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TABLE OF CONTENTS

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CHECKLIST FOR NURSING (STAFF NURSE)
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form (Hospital or clinic or
School or Nursery or Hotel)
2 Application for Licensure
3 Nursing Education Certificate (B.S.N. or 3 years duration
Dip. In Nursing – excluding
midwifery.
4 Valid Nursing Registration/License
Certificate

5 Pre-Nursing Course Certificate


(Secondary Certificate)

6 Passport Copy
7
Three passport colored size recent
photographs

8 Original Certificate of article No. 3 should


certified by U.A.E. Embassy
9
Examination & Application Fee: Dh 170/-

• All the certificates to be submitted in Arabic or English Language.

Checked By: (Name and Signature): _________________________________

Date: _________________________________________

Page 1 of 56
CHECKLIST FOR NURSING (ASSISTANT NURSE)
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form (Hospital or clinic
ONLY)
2 Application for Licensure
3 Nursing Education Certificate (Dip. In Minimum of 2
Nursing or Dip. In Midwifery (with years duration
Obs./Gyn.)

4
Valid Nursing Registration/License
Certificate

5 Pre-Nursing Course Certificate


(Secondary Certificate)

6 Passport Copy
7
Three passport colored size recent
photographs

8 Original Certificate of article No. 3,


should certified by U.A.E. Embassy
9
Examination & Application Fee: Dh 170/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 2 of 56
CHECKLIST FOR PHARMACIST
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( new pharmacy –
existing pharmacy or Hospital)
2 Application for Licensure
3
Bachelor Degree of Pharmacy

4
Registration of Pharmacy Council
Certificate

5
Experience Certificate ( minimum of two
years after graduation.

6 Passport Copy
7
Three passport coloured size recent
photographs

8 Original Certificate of No.3 should


certified by U.A.E. Embassy
9
Examination & Application Fee: Dh 170/-

10
Transcript of Records

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 3 of 56
CHECKLIST FOR LABORATORY TECHNICIAN
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital –
Diagnostic Center
2 Application for Licensure
3 B.sc in Medical Laboratory Technology
or B.sc + Dip. In Medical Laboratory
technology
4
Experience Certificate ( minimum of two
years after Graduation)

5 Passport Copy
6
Three passport coloured size recent
photographs

7 Original Certificate of article No. 3 should


certified by U.A.E. Embassy
8
Interview & Application Fee: Dh 170/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 4 of 56
CHECKLIST FOR SPEECH THERAPIST
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form (Rehabilitation Center
or with E.N.T. specialist, or Hospital)
2 Application for Licensure
3
Bachelor Degree of speech Therapy

4
Experience Certificate (minimum of two
years after graduation.

5 Passport Copy
6
Three passport coloured size recent
photographs

7 Original Certificate of No.3 should be


certified by U.A.E. Embassy
8
Interview & Application Fee: Dh 170/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 5 of 56
CHECKLIST FOR OCCUPATIONAL THERAPIST
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Rehabilitation
Center or Hospital or Speciality Clinic for
Physiotherapy or Orthopaedic
2 Application for Licensure
3
Bachelor Degree of Occupational
Therapy

4
Experience Certificate ( minimum of two
years after graduation.

5 Passport Copy
6
Three passport coloured size recent
photographs

7 Original Certificate of No.3 should be


certified by U.A.E. Embassy
8
Interview & Application Fee: Dh 170/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 6 of 56
CHECKLIST FOR RADIOGRAPHER
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital or clinic or
Diagnostic Center
2 Application for Licensure
3 B.sc or Diploma ( minimum two years) in
Medical Radiology Technology

4
Experience Certificate ( minimum of two
year)

5 Passport Copy
6
Three passport coloured size recent
photographs

7 Original Certificate of article No.3 should


be certified by U.A.E. Embassy
8
Interview & Application Fee: Dh 170/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 7 of 56
CHECKLIST FOR DENTAL TECHNICIAN
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Dental Laboratory )
2 Application for Licensure
3 Dip. of Dental Technician
4
Experience Certificate ( minimum of two
years)

5 Passport Copy
6
Three passport coloured size recent
photographs

7 Original Certificate of article No.3 should


be certified by U.A.E. Embassy
8
Interview & Application Fee: Dh 170/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 8 of 56
CHECKLIST FOR DENTAL SURGERY ASSISTANT
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( with Dentist only)
2 Application for Licensure
3
Dip of Dental Assistant or B.D.S.

