Electronic Work Permit طﻠب إﻟﻐﺎء ﻋﺎﻣل ﺗﺻرﯾﺢ ﻋﻣل اﻟﻛﺗروﻧﻲ
Cancellation
Transaction No : - MB252203429AE
ﺑﯾﺎﻧﺎت اﻟﻣﻧﺷﺄة
23/05/2024 : رﻗم اﻟرﺧﺻﺔ CN-4004955 :ﺗﺎرﯾﺦ إﻧﺗﮭﺎء اﻟرﺧﺻﺔ 2 رﻗم اﻟﻣﻧﺷﺄة 1271771 :
: رﻗم ﻣﻣﯾز
إﺳم اﻟﻣﻧﺷﺄة :ﺑﯾت اﻟﺳوﺷﻰ
: ﺗﺻﻧﯾف اﻟﻣﻧﺷﺎة
SUSHI HOUSE
:أﺑو ظﺑﻲ ﻣﻛﺗب اﻟﻌﻣل :أﺑو ظﺑﻲ اﻹﻣﺎرة ﺻﻧدوق اﻟﺑرﯾد 107304 :
ﺑﯾﺎﻧﺎت اﻟﺷﺧص
ﺗﺎرﯾﺦ اﻧﺗﮭﺎء 14/12/2023 : :ﺗﺻرﯾﺢ ﻋﻣل اﻟﻛﺗروﻧﻲ ﺗﺎرﯾﺦ اﻹﺻدار 15/12/2021 : 94779744 :ﻧوع اﻟﺑطﺎﻗﺔ رﻗم اﻟﺑطﺎﻗﺔ
ﺟدﯾدة ﺟﺎري إﻟﻐﺎؤھﺎ
:ﺳﺗﺎﻟﯾن ﻻﺑوت ﻓﯾﻼرﯾن اﺳم اﻟﺷﺧص
STALIN LAPUT VILLARIN
:اﻟﻔﻠﺑﯾن اﻟﺟﻧﺳﯾﺔ :ﻣﻌد اﻟﺷطﺎﺋر اﻟﻣﮭﻧﺔ
ﺗﺎرﯾﺦ اﻧﺗﮭﺎء اﻟﺟواز 23/11/2030 : P5843419B : رﻗم اﻟﺟواز
ﺗﺎرﯾﺦ اﻧﺗﮭﺎء اﻹﻗﺎﻣﺔ : 101/2021/351777 : رﻗم اﻹﻗﺎﻣﺔ
: اﻟﮭﺎﺗف اﻟﻣﺗﺣرك :ﻋﺎدي ﻧوع اﻹﻟﻐﺎء
17/09/2023 : ﺗﺎرﯾﺦ اﻟﻣﻐﺎدرة /
وﻓﺎة
: ﺗﺎرﯾﺦ اﻟدﺧول
: ﺳﺑب اﻹﻟﻐﺎء ﺗﺻﻧﯾف اﻟﺷﺧص :ﻣﺣدود اﻟﻣﮭﺎرة
أﻗﺮ ﺑﺄﻧﻨﻲ ﺗﺴﻠﻤﺖ ﻛﺎﻓﺔ ﻣﺴﺘﺤﻘﺎﺗﻲ
I certify that i have received all my dues up todate
ﺗﻮﻗﯿﻊ اﻟﻌﺎﻣﻞ Employee Signature
-1ﻧﺘﻘﺪم ﺑﻤﻮﺟﺐ ھﺬا اﻟﻄﻠﺐ ﻹﺧﻄﺎرﻛﻢ ﺑﺎﻧﺘﮭﺎء ﻋﻼﻗﺔ اﻟﻌﻤﻞ ﻣﻊ اﻟﻌﺎﻣﻞ اﻟﻤﻮﺿﺤﺔ ﺑﯿﺎﻧﺎﺗﮫ ،و اﻟﻤﺬﯾﻞ ﺗﻮﻗﯿﻌﮫ أﻋﻼه ﺑﺎﺳﺘﻼﻣﮫ ﺟﻤﯿﻊ ﻣﺴﺘﺤﻘﺎﺗﮫ
ﻣﻊ ﺗﺄﻛﯿﺪﻧﺎ ﻋﻠﻰ ﺻﺤﺔ ﻣﺎ ورد ﻓﯿﮫ ﻣﻦ ﺑﯿﺎﻧﺎت و ﺗﻮﻗﯿﻌﺎت و ﻋﻠﻰ ﻣﺴﺆوﻟﯿﺘﻨﺎ اﻟﻘﺎﻧﻮﻧﯿﺔ.
