Salutation* : Select Mr Ms Dr Application Type* : Select New Renewal First Name* : Middle Name: Last Name* : Corporate Name* : Job Title* : Your email* : Mobile* : Business Phone: Do you do business with the United States?* : Select Yes No Nationality* : Select U.S. Kuwait Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Cote d'Ivoire Croatia (Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and Mc Donald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia, The Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint LUCIA Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia (Slovak Republic) Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Yemen Yugoslavia Zambia Zimbabwe Education* : Select U.S. Graduate U.S. Graduate from University/High School Affiliate Other University Name: What are your areas of interest? : Oil & Gas Construction and Engineering Renewable Energy Defense Aviation Travel & Hospitality Fashion Healthcare Arts & Culture Legal Education & Training Other (please specify) How did you hear about ABCK, Ltd? : Referral On-Line Press Other What industry best describes your company's business? : Aerospace, Defense, Security, Government Airline Industry, Aviation, Tourism, Travel, Hospitality Banking, Investment, Finance, Insurance, Legal Services, Real Estate Conglomerate. Group Consultancy, Education, Training Engineering, Procurement, Construction, Manufacturing, Transport & Logistics Environment, Utilities, Energy (O&G), Renewable Energy Healthcare, Chemistry & Pharma Marketing, Advertising, Media Production, Telecommunications, Information Technology NGO, Arts & Culture, Public Sector Retail, Distribution, Fashion, Consumer Goods, Food & Beverages (F&B) Other (please specify) To check membership eligibility, you must have at least one of the following. Please check all that apply Is a US Citizen, or is the Spouse of a US Citizen and has a residency or physical presence within Kuwait. Is a graduate from an accredited United States University, College or High School in the US, or Is a graduate from an affiliated, accredited US University, College or High School in Kuwait. Does Business within the territories of the United States or an individual who acts as the sole registered for an American entity, Product or Service within Kuwait. I affirm that all statements which appear on this form are true and compete to the best of my knowledge and belief. I understand that any false or misleading statements or willful concealment of material fact may subject me to permanent non-refundable exclusion from the ABCK, Ltd.