| Special Payment Voucher | Customer's copy (To be sent to the CPM Office) |

Institute of Certified Professional Managers
22 Macleod Road, Colombo 04.
Tel: 2590995, 2501062 Fax: 2507087
E-mail: directorcpm@cma-srilanka.org web: www.cma-srilanka.org
People's Bank .............................................................................. Branch Code No ..............................
Name with initials ..................................................................................................................................
Address ............................................................................................................................................
Membership / Registration No ........................................ (If any) Contact No ................................
Fees, in cash, could be paid to any branch of the People's Bank, to the credit of the Institute of Certified Professional Managers of Sri Lanka, A/C No 310100160000116 at the People's Bank Bambalapitiya branch (310)
| Rs. | Cts. |
| 1. Membership Fee | ||
| 2. Membership Renewal Fee | ||
| 3. Course Fee | ||
| 4. Examination Fee | ||
| 5. Study Texts | ||
| 6.Journal / Direct Advertising Fee | ||
| 7. Others | ||
| TOTAL |
Amount in words: Rupees ..................................................................................................................
Date ..........................
............................................................................
Depositor's Signature
Payment Received.
Date ..........................
............................................................................
For Manager, People's Bank
(Branch Stamp)