Application Form for an Alumni Association Registration

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To get registered for an Alumni Association Membership, Please complete this form.

Life Membership Fee : 5000 LKR

Annual Membership Fee: 1000 LKR

Bank Details
A/C : The Alumni Association of NSBM Green University Town
A/C No: 84373431
Branch: BOC Homagama

Email the payment deposit slip to alumni@nsbm.ac.lk with your name and NIC number.

Title *

Name with Initials *

Full Name *

Date of Birth *

YYYY

Gender *

Male

Female

NIC Number *

NSBM Student ID Number

Residential Address *

Mobile Number *

Email Address *

LinkedIn Profile Link

Course of Study / Name of the Degree *

Graduated Year *

Faculty *

Employment Status *

Employed

Engaged in own Business

Seeking Employment

Further Studying

Not available for work or further studying

Job Title / Designation

Company Name

Industry / Sector

Monthly Income Range

Below 25,000

Between 25,000 - 50,000

Between 50,000 - 100,000

Between 100,000 - 150,000

Above 150,000

Clear selection

Membership Type *

Life Membership

Annual Membership

Submit

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