Your personal details

Library

1. Home library: Colombo Jaffna Kandy Orion City
   Required

Identity

1. Salutation: Mr Mrs Miss Ms Master Dr Prof Col Rev
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2. Surname:
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3. First name:
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4. Middle name:
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5. Date of birth:
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6. Initials:
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7. Pronouns:
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8. Female: Male: Other: None specified:

Main address

1. Address:
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2. Address 2:
   Required
3. City:
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4. Country:
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Contact information

1. Primary phone:
   Required
2. Other phone:
   Required
3. Primary email:
   Required
4. Main contact method: Primary phone Other phone Primary email
5. Preferred language for notices: Default English (en)

Alternate address

1. Street number:
   Required
2. Address:
   Required
3. Address 2:
   Required
4. City:
   Required
5. Country:
   Required
6. Phone:
   Required
7. Email:
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Alternate contact

1. Surname:
   Required
2. First name:
   Required
3. Address:
   Required
4. Address 2:
   Required
5. City:
   Required
6. Country:
   Required
7. Phone:
   Required

Verification

1. Verification:
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   Please type the following characters into the preceding box: HTKTY