Register as Family Registration Form For Family Select Title*Please selectMrMrsMsMissDrNationality *Phone Number*Email address*House/Flat No*Road/Street*Post Code*Husband's / Wife's Name*Surname*Next kin / Emergency Contact Name*Next kin / Phone Number*Child1Child2Child3Child4Child5Child6Child7Child8Carruurta foomkan ku qoran Ma Adiga ayaa dhalay dhamaantood ? Are you all the parent of the childrens on this form? *YesNoHadii jawaabtu Tahay No Waxaad halkan ku qortaa waxaad u tahay Ilmahaa ! If the answer is no, then write here what your relationship is to those children.Carruurta foomkan ku qoran dhamaantood ma wax barasho Ayey ku jiraan ? Are all the children on this form in education? *YesNo , Haddii jawaabtu Tahay No Ilmaha aan wax barasho ku jirini Foom kale ayaa loo buuxinayaa . If the answer is no, then that child shall fill in their own form.Foomkan Ma Adiga Ayaa Buuxsaday? Did you fill this form yourself? *YesNoHalkan ku qor Qofka buuxshay Magaciisa ! Please write the name of the person who filled in this form .Full name and Mobile number Ma akhrisay xeerka Iskaashiga Umma ? (Have you read the rules?)*YesAdigu miyaad dhakhtar ku jirta oo xanuusanaysaa ama miyaad guriga xanuun u jiiftaa ? Are you currently hospitalised or a patient receiving home care.YesNoAdigu ma degentahay UK ama maku jirtaa nadaamka UK ee benefits ??Are you a resident of the UK and/or receiving benefits i.e universal credit, child benefits etcYesNoFoomkan wixi khalad ah ee ka yimada ma adiga ayaa masuul ka ah? (Are you responsible for any mistakes found in the form? **YesMa haysataa degenaashada UK ? Are you a resident of the UKYesNoStart DateExpiry DateFeesFeesFamily £50 / YearlyUpload your passport file **UploadFile Upload Proof of Address **Signature*SendThis field should be left blank
