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Personal Information
Issuer Decision:
Classification/Registration Number:
Issue Of Grievance:
هل سبق لك التقديم عل اعتراض في خدمة (إعادة رصد او آلية اختبار)؟
Yes
No
Have you ever applied for a communication ticket that was closed ?:
Yes
No
رقم طلب الاعتراض
يشترط للتقديم على هذه الخدمة أن يكون قد سبق لك تقديم اعتراضك على
خدمة الاعتراض على آلية اختبار
URL:
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Display:
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او
إعادة رصد وتم إغلاق الطلب
URL:
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Display:
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Tawasl Ticket Number:
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TawaslMessage1
خدمة تواصل الالكترونية
URL:
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Display:
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TawaslMessage2
Name:
First Name:
Middle Name:
Last Name:
Identity Of The Saudi / Passport Or Residence Of Non-Saudi:
Nationality:
Gender:
Male
Female
Place Of Work:
Place Of Residence:
Email:
Confirm Email:
Mobile Number:
Ex:966xxxxxxxxx
Professional Medical Field:
Delegate Information
Name:
ID Number:
Mobile Number:
Work place:
Email:
Confirm Email:
Worker Authentication Attachment:
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Applicant Decision
Letter Number:
Decision Date:
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...
Copy Of Decision:
Copy Of Decision Note
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Only ( PDF ) files allowed with max size 2 MB
Grievance Information
Supporting Documents:
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Other Documents:
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Authority Rule:
Authority Rule Note:
Purpose Of Grievance:
Only ( PDF ) files allowed with max size 2 MB
Attachments
Work Approval Attachment:
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Attachments:
Attachment:
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Third Attachment:
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Second Attachment:
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Fourth Attachment:
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Code Verification
Please Check the Confirmation Code:
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Your Application has been submitted successfully . Your request number is
تم تقديم طلبك بنجاح. رقم طلبك هو
الرجاء تعبئة الحقول الالزامية Please fill the missing fields to continue your process.
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Dear beneficiary Thank you for using SCFHS website We would like to inform you we have received your grievance request No
and we will reply as soon as possible.