Director’s Details form

Name of the Company
Title MrMrsMissMSDrProfRev
First Name
Last Name
Full Name
Name with Initials
Residential Address
Local Address
(Applicable only for foreign directors/shareholders)
GS Division (Grama Niladarie)
Divisional Secretariat
NIC or PP No
Upload NIC or PP
NIC Back
Date of Birth
Contact No
E mail
Are you a shareholding Director YesNo
Declaration
I hereby declared that above information true and correct and I have no any legal barer to appoint as a director to the aforementioned company as the best of my knowledge and belief.
Name of the Declarent
Value of Investment (Rs.)
What is the proposed shareholding percentage
Date