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As a prerequisite to employment in the Gulf countries Bangladesh Nationals taking up employment to GCC-member countries such as Saudi Arabia, Oman, Qatar, Kuwait, Bahrain and United Arab Emirates (UAE) are required to be examined and issued a Medical Fitness Certificate.

Such Bangladeshi workers / job seekers are “decked” or equally distributed among the Medical Centers accredited by Executive Board of the Health Ministers' Council for Gulf Cooperation Council (GCC) States.

The medical centers providing these services in Dhaka are collectively known as the GCC Approved Medical Centers Association or GAMCA, Dhaka. It was organized in compliance with the GCC requirement that medical certificates issued by the GAMCA member centers only, will be honored by its embassies in the processing of employment papers.