SLAYS Member registration for COVID-19 Innovation Support
This form is to be used ONLY by SLAYS Members who wish to join in supporting Covid-19 innovations in collaboration with the Sri Lanka Medical Association (SLMA) and the Sri Lanka Inventor's Commission.
Your Name (Initials + Surname Format) *
Your answer
Title *
University or Higher Educational Institute Name *
If Other, Please specify your Organisation
Your answer
Highest Educational Qualification *
Designation *
Your answer
Contact email address *
Your answer
Major field of study *
Briefly indicate your contribution to SLAYS Activities in the past *
Your answer
Research Profile on WWW (e.g. Google Scholar) *
Your answer
Declaration : I agree that the Particulars above are accurate. I am a current SLAYS member (i.e. born After 1st April 1975). I consent to sharing my data entered in this form with relevant parties such as the SLMA for future communications. *
Required
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