ETC Customer Service Application Form
*
Name with Initials:
Ex: S.M.M.S.Ariyarathna
Company Name:
*
If the vehicle belongs to a company
Ex: Abcd(pvt) Ltd
*
NIC No / Passport No:
Ex: 123456789V
Driving License No:
Ex: A1234567
*
Contact Tel:
Mobile:
Fax:
Ex: 07XXXXXXXX
Ex: 011XXXXXXX
Email:
Ex: xxx@yyy.com
*
Resident / Business Address:
Enter Business Address if the vehicle belongs to a company
Postal Code:
Ex: 60155
Payment Type:
- If you have BOC account, you can register to auto topup system
- BOC internet banking
- Topup at Bank Counter
SMS Alerts:
Free Service
Direct Debit
Internet Banking
Cash at Bank Counters
Yes
No
*
Mobile Number:
Ex: 07XXXXXXXX
Please upload images of following document (Max 2 MB)
*
NIC/Passport
*
Vehicle Registration Book / Revenue Licence
Letter from the owner if the owner not present during the registration
Letter from the company if the vehicle belongs to a company
I agree to the
and hereby certify to the information
Terms and Conditions of the ETC Customer Service Agreement
I have provided herein to be accurate and true.
Customer Care Centres:
Peliyagoda Thorana Junction / Ja-Ela Interchange Office
1969
Expressway Operation Maintenance and Management Division
Colombo-Katunayake Expressway
Road Development Authority
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