IESL College of Engineering IESLCE Engineering Study Programme
IESL College of Engineering IESLCE Engineering Study Programme
Personal Details
Name with Initials:
Date of Birth:
Full name:
Age:
Gender
Male
Female
NIC Number:
Educational Qualifications
Results of GCE Advanced Level Examination (Local/London) :
Year:
Name of School/Institute:
Other Qualifications
Qualification
Name of Institution
Duration
Year of
Completion
Electrical Engineering
Mechanical Engineering
Contact Details
Personal contact Details
Permanent Address:
Name:
Postal Address:
Relationship:
Mobile No:
Home No:
Email:
Home Tel:
Work Tel:
Mobile No:
Exhibition/Seminar
Friend / Relative
Other
Declaration
I certify that the information provided by me in this application is true and accurate to the best of my
knowledge. I understand that giving false or incomplete information may lead to the refusal of my
application or cancellation of enrolment.
Signature of Applicant
Date: (date/month/year)
Instructions:
The name given in the applicationform will be the one which will be used in all the documents issued by
the IESLCE including the student ID card, Certificates etc.
Application should enclose a receipt for Rs.1000/= (Application Fee) credited to A/C No. 0072989845 of
Bank of Ceylon, Independence Square Branch (Please write the student Name & NIC No. clearly in the
payment slip.)
Duly completed application form with certified copies of educational certificates, birth certificate,
National Identity card and a brief curriculum vitae (CV) should be sent under registered cover to The
registrar,IESL College of Engineering, 120/15, Wijerama Mawatha, Colombo 07.
Failure to send all the required documents along with the application form will result in rejection of the
application.
Application approved :