RDB Liyasaviya Entrepreneur Registration Form

Title*Mr.Mrs.Ms.

First Name*

Last Name*

Name with Initials*

Gender*Select OneMaleFemale

Civil Status*Select OneMarriedUnMarried

Date of Birth*

NIC No.*

Mobile Phone*

Land Phone*

Email Address*

Nearest RDB Branch*Select OneAgalawattaAgarapathanaAgunakolapelessaAhangamaAkkaraipatthuAkmeemanaAkuressaAlawwaAmbalantotaAmbanpolaAmparaAnamaduwaAnuradhapuraAnuradhapura - New TownAralaganwilaAranayakeAthugalpuraAwissawellaBadalkumburaBaddegamaBadullaBaduraliyaBakamoonaBalangodaBalapitiyaBandarawelaBarawakumbukaBatapolaBatticaloaBatticaloa - 2nd CityBeliattaBeruwalaBibileBogahakumburaBogaswewaBolawatta SME UnitBowattaBulathkohupitiyaBulathsinhalaButtalaChenkaladyChilawChunnakamDamanaDambullaDantureDaulagalaDehiatthakandiyaDehiovitaDeiyandaraDeniyayaDeraniyagalaDevinuwaraDewalegamaDikwellaDivulapitiyaDiyathalawaDodangodaDummalasuriyaEheliyagodaElpitiyaEmbilipitiyaErathnaEraurGalamunaGalenbidunuwewaGalewelaGalgamuwaGalleGalnewaGampahaGampolaGandaraGinigathhenaGirandurukotteGiriullaGodakawelaGonagalapuraGonapathirawaGonapolaHakmanaHaldummullaHambantotaHambantota - 2nd CityHangurankethaHaputhaleHataraliyaddaHedeniyaHemmathagamaHikkaduwaHingurakgodaHomagamaHoranaIbbagamuwaImaduwaIngiriyaIsuru Project office-ChilawJaElaJaffnaKaduruwelaKaduruwela - New TownKahatagasdigiliyaKahawattaKalawanaKalmunaiKalpitiyaKalutaraKaluwanchikudyKaluwellaKamburugamuwaKamburupitiyaKanakarayankulamKandeketiyaKandyKandy - 2nd CityKanthaleKarandeniyaKarapitiyaKattankudyKatugastotaKatuwanaKegalleKegalle - 2nd CityKekanaduraKekirawaKelaniyaKilinochchiKiridiwelaKiriellaKirimatiyanaKirindakitulgalaKokkaddicholaiKolonnaKolonnawaKotagalaKotiyakumburaKuliyapitiyaKurunegala -CityKuruvitaLaggalaLunugalaLunugamveheraMadawachchiyaMadullaMahaoyaMahawewaMahiyanganaMahoMampuriManampitiyaManikhinnaMannarMarassanaMataleMatara CityMathugamaMawanellaMawaralaMawaramandiyaMawathagamaMedagamaMedirigiriyaMeegahakiwulaMeegahatennaMelsiripuraMiddeniyaMihinthaleMillaniyaMinuwangodaMirigamaMirissaMiriswatteMonaragalaMoragahahenaMoranthuduwaMorawakaMorayayaMundelMuththurNarammalaNattandiyaNaulaNawagaththegamaNawalapitiyaNegomboNelumdeniyaNeluwaNikaweratiyaNildandahinnaNintavurNittambuwaNivithigalaNugegodaNuwaraeliyaPalakudaPamburanaPanaduraPanduwasnuwaraPannalaParagahadeniyaPassaraPelmadullaPeradeniyaPerakumpuraPiliyandalaPitabeddaraPitagaldeniyaPitigalaPolonnaruwaPolpithigamaPothuheraPothupitiyaPothuwilPujapitiyaPulasthigamaPulungupitiyaPundaluoyaPuttalamRagamaRakwanaRambewaRambukkanaRannaRathnapuraRaththotaRideegamaRideemaliyaddaRikillagaskadaRuwanwellaSammanthuraiSanta AnapuraSenkadagalaSevanagalaSewanapitiyaSiripuraSiyambalanduwaSooriyawewaSri PalabaddalaTangalleTeldeniyaThalawaThalgaswalaThambuththegamaThambuththegama - CityThanamalvilaThihagodaThirappaneThissamaharamaTrincomaleeTrincomalee - 2nd CityUdawelaUdudumbaraUdugamaUhanaUragasmanhandiyaUrubokkaUva MaligathennaUva ParanagamaValachchenaiVavuniyaWadduwaWalagedaraWalasmullaWarakagodaWarakapolaWarapitiyaWariyapolaWattegamaWeeraketiyaWeligamaWeligepolaWelimadaWellawayaWennappuwaWilgamuwaYakkalamullaYatiyanthota

House Number, Street Name*

Address Line 2/City/Town*

District*Select OneAmparaAnuradhapuraBadullaBatticaloaColomboGalleGampahaHambantotaJaffnaKalutaraKandyKegalleKilinochchiKurunegalaMannarMataleMataraMoneragalaMullativueNuwara-EliyaPolonnaruwaPuttalamRatnapuraTrincomaleeVauniya

Postal Code

Status of your Business*Select OneExisting BusinessStarting New Business