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: sustainability@sjp.ac.lk