Digital Media Solidarity Membership Formසාමාජිකත්ව අයදුම් පත්‍රය

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Digital Media Solidarity Membership Formසාමාජිකත්ව අයදුම් පත්‍රය - உறுப்பினர்படிவம்

1. Name - නම - பெயர்Untitled Question *

2. Address - ලිපිනය - முகவரி *

3. Age - වයස - வயது *

a. 18-24

b. 25-34

c. 35-44

d. 45-54

e. 55-64

f. Above 64

4. Contact Number - දුරකථන අංකය - தொலைபேசிஇல *

5. Email - ඊමේල් - ஈமெயில் *

6. Media Institution - මාධ්‍ය ආයතනය - ஊடக நிறுவனம் *

7. A brief description of your activities (organizations/employment/activism/publications/other) - ඔබ යෙදී සිටින කටයුතු පිළිබඳ කෙටිවිස්තරයක් (උදා:සංවිධාන/රැකියා/ක්‍රියාකාරකම්/ලිපිලේඛන/වෙනත්) - உங்களுடைய செயற்பாடுகள் பற்றிய சிறுகுறிப்பு (நிறுவனம்/ தொழில்/ ஈடுபாடு/ பிரசுரங்கள்/ வேறு) *

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms