Nursing and Allied Health Professional Membership

Nursing and Allied Health Professional Membership

රු1,500.00 – රු3,000.00

Period

title
Personal Details
First Name *
Last Name *
Maiden Name
Salutation *
Date of birth *
NIC number *
Passport Number
Contact Details
Residential Address *
Work Address *
Preferred mailing address *
Mobile number *
Home telephone Number
Work telephone number
Email Address *
Educational Background and Professional Qualifications
Educational background and professional qualifications *
Profession *
Primary undergraduate certificate (or the transcript). *
Postgraduate qualifications (if applicable)
Year of IBLM
Details of the Proposer
Salutation
Name (First name and surname)
Email Address
Mobile number
Declaration
I declare that the details furnished above are true and correct. I vouch not to misuse this membership or violate the regulations of the Sri Lanka Medical Council, and I agree to abide by the rules and regulations of the SLSLM.
Signature (Please type your name) *
Date *

SKU: N/A Category: Nursing and Allied Health Professional Membership

Description
Additional information

Description

Nursing and Allied Health Professional Membership

Additional information

Period	1 Year, 2 Years, 3 Years

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Nursing and Allied Health Professional Membership

Nursing and Allied Health Professional Membership

title

Personal Details

Contact Details

Educational Background and Professional Qualifications

Details of the Proposer

Declaration

Description

Additional information

Become a Member Today

Getting In Touch