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The Sri Lanka Insurance Institute

YMCA Building No.143, St. Michael’s Road, Colombo 03, Sri Lanka
Tel: 011 2451426 Fax: 011 5337731 Email: slii@sltnet.lk

DIPLOMA IN INSURANCE
Student Details
Full Name
(Mr./Ms./Miss.)

Date of Birth

NIC Number

Home Address

Home Office Mobile


Telephone

Email
(all Correspondence will be via e-mail)

SLII Membership Number Receipt Number Index Number

Employer Details
Name of Employer

Department & Designation

Address

Telephone & Fax


Subjects
SL 86 Personal Insurances

SL 05 Insurance Law & IRP

SL 92 Insurance Business & Finance

SL 80 Underwriting Practice

SL 820 Advanced Claims

SL 945 Marketing Insurance Products & Services

Payment methods
 By depositing in our
 HNB A/C 002010014011 (City Office)
 SAMPATH BANK A/C 002960003546 (Head Quarter Branch)

 By cheque in favour of “The Sri Lanka Insurance Institute”.

 By Debit/Credit card by visiting our office

Please attach a copy of your G.C.E. A/L Certificate or other higher educational
qualification

………………………. …………………..
Signature Date

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