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Become a member by filling the form below.

Full Name *

Gender *

Male

Female

Date of Birth *

Use your date of birth (YYYY-MM-DD).

Email *

Phone Number *

Include country code if possible (e.g. +81).

Address in Japan *

Address in Sri Lanka *

Membership Type *

Membership only (5,000 Yen)

Occupation *

Student

Office worker

Businessman / Business owner

Family Dependent

Other

I confirm the information provided is accurate and I agree to be contacted by the association.

Selfie Photo *

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Identity Card (Front) *

Upload Front Side

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Identity Card (Back) *

Upload Back Side

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