ADVANCED LIFE SUPPORT (ALS) COURSE 2026 JAFFNA- Sri Lanka
Full time one day course (07:30 - 17:30) with online learning material.   

Venue:  Newly build Resuscitation Centre (above Cardiothoracic and Neurology ward in JICA building)-Teaching hospital Jaffna

Course fee:  10000 LKR (4500 LKR Pre-course -Advanced payment + 5500 Rs -Direct payment to the course center). 

Applicants will receive a system generated copy of the google form. 

If you do not receive a system generated email as above, it could mean that the entered email is invalid or entered incorrectly or it may have gone to the spam folder.

 If your application is accepted for ALS course (Please indicate reason to do the ALS) you will receive an email with bank account details to proceed with the payment.

ALS Jaffna -12 candidates per course- 2 courses every other month 

The average waiting time is 2 -4 months

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Email *
1.Select preferred ALS course date *
2. Full Name *
3. Surname followed by initials *
4. How your name should appear on the certificate *
5. First name *
6. Mobile number *
7. Designation *
8. Specialty / Area of practice *
9.If your answer is "Other" to above question, state the specialty or place of work
10. Hospital/ Institution *
11. Date of Birth *
MM
/
DD
/
YYYY
12. University *
13. If your answer is " Overseas or Other" for above question, state the University
14. Post graduate qualification if any
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15. SLMC Registration number *
16. Have you completed any of following life support courses with in last 2 years? *
Required
17. Meal preference *
18. Gender *
19.  Reason to do the ALS course  *
Please choose the most relevant reason. Additional details you can enter in the comment column. For nurses we recommend to do  ERC ILS or BLS 
20. Any special requests / comments
e.g- if you need  Different/early  course date,  Special assistance needed  ( pregnant -POA?)
21.  I  hereby agree that the above information are true and correct according to my knowledge, and will check my email ( inbox /spam box) and respond accordingly . I have read the course details @ www.resuslanka .org  
Clear selection
A copy of your responses will be emailed to the address you provided.
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