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Personal Information in the Maldives

Full Name *

Address *

Telephone *

Mobile Number (WhatsApp or Viber) *

Email Address *

Area of Specialization *

Organization / Institution Attached *

Membership Plan

Select Membership Plan *
—Please choose an option—Plan A – Basic MembershipPlan B – Premium Membership

Personal Information in Sri Lanka

Address *

Province & District *

Telephone *

Mobile Number (WhatsApp or Viber) *

Email Address *

Receipt Upload

Upload Receipt *

Declaration

Declaration *
I certify that the foregoing particulars furnished by me in this individual membership application form are true and accurate to the best of my knowledge.