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Members Application Form
Please supply the following information ( * = mandatory ):

Access Details
Email address *
This will be used as your username
Password *
This is not your email password but rather a new password you assign for your login.
Confirm Password *
Contact Details
FamilyName *
(name on official government document)
Middle Name
First name *
Hamula/Tribe Name
Address *
City *
State
Postal Code
Country of residence *
Phone number

Personal Details
Grandfather/ Paternal name *
Grandfather/ Maternal name *
Father name *
Mother name *
Home town/village in Palestine *
Country of citizenship
Without citizenship/ UN refugees document
Note: All claims must and will be verified by third party and independent source. These claims and supporting documents will be used as evidence in court proceeding as such they will be challenged by the other party. To avoid disqualifying of your claims please make sure that you provide to the best of your ability the proper and correct information.
Thank you for your cooperation.