The research and development efforts on the silica (SiO2) optical fiber for application in radiation sensing and other dosimetry field have become quite active. The widely used LiF based dosimeter (TLD) has shown a relatively low reproducibility and there is a time delay in dose assessment which loses its capability as direct real-time dose assessment dosimeters unlike diodes. The macroscopic size of the optical fiber generally does not allow direct in vivo dose sensing in the inner organ for radiotherapy and medical imaging. A flat optical fiber (FF) with nominal dimensions of (0.08 x10 x 10) mm3 of pure silica SiO2 and GeO2 with Boron doped silica fiber SiO2 was selected for this research. The Germanium was used a dopant to enhance the flat optical fiber to reach much higher responsiveness and dose sensitivity in high energy and high dose irradiation. Together with this combination, both TLD dimension and dose assessment issues was hoped to be overcome. The research conducted by comparing the response of pure silica SiO2 flat optical fiber with a GeO2 with Boron doped silica SiO2 flat optical fiber. The FF sample was annealed at 400°C for one hour before irradiated. Kinetic parameters and dosimetric glow curve of TL response and sensitivity were studied with respect to the electron beam of high dose of micro beam irradiation of 1.0 kGy, 5.0 kGy, 10.0 kGy, 50.0 kGy, 100.0 kGy, 500.0 kGy, and 1.0 MGy using Singapore Synchrotron Light Source’s (PCIT) beamline. The PCIT operates at 500mA current with real time current range from 90-100mA, dose rate of 3.03 MGy/hour and energy at 8.9KeV. The source to Source Surface Distance (SSD) was at 6.0 cm, with a field size of 20mm × 8mm diameter of a half circle. The TL response was measured using a TLD reader Harshaw Model 3500. The Time-Temperature-Profile (TTP) of the reader was obtained to a preheat temperature of 150 °C for 5 s, the output signal being acquired at a temperature ramprate of 35 °Cs-1, acquisition time of 10 s and a maximum temperature of 400 °C each of the FF samples. All reading was taken under N2 gas flow, suppressing oxidation and potential triboluminescence. The proposed FF shows the excellent TL response for high energy irradiation and good reproducibility and exhibits a very low rate of fading and low variation background signal. From these results, the proposed FF can be used as a radiation dosimeter in remote radiation sensing and favorably compares with the widely used of LiF based dosimeter on common medical radiotherapy application.