MEMBERSHIP APPLICATION Room 166, Cinnamon Grand Colombo,No. 77, Galle Road, Colombo 03Tel: 011 3620613, Email: iod@slid.lk Application PERSONAL DETAILSTitle Mr. Mrs. Ms. Dr. Prof.SurnameFirst NameMiddle NameDate of Birth National Identity Card / Passport NumberGender Male Female OtherOffice TelephoneHome TelephoneMobile phone Home Address E-mail : (Primary)E-mail : (Secondary)Password for LoginPreviousNextBUSINESS DETAILSForm-20 Board Director Yes NoCompany Type Public Listed Company Public Limited State-owned Enterprise Private Limited Family-owned BusinessCurrent Designation :Board/ Management Level Chairman Executive Director/CEO Executive Director Non-Executive Director Independent Director Partner CEO/General Manager Senior ManagerCompany Name (in full)Company AddressIndustry / Sector Banking & Financial Services Logistics IT Tourism & Hospitality Manufacturing FMCG & Consumer Durables Apparel Healthcare Education Insurance/Assurance Sustainability Engineering/Construction Industrial Products Management Consulting Agriculture/Plantation Finance IT Consulting HR Sales & Marketing OtherIf Other :Company / Partnership Registration Number(Please attach copies of Certificate of Incorporation/Registration and Form 20 if a Director)Choose File Other Current Board Positions HeldPA/Secretary NamePA/Secretary E-mailPA/Secretary TelephoneKey Skills Finance Legal IT Marketing HR Sustainability/ESG Operations Manufacturing Sales Strategy Risk Banking Engineering Supply Chain Compliance Corporate Affairs Communications Other:If OtherSecondary Skills Finance Legal IT Marketing HR Sustainability/ESG Operations Manufacturing Sales Strategy Risk Banking Engineering Supply Chain Compliance Corporate Affairs Communications Other:Academic QualificationsProfessional Qualifications For Affiliate status - The University at which the Postgraduate studies are being followed PreviousNextREFEREE 01 (CURRENT MEMBER OF SLID)NameDesignationCompany NameContact NoEmailREFEREE 02 (CURRENT MEMBER OF SLID)NameDesignationCompany NameContact NoEmailIn the absence of SLID members as Referees, please supply details of your Banker/Auditor.Eligibility: Ordinary Member Entrance Fee & Subscription Fee - Rs. 40,000/- Associate Member Entrance Fee & Subscription Fee - Rs. 30,000/- Affiliate Member Entrance Fee & Subscription Fee - Rs. 23,000/-*Note: Please make your cheque/s payable to 'The Sri Lanka Institute of Directors'Payment Method Pay Now Cheque Bank TransferPlease select and make the payment using blow link Payment Page Link Oder ID in Payment Successful PageUpload Your Payment ProofChoose File  DECLARATION I hereby apply for membership of The Sri Lanka Institute of Directors and agree to be bound by its rules and by-laws, from time to time in force. I confirm that all information presented in this Application is true and accurate and that I shall cease to be a member of the Institute in the event that any such information is found to be false. I confirm that I do not have any unspent criminal convictions, that I am not an undischarged bankrupt, that I am not disqualified by court order from being a Director/Senior Manager/Sole Proprietor/Partner and that I know of no reason whatsoever which would disqualify me from holding such post/s. I undertake to conduct myself in a manner, which would be expected of a member of a reputable professional institute. I further undertake not to represent publicly the views of the Institute or to claim its support without the prior written approval of the Management of the Institute and I have read and agree to the Terms and Conditions and Privacy Policy Previous Submit Form