4
Experience Certificate ( minimum of two
years after graduation.) for B.D.S.
candidate, no need for experience

5 Passport Copy
6
Three passport coloured size recent
photographs

7 Original Certificate of No.3 should be


certified by U.A.E. Embassy
8
Interview & Application Fee: Dh 170/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 9 of 56
CHECKLIST FOR DENTAL HYGIENIST
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( with Dentist only)
2 Application for Licensure
3 Dip. In Dental Hygiene
4
Experience Certificate ( minimum of two
years after Graduation)

5 Passport Copy
6
Three passport coloured size recent
photographs

7 Original Certificate of article No.3 should


be certified by U.A.E. Embassy
8
Interview & Application Fee: Dh 170/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 10 of 56
CHECKLIST FOR ANAESTHESIA TECHNICIAN
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital )
2 Application for Licensure
3
Dip. Of Anaesthesia Technician
4
Experience Certificate ( minimum of two
years after graduation.

5 Passport Copy
6
Three passport coloured size recent
photographs

7 Original Certificate of No.3 should be


certified by U.A.E. Embassy
8
Interview & Application Fee: Dh 170/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 11 of 56
CHECKLIST FOR RESPIRATORY THERAPIST
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital)
2 Application for Licensure
3
Bachelor Degree of Respiratory Therapy

4
Experience Certificate ( minimum of two
years after graduation.

5 Passport Copy
6
Three passport coloured size recent
photographs

7 Original Certificate of No.3 should be


certified by U.A.E. Embassy
8
Interview & Application Fee: Dh 170/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 12 of 56
CHECKLIST FOR E.C.G.
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital or with
Cardiologist
2 Application for Licensure
3
Course in the same field

4
Experience Certificate ( minimum of two
years after graduation.

5 Passport Copy
6
Three passport coloured size recent
photographs

7 Original Certificate of No.3 should be


certified by U.A.E. Embassy
8
Interview & Application Fee: Dh 170/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 13 of 56
CHECKLIST FOR E.E.G.
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form (Hospital or
Neurologist
2 Application for Licensure
3
Dip. In E.E.G.

4
Experience Certificate (minimum of two
years after graduation.

5 Passport Copy
6
Three passport coloured size recent
photographs

7 Original Certificate of No.3 should be


certified by U.A.E. Embassy
8
Interview & Application Fee: Dh 170/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 14 of 56
CHECKLIST FOR ACUPUNCTURE TECHNICIAN
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form (Hospital, clinic with
physician)
2 Application for Licensure
3
Bachelor or Diploma Degree of
Acupuncture Medicine

4
Experience Certificate (minimum of two
years after graduation.

5 Passport Copy
6
Three passport coloured size recent
photographs

7 Original Certificate of No.3 should be


certified by U.A.E. Embassy
8
Interview & Application Fee: Dh 170/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 15 of 56
CHECKLIST FOR AMBULANCE ATTENDANT
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital, or
Polyclinic or hotel
2 Application for Licensure
3
Dip or Registration in Ambulance Care &
Emergency

4
Experience Certificate ( minimum of one
year after graduation.

5 Passport Copy
6
Three passport coloured size recent
photographs

7 Original Certificate of No.3 should be


certified by U.A.E. Embassy
8
Interview & Application Fee: Dh 170/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 16 of 56
CHECKLIST FOR DIETITIAN
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form (Hospital, Clinic)
2 Application for Licensure
3
Bachelor Degree of same field

4
Experience Certificate (minimum of two
years after graduation.

5 Passport Copy
6
Three passport coloured size recent
photographs

7 Original Certificate of No.3 should be


certified by U.A.E. Embassy
8
Interview & Application Fee: Dh 170/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 17 of 56
CHECKLIST FOR OPTOMETRIST
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies
of the following:
1 Appointment Form ( Hospital,
Optical shop or with
Ophthalmologist)
2 Application for Licensure
3
Dip. Or Bachelor Degree in
Optometry

