ERPM Part B & C Preparatory Course Online Registration 2019

” After making payment, please fill in the online application form found at the end of this page”

Instructions

1) Please submit the completed form provided on this page once the payment is made.

2) Payment options

1. i) Direct cash payment at the College of Surgeons of Sri Lanka
2. ii) Bank Deposit

Bank A/C No: 1781121
Bank & Branch: Bank of Ceylon, Independence Square
Account holder’s name: The College of Surgeon’s of Sri Lanka

(Please forward a scanned copy of the bank deposit slip to collsurg@gmail.com or Fax – 2682290)

(Please include the payment reference number on the form)

Registration fee – Rs 15,000 for the entire course

Please note: Your participation will only be confirmed upon receipt of the payment.

For any queries please contact us at:

• Tel : 0112695080
• E-mail : collsurg@gmail.com