Sri Lanka Youth

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National Identification Number

(If Age Below to 16/ වයස අවුරුදු 16 ට අඩු නම්/ வயது 16 க்கு கீழ் இருந்தால்)

Postal Identification Number/அஞ்சல் அடையாள எண்/තැපැල් හඳුනාගැනීමේ අංකය

First Name

Valid.

Last Name

Valid.

Preferred Name

Address Line 1

Valid.

Address Line 2

Valid.

ID අංකයට අනුව පිරවේ නැතිනම් ලබා දෙන්න /அடையாள எண் கொடுக்கப்படவில்லை என்றால் நிரப்பவும்

Date of Birth and Gender

දිනය/தேதி

Valid.

Please fill out this field.

මාසය/மாதம்

Valid.

අවුරුද්ද/ஆண்டு

Valid.

Gender

District

Divisional Sectrateriate

email*

Valid.

Teliphone Number *

Valid.

Program Inform by

Photo (Pls. Note https://www.nysc.lk ලෙස වෙබ් පිටුවට පිවිසෙන්න http යටතේ කැමරාව ක්‍රියාත්මක නොවේ )

I agree to term and condition.

Valid.

දක්වා ඇති සම්පූර්ණ කල යුතුය தேவையான புலம்