Application for Membership - Saudi Midwifery
Please Register to Join or Support Midwifery in Saudi
Saudi Midwifery
First Name *
Surname *
Date of Birth *
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Gender *
Nationality *
Complete Mailing Address *
City of Residence *
Country of Residence *
Telephone (Include Country Code) *
Email Address *
Membership Level *
Level of Education *
Date of Qualification
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Employment Status *
Current Position *
Required
Place of Employment (if applicable) *
Main Areas of Interest (Check All That Apply) *
Required
Are you currently registered with a national statutory body e.g. SCHS? *
Name of Statutory Body
Clear selection
Professional Designation e.g. Nurse, Midwife (Leave Blank if not Registered)
Category e.g. Technician, specialist (Leave Blank if not Registered)
Registration Number (Leave Blank if not Registered)
Expiration Date (Leave Blank if not Registered)
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I understand I will be contacted to verify SCHS registration information and to provide evidence of my status as a midwife or midwifery student, for General or Student Membership status, if applicable. *
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