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‫ﺇﻳﺼﺎﻝ ﺍﺳﺘﺮﺩﺍﺩ ﺍﻟﺮﺳﻮﻡ‬

‫‪Refund Receipt‬‬

‫‪ / Request Date‬ﺗﺎﺭﻳﺦ ﻃﻠﺐ ﺍﻻﺳﺘﺮﺩﺍﺩ‬ ‫‪16-08-2023‬‬


‫‪ / Contact Details‬ﺑﻴﺎﻧﺎﺕ ﺍﻻﺗﺼﺎﻝ‬
‫‪ / Name‬ﺍﻻﺳﻢ‬ ‫»‪«Name‬‬
‫‪ / Phone Number‬ﺭﻗﻢ ﺍﻟﻬﺎﺗﻒ‬ ‫‪0554126909‬‬
‫‪ / Transaction Details‬ﺑﻴﺎﻧﺎﺕ ﺍﻟﻤﻌﺎﻣﻠﺔ‬
‫‪New GCC Entry Permit /‬ﺇﺫﻥ‬
‫‪ / Transaction Date‬ﺗﺎﺭﻳﺦ ﺍﻟﻤﻌﺎﻣﻠﺔ‬ ‫‪14-08-2023‬‬ ‫‪ / Service Name‬ﺍﺳﻢ ﺍﻟﺨﺪﻣﺔ‬ ‫ﺩﺧﻮﻝ ﺟﺪﻳﺪ ﻟﺪﻭﻝ ﻣﺠﻠﺲ ﺍﻟﺘﻌﺎﻭﻥ‬
‫ﺍﻟﺨﻠﻴﺠﻲ‬
‫‪ / Transaction No‬ﺭﻗﻢ ﺍﻟﻤﻌﺎﻣﻠﺔ‬ ‫‪2082751426‬‬
‫‪ / Application No‬ﺭﻗﻢ ﺍﻟﻄﻠﺐ‬ ‫‪22310156167353‬‬
‫‪ / Payment Ref No‬ﺭﻗﻢ ﻣﺮﺟﻊ ﺍﻟﺪﻓﻊ‬ ‫‪P1PQP6854067915444‬‬
‫‪ / Payment Details‬ﺑﻴﺎﻧﺎﺕ ﺍﻟﺴﺪﺍﺩ‬

‫‪ / Payment Type‬ﻃﺮﻳﻘﺔ ﺍﻟﺴﺪﺍﺩ‬ ‫ﻧﻘﻮﺩﻱ ‪noqodi – - / - -‬‬

‫‪ / Amount Paid‬ﺍﻟﻤﺒﻠﻎ‬ ‫‪252.5‬‬


‫‪ / Refund Amount‬ﺍﻟﻤﺒﻠﻎ ﺍﻟﻤﺴﺘﺮﺩ‬ ‫‪89.5‬‬
‫‪ / Reason for refund‬ﺳﺒﺐ ﺍﻟﻄﻠﺐ‬ ‫‪-- /‬‬
‫‪ / Details of Refund‬ﺑﻴﺎﻧﺎﺕ ﻃﻠﺐ ﺍﻻﺳﺘﺮﺩﺍﺩ‬
‫ﻧﻘﻮﺩﻱ ‪ -‬ﺑﻄﺎﻗﺔ ﺍﺋﺘﻤﺎﻥ ‪noqodi – Credit Card‬‬
‫‪ / Refund To‬ﺍﻟﺴﺪﺍﺩ ﺇﻟﻰ‬
‫‪/‬‬
‫‪ / Requested By‬ﻣﻄﻠﻮﺑﺔ ﺑﻮﺍﺳﻄﺔ‬ ‫‪-‬‬
‫‪ / Bank Name‬ﺍﺳﻢ ﺍﻟﺒﻨﻚ‬ ‫‪-/-‬‬
‫‪ / Branch Name‬ﺍﻟﻔﺮﻉ‬ ‫‪-‬‬ ‫‪ / Account No‬ﺭﻗﻢ ﺍﻟﺤﺴﺎﺏ‬ ‫‪-‬‬
‫‪ / Beneficiary Name‬ﺍﺳﻢ ﺍﻟﺤﺴﺎﺏ‬ ‫‪-‬‬