- 2ﻛﻤﺎ ﻧﺘﻌﮭﺪ ﺑﺎﺳﺘﻜﻤﺎل اﺟﺮاءات إﻟﻐﺎء اﻹﻗﺎﻣﺔ و ﻣﻐﺎدرة اﻟﻌﺎﻣﻞ ﺧﻼل 30ﯾﻮﻣﺎ ﻣﻦ ﺗﺎرﯾﺦ إﻟﻐﺎء ﺑﻄﺎﻗﺔ اﻟﻌﻤﻞ و ﺗﺤﻤﻞ اﻟﻤﺴﺆوﻟﯿﺔ
اﻟﻘﺎﻧﻮﻧﯿﺔ ﻓﻲ ﺣﺎﻟﺔ ﻣﺨﺎﻟﻔﺔ ذﻟﻚ.
ھﺬه اﻟﻤﻌﺎﻣﻠﺔ ﻣﻮﻗﻌﺔ إﻟﻜﺘﺮوﻧﯿﺎ
This transaction is signed electronically
ﻋﺰﯾﺰي اﻟﻤﺘﻌﺎﻣﻞ ،ﯾﺮﺟﻰ اﻟﺘﻜﺮم ﺑﺎﺳﺘﻜﻤﺎل إﺟﺮاءات إﻟﻐﺎء ﺗﺼﺮﯾﺢ اﻟﻌﻤﻞ واﻹﺟﺮاءات اﻟﻤﻜﻤﻠﺔ ﻟﮫ )إﻟﻐﺎء اﻹﻗﺎﻣﺎت ﻟﺪى اﻟﮭﯿﺌﺔ اﻟﻌﺎﻣﺔ ﻟﻠﮭﻮﯾﺔ واﻟﺠﻨﺴﯿﺔ أو اﻹدارة اﻟﻌﺎﻣﺔ ﻟﻺﻗﺎﻣﺔ وﺷﺆون اﻷﺟﺎﻧﺐ
ﻓﻲ دﺑﻲ( ﺧﻼل ﻣﺪة أﻗﺼﺎھﺎ ﺷﮭﺮ ،وﻓﻲ ﺣﺎل ﻋﺪم اﺳﺘﻜﻤﺎل اﻹﺟﺮاءات واﻧﻘﻀﺎء اﻟﻤﺪة اﻟﻤﻘﺮرة ﺳﯿﻘﻮم اﻟﻨﻈﺎم ﺗﻠﻘﺎﺋﯿﺎ ﺑﺘﻔﻌﯿﻞ اﻟﺘﺼﺮﯾﺢ واﺣﺘﺴﺎب اﻟﻐﺮاﻣﺎت إن اﺳﺘﺤﻘﺖ.
