Clinic Signup Journey - UI Wireframe

Multi-step signup form with single page load (based on devs-core.claim.sa)

Interactive Demo

Step 1 of 425% Complete

Company & CR Information

Basic company details and registration

Bank & Portal Credentials

Banking and portal access

Document Uploads

Upload required documents

Insurance & Agreement

Final confirmation

Enter your company details and commercial registration information

Unified CR Number *

Phone Number *

CR Number

Company Name (Arabic) *

Company Type

CR Capital

Company Duration

Issue Date

Head Quarter City Name

Partners Nationality Name

Owner Name

Owner ID

CR Expiry Date

Manager Name 1

Manager ID 1

Clinic Brand Name *

VAT Number *

Branch Name English *

Branch Name Arabic *

Location *

Email *

Step 1 of 4

If you have any questions during the signup process, please contact our support team at [email protected] or call +966 50 588 1991