‫‪Remarks‬‬ ‫ﻣﻠﺤﻈﺎﺕ‬
‫‪ .1‬ﺍﻟﺮﺟﺎﺀ ﺍﻻﻧﺘﻈﺎﺭ ﻟﻔﺘﺮﺓ ﻣﻦ ﺛﻼﺛﺔ ﺇﻟﻰ ﺧﻤﺴﺔ ﺃﻳﺎﻡ ﻋﻤﻞ ﻟﺘﻤﺎﻡ ﺍﻹﺟﺮﺍﺀ ﻋﻠﻰ ﻃﻠﺐ ﺍﻻﺳﺘﺮﺩﺍﺩ‬
‫‪1. Please allow three to five working days for your refund request to be processed‬‬
‫‪ .2‬ﺑﻌﺪ ﻣﺮﻭﺭ ﺍﻟﻔﺘﺮﺓ ﺍﻟﻤﺤﺪﺩﺓ ﻓﻲ ﺣﺎﻟﺔ ﺍﻻﺳﺘﺮﺩﺍﺩ ﺇﻟﻰ ﺣﺴﺎﺏ ﺍﻟﺒﻨﻚ ﺍﻟﺘﺄﻛﺪ ﺍﻧﻪ ﻗﺪ ﺗﻢ ﺇﻳﺪﺍﻉ ﺍﻟﻤﺒﻠﻎ ﻓﻲ‬
‫‪2. For bank account refunds please verify that you have received the paid deposit in‬‬ ‫ﺣﺴﺎﺏ ﺍﻟﺒﻨﻚ ﺍﻟﺨﺎﺹ ﺑﻜﻢ‬
‫‪your bank account after the specified period has elapsed‬‬
‫‪ .3‬ﻟﻼﺳﺘﺮﺩﺍﺩ ﺑﻮﺍﺳﻄﺔ ﺷﻴﻚ ﺑﻌﺪ ﻣﺮﻭﺭ ﺍﻟﻔﺘﺮﺓ ﺍﻟﻤﺤﺪﺩﺓ ﺍﻟﻘﻴﺎﻡ ﺑﺰﻳﺎﺭﺓ ﻣﺒﻨﻰ ﺍﻹﺩﺍﺭﺓ ﺍﻟﻌﺎﻣﺔ ﻟﻺﻗﺎﻣﺔ‬
‫‪3. For cheque refunds please visit GDRFA-D Help Desk Counter to collect your‬‬ ‫ﻭﺷﺆﻭﻥ ﺍﻷﺟﺎﻧﺐ ﺑﺪﺑﻲ ﻻﺳﺘﻼﻡ ﺍﻟﺸﻴﻚ ﻣﻊ ﺇﺣﻀﺎﺭ ﺍﺛﺒﺎﺕ ﻫﻮﻳﺔ ﺳﺎﺭﻯ ﺍﻟﻤﻔﻌﻮﻝ ﻛﻤﺜﺎﻝ ﺑﻄﺎﻗﺔ ﻫﻮﻳﺔ‬
‫‪cheque. Please ensure that you bring your valid identification e.g. Emirates ID‬‬ ‫ﺍﻹﻣﺎﺭﺍﺕ‬
‫‪Card.‬‬

‫ﺇﺫﺍ ﻟﻢ ﻳﺘﻢ ﺇﻳﺪﺍﻉ ﺍﻟﻤﺒﻠﻎ ﻓﻲ ﺣﺴﺎﺏ ﺍﻟﺒﻨﻚ ﺍﻟﺨﺎﺹ ﺑﻜﻢ ﺑﻌﺪ ﻣﺮﻭﺭ ﺍﻟﻔﺘﺮﺓ ﺍﻟﻤﺤﺪﺩﻩ ﺃﻭ ﻟﻠﻤﺰﻳﺪ ﻣﻦ‬
In the event that the amount has not been received in your bank account refund@emaratech.ae. ‫ ﺃﻭ‬800-5111 ‫ﺍﺳﺘﻔﺴﺎﺭﺍﺕ ﺑﺮﺟﻰ ﺍﻟﺘﻮﺍﺻﻞ ﻣﻊ ﺧﺪﻣﺔ ﺍﻟﻌﻤﻞﺀ ﻋﻠﻰ‬
within the mentioned period or for further inquiries, please do not hesitate to
contact our e-Form Help Desk at 800-5111 or refund@emaratech.ae

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