Letter of Authoriz zation

I hereby authorize the He ealth Authorit ty of Abu Dhabi D or Data aFlow FZ LL LC, its autho orized affiliat tes, agents nd subsidiarie es, acting on its behalf to verify information, docum mentation and back ground d verification presented an on n my applicati ion form including but not limiting to edu ucation, emplo oyment and lic censes.

th he Health Auth hority of Abu Dhabi or Data aFlow FZ LLC C, its authoriz zed affiliates, a agents and su ubsidiaries.

Th his informatio on / documentation may co ontain but is not limited to o grades, dat tes of attenda ance, grade p point average e, de egree / diplom ma certificatio on, employme ent title, emp ployment tenu ure, license a attained, statu us of the lice ense, place of o issue and any y other inform mation deeme ed necessary y to conduct the verification of the information / d documentation n rovided. pr

I hereby releas se all person ns or entities requesting or supplying s such informat tion from any y liability arisi ing from such h t a photocopy y of this auth horization be accepted wit th the same authority as the original. I disclosure. I am willing that urther underst tand and ack knowledge tha at this Inform mation Releas se Form will remain valid for a period of two years s fu fo ollowing its completion.

Pe ersonal Deta ails: (in n BLOCK lette ers)

Fu ull Name : (La ast / Surname) ) (Fi rst Name) (Middle Name)

Pa assport / Identit ty Card Numbe er:

Signature Date (d dd/mm/yyyy)