ABU DHABI EVENTS

Permit Gate
INTRODUCTORY STATEMENT

Statement No:

Full Name:
Family Name:
Place of Birth:
Date of Birth:
Present Nationality:

Religion:

PRASHANT
DHOTE
WARDHA
06-06-1979
INDIA
HINDU

Date of Entry to UAE:

Port of Entry:
Previous Nationality:
Sect (in religion):

KUWAIT OIL COMPANY

06-11-2016
ABU DHABI / DUBAI/ SHARJAH
INDIA
HINDU

Date of Issue
Place of Issue
Date of Expiry
Residence V. No.
Date of Issue
Place of Issue
Date of Expiry

M0751158
13-08-2014
AHMEDABAD, INDIA
12-08-2024
279060609177
06-10-2016
KUWAIT
05-10-2017

Date of Graduation

NAGPUR UNIVERSITY
2002, INDIA

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Country
Languages Spoken

Qualification
School/University

Passport & Residence

Passport No:

Alias:
Sponsor Upon Entry:

ENGLISH, HINDI

Residence Details outside UAE :

Zone

Block -1, Abu Halifa, Kuwait

Street

209

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Proprietor
House/Building No.

35

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Floor No.

14

Flat No.

27

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Res. Tel No.

Mobile No.

+965 69607835

P.O. Box /ZIP code

51008

I, the undersigned, undertake that details contained in this

statement are correct and complete enclosure.
Name:

Prashant Dhote

*All fields are mandatory

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Signature:
Date:

31-10-2016

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