MEDIA ACCREDITATION FORM - Sri Lanka Cricket
MEDIA ACCREDITATION FORM - Sri Lanka Cricket MEDIA ACCREDITATION FORM - Sri Lanka Cricket
MEDIA ACCREDITATION FORM Australia Tour of Sri Lanka 2011 Please complete this form and E mail to slcaccreditation@gmail.com Or courier to: Media Unit, Sri Lanka Cricket, #35, Maitland Place, Colombo 07, Sri Lanka. Tel: +94114718734 Fax: +94114718736 Closing Date: - 22 nd July 2011 Please attach 2 colour passport photographs here with your full name printed clearly on the back. (Please complete this form in BLOCK LETTERS) GENERAL INFORMATION Title (Mr./Mrs./Other) First Name Last Name Name as in Passport Nationality Country of Birth Date of Birth (DD/MM/YYYY) Gender (Male/Female) Passport/ID No Home Address Country Home Telephone Mobile Office Telephone Fax E-mail 1
<strong>MEDIA</strong> <strong>ACCREDITATION</strong> <strong>FORM</strong><br />
Australia Tour of <strong>Sri</strong> <strong>Lanka</strong> 2011<br />
Please complete this form and E mail to<br />
slcaccreditation@gmail.com<br />
Or courier to:<br />
Media Unit, <strong>Sri</strong> <strong>Lanka</strong> <strong>Cricket</strong>,<br />
#35, Maitland Place, Colombo 07,<br />
<strong>Sri</strong> <strong>Lanka</strong>.<br />
Tel: +94114718734 Fax: +94114718736<br />
Closing Date: - 22 nd July 2011<br />
Please attach 2<br />
colour passport<br />
photographs here<br />
with your full name<br />
printed clearly on<br />
the back.<br />
(Please complete this form in BLOCK LETTERS)<br />
GENERAL IN<strong>FORM</strong>ATION<br />
Title (Mr./Mrs./Other)<br />
First Name<br />
Last Name<br />
Name as in Passport<br />
Nationality<br />
Country of Birth<br />
Date of Birth (DD/MM/YYYY)<br />
Gender (Male/Female)<br />
Passport/ID No<br />
Home Address<br />
Country<br />
Home Telephone<br />
Mobile<br />
Office Telephone<br />
Fax<br />
E-mail<br />
1
ORGANIZATION DETAILS<br />
Name of Organization<br />
Your Designation<br />
Organization Description<br />
Address<br />
Country<br />
Website<br />
E-mail<br />
Phone<br />
Fax<br />
I …………………………… have read, understood and accepted the Terms & Conditions attached to this<br />
accreditation application form.<br />
…………………………………<br />
Signature of Applicant<br />
Date<br />
……………….<br />
**** Please ensure you submit your application before the closing date. All applications submitted after<br />
the closing date of 22 nd July 2011 will be rejected.<br />
**** Ensure your application is supported with letter from your organization bearing the Company seal.<br />
****<br />
**** All applications should be endorsed by the editor/Manager of your respective organizations. ****<br />
**** The SLC media Unit has the sole authority in approving/rejecting the application. ****<br />
****All Foreign Journalists are requested to submit Your Respective applications authenticated by<br />
<strong>Cricket</strong> boards of your home country. The closing date for all applications will be as above accreditations<br />
will not be processed after 22 nd July 2011. ****<br />
****Members of the Foreign Electronic Media please contact respective <strong>Sri</strong> <strong>Lanka</strong> High Commissions in<br />
your country and submit an application stating that you will be carrying Equipment (Provide detailed<br />
break up) in order to get clearance from the <strong>Sri</strong> <strong>Lanka</strong> Foreign ministry”****<br />
2
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