Company Title Mr. Ms. Mrs. Prof. Dr. Name in full * Name with Initials * Membership Category * LIFE MEMBER ORDINARY MEMBER HONORARY MEMBER NON-VOTING ORDINARY MEMBER HONORARY LIFE MEMBER PROMOTIONAL MEMBER CORPORATE MEMBER (GROUP) Select the membership category you wish to apply Citizen of * Date of Birth * NIC / Passport Number * Email Address * Personal Email Email Address 2 Corporate Email General Phone Number Personal Mobile Number * Other Mobile Number Marital Status * Unmarried Married Separated Home Address * Company Name Designation Company Address Company Contact Details Member of other Clubs Example : CR & FC, SSC, MCA, Colts CC, Tamil Union etc. Games Interested * Swimming Cricket Rugby Hockey Tennis Squash Billiard Fitness Message / Comments / Remarks Introduced or Recommended by (Please type Member Name and Membership Number) Only Gymkhana Club Members can introduce or recommend. Main Member Photograph * This photo to be used for your membership card. Spouse Photograph This photo to be used for your membership card. Date of Application * Terms & Conditions * Agreed I shall be obliged if I may be accepted as above category Member. I declare that I have not been refused admission, nor posted as a defaulter, in any other Club, nor removed on any disciplinary grounds nor been convicted in any court of law in Sri Lanka. I hereby agree to abide by the rules of the Club. After your application has been approved if, any of the information given us, if found incorrect, you will be removed from the membership without a refund from your membership fee. Information Summary
