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TABLE OF CONTENTS
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CHECKLIST FOR NURSING (STAFF NURSE) APPLICATIONS FOR LICENSURE Sr. No. 1 2 3
Requirements: Original Copies and Photocopies of the following: Appointment Form (Hospital or clinic or School or Nursery or Hotel) Application for Licensure Nursing Education Certificate (B.S.N. or Dip. In Nursing –
4
Valid Nursing Registration/License Certificate
5
Pre-Nursing Course Certificate (Secondary Certificate)
6 7
Passport Copy
8
Original Certificate of article No. 3 should certified by U.A.E. Embassy
9
•
Yes No
Remarks
3 years duration excluding midwifery.
Three passport colored size recent photographs
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. 1 2 3
4
Requirements: Original Copies and Photocopies of the following: Appointment Form (Hospital or clinic ONLY) Application for Licensure Nursing Education Certificate (Dip. In Nursing or Dip. In Midwifery (with Obs./Gyn.)
Pre-Nursing Course Certificate (Secondary Certificate)
6 7
Passport Copy
8
Original Certificate of article No. 3, should certified by U.A.E. Embassy
•
Remarks
Minimum of 2 years duration
Valid Nursing Registration/License Certificate
5
9
Yes No
Three passport colored size recent photographs
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. 1 2 3 4
5
6 7
8 9 10
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( new pharmacy – existing pharmacy or Hospital) Application for Licensure
Yes No
Remarks
Bachelor Degree of Pharmacy Registration of Pharmacy Council Certificate Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy Examination & Application Fee: Dh 170/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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital – Diagnostic Center Application for Licensure B.sc in Medical Laboratory Technology or B.sc + Dip. In Medical Laboratory technology
Yes No
Remarks
Experience Certificate ( minimum of two years after Graduation) Passport Copy Three passport coloured size recent photographs Original Certificate of article No. 3 should certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form (Rehabilitation Center or with E.N.T. specialist, or Hospital) Application for Licensure
Yes No
Remarks
Bachelor Degree of speech Therapy Experience Certificate (minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3
4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Rehabilitation Center or Hospital or Speciality Clinic for Physiotherapy or Orthopaedic Application for Licensure
Yes No
Remarks
Bachelor Degree of Occupational Therapy Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or clinic or Diagnostic Center Application for Licensure B.sc or Diploma ( minimum two years) in Medical Radiology Technology
Yes No
Remarks
Experience Certificate ( minimum of two year) Passport Copy Three passport coloured size recent photographs Original Certificate of article No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Dental Laboratory ) Application for Licensure Dip. of Dental Technician
Yes No
Remarks
Experience Certificate ( minimum of two years) Passport Copy Three passport coloured size recent photographs Original Certificate of article No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( with Dentist only) Application for Licensure
Yes No
Remarks
Dip of Dental Assistant or B.D.S. Experience Certificate ( minimum of two years after graduation.) for B.D.S. candidate, no need for experience Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( with Dentist only) Application for Licensure Dip. In Dental Hygiene
Yes No
Remarks
Experience Certificate ( minimum of two years after Graduation) Passport Copy Three passport coloured size recent photographs Original Certificate of article No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital ) Application for Licensure
Yes No
Remarks
Dip. Of Anaesthesia Technician Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital) Application for Licensure
Yes No
Remarks
Bachelor Degree of Respiratory Therapy Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or with Cardiologist Application for Licensure
Yes No
Remarks
Course in the same field Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form (Hospital or Neurologist Application for Licensure
Yes No
Remarks
Dip. In E.E.G. Experience Certificate (minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3
4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form (Hospital, clinic with physician) Application for Licensure
Yes No
Remarks
Bachelor or Diploma Degree of Acupuncture Medicine Experience Certificate (minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3
4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital, or Polyclinic or hotel Application for Licensure
Yes No
Remarks
Dip or Registration in Ambulance Care & Emergency Experience Certificate ( minimum of one year after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form (Hospital, Clinic) Application for Licensure
Yes No
Remarks
Bachelor Degree of same field Experience Certificate (minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3
4
5 6
7 8
•
Requirements: Yes Original Copies and Photocopies of the following: Appointment Form ( Hospital, Optical shop or with Ophthalmologist) Application for Licensure
No
Remarks
Dip. Or Bachelor Degree in Optometry Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital, or with surgeon, physical medicine, Orthopaedic) Application for Licensure
