Membership Application — IECEDRI 1. Applicant Details Full Name * Address Email Address * Telephone Number Nature of Occupation / Business Nationality Company Registration Number (if applicable) 2. Membership Type Select the type of membership * Ordinary Member Associate Member Substantive Member Other Other (please specify) Choose one option. If "Other" — specify. 3. Expression of Interest * How do you intend to contribute to the Institute? 4. Nomination (if applicable) Name of the proposer (with existing membership number) Proposer Signature (typed) Date 5. Declaration by the applicant * I, the undersigned, wish to become a member of the International Institute for Early Childhood Education Development and Research. I agree to be bound by the Memorandum of Association and the Articles of Association (Constitution) and to contribute assets not exceeding Sri Lankan Rupees 1000.00 as may be required in the event of winding up of the company. I agree to the above declaration * Applicant's Signature (typed) * Date * Submit Application Contact: International Institute for Early Childhood Education Development and Research, Affiliate 12, 4/2 Collingwood Place, Colombo 6, Sri Lanka. Email: iecedrisrilanka@gmail.com — Website: iecedri.com — Company Reg. No: G A 00279117.
