Membership Application Form

AIA Autoimmune Association UAE

✔ Membership Requirements:

  1. The applicant must be a UAE citizen or has resided in the country for no less than one year (12 months).
  2. The applicant must be at least twenty-one (18) years of age.
  3. The applicant must be of good conduct and reputable character.
  4. The applicant must not have been convicted of a crime involving restriction of freedom, moral turpitude, or dishonesty.
  5. To be diagnosed with an autoimmune condition; or to be a relative or close friend of an autoimmune patient; or to be a licensed physician; or to hold an academic degree; or to possess a creative skill; or to volunteer for a good cause dedicated to serving individuals with autoimmune conditions.

🔒 All submitted documents are strictly confidential and will not be disclosed without the applicant\\\\\\\'s explicit consent.

📋 Personal Information

As per Emirates ID or Passport
As shown on your Emirates ID card
Dashes are added automatically as you type

🏫 Academic & Professional Details

🏷 Membership Information

📎 Required Documents

📷
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🤚
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🛂
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🏥
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🏫
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PDF/JPG/PNG · 5MB

📜 Declaration & Agreement

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