MEDIA ACCREDITATION FORM - Sri Lanka Cricket

West Indies Tour of Sri Lanka 2010
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: - 29 th October 2010
All Foreign Journalists are requested to submit Your
Respective applications authenticated by
Cricket board’s of your home country.
The closing date for all applications will be as above accreditations will not be processed
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
Town/ City
State
MEDIA ACCREDITATION FORM
after 29 th October 2010.
(Please complete this form in BLOCK LETTERS)
GENERAL INFORMATION
Please attach 2 colour
passport photographs
here with your full
name printed clearly on
the back.
Do not staple through the
photographs. May be also e-
mailed in 'jpeg format' with
the applicant's full name and
the full name as the subject
heading
to
slcaccreditation@gmail.co
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Country
Zip/Postal Code
Home Telephone
Mobile
Office Telephone
Fax
E-mail
ORGANIZATION DETAILS
Name of Organization
Your Designation
Organization Description
Address
Town/City
State
Country
Website
E-mail
Phone
Fax
Zip/Postal Code
Kindly provide the requested information along with an Authority Letter.
I……………………………… have read, understood and accepted the Terms & Conditions
attached to this accreditation application form.
…………………………………
Signature of Applicant
……………….
Date
********** “Members of the Foreign Electronic Media please contact Sri Lanka Cricket and submit an
application stating that you will be carrying Equipment (Provide detailed break up) in order to get
clearance from the Sri Lanka Foreign ministry” ***********
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