Contribute

Programs and Projects

REGISTER BENEFICIARY

REGISTER VOLUNTEER

Welcome!
We are here to provide all the needed support and help to autism families in order to adapt smoothly through dealing with the case of Autism that has impacted any of their members. We want to work with you to secure a healthy lifestyle by providing counseling services, awareness programs, study materials, and activities. Register your information here now to get the chance to benefit from the Society's services.

Important Note: Before you start the application process, be sure to have electronic copies of the required documents.

Beneficiary Information
Father’s information
Mother's Information
Family Information
Family member living in the same household
Case study
Upload Required Documents

1- Beneficiary Information

First name*

Father name*

Grandfather’s Name*

Family name*

Date of birth*

National ID*

Nationality*

Order of family member *

Diagnosis

Diagnosis Date

Is the beneficiary currently enrolled at centres or institutes for people with special needs?*

Yes
No

If yes name of center or institute*

If yes Educational level*

2- Father’s information

Father’s Name*

Father father's name*

Father grandfather's name*

Father family name*

Father age*

Father nationality*

Father education level*

Father occupation*

Father mobile number*

3- Mother's Information

Mother First Name*

Mother father's name*

Mother grandfather's name*

Mother family name*

Mother age*

Mother nationality*

Mother education level*

Mother occupation*

Mother mobile number*

4- Family Information

Father monthly income*

Mother monthly income*

Total Family Income*

Place of residence*

Within Riyadh
Outside Riyadh

5- Family member living in the same household

Select the number of family member living in the same household

1 - Family Member

Name

Relationship

Age

Note

2 - Family Member

Name

Relationship

Age

Note

3 - Family Member

Name

Relationship

Age

Note

4 - Family Member

Name

Relationship

Age

Note

5 - Family Member

Name

Relationship

Age

Note

6 - Family Member

Name

Relationship

Age

Note

7 - Family Member

Name

Relationship

Age

Note

7- Upload Required Documents

Certified Hospital Report*

(Allowed files jpg, jpeg, pdf, doc & docx | Maximum file size 2MB)

Birth Certificate*

(Allowed files jpg, jpeg, pdf, doc & docx | Maximum file size 2MB)

Family Card*

(Allowed files jpg, jpeg, pdf, doc & docx | Maximum file size 2MB)