Individual Membership Application

Fields marked with * are required

Please state your preferred address of correspondence

PERSONAL DETAILS 





Current Employment Details






Industry Experience - For Practitioners


For MR Users


For Lectures


Previous Work Experience










Academic & Professional Qualifications










If Student – Study Programme Currently Undertaken




TERMS AND CONDITIONS

- This membership is valid for a period of 12 months from date of acceptance of the application
- This is an individual membership and hence non transferable
- If you move out of the MR industry, your membership ceases, you are given an interim membership period of 3months (without voting right), until you reapply into a new category
- If membership is not renewed by paying the membership fee, within 2months of date of expiry, membership is cancelled automatically.

DECLARATION

I confirm, to the best of my knowledge, that the information given on this form is correct. I have read and agree to the Terms and Conditions above. I understand that my membership will be conditional upon abiding by the MRS Sri Lanka code of conduct