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JOIN THE ALIJ NETWORK

Register a Nonprofit Organization

Submit your organization’s details to request registration on Alij Healthcare Platform.

01Organization Details

Region *City *Organization Name in Arabic *Organization Name in English *License Number *Year Established *Website *

02National Address

Building Number *Street Name *District *Postal Code *Additional Number *Unit Number (Optional)

03Contact Person

Full Name in Arabic *Full Name in English *Mobile Number *Email Address *

04Bank Details

Bank Name *Account Number *IBAN *

Provide one bank account held in the organization’s name.

05Attachments

Choose files from your device or drag and drop them below. Maximum file size: 5 MB per file.

Organization License *

Drop a file here or browse files

National Address *

Drop a file here or browse files

Bank Account Certificate *

Drop a file here or browse files

Organization Logo (Accepted formats: PDF, AI, PNG, JPG)

Drop a file here or browse files

Authorization Letter *

Drop a file here or browse files

Download Authorization Letter Template

Download the template, have it signed and stamped by your organization, then upload the completed letter with this application.
Download Authorization Letter Template

I confirm that the information provided is accurate.

We will contact you by email once your application has been reviewed.