MDMMS Membership Registration Form

Society Membership Registration

Complete the form below to sign up for membership.
Name*

First NameLast Name
Date of Birth:*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you registering as an Alumni? *
(Are you graduate or former student of APIIT Sri Lanka)
E-mail (Student Mail)*
cb00####@students.apiit.lk
E-mail ID*
example@example.com
E-mail (Personal)*
example@example.com
School*
Batch Code *
Your Batch Code
Phone Number*
Please enter a valid phone number.
Where did you hear about us?*

Social MediaFresher's OrientationFriendOthers
Please select what interests you in the society*

ArbitrationMootingDebatingMediationNegotiationAll of the above
What do you expect from the Society?
Kindly note that you will be redirected to a WhatsApp Group, once joined provide us with your full name.

Thank you!
Regards, MDMMS Exco
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Society Membership Registration