J)fp AL-HIND FOREIGN SERVICE AGENCY No.73, Main Road, Near State Bank, Zakir Nagar, New Delhi-110 025 (India) Ph:0091-11-26983980, 26983981,26988375 I 76, Fax:0091-11-26983982 E-mail: _info@al-hind.com, Web: www.al-hind.com FOR OFFICIAL USE ONLY I Registration Date: I Registration No: (Paste recent Photo graph with white background) OBGYN POSITION APPLIED FOR: I Arina Vishnuvarthan Full Name Fathers Name I -- Chandrababu Surendran Marital Status Married Spouse Name Place of Birth Kerala Date of Birth Sreekala Chandrababu Mothers Name Vishnu Varthan Perumal Female Sex 31 Age __ _ _ yrs 12.03.1992 Hindu Religion Indian Nationality A 1801, Concept Unnathi, Plot no 69 A,B,E,F, Sector 21, Kharghar, Navi Mumbai 410210 Address: City: Mobile No: Phone No: Y ECNR D PASSPORT TYPE Z6759368 Passport No: +919820033230 Navi Mumbai Email: Pin: 410210 arina_cb@yahoo.co.in DeeR Place of Issue: Mumbai Date of Issue: 09.05.2022 08.05.2032 Date of Expiry: EDUCATIONAL QUALIFICATION S# 1 Course Name Specialisation I Subject MBBS Month & Year Passing Institute Name & Location (Month /Year) Dr D Y Patil School of Medicine 03.2015 2 MS OBGYN OBGYN MGMIHS, Navi Mumbai 07.2018 3 MRCOG OBGYN RCOG, London 06.2023 4 EXPERIENCE DETAIL Total Years of Experience S# Employer's Detail Department 3 From (Date/Month/Year) To (Date/Month/Year) 1 Sathya Sai General Hospital Obgyn 01.10.2018 24.10.2019 2 Pulkit Memorial Hospital Obgyn 13.02.2020 05.09.2021 3 Karjat Medical College Obgyn 01.02.2022 31.07.2022 4 Samarpan Hospital Obgyn 15.07.2023 DECELERATION A. I hereby declare, that all the information given above is true and genuine . I authorize, M/s AL-HIND FOREIGN SERVICE AGENCY to submit my original certificates (Educational Certificate & Work Experience) for verification from the issuing university and Attestation from the Ministry of External Affairs, Cultural Attache Office and Royal Embassy of Saudi Arabia, for the purpose of visa endorsement. c. I hereby declare, that after selection/issue of my visa/visa endorsement in my passport, if for any reason I cannot travel to country of my employment, I will be liable to pay the consultancy and visa cancelation service charges as per commitment & wait till the authorities cancel the visa. D. I hereby declare, that I will be fully responsible if I resign my current job in India after applying for overseas employment and if for any reason employer wants to cancel the visa, then that agency is not responsible, and the money expenditure on Government fees is not refundable. E. I hereby declare, that I have read and understand the above and have been explained to me properly. B. Interview Remarks ' 0Accepted : 0Rejected Interviewer Name: Signature: Date: Date: 30/08/2023 Signature: