SPECIMEN APPLICATION FOR MEMBERSHIP OF SWIMMING POOL SRI LANKA AIR

FORCE TTS EKALA

INSTRUCTION: PLEASE UES BLOCK LETTERS AND SERIKE OFF WHERE NECESSARY
PARTICULARS OF THE APPLICANT
1.FULL NAME :………………………………………………………………………………………………………………….
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2. NAME WITH INITIALS: …………………………………………………………………………………………………
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3. PERMANENT ADDRESS: ……………………………………………………………………………………………….
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4. TEMPORARY ADDRESS:…………………………………………………………………………………………………
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5.GS DIVISION & NUMBER : …………………………………………………………………………………………….
6. TELEPHONE (RESIDENT):…………………………………. MOBILE:………………………………………
7. EMAIL ADDRESS:…………………………………………………………………………………………………………..
8.NIC NUMBER:………………………………………………………………………………………………………………..
9. NATIONALITY:……………………………………………………………………………………………………………….
10. GENDER:…………………………………………………………………………………………………………………….
11. TYPE OF MEMBERSHIP : CATEGORY : …………………………………………………………………………
12. NAME OF THE SPOUSE/CHILDREN/SCHOOL CHILDREN DATE OF BIRTH
a. ……………………………………………………………………… ……………………………
b. ……………………………………………………………………… ..………………………….
c. ……………………………………………………………………… ……………………………
d. ……………………………………………………………………… ..………………………….
e. ……………………………………………………………………… ..………………………….
N.B in the of group membership a certified nominal roll of the members should be attached to the application
I hereby certify that the particulars furnished by the in this application from are true and accurate to the best
of my knowledge and of the fact my applications will be rejected if any of the particulars furnished above are found
to be false or incorrect. Further I have read and understood the rules and regulation of the SLAF in respect of all
swimming pool activities and agree to abide by same. I also that SLAF has the sole right to restrict the usage of facility
due to official reasons at any time without prior notice.

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DATE:……………………………………………. SIGNATURE OF APPICATION
10. Remarks by the Officer in Charge: ……………………………………………………………………………………………….
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Recommended/ Not Recommended

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( )
Wg Cdr/Sqn Ldr/Flt Lt/ Fg Off

11. Recommendation of the Commanding Officer: ………………………………………………………………………………

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Recommended/ Not Recommended
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( )
Air cdre/Gp Capt /Wg Cdr/Sqn Ldr

FOR OFFICIAL UES ONLY

1. Application processed and documents verified by
S/No:……………………………. Rank:………………….Name:…………………………………….Date:………………………

2. To be Filled by TSI
a. Membership card valid from……………………………validity expires on………………………………..
b. Main guard room notified by sending a copy of this part: YES/NO
c. Payment received SLR ……………………………………………SIF receipt No:…………………………………
d. Membership card issues……………………………………………………………………………………………….....

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Signature

S/No:……………………………. Rank:………………….Name:…………………………………….Date:………………………