Registration Page

Name in Full (Rev/Prof/Dr/Mr/Ms) *
NIC No. *
Gender *
Date of Birth *
Designation *
Institute *
Official Address *
E-mail *
Phone *
Fax
Home Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Preferred Address for Correspondence *
HomeOffice
Note: Membership of any of the below will be decided by the Executive Committee
Preferred Membership Type Please select one

Academic qualification in the field of DRM: (Year - Degree/Diploma - University/Institute) *
Experiences in the field of DRM: (Time Period (from... to...) - Designation - Institute/Organization *
Sector Specialized (e.g. Fire - Search and Rescue) *
Memberships of other professional institutes, if any:
Disaster related work/research/achievements/major contributions: *
File Upload Please compress all your documents into a .zip folder before uploading. Max upload size - 8mb
Important I confirm that the information provided in the application is true and correct to the best of my knowledge and agree that any false information provided by me can result in the rejection of the application and/or withdrawal of membership at any later date.
I have. . . *
Deposited the Rs. 1,000/= Entrance Fee in Account Number 0000 8254 7297 Bank of Ceylon, Torrington Branch "Association of Disaster Risk Management Professionals, Sri Lanka". (Slip Attached)Further I e-mailed all relevant documents, my recent CV and Photograph to adrimp.lk@gmail.com
Date *
Signed (Full Name) *

Ministry of Disaster Management,
3rd Floor, 120/2, Vidya Mawatha, Colombo 07.

W : www.adrimp.org.lk
E : adrimp.lk@gmail.com
F : 0112-670 079