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  Diploma in Gemmology (DGem) Gemmologists Association of Sri Lanka (GASL)
EXAMINATION APPLICATION FORM
DIPLOMA IN GEMMOLOGY
GEMMOLOGISTS ASSOCIATION OF SRI LANKA

(PLEASE WRITE IN BLOCK CAPITALS)
NAME WITH INITIALS:  Rev./Prof./Dr./Mr./Mrs./Miss.……………………………………………………

FULL NAME…………………………………………………………………………………

DATE OF BIRTH: YEAR…………… MONTH……………………… DATE ………………………

NIC NUMBER/PASSPORT NUMBER (For non-residents) :……………………………

OCCUPATION :……………………………

MAILING ADDRESS :………………………………………………………………………………
………………………………………………………………………………………………

PERMANENT ADDRESS (for non-residents) :………………………………………………………………………………
………………………………………………………………………………………………

TEL:………………………                        MOBILE:…………………………
EMAIL:………………………                   WEBSITE:…………………………                                               

EDUCATIONAL QUALIFICATIONS (attach certified copies)                                                                
……………………………………………………………            
……………………………………………………………
……………………………………………………………              
          
PROFESSIONAL MEMBERSHIPS :……………………………………………………… 

Above information are true & correct according to my knowledge

………………                                                          …………………………
      Date                                                            Signature of applicant

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