Colombo South Teaching Hospital
Vehicle details
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CSTH staff fuel need survey - please fill the details with 3 different convenient petrol stations
Details of vehicle
Please Select Vehicle Type
Select Vehicle
1.Car
2.SUV
3.Three wheel
4.Motor bike
Vehicle no
ex:WP CC9999
Fuel type
Select Fuel type
1.Petrol
2.Diesel
Petrol station1(select province)
Select province
Western
Southern
North Western
Uva
North Central
Sabaragamuwa
Central
Northern
Eastern
Petrol station 1
Petrol station 2(select province)
Select province
Western
Southern
North Western
Uva
North Central
Sabaragamuwa
Central
Northern
Eastern
Petrol station 2
Petrol station 3(select province)
Select province
Western
Southern
North Western
Uva
North Central
Sabaragamuwa
Central
Northern
Eastern
Petrol stations 3
Name of the staff
Salary no
Identity card no
Telephone No
Designation
Staff Category
Select Staff Category
1.administrators
2.consultants
3.medical offices
4.registers
5.Intern medical officer
6.nursing offices
7.para medicals
8.Office staffs
9.SKS
10.Others
Working hospital unit
Submission date
26/06/2022
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