Yes No
Remarks
Bachelor Degree in Chiropody Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital, clinic with Surgeon, Orthopaedic Application for Licensure
Yes No
Remarks
Dip. Or Bachelor Degree in Optometry Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital with Cardiac Surgery Services Application for Licensure
Yes No
Remarks
Bachelor Degree in Perfusionist Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( with Psychologist or Psychiatrist Application for Licensure
Yes No
Remarks
Bachelor Degree in Psychology Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( with E.N.T. Application for Licensure
Yes No
Remarks
Bachelor Degree in Audiology Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form (with Plastic Surgeon, or Dermatologist Application for Licensure
Yes No
Remarks
Dip. In Cosmetic Therapy Experience Certificate (minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital, Diagnostic Center ) Application for Licensure
Yes No
Remarks
Dip. In Medical Laboratory Technology Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form (Rehabilitation Center with Optical Shop,) Application for Licensure
Yes No
Remarks
Dip. or courses in the field Experience Certificate (minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital with Nephrologist Application for Licensure
Yes No
Remarks
Dip. Or courses in the field Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6 7
8 9
•
Requirements: Yes No Original Copies and Photocopies of the following: Appointment Form ( Hospital , New clinic or existing clinic Application for Licensure
Remarks
Doctor of Chiropractor Experience Certificate ( minimum of three years after graduation. Good Standing Certificate from the Medical Counsel ( new issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital , Constructing Companies, Schools and Hotels) Application for Licensure M.B.B.S, OR , M.D. Experience Certificate ( minimum of three years after M.D. or after internship Good standing certificate from the Medical Counsel ( new issue ) Passport Copy
Yes No
Remarks
Total 10 Years = Studying Period + the Experience (For M.B.B.S)
Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic Application for Licensure
Yes No
Remarks
B.D.S. or D.D.S., Experience Certificate ( minimum of five years after graduation). Good Standing Certificate form the medical counsel ( new issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3 4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic
Yes No
Remarks
Application for Licensure B.D.S. ( or D.D.S.) + M.D.S. ( or master degree or speciality degree) Experience Certificate ( two years after M.D.S.or specialty degree) Good Standing Certificate form the medical counsel ( new issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7 8
9 10
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic Application for Licensure
Yes No
Remarks
M.B.B.S. + Master degree or speciality degree ( in the same speciality) Experience Certificate ( minimum of three years after speciality. List of surgery performed by the candidate ( for all type of surgeon) Good Standing Certificate from the medical counsel ( new issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7 8
9 10
•
Requirements: Original Copies and Photocopies of the following: Appointment Form (Hospital or new clinic or existing clinic Application for Licensure
Yes No
Remarks
M.B.B.S. + PhD or it is equivalent (M.R.C.P., or facharzt degree or Board degree or … Experience Certificate (minimum of five years after the speciality. Good Standing Certificate from the medical counsel List of surgery performed by the candidate (for all type of surgeon) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form (Hospital or new clinic or existing clinic Application for Licensure
Yes No
Remarks
M.B.B.S. + M.R.C.O.G. or Board degree of facharzt degree or Ph.D. or C.E.S. Experience Certificate (minimum of five years after speciality Good standing certificate from Medical counsel (new issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form (Hospital new clinic or existing clinic Application for Licensure
Yes No
Remarks
M.B.B.S. + M.D. + D.M” Cardiology” or M.R.C.P. or Ph.D. or Board degree or … Experience Certificate (minimum of five years after graduation. Good standing Certificate form the medical counsel (new issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3 4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form (Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
M.B.B.S + M.R.C.P. or facharzt degree or Board degree or Ph.D. or specialty degree Experience Certificate (minimum of five years after graduation. Good standing Certificate form the medical counsel (New issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7 8
9 10
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic Application for Licensure
Yes No
Remarks
M.B.B.S. + F.R.C.S. or facharzt degree of Board degree of M.S. +M.Ch or Ph.D. Experience Certificate ( minimum of five years after the speciality. Good Standing certificate form the medical counsel ( new issue) List of surgery performed by the candidate Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital only) Application for Licensure
Yes No
Remarks
M.B.B.S + F.R.C.A. or facharzt degree or Board degree or Ph.D. or … Experience Certificate ( minimum of five years after graduation. Good standing Certificate form the medical counsel Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
