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* Indicates Required Fields

Title *

Initials *

Last name *

Full Name *

Sex *

Civil Status *

NIC * (enter V or X in capital ex:984545678V)

Date of Birth *

Medium You Wish to Study *

Address for Correspondence *

Address Line 1 *

Address Line 2 *

Address Line 3

Address Line 4

* If there are any changes later on, inform immediately

District *

Province

Telephone No./Whatsapp *

E-Mail *

Educational Qualifications (G.C.E. (O/L) Examination)

Exam Year *

Index No

Subjects *

Grades *

Educational Qualifications (G.C.E. (A/L) Examination)

Exam Scheme

Stream

Exam Year

Index No

Subjects Followed

Grades (capital letters only)

General English

Common General Test

Z Score/ Aggregate (minus (-) values must be mentioned)

ex: 0.98 (plus z-score)/ -0.12 (minus z-score)/ 150 (aggregate)

Whether Qualified to Apply for Admission to University

As mentioned in your result sheet

Any Other Qualifications (SLQF or NVQ related qualifications should be added here)(details about Certificate in Laboratory Handling [if available] should be added here)

Working Experiences (If any)

Employment Status

Time Period

Organization

Position

After entering click "Add to application" button.

Application fee of Rs. 1000 should be paid for the selected study programme.

Date of Payment *

Branch Name *

Amount Paid *

Payment Slip Attached

Original payment slip should be attached to the print-out of the application

Personal Details

Qualifications

Educational Qualifications (G.C.E. (O/L) Examination)

Educational Qualifications (G.C.E. (A/L) Examination)

Working Experiences (If any)

Details of Payment