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1 December 2021

Self-Declaration Form Certificate


Thankyou for submitting the Self Declaration Form.

Please note that this certificate is valid for current week till Saturday midnight. However, if you have any
COVID-19 symptom on any day then DO NOT come to office and seek medical support immediately .

Company Number / Resident ID mu63623


Valid From date 1/12/2021
Valid To date 4/12/2021

I certify that the information provided on this form is correct to the best of my knowledge. Non-
disclosure or misinformation may attract consequence management. I also acknowledge my
understanding of Covid protection measures that I have to take while at work.

Copyright � 2021 Petroleum Development Oman. All Rights Reserved.

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