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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

Advanced Course In Non-Life 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
Principle & Legal aspects of insurance

Motor insurance

Fire & engineering insurance

Business interruption insurance

General liability
(Public Product, Professional Indemnity, Medical Malpractice, D&O, WCI etc.)

Health /miscellaneous insurance

Marine insurance

Re-insurance

Payment methods
• By depositing in our HNB A/C 002010014011 or SAMPATH BANK A/C
002960003546

• By Debit/Credit card by visiting our office

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

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Signature Date

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