Personal details
Identity number /Iqama
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for non-saudi Please add the passport number if the application is for registration and classification
Requester name(three parts)
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Mobile number
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Email
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Re check Email
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Are you registered in SCFHS ?
Register number in SCFHS
Do you have a grievance request via HAYAD?
HAYAD application number
Request details
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Request details should not exceed 500 letters
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