SRI LANKA UNITED NATIONAL ASSOCIATION OF CANADA
P.O.Box 55292 300, Borough Drive, Scarborough, Ontario M1P 4Z7
Application for Membership
IMPORTANT: Information herein furnished shall be used for Association's purpose only.

To be completed by applicant

a) NAME:....................................................................

b) ADDRESS:....................................................................

......................................................................

c) Telephone No. (Residence):(........).......................................Office: (........)....................

d) E-mail:....................................................Fax:(.......)...............................

In order to ascertain the category of membership please answer the following.
e) Are you a Canadian Resident? Yes....... No.......
f) Are you of Sri Lankan origin? Yes....... No.......

g) Sponsors       Sponsor 1                                Sponsor 2
    Name..................................                           .............................
    Address..................................                       ..............................
..............................                              ..............................
Tel.No. (home)(.........)............                    (.........).................
       (office) (........).................                     (....... )...................

I wish to become a Member/Renew Membership of Sri Lanka United National Association of Canada. I understand the objects and purposes of the Association and I confirm that I will subscribe to the said objectives and purposes and uphold the constitution of the Association.

Signature & Date: Applicant.........................       ...........

             Sponsor 1.........................       ...........

              Sponsor 2.........................       ...........

______________________________________________________________________
FOR OFFICE USE ONLY

Membership Fee: $15.00 annually Date:...............

Reviewed by the Executive Committee held on.................
Application; Accepted............... rejected.............
Informed: Applicant...................... Sponsor.................... Treasurer...................
President................................. Secretary....................       Date.......