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Registration Form

This document contains an internship registration form for Hewa Pathiranage Toshini Raveesha Nishamini. The form provides her personal details like name, NIC number, student registration number, contact information, and emergency contact. It also lists her professional qualifications and details of her proposed internship placement at Ernst & Young from July 2021 to January 2022 under the supervision of R.N.D. Saram. Nishamini signs to certify that the information provided is true and correct.

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Toshini Raveesha
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40 views3 pages

Registration Form

This document contains an internship registration form for Hewa Pathiranage Toshini Raveesha Nishamini. The form provides her personal details like name, NIC number, student registration number, contact information, and emergency contact. It also lists her professional qualifications and details of her proposed internship placement at Ernst & Young from July 2021 to January 2022 under the supervision of R.N.D. Saram. Nishamini signs to certify that the information provided is true and correct.

Uploaded by

Toshini Raveesha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Form 01

Sri Lanka Institute of Advanced Technological Education


Incorporated by Parliament act No – 29 of 1995.
“JanawathuPiyasa”, No.320,T.B. Jaya Mawatha,Colombo 10.
Telephone – 94-11-2691630 / 2691631 / 2691632Fax – 94-11-2691632 / 94-11-2691093

Internship Registration Form Photo

3cm x2.5cm
Personal Details

Title: Mr. Ms.  Other

Full Name Hewa Pathiranage Toshini Raveesha Nishamini

Name with Initials H.P.T.R.Nishamini

NIC No. 986551301V

Student Registration Number GAM/AC/2019/F/0110

Name of the Programme HND in Accountancy

Contact Details

Home Address No: 162/2, Amunugoda, Imbulgoda.

Home Phone 070-3130684 Mobile Phone 074-0996050

E-mail Address [email protected]


Emergency Contact Person
Name
H. Abeykoon

His/Her Contact Number 070-3130684

1
Communication Preferences

Email Address

Professional Qualification - Up todate


(Ex. CMA, CA, CIMA, AAT,SLIM,IPM)

Name of the Institute Level Year

CA Business Level 2023


1 …………………………… ……………………………. …………………………

2 …………………………… ……………………………. …………………………

3 …………………………… ……………………………. …………………………

4 …………………………… ……………………………. …………………………

Training Supervisor’s Details

Title: Mr.  Mrs. Ms.

Name with Initials R.N.D. Saram

Organization Name Ernst & Young

Position/Title Partner

Business Phone 011-5578607 Mobile Phone -

E-mail Address [email protected]

Training Period From 19-07-2021


19.07.2021 19-01-2022
To ……………… Months 06

I do hereby certify that the information given by me in this Internship Registration formis true and
correct for the best of my knowledge. I understand that any false information in this application
lead to disqualification from applying for registration of Internship at Sri Lanka Institute of
Advanced Technological Education.

Signature of Applicant: ……………………..……. Date ………..………


Student Registration No. GAM/AC/2019/F/0110

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