M.B.B.S + M.R.C.P.. or facharzt degree or Board degree or Ph.D. or M.D.+ D.M. ( Gastroenterologist.) Experience Certificate ( minimum of five years after graduation. Good standing Certificate form the medical counsel ( new issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form (Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
M.B.B.S + M.R.C.P. or facharzt degree or Board degree or Ph.D. or M.D.+ D.M. (Endocrinologist) Experience Certificate (minimum of five years after speciality. Good standing Certificate form the medical counsel (New issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
M.B.B.S + M.R.C.P. or facharzt degree or Board degree or Ph.D. or M.D.+ D.M. (Nephrology) Experience Certificate (minimum of five years after speciality. Good standing Certificate form the medical counsel (New issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
M.B.B.S + M.R.C.P. or facharzt degree or Board degree or Ph.D. or M.D.+ D.M.( Rehumatology) Experience Certificate ( minimum of five years after graduation. Good standing Certificate form the medical counsel ( New issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
M.B.B.S + M.R.C.P. or facharzt degree or Board degree or Ph.D. or M.D. or specialty degree Experience Certificate ( minimum of five years after speciality. Good standing Certificate form the medical counsel ( New issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
M.B.B.S + M.R.C.P. or facharzt degree or Board degree or Ph.D. or M.D.+ D.M.( neurology) Experience Certificate ( minimum of five years after speciality. Good standing Certificate form the medical counsel ( New issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or Diagnostic Center) Application for Licensure
Yes No
Remarks
M.B.B.S + F.R.C.R. or facharzt degree or Board degree or Ph.D. or M.D.( Radiology) or speciality degree Experience Certificate ( minimum of five years after speciality. Good standing Certificate form the medical counsel Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
M.B.B.S + M.R.C.P.. or facharzt degree or Board degree or Ph.D. or M.D.( Derm.) or speciality degree Experience Certificate ( minimum of five years after speciality. Good standing Certificate form the medical counsel Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
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 … Experience Certificate ( minimum of five years after speciality. Good standing Certificate form the medical counsel Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
M.B.B.S + specialty degree in acupuncture Experience Certificate ( minimum of five years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital ) Application for Licensure
Yes No
Remarks
M.B.B.S + F.R.C.S or facharzt degree or Board degree or Ph.D. or Speciality degree Experience Certificate ( minimum of five years after speciality degree Good standing Certificate form the medical counsel ( New issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
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 Experience Certificate ( minimum of five years after speciality. Good standing Certificate form the medical counsel Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
M.B.B.S + M.R.C.GP.. or facharzt degree or Board degree or Ph.D. or speciality degree or … Experience Certificate ( minimum of five years after specialty. Good standing Certificate form the medical counsel Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or Diagnostic Center) Application for Licensure
Yes No
Remarks
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 Experience Certificate ( minimum of five years after specialty. Good standing Certificate form the medical counsel Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
+-------------6 7
•
Remarks
Experience Certificate ( minimum of five years after Ph.D.
5
9
Yes No
B.Sc + Msc. + Ph.D. ( Biochemistry or Microbiology)
4
8
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or Diagnostic Center) Application for Licensure
Good standing Certificate form the medical counsel Passport Copy
Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9 •
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
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 … Experience Certificate ( minimum of five years after speciality. Good standing Certificate form the medical counsel Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
Master degree ( Psychology) + Ph.D. ( clinical Psychology) Experience Certificate ( minimum of three years after Ph.D as clinical Psychologist Good standing Certificate form the medical counsel Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Rehabilitation Center or Hospital or Speciality Clinic for Physiotherapy or Orthopaedic Application for Licensure
Yes No
Remarks
Bachelor Degree of Physiotherapy Therapy Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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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CHECKLIST FOR NURSING (STAFF NURSE) APPLICATIONS FOR LICENSURE Sr. No. 1 2 3
Requirements: Original Copies and Photocopies of the following: Appointment Form (Hospital or clinic or School or Nursery or Hotel) Application for Licensure Nursing Education Certificate (B.S.N. or Dip. In Nursing –
4
Valid Nursing Registration/License Certificate
5
Pre-Nursing Course Certificate (Secondary Certificate)
6 7
Passport Copy
8
Original Certificate of article No. 3 should certified by U.A.E. Embassy
9
•
Yes No
Remarks
3 years duration excluding midwifery.
