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Letter Authorization Confirmation PDF

This document authorizes the Saudi Council of Engineers to verify the applicant's educational qualifications, professional qualifications, registrations, and employment history. It grants the council permission to release this information to authorized third parties for up to two years. The applicant affirms that their engineering degree was obtained full-time from an accredited university, not through distance or online programs. They also certify that all information provided is correct.

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Ahmed Mandor
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0% found this document useful (0 votes)
142 views

Letter Authorization Confirmation PDF

This document authorizes the Saudi Council of Engineers to verify the applicant's educational qualifications, professional qualifications, registrations, and employment history. It grants the council permission to release this information to authorized third parties for up to two years. The applicant affirms that their engineering degree was obtained full-time from an accredited university, not through distance or online programs. They also certify that all information provided is correct.

Uploaded by

Ahmed Mandor
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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‫دا‬ ‫ا‬

PROFESSIONAL ACCREDITATION

Letter of Authorization and Confirmation ‫ﺨطﺎب إﻗرار وﺘﻔوﻴض‬

I hereby authorize Saudi Council of Engineers


or its authorized affiliates, agents and
‫أﻧﺎ اﻟﻤﻮﻗﻊ أدﻧﺎﻩ أﻓﻮض اﻟﻬﻴﺌﺔ اﻟﺴﻌﻮدﻳﺔ ﻟﻠﻤﻬﻨﺪﺳﻴﻦ أو ﻣﻦ‬
subsidiaries, acting on its behalf to verify ‫ ﻟﻠﺘﺤﻘﻖ ﻧﻴﺎﺑﺔ ﻋﻨﻲ ﻋﻦ اﻟﻤﻌﻠﻮﻣﺎت واﻟﻮﺛﺎﺋﻖ‬،ً‫ﺗﻔﻮﺿﻪ رﺳﻤﻴﺎ‬
information, documentation and background
verification presented on my application form ‫اﻟﻤﺮﻓﻘﺔ ﺑﻄﻠﺒﻲ ﺑﻤﺎ ﻓﻲ ذﻟﻚ اﻟﺸﻬﺎدة اﻟﻌﻠﻤﻴﺔ واﻟﺨﺒﺮات‬
including but not limiting to education,
professional qualification, registration and
.‫واﻟﻤﺆﻫﻼت اﻟﻤﻬﻨﻴﺔ واﻟﻮﻇﻴﻔﻴﺔ‬
employment.
‫وﺑﻤﻮﺟﺐ ﻫﺬﻩ اﻟﺘﻔﻮﻳﺾ أﻣﻨﺢ اﻟﺼﻼﺣﻴﺔ ﻟﺤﺎﻣﻠﻲ ﻫﺬا اﻟﺨﻄﺎب‬
I hereby grant the authority for the bearer of
