MBA Alumni Association, University of Colombo
Faculty of Management and Finance, Baudhaloka Mawatha, Colombo 07.
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.  Web: www.colombomba.com
MEMBERSHIP APPLICATION FORM
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.

 

Name:

 

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 :