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Date: / / / / : اﻟﺘﺎرﯾــــــﺦ
Name اﻹﺳم
Emp. No. رﻗم اﻟﻣوظف
Job Title ﻣﺳﻣﻰ اﻟوظﯾﻔﺔ
Department اﻟﻘﺳم
Work place ﻣﻜﺎن اﻟﻌﻤﻞ
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We inform you that the mentioned above has ﻧﻔﯿﺪﻛﻢ ﺑﺎن ﻣﻜﻔﻮﻟﻨﺎ اﻟﻤﺬﻛﻮر اﻋﻼة ﻗﺪ ﺳﻠﻢ ﺟﻤﯿﻊ ﻣﺎ ﺑﻌﮭﺪة
handled all that was in his trust, we don’t carry any واﻧﮫ ﺑﺮيء اﻟﺬﻣﺔ وﻻ ﻣﺎ ﻧﻊ ﻟﺪﯾﻨﺎ ﻣﻦ ﺗﺴﻠﯿﻤﮫ ﺟﻮاز ﺳﻔﺮة
obligation toward releasing his passport and
. واﻧﮭﺎء ﻛﺎﻓﺔ اﺟﺮاءاﺗﮫ
finishing all the procedures regarding to this matter.
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Name signature اﻟﺘﻮﻗﯿﻊ اﻹﺳﻢ