Membership Application

Membership Application

This form can be used to apply for SUA membership. Your membership application will be reviewed within 5 business days and, if approved, you will become a member.

All data submitted on this form will be processed on a Secure Server (SSL), which is owned and maintained by the company managing the SUA Executive Office 'Status Plus B.V.' in The Netherlands. For more information please contact us by phone +31 (0)75-207 30 38 or e-mail membership@saudiurology.org.

Personal details

For example, Dr., Prof.

For example, Jr., Sr., II etc.
For example, MD, PhD etc.

Home address

Work address

Billing address


SUA Address

K.S.A. King Abdulaziz University
Faculty of Medicine
Department of Urology
P.O. Box 80215
Jeddah 21589
Kingdom of Saudi Arabia

Talk to us

+31 75 207 30 38

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