P.O.Box 282228 Dubai, United Arab Emirates Tel: +971 4 8141111 Fax +971 4 8141366

P.O.Box 282228 Dubai, United Arab Emirates Tel: +971 4 8141111 Fax +971 4 8141366

<p> CONTRACTOR PASS APPLICATION </p><p>New Renewal Date: 4/4/2018 1:20:41 上午</p><p>DURATION 1 month 3 months 6 months 1 year</p><p>APPLICANT DETAILS</p><p>Applicant Name (Mr./ Ms. / Mrs.) </p><p>Nationality Passport No. </p><p>Mobile No. </p><p>SPONSOR’S DETAILS</p><p>Company Name Tel. </p><p>Email </p><p>Sponsor’s Signature and Stamp </p><p>HOST COMPANY DETAILS</p><p>Company Name License No. Tel. Fax Mobile </p><p>Company Authorized Signature And Stamp</p><p>Government of Dubai – Dubai Aviation City Corporation P.O.Box 282228 Dubai, United Arab Emirates Tel: +971 4 8141111 Fax +971 4 8141366 www.dubaisouth.ae</p><p>RACR-FZA-F-014, Rev 0, Oct 2012 Page 1 of 1</p>

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