4
Experience Certificate ( minimum
of two years after graduation.

5 Passport Copy
6
Three passport coloured size
recent photographs

7 Original Certificate of No.3


should be certified by U.A.E.
Embassy
8
Interview & Application Fee: Dh
170/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 18 of 56
CHECKLIST FOR CHIROPODIST
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital, or with
surgeon, physical medicine, Orthopaedic)
2 Application for Licensure
3
Bachelor Degree in Chiropody

4
Experience Certificate ( minimum of two
years after graduation.

5 Passport Copy
6
Three passport coloured size recent
photographs

7 Original Certificate of No.3 should be


certified by U.A.E. Embassy
8
Interview & Application Fee: Dh 170/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 19 of 56
CHECKLIST FOR OSTEOPATH
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital, clinic with
Surgeon, Orthopaedic
2 Application for Licensure
3
Dip. Or Bachelor Degree in Optometry

4
Experience Certificate ( minimum of two
years after graduation.

5 Passport Copy
6
Three passport coloured size recent
photographs

7 Original Certificate of No.3 should be


certified by U.A.E. Embassy
8
Interview & Application Fee: Dh 170/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 20 of 56
CHECKLIST FOR PERFUSIONIST
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital with
Cardiac Surgery Services
2 Application for Licensure
3
Bachelor Degree in Perfusionist

4
Experience Certificate ( minimum of two
years after graduation.

5 Passport Copy
6
Three passport coloured size recent
photographs

7 Original Certificate of No.3 should be


certified by U.A.E. Embassy
8
Interview & Application Fee: Dh 170/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 21 of 56
CHECKLIST FOR
EDUCATIONAL PSYCHOLOGIST / EDUCATIONAL THERAPIST/ FAMILY
THERAPIST/ COUNSELOR
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( with Psychologist or
Psychiatrist
2 Application for Licensure
3
Bachelor Degree in Psychology

4
Experience Certificate ( minimum of two
years after graduation.

5 Passport Copy
6
Three passport coloured size recent
photographs

7 Original Certificate of No.3 should be


certified by U.A.E. Embassy
8
Interview & Application Fee: Dh 170/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 22 of 56
CHECKLIST FOR AUDIOLOGIST
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( with E.N.T.
2 Application for Licensure
3
Bachelor Degree in Audiology

4
Experience Certificate ( minimum of two
years after graduation.

5 Passport Copy
6
Three passport coloured size recent
photographs

7 Original Certificate of No.3 should be


certified by U.A.E. Embassy
8
Interview & Application Fee: Dh 170/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 23 of 56
CHECKLIST FOR COSMETIC THERAPIST
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form (with Plastic Surgeon,
or Dermatologist
2 Application for Licensure
3
Dip. In Cosmetic Therapy

4
Experience Certificate (minimum of two
years after graduation.

5 Passport Copy
6
Three passport coloured size recent
photographs

7 Original Certificate of No.3 should be


certified by U.A.E. Embassy
8
Interview & Application Fee: Dh 170/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 24 of 56
CHECKLIST FOR SPECIMEN COLLECTOR
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital, Diagnostic
Center )
2 Application for Licensure
3
Dip. In Medical Laboratory Technology

4
Experience Certificate ( minimum of two
years after graduation.

5 Passport Copy
6
Three passport coloured size recent
photographs

7 Original Certificate of No.3 should be


certified by U.A.E. Embassy
8
Interview & Application Fee: Dh 170/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 25 of 56
CHECKLIST FOR HEARING AID TECHNICIAN
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form (Rehabilitation Center
with Optical Shop,)
2 Application for Licensure
3
Dip. or courses in the field

4
Experience Certificate (minimum of two
years after graduation.

5 Passport Copy
6
Three passport coloured size recent
photographs

7 Original Certificate of No.3 should be


certified by U.A.E. Embassy
8
Interview & Application Fee: Dh 170/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 26 of 56
CHECKLIST FOR DIALYSIS TECHNICIAN
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital with
Nephrologist
2 Application for Licensure
3
Dip. Or courses in the field

