Request form
Request form fill out.
Please mark name?
S P H Maduranga
AJANTHA WIJEWEERA
W P Wasanthi
PKInoka Presanthi
S Pattiaya Kumbara
MR ASHMIKA SASANKA BANDARA KURUPPU MUDIYANSELAGE
M P Sanjeewa Pushpa Kumbara
R G Supun Maduranga
L P G M Lakruwan
E P K Aruna
Janaka Manju Nevil Kumara
MR WELGAMAGE HIRUSHKA MADURANGA PERERA
Asanka Lokuge
MR GIMHAN DESHANJANA MATHANGAWEERA
MR NIMSARA MIRISA BADALLAGE VIHAGA
Muthuwahandi Malith Madushanka
MR B CHAMINDA JAGATH WIJERATHNE
MR G M E P S GAJANAYAKE
Suwanda Hannadige Danushka Sampath
KAVINDRA YASAS BANDARA
Jayawardhana Pathira
S A prasad duminda
Hewa Gamage Shanuka Lakshan
S M T H SENEWIRATHNA
Please mark the type?
Advance
Loan
Number of installment months for the loan? (For advance click on the Next)
Please mark the payment type?
Cash register
Card
Amount
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