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Elite Elegance

For Healthcare Providers Registration

Facility Information
Facility Director
Key Person” Doctors”
Add Doctor
Accreditation History/Registration
Yes No
Yes No
Facility Address
(This will be used for all future correspondence)
Scope of Service
Diagnostics/Supportive services
Please tick the available services only
Account
Payement Information
Bank Transfer
Make your payment directly into our bank account.
Go to your local bank to transfer the payment and bring the transfer information.
Please transfer the amount to our bank account shown below :
Elite Platform offices
Bank Name
:    Bank Albilad
Account Number
:    866141037310001
IBAN
:    SA4915000866141037310001