Three passport colored size recent photographs
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. 1 2 3
4
Requirements: Original Copies and Photocopies of the following: Appointment Form (Hospital or clinic ONLY) Application for Licensure Nursing Education Certificate (Dip. In Nursing or Dip. In Midwifery (with Obs./Gyn.)
Pre-Nursing Course Certificate (Secondary Certificate)
6 7
Passport Copy
8
Original Certificate of article No. 3, should certified by U.A.E. Embassy
•
Remarks
Minimum of 2 years duration
Valid Nursing Registration/License Certificate
5
9
Yes No
Three passport colored size recent photographs
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. 1 2 3 4
5
6 7
8 9 10
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( new pharmacy – existing pharmacy or Hospital) Application for Licensure
Yes No
Remarks
Bachelor Degree of Pharmacy Registration of Pharmacy Council Certificate Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy Examination & Application Fee: Dh 170/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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital – Diagnostic Center Application for Licensure B.sc in Medical Laboratory Technology or B.sc + Dip. In Medical Laboratory technology
Yes No
Remarks
Experience Certificate ( minimum of two years after Graduation) Passport Copy Three passport coloured size recent photographs Original Certificate of article No. 3 should certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form (Rehabilitation Center or with E.N.T. specialist, or Hospital) Application for Licensure
Yes No
Remarks
Bachelor Degree of speech Therapy Experience Certificate (minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3
4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Rehabilitation Center or Hospital or Speciality Clinic for Physiotherapy or Orthopaedic Application for Licensure
Yes No
Remarks
Bachelor Degree of Occupational Therapy Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or clinic or Diagnostic Center Application for Licensure B.sc or Diploma ( minimum two years) in Medical Radiology Technology
Yes No
Remarks
Experience Certificate ( minimum of two year) Passport Copy Three passport coloured size recent photographs Original Certificate of article No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Dental Laboratory ) Application for Licensure Dip. of Dental Technician
Yes No
Remarks
Experience Certificate ( minimum of two years) Passport Copy Three passport coloured size recent photographs Original Certificate of article No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( with Dentist only) Application for Licensure
Yes No
Remarks
Dip of Dental Assistant or B.D.S. Experience Certificate ( minimum of two years after graduation.) for B.D.S. candidate, no need for experience Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( with Dentist only) Application for Licensure Dip. In Dental Hygiene
Yes No
Remarks
Experience Certificate ( minimum of two years after Graduation) Passport Copy Three passport coloured size recent photographs Original Certificate of article No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital ) Application for Licensure
Yes No
Remarks
Dip. Of Anaesthesia Technician Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital) Application for Licensure
Yes No
Remarks
Bachelor Degree of Respiratory Therapy Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or with Cardiologist Application for Licensure
Yes No
Remarks
Course in the same field Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form (Hospital or Neurologist Application for Licensure
Yes No
Remarks
Dip. In E.E.G. Experience Certificate (minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3
4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form (Hospital, clinic with physician) Application for Licensure
Yes No
Remarks
Bachelor or Diploma Degree of Acupuncture Medicine Experience Certificate (minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3
4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital, or Polyclinic or hotel Application for Licensure
Yes No
Remarks
Dip or Registration in Ambulance Care & Emergency Experience Certificate ( minimum of one year after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form (Hospital, Clinic) Application for Licensure
Yes No
Remarks
Bachelor Degree of same field Experience Certificate (minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3
4
5 6
7 8
•
Requirements: Yes Original Copies and Photocopies of the following: Appointment Form ( Hospital, Optical shop or with Ophthalmologist) Application for Licensure
No
Remarks
Dip. Or Bachelor Degree in Optometry Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital, or with surgeon, physical medicine, Orthopaedic) Application for Licensure
Yes No
Remarks
Bachelor Degree in Chiropody Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital, clinic with Surgeon, Orthopaedic Application for Licensure
Yes No
Remarks
Dip. Or Bachelor Degree in Optometry Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital with Cardiac Surgery Services Application for Licensure
Yes No
Remarks
Bachelor Degree in Perfusionist Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( with Psychologist or Psychiatrist Application for Licensure
