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Medical Registration

First Name *

User Email *

Last Name *

User Password *

Saudi ID Number *

Mobile Number (Registered in Absher) *

Date of Birth *

Passport Number *

Club Name *

Gender *

World Rugby Qualification (multi-select allowed) *

L1 First Aid In Rugby (FAIR)
Immediate Care In Rugby (ICIR)
Advanced Immediate Care In Rugby (AICIR)
Match Day Doctor
WR Educator Medical

Saudi Copy of ID

Drop your file here or click here to upload You can upload up to 1 files

Passport photo *

Drop your file here or click here to upload You can upload up to 1 files

Copy of the Passport *

Drop your file here or click here to upload You can upload up to 1 files

Copy of W Qualification *

Drop your file here or click here to upload You can upload up to 1 files

Copy of National Rugby Licenses

Drop your file here or click here to upload You can upload up to 1 files

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