4
Experience Certificate ( minimum of two
years after graduation.

5 Passport Copy
6
Three passport coloured size recent
photographs

7 Original Certificate of No.3 should be


certified by U.A.E. Embassy
8
Interview & Application Fee: Dh 170/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 27 of 56
CHECKLIST FOR CHIROPRACTOR
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital , New clinic
or existing clinic
2 Application for Licensure
3
Doctor of Chiropractor

4
Experience Certificate ( minimum of three
years after graduation.

5 Good Standing Certificate from the


Medical Counsel ( new issue)
6 Passport Copy
7
Three passport coloured size recent
photographs

8 Original Certificate of No.3 should be


certified by U.A.E. Embassy
9
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 28 of 56
CHECKLIST FOR GENERAL PRACTITIONER
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital ,
Constructing Companies, Schools and
Hotels)
2 Application for Licensure
3
M.B.B.S, OR , M.D.
4 Total 10 Years =
Experience Certificate ( minimum of three Studying Period +
years after M.D. or after internship the Experience
(For M.B.B.S)
5 Good standing certificate from the
Medical Counsel ( new issue )
6 Passport Copy
7
Three passport coloured size recent
photographs

8 Original Certificate of No.3 should be


certified by U.A.E. Embassy
9
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 29 of 56
CHECKLIST FOR GENERAL DENTIST
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital or new
clinic or existing clinic
2 Application for Licensure
3
B.D.S. or D.D.S.,

4
Experience Certificate ( minimum of five
years after graduation).

5 Good Standing Certificate form the


medical counsel ( new issue)
6 Passport Copy
7
Three passport coloured size recent
photographs

8 Original Certificate of No.3 should


certified by U.A.E. Embassy
9
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 30 of 56
CHECKLIST FOR SPECIALIST DENTIST ( ANY SPECIALITY)
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital or new
clinic or existing clinic

2 Application for Licensure


3 B.D.S. ( or D.D.S.) + M.D.S. ( or master
degree or speciality degree)

4
Experience Certificate ( two years after
M.D.S.or specialty degree)

5 Good Standing Certificate form the


medical counsel ( new issue)
6 Passport Copy
7
Three passport coloured size recent
photographs

8 Original Certificate of No.3 should


certified by U.A.E. Embassy
9
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 31 of 56
CHECKLIST FOR G.P.( ANY SPECIALITY )
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital or new
clinic or existing clinic
2 Application for Licensure
3
M.B.B.S. + Master degree or speciality
degree ( in the same speciality)

4
Experience Certificate ( minimum of three
years after speciality.

5 List of surgery performed by the


candidate ( for all type of surgeon)
6 Good Standing Certificate from the
medical counsel ( new issue)
7 Passport Copy
8
Three passport coloured size recent
photographs

9 Original Certificate of No.3 should


certified by U.A.E. Embassy
10
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 32 of 56
CHECKLIST FOR SPECIALIST DOCTOR( ANY SPECIALITY)
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form (Hospital or new
clinic or existing clinic
2 Application for Licensure
3
M.B.B.S. + PhD or it is equivalent
(M.R.C.P., or facharzt degree or Board
degree or …

4
Experience Certificate (minimum of five
years after the speciality.

5 Good Standing Certificate from the


medical counsel
6 List of surgery performed by the
candidate (for all type of surgeon)
7 Passport Copy
8
Three passport coloured size recent
photographs

9 Original Certificate of No.3 should


certified by U.A.E. Embassy
10
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 33 of 56
CHECKLIST FOR SPECIALIST OBS./ GYN
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form (Hospital or new
clinic or existing clinic
2 Application for Licensure
3
M.B.B.S. + M.R.C.O.G. or Board degree
of facharzt degree or Ph.D. or C.E.S.

4
Experience Certificate (minimum of five
years after speciality

5 Good standing certificate from Medical


counsel (new issue)
6 Passport Copy
7
Three passport coloured size recent
photographs

8 Original Certificate of No.3 should


certified by U.A.E. Embassy
9
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 34 of 56
CHECKLIST FOR CARDIOLOGIST
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form (Hospital new clinic
or existing clinic
2 Application for Licensure
3
M.B.B.S. + M.D. + D.M” Cardiology” or
M.R.C.P. or Ph.D. or Board degree or …

4
Experience Certificate (minimum of five
years after graduation.

5 Good standing Certificate form the


medical counsel (new issue)
6 Passport Copy
7
Three passport coloured size recent
photographs

8 Original Certificate of No.3 should


certified by U.A.E. Embassy
9
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 35 of 56
CHECKLIST FOR SPECIALIST PHYSICIAN
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form (Hospital or new
clinic or existing clinic)
2 Application for Licensure
3
M.B.B.S + M.R.C.P. or facharzt degree or
Board degree or Ph.D. or specialty degree
4
Experience Certificate (minimum of five
years after graduation.

