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Samabima party membership application form
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නම | பெயர் | Name
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Your answer
විද්යුත් තැපෑල | மின்னஞ்சல்) | Email
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Your answer
ලිපිනය | முகவரி | Address
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Your answer
දුරකතන අංකය | தொலைபேசி எண் |Phone number
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Your answer
ඔබ පක්ෂය සමඟ සම්භාන්ධ වන්නේ ? | நீங்கள் கட்சியில் சேருங்கள்? | You join with the party?
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සාමාජිකත්වය | உறுப்பினர் | Membership
පාක්ෂිකයා | பின்தொடர்பவர் | Follower
අනුග්රාහක | ஸ்பான்சர்கள் | Sponsor
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