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IESL College of Engineering IESLCE Engineering Study Programme

This document is an application form for weekend engineering programmes at IESL College of Engineering. It requests personal details like name, date of birth, gender, NIC number and contact information. It also asks for educational qualifications and preferred field of specialization. The form notes that the name provided will be used on all documents and a receipt for Rs. 1000 application fee must be enclosed. Completed applications with certified copies of documents should be sent registered to the college. Failure to provide all required documents may result in rejection.

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Anuradha Gunawardhana
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65 views

IESL College of Engineering IESLCE Engineering Study Programme

This document is an application form for weekend engineering programmes at IESL College of Engineering. It requests personal details like name, date of birth, gender, NIC number and contact information. It also asks for educational qualifications and preferred field of specialization. The form notes that the name provided will be used on all documents and a receipt for Rs. 1000 application fee must be enclosed. Completed applications with certified copies of documents should be sent registered to the college. Failure to provide all required documents may result in rejection.

Uploaded by

Anuradha Gunawardhana
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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IESL College of Engineering

IESLCE Engineering Study Programme


APPLICATION FORM FOR WEEKEND PROGRAMME
Please read the instruction carefully before filling out the application
Programme Applying For
Certificate Level Stage I

Advanced Diploma Level Stage I

Certificate Level Stage II

Graduate Diploma Level

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

Preferred field of Specialization


Civil Engineering

Electrical Engineering

Mechanical Engineering

Electronics, Communication & Computer Engineering

Contact Details
Personal contact Details

Emergency Contact Details

Permanent Address:

Name:

Postal Address:

Relationship:

Mobile No:

Home No:

Email:

Home Tel:

Work Tel:

Mobile No:

How did you find out about our course


Newspaper/Magazine

Exhibition/Seminar

IESL Website/Other Websites

Friend / Relative

Current student/past student of IESLCE

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.

For Office Use Only


Certified copies of academic certificates
Certified copy of National ID Card
Certified copy of birth certificate
Curriculum vitae
Bank deposit slip ( Application Fee Rs. 1000/=)
Date received :
Remarks :

Application approved :

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