Peripheral-NLS Registration Form
E-mail address (please send a email to (nls.slcp@gmail.com) for confirmation and send you the pre-course materials *
Your answer
Preferred course venue
Surname with Initials (as it appear on the certificate)
Your answer
First Name
Your answer
Mobile Number (777729111)
Your answer
NIC Number (692641674V)
Your answer
What is your designation
Your specialty
Current working place *
Your answer
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