Apply for a Program

* 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 *

Exam Year *

Index No

Subjects *

Grades *

Any Other Qualifications (any knowledge on Tamil language should be added here)

Application fee of Rs. 500 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