I wish to become a member of the World Malayalee Council and I submit this application for your favorable consideration.

Type*

Single (Annual Membership Fee - RO 10.000)

Family (Annual Membership Fee - RO 20.000)

Are you an existing member?*

Yes

No

Date of Application*

First Name*

Last Name*

Gender*

Male

Female

Date of Birth*

India Address*

Oman Address*

Profession*

Phone*

Email Id*

Blood Group*

Photo*

Splitter

Family Details (Family Membership)

Name of Spouse

Date of Birth

Phone

Photo

Children

Name of Children and DOB

Photo of Children

Photo of Children

Photo of Children

Splitter

Password*