Member Registration - Al Inayat Multipurpose Relief Investment

Part A: Personal Information

Surname *

First Name *

Middle Name

Sex *

Date of Birth *

Marital Status *

Contact Address *

Permanent Home Address If same as contact address, leave blank

Phone Number *

Email Address *

NIN (National Identification Number)

Occupation *

Part B: Next of Kin (In Order of Importance)

At least one next of kin is required

Primary Next of Kin *

Name *

Relationship *

Contact Address

Phone Number

Secondary Next of Kin

Name

Relationship

Contact Address

Phone Number

Part C: Passport Photograph

📷 Choose Photo

Please upload a clear passport-sized photograph (JPEG or PNG, max 2MB)

Account Credentials

Username * Choose a unique username for login

Password *

Minimum 8 characters

Confirm Password *

Part D: Declaration

I, , hereby declare that the information provided in this application form is true and correct to the best of my knowledge. I understand that the investment has the right to verify any information provided and may renounce my membership if any false information is discovered. I agree to abide by the constitution and governing conditions of Al Inayat Multipurpose Relief Investment upon approval of this application.