Self-Funded Youth Delegate
Preferred Name on Accreditation Pass:
Date of Birth: DD/MM/YYYY
Country of Birth: Country of citizenship:  
Representing Country:        
Ministry/ Organisation:
Sri Lankan Citizenship Status : (if any)      
Main aim and activities of the organisation/ community  
How and for how long are you involved in the organisation? What is your role in the organisation or community?  
What can your organisation or community bring to the WCY and why should they be represented?
Please elaborate in not more than 200 words
Why do you think it is important for young people to be involved in the post-2015 development agenda?
Please elaborate in not more than 300 words. 

Contact Details

Telephone Number:        
Facsimile Number:        
Mobile Telephone Number:        
Residential Postal Address

Passport and Visa Information

Passport Number: Date of Issue    
Type of Passport : Place of Issue    
Date of Expiry        
Have you ever been rejected entry Visa to Sri Lanka?    
Address where you propose to stay in Sri Lanka? (If not at WCY accredited Hotel)    
Give information of your previous stays in Sri Lanka, If any?

Flight/ Travel

Arrival Date: DD/MM/YYYY      
Arrival Time: (24 hrs) Airline: Flight Number:
Do you have Travel/ Medical
Dep. Date: DD/MM/YYYY Dep. Time: (24 hrs)
Airline: Flight Number:    
Dep Type:  

Additional Requirements


WCY Accreditation Photo

Photos must be attached to theForm , and must be -

  • A minimum of 1,100 pixels wide and 1,400 pixel high
  • A JPEG file
  • No larger than 1.3 MB
  • Include a full face, front view and open eyes
  • Present full head from top of hair to shoulders
  • Religious head covering – your facial features from bottom of chin to top of forehead and both edges of your face must be clearly shown
  • Have a plain or off-white background
  • Avoid shadows on the face or background
  • Show a natural expression (i.e. closed mouth)
  • Must not include sunglasses or hats
  • Have normal contrast and lighting