| Name : |
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Country of residence : |
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| Gender : |
Male Female |
Age Range : |
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| Expatriate Status : |
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| Area of interest in relation to the conference: |
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| Knowledge of diaspora activities : |
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| Knowledge of reconciliation activities : |
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| Reason for participating at the conference : |
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| Your wilingness to work with the academia in Sri Lanka to uplift socio-economy of people of North & East |
Yes No |
| How would you like to be engaged ? |
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