Receipt

Reference No: Appointment Date: Appointment Time:

Appointment No: 3
0069893826 June 26, 2023 09.06 AM

Institute Details Applicant's Details

Name: Applicant's Name:

National Transport Medical Institute (Medical MR W.M.D.KUMARA FERNANDO-0766096201
for Driving License)-Puttalam Phone No:
Address: 0766096201
144,Kurunagala RoadPuttalam NIC/Passport:
Phone No: 932613425V
032-2266385 Email:
Institute Reference No: lakshikahhh1122@gmail.com
nts0000033228 Address:

Appointment Details

Transaction Date: Transaction Time: Channel through

June 21, 2023 04.10 PM eChannelling Web

Payment Details

Institute Fee: 1,500.00 LKR

eChannelling Fee: 99.00 LKR

Total Fee: 1,599.00 LKR

Terms and Conditions: https://www.echannelling.com/ntmi-terms-and-conditions

Wishing you Good Health!