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First Name

Surname

Name with Initials

Names Denoted by Initials

Gender

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Nationality

Sri LankanAfghanAlbanianAlgerianAmericanAndorranAngolanAntiguansArgentineanArmenianAustralianAustrianAzerbaijaniBahamianBahrainiBangladeshiBarbadianBarbudansBatswanaBelarusianBelgianBelizeanBenineseBhutaneseBolivianBosnianBrazilianBritishBruneianBulgarianBurkinabeBurmeseBurundianCambodianCameroonianCanadianCape VerdeanCentral AfricanChadianChileanChineseColombianComoranCongoleseCosta RicanCroatianCubanCypriotCzechDanishDjiboutiDominicanDutchEast TimoreseEcuadoreanEgyptianEmirianEquatorial GuineanEritreanEstonianEthiopianFijianFilipinoFinnishFrenchGaboneseGambianGeorgianGermanGhanaianGreekGrenadianGuatemalanGuinea-BissauanGuineanGuyaneseHaitianHerzegovinianHonduranHungarianIcelanderIndianIndonesianIranianIraqiIrishIsraeliItalianIvorianJamaicanJapaneseJordanianKazakhstaniKenyanKittian and NevisianKuwaitiKyrgyzLaotianLatvianLebaneseLiberianLibyanLiechtensteinerLithuanianLuxembourgerMacedonianMalagasyMalawianMalaysianMaldivanMalianMalteseMarshalleseMauritanianMauritianMexicanMicronesianMoldovanMonacanMongolianMoroccanMosothoMotswanaMozambicanNamibianNauruanNepaleseNew ZealanderNi-VanuatuNicaraguanNigerienNorth KoreanNorthern IrishNorwegianOmaniPakistaniPalauanPanamanianPapua New GuineanParaguayanPeruvianPolishPortugueseQatariRomanianRussianRwandanSaint LucianSalvadoranSamoanSan MarineseSao TomeanSaudiScottishSenegaleseSerbianSeychelloisSierra LeoneanSingaporeanSlovakianSlovenianSolomon IslanderSomaliSouth AfricanSouth KoreanSpanishSudaneseSurinamerSwaziSwedishSwissSyrianTaiwaneseTajikTanzanianThaiTogoleseTonganTrinidadian or TobagonianTunisianTurkishTuvaluanUgandanUkrainianUruguayanUzbekistaniVenezuelanVietnameseWelshYemeniteZambianZimbabwean

SLEMA Membership Details

Membership No

Type of Membership

- Select option -Corporate MemberLife MemberAssociate MemberCompanion Institutional member

Highest Office Held at SLEMA

MemberPresidentSenior Vice President Vice PresidentJoint SecretaryTreasurerSeminar SecretaryImmediate Past PresidentElected Past PresidentMember of the BoardCooperate Member of the Board

Current Employment Details

Name of the Organization

Address

(still 255 characters)

Official Email

Phone Number

Past Employment Details

Name of the Organization 1

Position 1

Name of the Organization 2

Position 2

Personal Contact Details

Mobile Number 1

Mobile Number 2

Land Line

Personal Address

District

JaffnaKilinochchiMannarMullaitivuVavuniya PuttalamKurunegala GampahaColomboKalutaraAnuradhapuraPolonnaruwa MataleKandyNuwara Eliya KegalleRatnapuraTrincomaleeBatticaloaAmpara BadullaMonaragalaHambantotaMataraGalle

Email Address 2

Academic Details

Highest Academic Qualification Achieved

BachelorMastersDoctoral DegreeNTDHNDENVQ 4NVQ 5NVQ 6Advanced Level

Institute

Year of Achievement

198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021

Country

AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua & DepsArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia HerzegovinaBotswanaBrazilBruneiBulgariaBurkinaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepChadChileChinaColombiaComorosCongoCongo {Democratic Rep}Costa RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIreland {Republic}IsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea NorthKorea SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar, {Burma}NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussian FederationRwandaSt Kitts & NevisSt LuciaSaint Vincent & the GrenadinesSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe

Institute.

Field

EngineeringManagementFinanceAccountingother(please specify below)

Other

Additional Information on the Current Workplace

Do you have an Energy Manager

YesNo

Are you the Energy Manager

YesNo

Type of Service.

Manufacturing Product SupplyESCOEnergy AuditingConsultancyPolicy MakingOther (please specify)

No of Employees

0-20 21-5051-100101-200201-400401-600601-1000Above 1000

No of Energy Managers

Professional Information

Are you an Energy Manager?

YesNo

if Yes Certificate No:

Year of Achievement

2000200120022003200420052006200720082009201020112012201320142015201620172018201920202021

Training Conducted by

SLEMASEAOther

Are you an Energy Auditor?

YesNo

Energy Auditor Qualification

SLSEA AccreditedSLEMA CertifiedOther (Please Specify)

Other

Other professional Qualifications

Qualification 1

Vibration AnalystPressure Vessel InspectorCharted EngineerThermographer

.

Qualification 2

Vibration AnalystPressure Vessel InspectorCharted EngineerThermographer

..

Qualification 3

Vibration AnalystPressure Vessel InspectorCharted EngineerThermographer

...

Professional Memberships

Institute 1

Institute 2

Institute 3

Institute 4

SUBMIT