‫ﺗﺼﺮﻳﺢ ﻋﻮﺩﺓ ﻣﻘﻴﻢ ﺧﺎﺭﺝ ﺍﻟﺪﻭﻟﺔ‬

Return Permit for Resident outside UAE

File No: 20120187434243 :‫ﺭﻗﻢ ﺍﻟﻤﻠﻒ‬

File Expiry Date: 2022-10-10 :‫ﺗﺎﺭﻳﺦ ﺍﻧﺘﻬﺎﺀ ﺍﻟﻤﻠﻒ‬

Return Permit Approval Date: 2021-01-10 :‫ﺗﺎﺭﻳﺦ ﺍﻟﻤﻮﺍﻓﻘﺔ ﻋﻠﻰ ﺗﺼﺮﻳﺢ ﺍﻟﻌﻮﺩﺓ‬

Return Permit Expiry Date: 2021-02-08 :‫ﺗﺎﺭﻳﺦ ﺍﻧﺘﻬﺎﺀ ﺗﺼﺮﻳﺢ ﺍﻟﻌﻮﺩﺓ‬

Personal Information ‫ﺍﻟﺒﻴﺎﻧﺎﺕ ﺍﻟﺸﺨﺼﻴﺔ‬

Name: MARIA CORAZON VALDEZ STA ANA ‫ﻣﺎﺭﻳﺎ ﻛﻮﺭﺍﺯﻭﻥ ﻓﺎﻟﺪﻳﺰ ﺳﺘﺎ ﺍﻧﺎ‬ :‫ﺍﻻﺳﻢ‬

Nationality: PHILIPPINES ‫ﺍﻟﻔﻠﺒﻴﻦ‬ :‫ﺍﻟﺠﻨﺴﻴﺔ‬

Profession: PRIVATE DRIVER ‫ﺳﺎﺋﻖ ﺧﺎﺹ‬ :‫ﺍﻟﻤﻬﻨﺔ‬

Passport Number: P3938120A :‫ﺭﻗﻢ ﺍﻟﺠﻮﺍﺯ‬

Sponsor Information ‫ﺑﻴﺎﻧﺎﺕ ﺍﻟﻜﻔﻴﻞ‬

Sponsor Name: MOHD HUMAID SAIF ‫ﻣﺤﻤﺪ ﺣﻤﻴﺪ ﺳﻴﻒ ﺍﻟﺴﻮﻳﺪﻯ‬ :‫ﺍﺳﻢ ﺍﻟﻜﻔﻴﻞ‬

File No: 20100019732 :‫ﺭﻗﻢ ﺍﻟﻤﻠﻒ‬ Sponsor Type: Immigration File ‫ﻣﻠﻒ ﻫﺠﺮﺓ‬ :‫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