Membership Application Form

Your membership helps the Society in its efforts to conserve Sri Lanka’s wildlife and its natural habitats and promote Conservation interests in pursuance of its objectives. Join the world's 3rd oldest conservation society and share your time and knowledge to preserve and protect Sri Lanka's precious biodiversity.

Name of Applicant with Title *

Surname of Applicant *

NIC *

Address - Residence *

Telephone - Residence *

Address - Office

Telephone - Office

Email Address *

Profession or Occupation (Past or Current)

Special Interests in Wildlife and Conservation

Have you been a member of the WNPS Previously?

Yes

If yes, give membership number and/or dates of membership

Declaration by applicant

"I hereby declare to uphold the Objects, Rules & Regulations of the Wildlife and Nature Protection Society of Sri Lanka observe the rules of the Parks and always endeavor to protect and conserve Wildlife in its natural habitat, while protecting, conserving and enhancing the Environment in a responsible manner for posterity. I further declare, that I would not indulge in activities detrimental to or liable to cause irreversible damage to wildlife and the fragile environment that the Wildlife and Nature Protection Society of Sri Lanka is duty bound to Protect."

I further declare that I have not been convicted of any offense under any enactment relating to the protection of wildlife, nature and the environment.

Please state in the space below why you seek Membership of the WNPS

Indicate your preference

LORIS

WARANA / VARANAM

The society’s two renowned publications – Loris and Warana / Varanam – contain information on flora, fauna, environmental issues and conflicts, and other related topics. Loris magazine is published in English, and Warana is published in Sinhala and Tamil.

Signature of Applicant *

Choose a file

Upload Your Signature in ONLY .doc/.docx/.pdf/.jpg/.png

If you are already known to members of the WNPS, please provide their details.

Name

Membership Number

Seconded by:

Name

Membership Number

Note: Applicants should pay the entrance fee as well as the annual subscription for the current year.

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