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INVESTORAPPLICATIONFORM CEYLONASSETMANAGEMENTCO.LTD. NO. 33,PARKLAND 1, PARK STREET, COLOMBO2,SRILANKA.+94(11)7394000/+94(71)7030000www.ceylonam.com,info@ceylonam.com TypeofAccountOfficeuseonlySoleAccountJointAccountCorporateAccountMinorAccountAgentCode:OtherAccountNo:PleasefillinBLOCK
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