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F/8/1

FOR OFFICE USE

FOR OFFICE USE

(AP NO)

(INDEX NO)

Ministry of Skills Development and Vocational Training


APPLICATION FOR DIPLOMA COURSES IN UNIVERSITY COLLEGES
Established under the University of Vocational Technology
(Read and follow the instruction to candidates given at the end of this application form)

1. National Identity Card No:

2. Name with Initials (In block capitals):

3. Full Name(In block capitals):

4.

Permanent Address:

Province

District

Divisional Secretariat Division

Grama Niladari Division

Telephone (Land)

5.

Personal Information -

5.1

Date of Birth: Date:

5.2

Sex:

5.3

Civil Status : Married

Male

Telephone ( Mobile)

(Write or mark

E-mail Address

in relevant Box )

Month:
Female
Unmarried

Year:

5.4

Fathers / Mothers / Guardians Name with initials:


Tel:

5.5

6.

Does your family receive Samurdi Benefits? :

Yes

No

Entry Qualifications:

Candidates should have either NVQ Level 4 qualification in a relevant occupation or


G.C.E.(A/L) qualification in a relevant stream.
6 (i)

Candidate with NVQ Level 4 Qualification:

Occupation/ Course Name

Code of qualification

6 (ii) Candidate with G.C.E. (A/L) - (Write or mark

Year of examination:
1st

Attempt:

2nd

Effective Date of Certificate/


Assessment Date

in relevant Box)

3rd

Index No:
Medium:

Sinhala

Tamil

English

Subject details:
Subject
1
2
3

7.

General English

General Knowledge (Marks)

Order of preference for Courses:


Order of
Preference
1
2
3

Course

Grade / Marks

8.

General information:

8.1

G.C.E. (O/L) Results:


Subject

Grade

Year

Index
Number

Medium
Sinhala/Tamil/English

1
2
3
4
5
6
7
8
9
10

8.2

Extra Curricula Activities, Sports and Achievements:

8.3

Indicate any physical, health and allergy issues that need special attention:

I do hereby certify that the information furnished above is true and correct and
conform to the entry qualifications indicated in the advertisement and that I have not
registered for any full time Degree or Diploma in a University or any other Government
Academic Institutions in Sri Lanka. I do hereby accept that my enrolment in a
University College could be cancelled, if any of the above information is found to be
false or inaccurate, even after the commencement of the course.

Date

Signature of Applicant

Instructions to Candidates
1. Minimum entry qualification for these diploma courses is three passes in GCE (A/L) in
one sitting in the relevant stream or relevant NVQ Level 4 qualifications with effective
date prior to 31st December 2016.
2. Age should be below 29 years as at 31.12.2016

3. Fill the application in English language.


4. Application could be sent by registered post to reach the respective University
Colleges applied for, on or before 15th February 2017.
The Chief Executive Officer
University College of
Rathmalana,
01 A, Station Road,
Ratmalana.
Tel: 0112626297

Please write Application for University College on the top left hand corner of the
envelope.
5. Late and unduly filled applications will be rejected.
6. Do not attached copies of certificates to the application. But, originals of the Entry
qualification Certificate {GCE (A/L) or NVQ Level 4}, Birth certificate, extracurricular
certificates and National Identity Card should be produced at the selection test / interview.
7. NVQ Level 5 & 6 Courses will be conducted in English medium.
English and Information
Technology (ICT) classes will be conducted to improve the English language and ICT skills of
the students throughout the course period.

8. Course fees for each course is free.( Entire 3 years Period)

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