Thilanga

Constituent's Membership Registration Form - Thilanga Sumathipala, Colombo District
Complete the form below to sign up for the membership as a constituent of ex M.P. Thilanga Sumathipala of Colombo District, Sri Lanka for the General Election 2020 .
Full Name (as in the NIC)*
First NameMiddle NameLast Name
NIC No*
National Identity Card No
Birth Date:*
MonthDayYear
Electorate Information:*
Electorate GN Division Voting Center
Colombo District
Gender*
Address:*
House/ Flat No or Name
Street Address Line 2
CityState / Province
Postal / Zip Code
Mobile Number:*
Phone CodeNumber
E-mail
example@example.com
Highest Education Level Acquired*
O LevelA LevelDegreeNot Applicable
Details of Family Members;*
Name Relation NIC No Mobile No
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2
3
4
6
7
8
9
10
How did you come to know about Thilanga?*
Already a ConstituentRelationFriend or ColleagueNews ArticleSchoolOther
What interests you the most from our concerns/ projects*
PoliticsSocial WorkEducationWomen EmpowermentSportsReligious WorkOther
Membership Rules
Please read the terms of the membership and confirm that you have read and understood the rules.
1. Membership is available to anyone with voting rights in the Democratic Socialist Republic of Sri Lanka.
2. Membership is available to anyone 18 years of age or older.
3. You promise NOT to use to conduct any fraudulent or business activity or have more than one Member Account at any time.
4. You are bound and is promised NOT to misuse the constituency membership for any illegal or terrorist activities.
Confirm your consent on the above terms prior the Submission of your Information*
I have read, understood, and accepted the rules in order to obtain the membership.
Once you submit your application, we will contact you shortly to complete your membership application.
Thank you!
Home Number:
Area CodeNumber
Should be Empty:

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Constituent's Membership Registration Form - Thilanga Sumathipala, Colombo District

Membership Rules