AAT Sri Lanka Achievers’ Network

REGISTRATION FORM
AAT Centre, No. 540, Ven. Muruththettuwe Ananda Nahimi Mw, Colombo 05.
Payment Reference

For office use

No.:

Reg. No.:

01. AAT Sri Lanka Student Reg. No. :

02. NIC Number :

03. Full Name of the Passed Finalist :

04. Postal Address :

05. Contact Detail/s : Residence Mobile

E-mail

Facebook

06. Are you employed? : Yes No

If Yes,
(a) Name of the Organisation :

(b) Address of the Organisation :

(c) Designation :

(d) Office Contact Number/s : 1. 2.

................................................. .................................................
Date Signature

Payment Details

Rs. 1,000/- has been paid to the NSB / HNB ......................................................................................... Branch,

www.aatsl.lk through Payment Reference Number .................................................... on /

........ ............ /2024.