Membership category applied
OrdinaryLife

Name of organization

Legal status of the organization
CompanyPartnershipTrustSocietyOther - Specify

Business registration No./Trust deed no./ Society Registration No:

Nature of the organization’s main business activity:

Company Registered Address

Telephone numbers of the organization

E-mail Address

Address of the Estate

Nature of ownership
OwnerLessee

Extent of Estate

Grama Niladari Division

Coconut Development Officer (CDO) division

Coconut Cultivation Board Registration No

Divisional Secretariat division

District

Contact details of the representative

Address

Proposed by

Seconded by

Admission fee and total contribution

We declare that the foregoing information is correct. Any changes to the above information will be notified to CGASL immediately.