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REGISTRATION FORM
Full Name
Address No
Street
City
Division
District
03 - AMPARA
19 - ANURADHAPURA
12 - BADULLA
16 - BATTICALOA
00 - COLOMBO
23 - FOREIGN
05 - GALLE
01 - GAMPAHA
07 - HAMBANTOTA
25 - JAFFNA
02 - KALUTARA
04 - KANDY
10 - KEGALLE
24 - KILINOCHCHI
14 - KURUNEGALA
21 - MANNAR
13 - MATALE
06 - MATARA
08 - MONARAGALA
23 - MULLAITIVU
11 - NUWARA ELIYA
15 - POLONNARUWA
18 - PUTTALAM
09 - RATNAPURA
20 - TRINCOMALEE
22 - VAVUNIYA
Age
(01) 10 - 15
(02) 15 - 20
(03) 20 - 25
(04) 25 - 30
(05) 30 - 35
(06) 35 - 40
(07) 40 - 45
(08) 45 - 50
(09) 50 - 55
(10) 55 - 60
(11) 60 - 65
(12) 65 - 70
(13) 75 - 80
(14) 85 - 90
(15) 90 - 100
Gender
Male
Female
Relegion
01 - BUDHISM
04 - CHRISTIAN
02 - HINDHU
03 - ISLAM
05 - R.CATHOLIC
Nationality
01 - SRI LANKAN
NIC
Organization
Telephone
Fax
Email
Membership Level
02 - Annual Membership
05 - Hounarary
01 - Life membership
03 - Six Monthly Membership
04 - Volantary
Proffesional Category
36 - ACCOUNTANT
51 - ATTENDANNT
42 - BUSINESS
12 - BUSINESSMEN
22 - CARPENTER
39 - CIVIL SECURITY
27 - CLERK
24 - COMMUNITY MOBILIZER
31 - CONDUCTOR
50 - COOK
46 - COORDINATOR
09 - DOCTOR
21 - DRIVER
28 - ENGINEER
06 - FARMER
23 - FIELD OFFICER
07 - FISHER
15 - GOVERNMENT OFFICER
49 - HEALTH OFFICER
30 - HOUSE MAID
34 - HOUSE WIFE
48 - INSTRUCTOR
08 - IT
37 - JP
25 - LABOUR
11 - LAWYEAR
20 - LAYBER
52 - MANAGER
32 - MASON
40 - MEDIA
38 - MOTOR MACHANIC
41 - NGO
14 - NURSE
13 - OTHER
44 - PENSIONER
43 - PESIONER
19 - PHOTOGRAPHER
47 - POSTAL LABOUR
53 - PRE SCHOOL TEACHER
17 - PRIVATE SECTOR
16 - PRVATE SECTOR
54 - PUBLIC MANAGEMENT ASSISTANT
01 - RELIGIOUS LEADER - BUDDHISM
02 - RELIGIOUS LEADER - CHRISTAIN
03 - RELIGIOUS LEADER - HINDU
04 - RELIGIOUS LEADER - ISLAM
05 - RELIGIOUS LEADER - R.CATHOLIC
45 - SELF EMPLOYMENT
33 - STOCK KEEPER
18 - STUDENT
35 - TAILOR
10 - TEACHER
26 - WATCHMAN
29 - WELDER
Proffesion
Educational Qualifications
03 - A/L
01 - BELOW O/L
04 - DEGREE
05 - MASTERS
02 - O/L
06 - OTHER
English Sinhala Tamil
Language Skills
Other Language Skills
How I Can Contribute To The Movement
My Contribution
Amount
Please bank your contribution to the following bank account, and fax (+94 11 4517447) or email (prayathna.movement@gmail.com) the payment details and the code generated after saving this form.
Account Name
:- Prayathna.
Account No
:- 01-1214381-02
Address
:- 19/3, Swarna Road,
Colombo 06.
Sri Lanka.
Bank
:- Standard Chartered Bank-Kirulapone Branch
111, Maya Avenue,
Colombo 06,
Sri Lanka.
Swift Code
:- SCBLLKLX
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