Yes No
Remarks
Bachelor Degree in Psychology Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( with E.N.T. Application for Licensure
Yes No
Remarks
Bachelor Degree in Audiology Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form (with Plastic Surgeon, or Dermatologist Application for Licensure
Yes No
Remarks
Dip. In Cosmetic Therapy Experience Certificate (minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital, Diagnostic Center ) Application for Licensure
Yes No
Remarks
Dip. In Medical Laboratory Technology Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form (Rehabilitation Center with Optical Shop,) Application for Licensure
Yes No
Remarks
Dip. or courses in the field Experience Certificate (minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital with Nephrologist Application for Licensure
Yes No
Remarks
Dip. Or courses in the field Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6 7
8 9
•
Requirements: Yes No Original Copies and Photocopies of the following: Appointment Form ( Hospital , New clinic or existing clinic Application for Licensure
Remarks
Doctor of Chiropractor Experience Certificate ( minimum of three years after graduation. Good Standing Certificate from the Medical Counsel ( new issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital , Constructing Companies, Schools and Hotels) Application for Licensure M.B.B.S, OR , M.D. Experience Certificate ( minimum of three years after M.D. or after internship Good standing certificate from the Medical Counsel ( new issue ) Passport Copy
Yes No
Remarks
Total 10 Years = Studying Period + the Experience (For M.B.B.S)
Three passport coloured size recent photographs Original Certificate of No.3 should be certified by U.A.E. Embassy 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. 1 2 3 4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic Application for Licensure
Yes No
Remarks
B.D.S. or D.D.S., Experience Certificate ( minimum of five years after graduation). Good Standing Certificate form the medical counsel ( new issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3 4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic
Yes No
Remarks
Application for Licensure B.D.S. ( or D.D.S.) + M.D.S. ( or master degree or speciality degree) Experience Certificate ( two years after M.D.S.or specialty degree) Good Standing Certificate form the medical counsel ( new issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7 8
9 10
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic Application for Licensure
Yes No
Remarks
M.B.B.S. + Master degree or speciality degree ( in the same speciality) Experience Certificate ( minimum of three years after speciality. List of surgery performed by the candidate ( for all type of surgeon) Good Standing Certificate from the medical counsel ( new issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7 8
9 10
•
Requirements: Original Copies and Photocopies of the following: Appointment Form (Hospital or new clinic or existing clinic Application for Licensure
Yes No
Remarks
M.B.B.S. + PhD or it is equivalent (M.R.C.P., or facharzt degree or Board degree or … Experience Certificate (minimum of five years after the speciality. Good Standing Certificate from the medical counsel List of surgery performed by the candidate (for all type of surgeon) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form (Hospital or new clinic or existing clinic Application for Licensure
Yes No
Remarks
M.B.B.S. + M.R.C.O.G. or Board degree of facharzt degree or Ph.D. or C.E.S. Experience Certificate (minimum of five years after speciality Good standing certificate from Medical counsel (new issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form (Hospital new clinic or existing clinic Application for Licensure
Yes No
Remarks
M.B.B.S. + M.D. + D.M” Cardiology” or M.R.C.P. or Ph.D. or Board degree or … Experience Certificate (minimum of five years after graduation. Good standing Certificate form the medical counsel (new issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3 4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form (Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
M.B.B.S + M.R.C.P. or facharzt degree or Board degree or Ph.D. or specialty degree Experience Certificate (minimum of five years after graduation. Good standing Certificate form the medical counsel (New issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7 8
9 10
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic Application for Licensure
Yes No
Remarks
M.B.B.S. + F.R.C.S. or facharzt degree of Board degree of M.S. +M.Ch or Ph.D. Experience Certificate ( minimum of five years after the speciality. Good Standing certificate form the medical counsel ( new issue) List of surgery performed by the candidate Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital only) Application for Licensure
Yes No
Remarks
M.B.B.S + F.R.C.A. or facharzt degree or Board degree or Ph.D. or … Experience Certificate ( minimum of five years after graduation. Good standing Certificate form the medical counsel Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
