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Application for Examination
Instruction to fill in the Form:
o
Please fill in the form in BLOCK LETTERS only
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All the Fields must be filled completely
o
Please tick the appropriate box as applicable
* Indicates required question
Name with initials
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Marital Status
*
Single
Married
Divorced
Address
*
Your answer
District
*
Your answer
WhatsApp number (if you dont have whatsapp account please mention any contact number here)
*
Your answer
Email
Your answer
NIC Number/PASSPORT Number
*
Your answer
Bank Details
When you deposit, send the receipt as a photo.
WhatsApp Number0772175779
8010664939
HEART NETWORK
COMMERCIAL BANK
🧾 Examination fee Lkr1000/- (500x2 or full payment)
👉
https://fmheart.lk/
👉
facebook.com/fmheartradio
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