American Education Centre Ltd, 308 R A De Mel Mw , Colombo 03.

Tel : 2375345 – 6 Email: training@netassist.com.lk Website: www.netassist.com.lk

Registration Form

For NetAssist Use Only

Registration No. . . Fees Paid . .

Batch Number . . Receipt No. . .

Course Details .
Course Name Course Code Number

Date (DD / MM / YYYY) Course Days Course Times

Personal Details .
Participant’s Name (As it should appear on your Letter/Certificate)
First Name

Middle Name

Last Name

Identity Card / Passport No Date of Birth (DD / MM / YYYY)

Private
Address

E-mail Address
Telephone No Mobile No

Official Details .
Place of Work

Official
Address

Office Phone

Designation

. .

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 American Education Centre Ltd, 308 R A De Mel Mw , Colombo 03.
Tel : 2375345 – 6 Email: training@netassist.com.lk Website: www.netassist.com.lk
Registration Form
Authorizing Officer (NetAssist)

How did you find out about NetAssist?

Press Advert Friend Web/ Email Radio

Magazine Exhibition Seminar /Workshops TV Other

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Authorizing Officer’s Signature Date Authorized (DD / MM / YYYY)
Terms and Conditions
1. One registration form to be filled per course.
2. Books will be issues only for full payment and once paid will not be refunded.
3. NetAssist will be compelled to take action for students who defaults the payment
after receiving the books.
4. Completed Registration form together with the total Course Fee should be handed
over to NetAssist at least ONE WEEK (7 Days) prior to commencement of course.
Late Registrations will be confirmed only an availability of seats.
5. Participants sponsored by Organisations must complete the Authorization section or
attach a letter of authorization from the sponsoring organisation.
6. For postponement, transfer or leave of absence should be submitted in writing to the
Training Manager.
The acceptance/denial of these requests would be at the sole discretion of the
management and will be notified to the participant in writing.
7. NetAssist reserves the right to cancel, reschedule the course due to class size or
unforeseen circumstances
8. Any participant found in arrears of payment will not be permitted to attend lectures /
practical
9. Optional : Registrations -Direct deposits could be made through nearest Nations
Trust Bank in favour of "American Education Centre Ltd " - Nations Trust Bank,
Colombo 3 A /C Number : 006100004143 Receipts could be obtained by
submitting the slips.
10. Dress code : smart casual

I hereby accept the above Terms and Conditions, and forward herewith Cash/Cheque #
for the sum of Rs. Being the payment
due for the course.

……………………………………. ………………………..
Student’s Signature Date

Please Be Kind Enough to Add Your Friend’s e.mail Addresses or Telephone Numbers Below , To Get Benefits from NetAssist

Friends Name E - Mail Address or Telephone No

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