MBA Alumni Association, University of Colombo
Faculty of Management and Finance, Baudhaloka Mawatha, Colombo 07.
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I hereby apply to be enrolled as a Life Member of the Association and agree to abide by all Association Rules and Regulations.

1. Title - (Mr, Mrs, Ms, Dr)


2. Name in Full


3. NIC


4. Date of Birth


5. Residence Address


6. Residence Telephone


7. Mobile Phone


8. Present Job Title


9. Place of Employment and Address


10. Office Telephone


11. Email - 01


12. Email - 02


13. Year of MBA Graduation and MBA Certificate No.



14. Other Professional Qualifications


Recommended by a Member of the MBA Alumni Association University of Colombo.




Life Membership No :


Contact Telephone:


 [Please attach a copy of your MBA certificate and a passport size photograph of you]
Signature: _____________________           Date: _______________
Membership Fees (One time):    Life Member - Rs. 10,000
(Membership fees can be directly paid to “MBA Alumni Association University of Colombo” Current A/C Number 115010135408, HNBL, Colpetty Branch. Please hand over the payment slip along with the duly filled application)Offical Use
Official Use only:
Cash/ Cheque : Receipt Number : Life Membership Number :
Date approved: Hon. Secretary: Hon. Treasurer :