External Degree Program ApplicationForm
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Application No. 8112409701 University of Colombo Application for the Admission to External Degree Programmes 2014 NAME OF THE PROGRAM FULLNAME PERMANENT ADDRESS CONTACT ADDRESS FIXED LINE NUMBER MOBILE NUMBER FAX NUMBER EMAIL DATE OF BIRTH GENDER CITIZENSHIP NIC NO FOREIGN APPLICANT PASSPORT NO CURRENT EMPLOYMENT DESIGNATION NATURE OF DUTIES PERFORMED OFFICE ADDRESS PHONE NUMBER EMAIL FAX Page 1
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Transcript of External Degree Program ApplicationForm
Application No. 8112409701
Department of MathematicsUniversity of Colombo
Application for the Admission to External Degree Programmes2014
NAME OF THE PROGRAM B.Sc. in Financial Engineering
FULLNAME
Mr. KOTUGODAGE HESHANA NAVODA
PERMANENT ADDRESS
172, GALLE ROAD, KALUTARA NORTH
CONTACT ADDRESS
NO 25, PERESYALA, AMBEPUSSA
FIXED LINE NUMBER 0342238165 MOBILE NUMBER 0712005504
FAX NUMBER 0342229747 EMAIL [email protected]
DATE OF BIRTH 1988-01-05 GENDER MALE
CITIZENSHIP SRI LANKAN NIC NO 880050672V
FOREIGN APPLICANT NO PASSPORT NO
CURRENT EMPLOYMENT
DESIGNATION INSTRUCTOR
NATURE OF DUTIES PERFORMED
WORKS AS A DEVELOPER, MEDIA PERSON, LAB INSTRUCTOR, FACULTY SITE ADMINISTRATOR, DATABASE ADMINISTRATOR
OFFICE ADDRESS
ITU1, FACULTY OF SCIENCE, UNIVERSITY OF COLOMBO.
PHONE NUMBER 0112158409 EMAIL [email protected]
FAX 0342229747
Page 1
EDUCATIONAL QUALIFICATIONS(Original certificates need to be produced when register in the University)
GCE ADVANCED LEVEL EXAMINATION
YEAR INDEX NUMBER SYLLABUS Z-SCORE/TOTAL SCORE2007 123456 LOCAL SYLLABUS 1.241
SUBJECT GRADE/MARK SUBJECT GRADE/MARKChemistry B Physics C
Combined Mathematics C
GCE ORDINARY LEVEL EXAMINATION
YEAR INDEX NUMBER SYLLABUS Z-SCORE/TOTAL SCORE2003 456789 LOCAL SYLLABUS 1.241
No. of A(D)'s 8 No. of B's 2 No. of C's No. of S's No. of W's
EXPERIENCE IN THE RELEVANT FIELD (If any)
no
REFEREES(Provide names and addresses of two non-related referees who are familiar with your academic background)
R. L. I. PERERA L. L. S. WICKRAMASINGHE
5/9, Pirivena Road, Rathmalana. 172, Galle Road, Kalutara North.
0112723907 0342229747
[email protected] [email protected]
INFORMATION ABOUT ANY OTHER STUDY PROGRAMS(If you are currently registered for any other study program at University of Colombo or any other institution,please give details below)
I certify that the information furnished by me above is true and accurate to the best of my knowledge and that I amprepared to abide by rules and regulations governing the registration and awarding of higher degrees of theUniversity of Colombo.
............................................................... .......................................Signature of the Applicant Date
The completed application must be accompanied by a non-refundable application fee of Rs 500.00 which can be paidthrough any branch of Peoples Bank to the credit of University of Colombo, Account number 322030100005.
Completed application forms along with the payment slip should be sent via registered post to the Senior AssistantRegistrar, Faculty of Science,University of Colombo, Colombo 03 on or before 2014-09-30
Please mark " External Degree Program" on the upper left hand corner of the envelope.
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For B.Sc. in Financial Engineering, Account Number 322030100005. For B.Sc. In Electronics & Automation Technologies, Account Number 322070100001.
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