Document Request Forms

General Instructions

In order to submit your request through Google Forms, please ensure that you are logged in with your Gmail or PGIM Email account.

For Pg. Trainees (Having PGIM Email):

To proceed with your request, please log in to your PGIM email account in the same browser.

For Pg. Trainers /Examiners :

To continue with your request, log in to your Gmail account/PGIM Email in the same browser. If you do not have a Gmail or PGIM Email account, please send your request via email to SAR/Examination or SAR/Academic, attaching the Online Payment receipt and the necessary documents.

Others :(Does not have PGIM Email/Gmail )

Please send your request via email to SAR/Examination or SAR/Academic, attaching the Online Payment receipt and the necessary documents.

SAR/Academic: Forms F12, F13, F14, F15, F16, F17
Email: saracademic@pgim.cmb.ac.lk

SAR/Examinations: Forms F1, F4, F10
Email: sarexams@pgim.cmb.ac.lk

You need to attach relevant payment receipt to obtain certain documents. Descriptions and applicable payments are given in this page according to the relevant branch and please ensure that the payment slips are available prior to initializing your request.

PAY ONLINE

Pg Trainees/Trainers/Examiners, If you have still not obtained an official Email, Please click here.

PGIM Email

Exam Branch

Examination Branch

	Document	Payment
F1	Academic Transc ript A confidential document that indicates marks of the trainee and it will be given only to a professional body (Processing Period: 1 Month)	Rs. 29500
F2	Degree Verifi cation-Before/After Convocation Indicates your qualification (degree) and the effective date (Payment for General Letters) (Processing Period: 1 Month)	Rs. 3000
F3	Degree Verification-After convocation before issuing certificate Indicates your qualification (degree) and the effective date (Processing Period: 1 Month)	free of charge
F4	Degree Verification (Degree Certificate Verification for Overseas institutions /person) (Verification letters/ request by private institutes Rs. 9000.00) Indicates your qualification (degree) and the effective date (Processing Period: 1 Month)	US $ 198 (Rs. 64310.00) Rs. 9000.00
F5	Selection Examination Verification Letter Indicate the Examination date (Processing Period: 1 Month) (Please pay General letters payment)	Rs. 3000
	Certificate Request for Anaesthesia (CCA) and Part-1A Indicate the Examination date Please pay General letters payment and forward your request to SAR Exams(sarexams@pgim.cmb.ac.lk) with the payment receipt.	Rs. 3000

Academic Branch

	Document	Payment
F12	General letters A letter to certify that a trainee has undergoing/undergone training	Rs. 3000
F13	Academic Records A letter including details (appointment/s, duration/s, trainer/s) of the training/clinical appointments (Processing Period: 1 Month)	View the Form
F14	For additional copy of Academic record (Processing Period: 1 Month)	Rs. 5000
F15	For certifying true copy (eg; log books, prospectus etc)	Rs.300 per page
F16	Service letters for Trainers / Board Members A letter to certify the services rendered to the PGIM as a board member/trainer/supervisor/lecturer etc	free of charge
F17	Letters to get permission to collect data/carry out a study within an institute	free of charge
F18	Letters regarding the courses not available at PGIM	Rs. 6000.00

Overseas Training

	Document	Payment
F6	Application for Overseas Training	free of charge
	This is applicable for trainees who have secured overseas placement for the purpose of Board Certification
F7	Request for visa letters	free of charge
	Trainees will be issued letters confirming their trainee status at the PGIM
F8	Other letters required for overseas training	free of charge
	Trainee status letter to relavent overseas institution, Confirmation on trainiing objectives, Funding details etc.
F11	Tax refund letter	Rs. 3000/=
	Letter issued to Board Certified specialists to obtain refund of tax( Pl pay for General Letters)

Board Certification

Board Certifications

	Document	Payment
F9	Application for Board Certification	Rs. 75000/=

F10	Verification of the Board Certification	Rs. 9000/=
	Letter issued to overseas institutions verifying the Board Certification of a trainee
F11	Tax refund letter	Rs. 3000/=
	Letter issued to Board Certified specialists to obtain refund of tax