M.B.B.S + M.R.C.P.. or facharzt degree or Board degree or Ph.D. or M.D.+ D.M. ( Gastroenterologist.) Experience Certificate ( minimum of five years after graduation. Good standing Certificate form the medical counsel ( new issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form (Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
M.B.B.S + M.R.C.P. or facharzt degree or Board degree or Ph.D. or M.D.+ D.M. (Endocrinologist) Experience Certificate (minimum of five years after speciality. Good standing Certificate form the medical counsel (New issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
M.B.B.S + M.R.C.P. or facharzt degree or Board degree or Ph.D. or M.D.+ D.M. (Nephrology) Experience Certificate (minimum of five years after speciality. Good standing Certificate form the medical counsel (New issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
M.B.B.S + M.R.C.P. or facharzt degree or Board degree or Ph.D. or M.D.+ D.M.( Rehumatology) Experience Certificate ( minimum of five years after graduation. Good standing Certificate form the medical counsel ( New issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
M.B.B.S + M.R.C.P. or facharzt degree or Board degree or Ph.D. or M.D. or specialty degree Experience Certificate ( minimum of five years after speciality. Good standing Certificate form the medical counsel ( New issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
M.B.B.S + M.R.C.P. or facharzt degree or Board degree or Ph.D. or M.D.+ D.M.( neurology) Experience Certificate ( minimum of five years after speciality. Good standing Certificate form the medical counsel ( New issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or Diagnostic Center) Application for Licensure
Yes No
Remarks
M.B.B.S + F.R.C.R. or facharzt degree or Board degree or Ph.D. or M.D.( Radiology) or speciality degree Experience Certificate ( minimum of five years after speciality. Good standing Certificate form the medical counsel Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
M.B.B.S + M.R.C.P.. or facharzt degree or Board degree or Ph.D. or M.D.( Derm.) or speciality degree Experience Certificate ( minimum of five years after speciality. Good standing Certificate form the medical counsel Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
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 … Experience Certificate ( minimum of five years after speciality. Good standing Certificate form the medical counsel Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3 4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
M.B.B.S + specialty degree in acupuncture Experience Certificate ( minimum of five years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital ) Application for Licensure
Yes No
Remarks
M.B.B.S + F.R.C.S or facharzt degree or Board degree or Ph.D. or Speciality degree Experience Certificate ( minimum of five years after speciality degree Good standing Certificate form the medical counsel ( New issue) Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
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 Experience Certificate ( minimum of five years after speciality. Good standing Certificate form the medical counsel Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
M.B.B.S + M.R.C.GP.. or facharzt degree or Board degree or Ph.D. or speciality degree or … Experience Certificate ( minimum of five years after specialty. Good standing Certificate form the medical counsel Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or Diagnostic Center) Application for Licensure
Yes No
Remarks
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 Experience Certificate ( minimum of five years after specialty. Good standing Certificate form the medical counsel Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
+-------------6 7
•
Remarks
Experience Certificate ( minimum of five years after Ph.D.
5
9
Yes No
B.Sc + Msc. + Ph.D. ( Biochemistry or Microbiology)
4
8
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or Diagnostic Center) Application for Licensure
Good standing Certificate form the medical counsel Passport Copy
Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9 •
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
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 … Experience Certificate ( minimum of five years after speciality. Good standing Certificate form the medical counsel Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6 7
8 9
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Hospital or new clinic or existing clinic) Application for Licensure
Yes No
Remarks
Master degree ( Psychology) + Ph.D. ( clinical Psychology) Experience Certificate ( minimum of three years after Ph.D as clinical Psychologist Good standing Certificate form the medical counsel Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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. 1 2 3
4
5 6
7 8
•
Requirements: Original Copies and Photocopies of the following: Appointment Form ( Rehabilitation Center or Hospital or Speciality Clinic for Physiotherapy or Orthopaedic Application for Licensure
Yes No
Remarks
Bachelor Degree of Physiotherapy Therapy Experience Certificate ( minimum of two years after graduation. Passport Copy Three passport coloured size recent photographs Original Certificate of No.3 should certified by U.A.E. Embassy 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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