5 Good standing Certificate form the


medical counsel (New issue)
6 Passport Copy
7
Three passport coloured size recent
photographs

8 Original Certificate of No.3 should


certified by U.A.E. Embassy
9
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By: (Name and Signature):_________________________________

Date: _________________________________________

Page 36 of 56
CHECKLIST FOR
SPECIALIST SURGEON ( PLASTIC OR ORTHOPEDIC OR GENERAL OR
NEUROSURGEON OR UROLOGY OR CARDIAC SURGEON OR PEDIATRIC
SURGEON )
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital or new
clinic or existing clinic
2 Application for Licensure
3
M.B.B.S. + F.R.C.S. or facharzt degree of
Board degree of M.S. +M.Ch or Ph.D.

4
Experience Certificate ( minimum of five
years after the speciality.

5 Good Standing certificate form the


medical counsel ( new issue)
6 List of surgery performed by the
candidate
7 Passport Copy
8
Three passport coloured size recent
photographs

9 Original Certificate of No.3 should


certified by U.A.E. Embassy
10
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 37 of 56
CHECKLIST FOR SPECIALIST ANAESTHETIST
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital only)
2 Application for Licensure
3
M.B.B.S + F.R.C.A. or facharzt degree or
Board degree or Ph.D. or …

4
Experience Certificate ( minimum of five
years after graduation.

5 Good standing Certificate form the


medical counsel
6 Passport Copy
7
Three passport coloured size recent
photographs

8 Original Certificate of No.3 should


certified by U.A.E. Embassy
9
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 38 of 56
CHECKLIST FOR SPECIALIST GASTROENTEROLOGIST
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital or new
clinic or existing clinic)
2 Application for Licensure
3
M.B.B.S + M.R.C.P.. or facharzt degree
or Board degree or Ph.D. or M.D.+ D.M. (
Gastroenterologist.)

4
Experience Certificate ( minimum of five
years after graduation.

5 Good standing Certificate form the


medical counsel ( new issue)
6 Passport Copy
7
Three passport coloured size recent
photographs

8 Original Certificate of No.3 should


certified by U.A.E. Embassy
9
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 39 of 56
CHECKLIST FOR SPECIALIST ENDOCRINOLOGIST
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form (Hospital or new
clinic or existing clinic)
2 Application for Licensure
3
M.B.B.S + M.R.C.P. or facharzt degree or
Board degree or Ph.D. or M.D.+ D.M.
(Endocrinologist)
4
Experience Certificate (minimum of five
years after speciality.

5 Good standing Certificate form the


medical counsel (New issue)
6 Passport Copy
7
Three passport coloured size recent
photographs

8 Original Certificate of No.3 should


certified by U.A.E. Embassy
9
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By: (Name and Signature): _________________________________

Date: _________________________________________

Page 40 of 56
CHECKLIST FOR SPECIALIST NEPHROLOGIST
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital or new
clinic or existing clinic)
2 Application for Licensure
3
M.B.B.S + M.R.C.P. or facharzt degree or
Board degree or Ph.D. or M.D.+ D.M.
(Nephrology)
4
Experience Certificate (minimum of five
years after speciality.

5 Good standing Certificate form the


medical counsel (New issue)
6 Passport Copy
7
Three passport coloured size recent
photographs

8 Original Certificate of No.3 should


certified by U.A.E. Embassy
9
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By: (Name and Signature): _________________________________

Date : _________________________________________

Page 41 of 56
CHECKLIST FOR SPECIALIST RHEUMATOLOGIST
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital or new
clinic or existing clinic)
2 Application for Licensure
3
M.B.B.S + M.R.C.P. or facharzt degree or
Board degree or Ph.D. or M.D.+ D.M.(
Rehumatology)
4
Experience Certificate ( minimum of five
years after graduation.

