Please note that all sections must be completed in order for this application to be submitted to the committee.
Any application missing information will be deemed incomplete and therefore not to be considered.
In order to apply for membership you will need to include:
(e.g. Drivers License, Passport or ID card). Applicants must be over 21 years of age.
This form will take around 10 minutes to complete and all information will be treated in the strictest of confidence.
| ABOUT US | |
|---|---|
| First Name | |
| Last Name | |
| Gender | |
| Nationality | |
| Additional Nationality | |
| Date Of Birth | |
| Relationship Status | |
| Age Proof | |
| Contact details/Place of residence | |
| Address Line 1 | |
| Town/City | |
| State | |
| Postcode/Zip Code | |
| Country | |
| Mobile | |
| Telephone | |
| Occupation & Company | |
| Occupation | |
| Industry | |
| Company | |
| Photo | |
| Your Interests | |
| Interests | |
| Preferred food | |
| Preferred drink | |
| Preferred music | |
| Are you a smoker | |
| Where would you like to be seated? | |
| Top Three Visited Venues in Dubai | |
| First Venue | |
| Second Venue | |
| Third Venue | |
| Social Media | |
| Communication | |
| Submitted Date | |
I agree to be bound by the rules of Neera Private Members Club and any by-laws made or to be made in accordance therewith.
If you require assistance, or you would like to complete your application offline, please email info@neeradubai.com and our team will be happy to help.