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Incorrect Iqama Number!
Number must start with 2. Please try again!
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Application Form
Life Security Scheme 2026 Membership Number:
Iqama Number:
Iqama number must start with 2.
Blood Group:
Select your blood group
A+
A-
B+
B-
O+
O-
AB+
AB-
Area Committee:
Select Area Committee
Sarath Abeeda
Wadiyan
Madeena Askari
Bashayer
Wadiyan Sanaya
Sabth Al Alaya
Al Namas
Tanooma
Bal Asmar
Abha
Khamis Town
Azeeziya
Khalidiya
Al Jazeera
Wadi bin Hashbal
Thantaha
Thareeb
Old Sanayya
Sharafiya
New Sanayya
A Muaddafeen
Abha Sanayya
Mansak
Shubha
Najran
Parliament:
Assembly:
Name:
Passport Number:
Mobile Number:
Indian Address (Compulsory)
House Name:
Post:
District:
Mobile Number
Place:
Pincode:
Panchayath:
Name Information of the Nominees for the Scheme Benefit
Name
Relation
Share
By agreeing to be a member of the scheme
Name:
Signature:
Crop & Upload
Submit
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Incorrect Mobile Number!
Number must start with 05. Please try again!
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