5 Good standing Certificate form the


medical counsel ( New issue)
6 Passport Copy
7
Three passport coloured size recent
photographs

8 Original Certificate of No.3 should


certified by U.A.E. Embassy
9
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 42 of 56
CHECKLIST FOR SPECIALIST PAEDIATRICIAN
APP-LICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital or new
clinic or existing clinic)
2 Application for Licensure
3
M.B.B.S + M.R.C.P. or facharzt degree or
Board degree or Ph.D. or M.D. or
specialty degree
4
Experience Certificate ( minimum of five
years after speciality.

5 Good standing Certificate form the


medical counsel ( New issue)
6 Passport Copy
7
Three passport coloured size recent
photographs

8 Original Certificate of No.3 should


certified by U.A.E. Embassy
9
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 43 of 56
CHECKLIST FOR SPECIALIST NEUROLOGIST
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital or new
clinic or existing clinic)
2 Application for Licensure
3
M.B.B.S + M.R.C.P. or facharzt degree or
Board degree or Ph.D. or M.D.+ D.M.(
neurology)
4
Experience Certificate ( minimum of five
years after speciality.

5 Good standing Certificate form the


medical counsel ( New issue)
6 Passport Copy
7
Three passport coloured size recent
photographs

8 Original Certificate of No.3 should


certified by U.A.E. Embassy
9
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 44 of 56
CHECKLIST FOR SPECIALIST RADIOLOGIST
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital or
Diagnostic Center)
2 Application for Licensure
3
M.B.B.S + F.R.C.R. or facharzt degree or
Board degree or Ph.D. or M.D.(
Radiology) or speciality degree

4
Experience Certificate ( minimum of five
years after speciality.

5 Good standing Certificate form the


medical counsel
6 Passport Copy
7
Three passport coloured size recent
photographs

8 Original Certificate of No.3 should


certified by U.A.E. Embassy
9
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 45 of 56
CHECKLIST FOR SPECIALIST DERMATOLOGIST
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital or new
clinic or existing clinic)
2 Application for Licensure
3
M.B.B.S + M.R.C.P.. or facharzt degree
or Board degree or Ph.D. or M.D.( Derm.)
or speciality degree

4
Experience Certificate ( minimum of five
years after speciality.

5 Good standing Certificate form the


medical counsel
6 Passport Copy
7
Three passport coloured size recent
photographs

8 Original Certificate of No.3 should


certified by U.A.E. Embassy
9
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 46 of 56
CHECKLIST FOR SPECIALIST E.N.T.
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital or new
clinic or existing clinic)
2 Application for Licensure
3
M.B.B.S + F.R.C.S.. or facharzt degree or
Board degree or Ph.D. or M.S.( E.N.T...)
or speciality degree or …

4
Experience Certificate ( minimum of five
years after speciality.

5 Good standing Certificate form the


medical counsel
6 Passport Copy
7
Three passport coloured size recent
photographs

8 Original Certificate of No.3 should


certified by U.A.E. Embassy
9
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 47 of 56
CHECKLIST FOR SPECIALIST ACUPUNCTURIST
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital or new
clinic or existing clinic)
2 Application for Licensure
3
M.B.B.S + specialty degree in
acupuncture
4
Experience Certificate ( minimum of five
years after graduation.

5 Passport Copy
6
Three passport coloured size recent
photographs

7 Original Certificate of No.3 should


certified by U.A.E. Embassy
8
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 48 of 56
CHECKLIST FOR SPECIALIST EMERGENCY PHYSICIAN
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital )
2 Application for Licensure
3
M.B.B.S + F.R.C.S or facharzt degree or
Board degree or Ph.D. or Speciality
degree
4
Experience Certificate ( minimum of five
years after speciality degree

5 Good standing Certificate form the


medical counsel ( New issue)
6 Passport Copy
7
Three passport coloured size recent
photographs

