REGISTRATION FORM

Mrs. Nilmini Jayasooriya
Manager - Information Technology Unit
Institute of Chartered Accountants of Sri Lanka
2nd Floor, OPA Building,
275/75, Prof. Stanley Wijesundara Mw., Colombo 07
Colombo

Tel : 0112-508348 , 011-4936096
E-mail : it-mgr-training@icasrilanka.com
Web : www.icasrilanka.com

Diploma in Information Systems Security, Control & Audit
Jointly by The ICA Sri Lanka and ICA India


I wish to participate in the above course, and enclose herewith a cheque bearing Number .........................of ........................................................................... Bank for Rs 35,000/- in settlement of the seminar fee.


.......................................
Signature.

Member / Student / Non-Member
If Member / Student : Mem.No / Reg.No .....................................

Name Mr/Mrs/Miss...............................................................................................

Address : ............................................................................................................
...........................................................................................................................
...........................................................................................................................
Tel - Office : ......................
Resident : .........................
E-mail : ............................................................

 

Vegetarian
 
  Non-Vegetarian
 


Note :
Cheques should be drawn in favour of “The Institute of Chartered Accountants of Sri Lanka” and crossed “A/C payee only”. Please indicate “Dip in ISSCA” on the top left hand corner of the envelop.