iWMS

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Contact Details

New Applicant Registration Form

Social Registry – New Application

භාෂාව තෝරන්න

மொழியைத் தேர்ந்தெடுங்கள்

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Social Registry – New Application

Do you have a QR Code / HH Number (Household Number)?

Yes

Next > Exit

1. How many members in your family including the applicant?

2. Do you know the NIC numbers and Date of Births for all family members over 18 years?

Yes

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I hereby certify that the information provided by me is true and correct. I understand providing any inaccurate information will be an offence under section 20 of welfare benefit act no 24 of 2002.

Applicant and Members’ Detail (in English)

	Full Name	Gender	Date of Birth	NIC No

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1. Full Name of Applicant (English)

2. Full Name of Applicant (Sinhala / Tamil)

3. Address

Province

District

Divisional Secretariat Division

GN Division

4. Contact No

Mobile No (Please Enter the Mobile no to expedite the processing of your Benefits)

I agree for my information to be shared for the purpose of improving social welfare benefits in Sri Lanka.

Next Back

Review Your Information

Applicant/Member Details

	Full Name	Gender	Date of Birth	NIC No

Other Details

1. Full Name of Applicant (English)
2. Full Name of Applicant (Sinhala / Tamil)
3. Address
Province
District
Divisional Secretariat Division
GN Division
4. Contact No
Mobile No

Submit Back

1. Full name of Applicant

2. Full name of Applicant (Sinhala / Tamil)

3. Date of Birth

4. Address 1

Province

District

Divisional Secretariat Division

GN Division

5. Mobile No

6. Reason for not having a NIC

No Birth Certificate

Not Yet Applied

Applied Not yet received

No Permanent Residence Place

Other

Send Back

HH Number

NIC Number

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