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Wesley College Old Boys’ Union Application for Life Membership

WESLEY COLLEGE OLD BOYS' UNION
APPLICATION FOR LIFE MEMBERSHIP

PLEASE COMPLETE IN BLOCK CAPITALS

FULL NAME OF APPLICANT (required)

RESIDENTIAL ADDRESS (required)

EMAIL ADDRESS (required)

TELEPHONE NUMBER (Required. Residential/Mobile)

OCCUPATION / PROFESSION

NAME OF BUSINESS / PLACE OF WORK

BUSINESS ADDRESS / PLACE OF WORK

TELEPHONE NUMBER (Business/Place of Work)

PERIOD AT WESLEY (Required)

From:*
To:*

PROPOSED BY (Required)

Name:*
Membership No:*
Contact No. / Mobile:*
Email:

ADDITIONAL INFORMATION YOU WISH TO SEND

Type the answer to 1+5

Payment Methods

Direct Deposit
Wesley College Old Boys Union
Commercial Bank (Maradana Branch)
A/c. No. 1321731001
Depositors have to send a photocopy (via email to secretary@wesleyobu.lk) of the deposit slip for bank reconsilation purpose.

Cash
You can handover the cash to any OBU committee member.

OWSC via Cash
Depositors have to send a photocopy (via email to secretary@wesleyobu.lk) of the receipt for bank reconsilation purpose.