444150 3RN24N 4463 96 FFF B°F iho Sve Restemaladirestocontatyon ; al Sams FA @ yahoo com Carrent location camcy =: = Alain, Abu Dhabi. UAE “Applied Position : (ICU consultant Notice Period to Join » Sune/ tusy 2 | Ay Current employer AL ele Syerp fot, MOW , Owen (cluding adress) cee ICU consuttont arreat position Country Msdlenl Specialy Boar OMS LC Arob Board , 2010 Certifcatin and dts cerifed moun: 2 50,000 Dhs Sead ** Accommodation Provided Without acc ode Bee mount, 22 What ppeof UAE vi doyou ployment *Residense * Visit (Ran Do you have any cases against you with the Licensing Authority (DOH)? * Yes ‘Are you currently undergoing any investigation related to you License? * Yes Have you ever been subject to disciplinary action by DOH?: ave you ever been interviewed. fora post in another SEHA "er ple fil the blo facility? (— eC Mary Hospaat ar Facility name: “Am Hopil, SC, AI Reh, Al Gharbi, Status of application: Commi pul hereby declare thatthe details provided above are true and correct to the best of my knowledge, and I undertake to inform you of any changes immediately. Signature : A @ Date; 22 (1/2023