Registration Form - Center for Sustainability

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CERTIFICATE WORKSHOP ON MUNICIPAL SOLID
WASTE MANAGEMENT
REGISTRATION FORM
1. Name (As to be appeared in the certificate)
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
2. Institute/Company: ………………………………………………………………………….
3. Designation:
4. Address:
……………………………………………………………………………….
………………………………………………………………….……………….
………………...………………………………………………………………………………...
5. Telephone: Mobile……………………………… Work……………………………………...
6. E-mail:
………………………………………………………………………………...
Fee: Rs 9900/= per delegate
Mode of payment: Cheque, Cash
Please write your Cheques in favor of “University of Sri Jayewardenepura”
Cash payments can be made in person only at the Center of Sustainability, Department of
Forestry & Environmental Science, University of Sri Jayewardenepura
Deadline for Registration: 27th August 2015 by 3.00 pm.
Please mail/Fax or hand delivers your completed application form along with the payment to
Center for Sustainability
Department of Forestry & Environmental Science
University of Sri Jayewardenepura
Gangodawila,
Nugegoda
Phone: +94 11 2758414
Fax: +94 1102802937
Mobile: +94 77 1115565
E Mail: [email protected]
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