BOTSOC MEMBERSHIP APPLICATION FORM 
OPEN UNIVERSITY OF SRI LANKA - BOTANICAL SOCIETY 
Email *
Name *
Level *
Regional Centre  *
Registration Number  *
Subjects *
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Date Of Birth  *
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Email Addresss *
Permanent Address 
Postal Address *
Occupation 
Phone Number 
( WhatsApp number is preferable )  
*
National Identity Card Number 
*
Are they any fields in Botany that you are particularly interested in ? 
Any suggestions of activities/ programmes that could be conducted by BOTSOC? 
Please note that your membership will be finalized once you have paid the membership fee to any one of the BOTSOC Committee members. 
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PLEASE JOIN TO OUR WHATSAPP GROUP  THROUGH THE LINK ONCE YOU SUBMITTED THE FORM 
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