Membership Application

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Personal Information
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Residence Information
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Contact Information
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Please enter a valid email
Nationality and Religion
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Educational / Academic and Professional Qualifications
Transport
Language Proficiency & Computer Literacy

What is your assessment of understanding, speaking, writing and reading the languages you know?

# Language Understand Speak Write Read
01 Sinhala
02 Tamil
03 English
04
05

(If you are familiar with any other language, specify the name of the language and provide complete information.)

Media and Other Questions
Facility Yes No
Radio
Television
Computer and Internet facility
Daily Newspapers
Weekend Newspapers
Declaration

I certify that all information provided by me in the membership application is true and correct. I further certify that I have read and understood the Means of Conduct and the document containing qualifications to apply for the membership of the institution and that I agree to abide by same. I further state that I am truly aware that if the institute becomes aware that the information provided by me in the membership application is false and if by any action of mine any objectives / policies of the institution have been violated, my membership stands terminated and that the authority lies with the institute and its Board of Directors to terminate my membership.
Further, I am aware that accepting or rejecting the application that I submit to obtain membership lies with the Institution. I being properly informed and having understood the above placed my signature hereunder.

You must agree before submitting
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