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Downloads Diploma Application v5
Downloads Diploma Application v5
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
Email
(all Correspondence will be via e-mail)
Employer Details
Name of Employer
Address
SL 80 Underwriting Practice
Payment methods
By depositing in our
HNB A/C 002010014011 (City Office)
SAMPATH BANK A/C 002960003546 (Head Quarter Branch)
Please attach a copy of your G.C.E. A/L Certificate or other higher educational
qualification
………………………. …………………..
Signature Date