this letter, with immediate effect, to release all ‫ﻟﺘﺴﻠﻴﻢ ﺟﻤﻴﻊ اﻟﻤﻌﻠﻮﻣﺎت اﻟﺨﺎﺻﺔ ﺑﻲ ﻟﻠﻬﻴﺌﺔ اﻟﺴﻌﻮدﻳﺔ‬
necessary information to Saudi Council of
Engineers or its authorized affiliates, agents .‫ﻟﻠﻤﻬﻨﺪﺳﻴﻦ أو ﻣﻦ ﺗﻔﻮﺿﻪ‬
and subsidiaries.
‫ وﺗﻮارﻳﺦ‬،‫وﺗﺸﻤﻞ اﻟﻤﻌﻠﻮﻣﺎت واﻟﻮﺛﺎﺋﻖ اﻟﻤﻄﻠﻮﺑﺔ ﻋﻠﻰ اﻟﺪرﺟﺎت‬
This information / documentation may contain
but is not limited to grades, dates of attendance, ،‫ واﻟﺪرﺟﺔ أو اﻟﺸﻬﺎدة اﻟﻌﻠﻤﻴﺔ‬،‫ واﻟﻤﻌﺪل اﻟﺘﺮاﻛﻤﻲ‬،‫اﻟﺪراﺳﺔ‬
grade point average, degree / diploma
certification, professional certification, ،‫ وﻣﺪة اﻟﺨﺪﻣﺔ‬،‫ واﻟﻌﻤﻞ اﻟﺤﺎﻟﻲ‬،‫واﻟﺸﻬﺎدات اﻟﻤﻬﻨﻴﺔ‬
employment title, employment tenure, licensing ‫واﻟﺘﺮﺧﻴﺺ واﻟﺘﺴﺠﻴﻞ وأﻳﺔ ﻣﻌﻠﻮﻣﺎت أﺧﺮى ﺿﺮورﻳﺔ ﻹﺟﺮاء‬
and registration and any other information
deemed necessary to conduct the verification of .‫اﻟﺘﺤﻘﻖ ﻣﻦ اﻟﻤﻌﻠﻮﻣﺎت واﻟﻮﺛﺎﺋﻖ اﻟﻤﻘﺪﻣﺔ‬
the information / documentation provided.
I hereby release all persons or entities ‫وأﻗﺮ ﺑﺄن أﺧﻠﻲ ﻣﺴﺆوﻟﻴﺔ ﺟﻤﻴﻊ اﻷﺷﺨﺎص أو اﻟﺠﻬﺎت اﻟﻄﺎﻟﺒﺔ‬
requesting or supplying such information from
any liability arising from such disclosure. I am
.‫ﻟﻬﺬﻩ اﻟﻤﻌﻠﻮﻣﺎت ﻣﻦ أي ﻣﺴﺆوﻟﻴﺔ ﻗﺎﻧﻮﻧﻴﺔ ﻗﺪ ﺗﻨﺸﺄ ﻋﻦ ذﻟﻚ‬
willing that a photocopy of this authorization .‫وأواﻓﻖ ﻋﻠﻰ أن ﺗﻜﻮن ﺻﻮرة ﻫﺬا اﻟﺨﻄﺎب ﻣﺜﻞ اﻷﺻﻞ‬
be accepted with the same authority as the
original. I further understand and acknowledge ‫وإﻗﺮاري ﻫﺬا ﺻﺎﻟﺢ إﻟﻰ ﻣﺪة ﺳﻨﺘﻴﻦ ﻣﻦ ﺑﻌﺪ اﻟﺤﺼﻮل ﻋﻠﻰ‬
that this Information Release Form will remain
valid for a period of two years following its .‫اﻟﻤﻌﻠﻮﻣﺎت اﻟﻤﻄﻠﻮﺑﺔ‬
completion.
‫وأﻗﺮ ﺑﺄن اﻟﺸﻬﺎدة اﻟﻌﻠﻤﻴﺔ اﻟﻬﻨﺪﺳﻴﺔ اﻟﺘﻲ ﺣﺼﻠﺖ ﻋﻠﻴﻬﺎ ﻫﻲ‬
And I affirm that the engineering certificate
that I obtained is from an accredited university ‫ﻣﻦ ﺟﺎﻣﻌﺔ ﻣﻌﺘﺮف ﺑﻬﺎ وﻋﻦ ﻃﺮﻳﻖ اﻻﻧﺘﻈﺎم اﻟﻜﻠﻲ وﻟﻴﺴﺖ‬
and as a full-time student, not through
affiliation or correspondence or internet. .‫ﺑﺎﻻﻧﺘﺴﺎب أو اﻟﻤﺮاﺳﻠﺔ أو اﻹﻧﺘﺮﻧﺖ‬
I certify that all information provided to Saudi ‫ﻛﻤﺎ أﻗﺮ ﺑﺄن ﺟﻤﻴﻊ اﻟﻤﻌﻠﻮﻣﺎت واﻟﻮﺛﺎﺋﻖ اﻟﻤﺴﻠﻤﺔ ﻟﻠﻬﻴﺌﺔ‬
Council of Engineers is correct, and I bear the
responsibility otherwise. .‫ وأﺗﺤﻤﻞ ﻛﺎﻣﻞ اﻟﻤﺴﺆوﻟﻴﺔ إذا اﺗﻀﺢ ﺧﻼف ﻣﺎ ذﻛﺮ‬،‫ﺻﺤﻴﺤﺔ‬

First Name ‫اﻷول‬ ‫اﻻﺳﻢ‬ Middle Name ‫اﻷب‬ ‫اﺳﻢ‬ Last/Surname‫اﻟﻌﺎﺋﻠﺔ‬ ‫اﺳﻢ‬

Signature ‫اﻟﺘﻮﻗﻴﻊ‬ Date ‫اﻟﺘﺎرﻳﺦ‬

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