MBRGI Royal VIP Membership Form

Your Full Name
Your Full Name
Field is required!
Field is required!
Email Address:
Your E-mail Address
Field is required!
Field is required!
Telephone:
Your Phonenumber
Invalid phonenumber!
Invalid phonenumber!
Address:
Your Address
Field is required!
Field is required!
Gender
  • - select a option -
  • Male
  • Female
- select a option -
Field is required!
Field is required!
Date of Birth:
Select a date
Field is required!
Field is required!
Religion:
  • - select a option -
  • Christian
  • Muslim
  • Others
- select a option -
Field is required!
Field is required!
Occupation
  • - select a option -
  • Unemployed
  • Self Employed
  • Actively Employed
  • Actively Employed
  • CEO
  • Business owner
  • Retired
- select a option -
Field is required!
Field is required!
Are you a UAE Resident?
  • - select a option -
  • Non-Residence/ Foreigner
  • Residence/ Citizen
- select a option -
Field is required!
Field is required!
Field is required!
Field is required!

*Personal Benefits Information

Bank Name
Bank Name
Field is required!
Field is required!
E-mail address:
Your E-mail Address
Field is required!
Field is required!
Account Number and Other Details...
Field is required!
Field is required!

*Next of Kin Information

Your Full Name
Your Full Name
Field is required!
Field is required!
E-mail address:
Your E-mail Address
Field is required!
Field is required!
Phone number:
Your Phonenumber
Invalid phonenumber!
Invalid phonenumber!
Your Address:
Your Address
Field is required!
Field is required!
Date of Birth:
Select a date
Field is required!
Field is required!
Your 1-Billion-Meals Code
Enter Code
Field is required!
Field is required!
Field is required!
Field is required!
Passport photo
Upload Passport photo...
Field is required!
Field is required!
Identification Card
Upload your valid ID...
Field is required!
Field is required!
*DECLARATION: I declare that the personal information in this membership form are correct and complete in accordance with the Laws provisions of the Mohammed Bin Rashid Global Initiative Royal Membership (MBRGI) membership and participation in the humanitarian organization.
Field is required!
Field is required!