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DEPARTMENT OF ECONOMICS UNIVERSITY OF COLOMBO, SRI LANKA

Application Status

APPLICATION FOR ADMISSION

Extension Programmes in Economics (EPE)

Academic Year

Application No.

PROGRAMME APPLYING FOR

MPhil / PhD in Economics Masters in Economics Masters in Financial Economics Postgraduate Diploma in Economic Development Postgraduate Diploma (leading to Masters) in Tourism Economics and Hotel Management Diploma in Travel and Tourism Economics and Hotel Management Diploma in Micro Finance

check (x) the appropriate box

APPLICANT INFORMATION
Last Name Names denoted by initials Mr / Ms / Initials

Date of Birth (DD/MM/YYYY) Nationality

NIC No. (for Sri Lankan applicants) Passport No.

CONTACT DETAILS
Mobile Phone Email Mailing Address Other Phone Fax

Permanent Address (if different from above)

PRESENT EMPLOYMENT
Post Institution Official Address Phone Fax Email Year of commencement

APPLICATION FOR ADMISSION | Department of Economics, University of Colombo, Sri Lanka

PREVIOUS EMPLOYMENT
1 Post Institution and Address 2 Post Institution and Address 3 Post Institution and Address

list only the last 3 positions, starting from the most recent Period (years) To From

Period (years)

To

From

Period (years)

To

From

HIGHER OR PROFESSIONAL EDUCATION

1 Qualification obtained Class/Status University / Institution Major subject(s) offered 2 Qualification obtained Class/Status University / Institution Major subject(s) offered 3 Qualification obtained Class/Status University / Institution Major subject(s) offered

list only the highest 3 qualifications (degrees, professional qualifications, diplomas etc), starting from the most recent Year Duration Medium

Year Duration Medium

Year Duration Medium

SECONDARY EDUCATION
GCE (AL) or equivalent School Results (Subjects and Grades) Sri Lanka London Other (specify)

not mandatory for postgraduate applicants Year Medium

GCE (OL) or equivalent School Results (Subjects and Grades)

Sri Lanka

London

Other (specify)

Year Medium

APPLICATION FOR ADMISSION | Department of Economics, University of Colombo, Sri Lanka

OTHER STUDY PROGRAMMES

Study Programme Institution Starting Date

if you are currently registered for any other study programme, provide following information Registration No.

Ending Date provide following details of 2 non-related referees Prof / Dr / Ms / Mr / Other Institution Email

REFEREES
1 Name Designation Phone Address 2 Name Designation Phone Address Institution Email

Prof / Dr / Ms / Mr / Other

APPLICATION PROCESSING FEE

Cash (in person at the point of submitting the application) Bank Draft (drawn in favour of University of Colombo) Bank transfers (for foreign payments only; see note 4 below)

check (x) the appropriate box for the method of payment Receipt no. Bank draft no. Reference no.

DISCLAIMER AND SIGNATURE

I certify that the information provided above is true and accurate to the best of my knowledge and I am prepared to abide by the rules and regulations governing the registration and award of degrees of the University of Colombo.

Signature

Date

APPLICATION FOR ADMISSION | Department of Economics, University of Colombo, Sri Lanka

DEPARTMENT OF ECONOMICS UNIVERSITY OF COLOMBO, SRI LANKA REFEREE REPORT

PART 1
Programme applying for Name of the Applicant Name of the Referee Application closing date Dear Sir / Madam, The above applicant mentions your name as one of the referees in his/her application for the proposed Extension Programme of the Department of Economics, University of Colombo, Sri Lanka. I shall be grateful to you if you could kindly send (within 2 weeks from the application closing date) your confidential assessment of the applicants suitability and ability to follow this programme and your recommendation in the space given below. Administrator EPE Address: Email: Department of Economics, University of Colombo, Colombo 00300, Sri Lanka info@econ.cmb.ac.lk confidential assessment by the referee use additional sheets, if required

Extension Programmes in Economics (EPE)

information filled in by the applicant

PART 2

Signature Name Email

Date Designation Phone

REFEREE REPORT | Department of Economics, University of Colombo, Sri Lanka