Dear Customer, Please proceed to complete the work permit cancellation and the other relevant transactions (cancellation of the residence at the
)Federal Authority For Identity and Citizenship (ICA) or at the General Directorate of Residency and Foreigners Affairs (GDRFA) in Dubai
within a maximum period of one month. If you fail to do so within the prescribed period, the system will automatically activate the work permit
.(and impose fines (if necessary
17/09/2023 17:57 PM 02114019134444
إﻟﻐﺎء ﺑطﺎﻗﺔ ﻋﻣل
Cancel Labour Card
Transaction No : - MB252203429AE
طﻠﺐ إﻟﻐﺎء ﻋﺎﻣﻞ ﺑﻄﺎﻗﺔ ﻋﻤﻞ ﻋﺎدي:ﻧﻮع اﻹﻟﻐﺎء
ﺑﯿﺎﻧﺎت اﻟﻤﻨﺸﺄة/ Company Information
أﺑﻮ ظﺒﻲ ﻣﻜﺘﺐ ﻋﻤﻞ/ Labour Office 1271771 رﻗﻢ اﻟﻤﻨﺸﺄة/ Company Number
ﺑﯿﺖ اﻟﺴﻮﺷﻰ اﺳﻢ اﻟﻤﻨﺸﺄة/ Company Name
SUSHI HOUSE
رﻗﻢ اﻟﻤﻨﺸﺄة ﻓﻲ إدارة/ Company Number for Immigration
2 ﻓﺌﺔ اﻟﻤﻨﺸﺄة/ Company Category 762030
اﻟﺠﻨﺴﯿﺔ
ﺑﯿﺎﻧﺎت اﻟﺒﻄﺎﻗﺔ/ Card Information
ﺗﺼﺮﯾﺢ ﻋﻤﻞ اﻟﻜﺘﺮوﻧﻲ ﺟﺪﯾﺪة ﺟﺎري
94779744 رﻗﻢ اﻟﺒﻄﺎﻗﺔ/ Card No ﻧﻮع اﻟﺒﻄﺎﻗﺔ/ Card Type
إﻟﻐﺎؤھﺎ
14/12/2023 ﺗﺎرﯾﺦ اﻻﻧﺘﮭﺎء/ Expiry Date 15/12/2021 ﺗﺎرﯾﺦ اﻻﺻﺪار/ Issue Date
اﻟﻐﺮاﻣﺔ اﻟﻤﺪﻓﻮﻋﺔ/ Paid Fine اﻟﻐﺮاﻣﺔ اﻟﻤﻄﻠﻮﺑﺔ/ Required Fine
30426119187707 اﻟﺮﻗﻢ اﻟﺸﺨﺼﻲ/ Personal No
STALIN LAPUT VILLARIN اﺳﻢ اﻟﺸﺨﺺ/ Person Name
ﺳﺘﺎﻟﯿﻦ ﻻﺑﻮت ﻓﯿﻼرﯾﻦ
ﺑﯿﺎﻧﺎت إدارة اﻟﺠﻨﺴﯿﺔ/ Immigration Information
101/2021/351777 رﻗﻢ اﻟﻤﻠﻒ ﻓﻲ ادارة اﻟﺠﻨﺴﯿﺔ/ Visa Reference No
اﻟﻔﻠﺒﯿﻦ اﻟﺠﻨﺴﯿﺔ/ Nationality P5843419B رﻗﻢ اﻟﺠﻮاز/ Passport No
اﻟﺘﺄﺷﯿﺮة وﻋﻠﯿﮫ ﯾﺮﺟﻰ ﻣﺮاﺟﻌﺘﮭﻢ ﻹﺗﻤﺎم إﺟﺮاءات اﻹﻟﻐﺎء ﺗﺠﻨﺒﺎ ﻷي ﻏﺮاﻣﺎت/ﯾﺮﺟﻰ اﻟﻌﻠﻢ ﺑﺄﻧﮫ ﺳﯿﺘﻢ ﺗﺤﻮﯾﻞ ﺑﯿﺎﻧﺎت اﻹﻟﻐﺎء إﻟﻜﺘﺮوﻧﯿﺎإﻟﻰ ﻧﻈﺎم اﻹدارة اﻟﻌﺎﻣﺔ ﻟﻺﻗﺎﻣﺔ و ﺷﺆون اﻷﺟﺎﻧﺐ ﻹﺟﺮاء ﻣﺎﯾﻠﺰم ﺑﺨﺼﻮص إﻟﻐﺎء اﻹﻗﺎﻣﺔ
Note that cancellation details will be transferred electronically to Residency Department system for further processing of
.Residence/Visa cancellation. Make sure to visit Residency Department to complete the cancellation process to avoid any fines
Typing Center: 02114019134444
Printed on :17/09/2023 17:57 PM
Maximum Price Dhs. 15
17/09/2023 17:57 PM 02114019134444
Electronic Work Permit طﻠب إﻟﻐﺎء ﻋﺎﻣل ﺗﺻرﯾﺢ ﻋﻣل اﻟﻛﺗروﻧﻲ
Cancellation
Transaction No : - MB252203429AE
رﻗﻢ اﻹﯾﺼﺎل :.
ﺑﯾﺎﻧﺎت اﻟدﻓﻊ
اﻟﻣﺟﻣوع اﻟﻛﻣﯾﺔ اﻟﻘﯾﻣﺔ دﻓﻊ إﻟﻰ اﻟﻣﺳﻣﻰ
17/09/2023 17:57 PM 02114019134444
