Application for Membership

Category of Membership*

Pls select the membership category that you are in/wish to Apply

If you are already a member of the Society, please indicate

Present Grade

Membership No

Title *

Surname with Initials *

Full Name *

Current / Last Employment Note: Please select [] Mailing address

Designation

Company/Org Name

Business Address

Contact numbers

Personal Information

Residential Address

Contact numbers

NIC/Passport Number *

Date of Birth *

Account Information

Username (Email Address) *

Password *

Confirm Password *

I certify to adhere to the Code of Ethics and Code of Conduct.

I certify that the information contained in this application is true to the best of my knowledge, and acknowledge the fact that if any information given is found to be false it would result in the termination of my membership of the society.

275/75, Colombo 7, Sri Lanka
Prof. Stanley Wijesundara Mawatha

(+94) 114 713 290
(+94) 112 592 762

[email protected]
[email protected]

Application for Membership

NITC