8 Original Certificate of No.3 should


certified by U.A.E. Embassy
9
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 49 of 56
CHECKLIST FOR SPECIALIST OPHTHALMOLOGIST
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital or new
clinic or existing clinic)
2 Application for Licensure
3
M.B.B.S + F.R.C.S ( Ophthalmology).. or
facharzt degree or Board degree or Ph.D.
or M.D.( Opthalm.) or speciality degree

4
Experience Certificate ( minimum of five
years after speciality.

5 Good standing Certificate form the


medical counsel
6 Passport Copy
7
Three passport coloured size recent
photographs

8 Original Certificate of No.3 should


certified by U.A.E. Embassy
9
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 50 of 56
CHECKLIST FOR SPECIALIST FAMILY PHYSICIAN
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital or new
clinic or existing clinic)
2 Application for Licensure
3
M.B.B.S + M.R.C.GP.. or facharzt degree
or Board degree or Ph.D. or speciality
degree or …

4
Experience Certificate ( minimum of five
years after specialty.

5 Good standing Certificate form the


medical counsel
6 Passport Copy
7
Three passport coloured size recent
photographs

8 Original Certificate of No.3 should


certified by U.A.E. Embassy
9
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 51 of 56
CHECKLIST FOR SPECIALIST PATHOLOGIST / HISTOPATHOLOGIST
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital or
Diagnostic Center)
2 Application for Licensure
3
M.B.B.S + M.R.C.P ( Pathology).. or
facharzt degree or Board degree or Ph.D.
or M.D.( pathology / histopathology) or
speciality degree

4
Experience Certificate ( minimum of five
years after specialty.

5 Good standing Certificate form the


medical counsel
6 Passport Copy
7
Three passport coloured size recent
photographs

8 Original Certificate of No.3 should


certified by U.A.E. Embassy
9
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 52 of 56
CHECKLIST FOR SPECIALIST BIOCHEMIST / MICROBIOLOGIST
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital or
Diagnostic Center)
2 Application for Licensure
3
B.Sc + Msc. + Ph.D. ( Biochemistry or
Microbiology)

4
Experience Certificate ( minimum of five
years after Ph.D.

5 Good standing Certificate form the


medical counsel
Passport Copy
+---
-----
-----
---6
7
Three passport coloured size recent
photographs

8 Original Certificate of No.3 should


certified by U.A.E. Embassy
9
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 53 of 56
CHECKLIST FOR SPECIALIST PSYCHIATRIST
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital or new
clinic or existing clinic)
2 Application for Licensure
3
M.B.B.S + M.R.C.P.( Psych.) or facharzt
degree or Board degree or Ph.D. or M.D.(
Psychiatry) or speciality degree or …

4
Experience Certificate ( minimum of five
years after speciality.

5 Good standing Certificate form the


medical counsel
6 Passport Copy
7
Three passport coloured size recent
photographs

8 Original Certificate of No.3 should


certified by U.A.E. Embassy
9
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 54 of 56
CHECKLIST FOR SPECIALIST PSYCHOLOGIST
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Hospital or new
clinic or existing clinic)
2 Application for Licensure
3
Master degree ( Psychology) + Ph.D. (
clinical Psychology)

4
Experience Certificate ( minimum of
three years after Ph.D as clinical
Psychologist

5 Good standing Certificate form the


medical counsel
6 Passport Copy
7
Three passport coloured size recent
photographs

8 Original Certificate of No.3 should


certified by U.A.E. Embassy
9
Interview & Application Fee: Dh 220/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 55 of 56
CHECKLIST FOR PHYSIOTHERAPIST
APPLICATIONS FOR LICENSURE

Sr.
No. Requirements: Yes No Remarks
Original Copies and Photocopies of the
following:
1 Appointment Form ( Rehabilitation
Center or Hospital or Speciality Clinic for
Physiotherapy or Orthopaedic
2 Application for Licensure
3
Bachelor Degree of Physiotherapy
Therapy

4
Experience Certificate ( minimum of two
years after graduation.

5 Passport Copy
6
Three passport coloured size recent
photographs

7 Original Certificate of No.3 should


certified by U.A.E. Embassy
8
Interview & Application Fee: Dh 170/-

• All the certificates to be submitted in Arabic or English Language.

Checked By : ( Name and Signature ):_________________________________

Date : _________________________________________

Page 56 of 56

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