Lifetime Membership Application

Complete this application to apply for lifetime membership of the Sri Lanka Nurses' Association and for an SLNA identity card.

Before you begin: Please prepare your Sri Lanka Nursing Council registration details, bank-transfer receipt, and passport-size photograph. Fields marked are required.

1. Personal Details

Name in Full

Name with Initials

Title

National ID Number

Date of Birth

Sex

Male Female

Marital Status

2. Contact Details

Permanent Address

Current Working Place

Official Address

Mobile

Residential

Office

3. Professional Details

I do not have my SLNC registration number yet

SLNC Registration Number

SLNC Registration Date

Designation

First Appointment Date

First Appointment Place

Nursing School / University

Batch

Higher Educational Qualification

4. Lifetime Membership Payment

Bank Transfer Details

Account Name: The Sri Lanka Nurses
Bank: Bank of Ceylon (BOC)
Branch: Regent Street, Colombo 10
Account Number: 76034111

Transfer the applicable lifetime membership fee to this account, then upload a clear copy of your bank receipt.

Bank Receipt

Accepted formats: PDF, JPG, JPEG, PNG. Maximum file size: 5 MB.

5. SLNA ID Application

The details in this application will also be used to prepare your SLNA membership identity card.

Passport-Size Photograph

Upload a clear, recent passport-size photograph. Use JPG, JPEG, or PNG. Maximum file size: 5 MB.

Photo preview

I confirm that the information provided is accurate and I agree to abide by the SLNA Constitution and Code of Ethics.

After submission, you will receive an application reference number. SLNA will review your application, payment receipt, and passport photograph before confirming membership.

Sri Lanka Nurses' Association