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Student Application Form For Admission Course Information (To Be Filled Completely in Block Letters Only)

This document is an application form for admission to the International College of Business & Technology. It requests information such as the applicant's name, contact details, date of birth, nationality, employment history, academic record including school and higher education qualifications, and a declaration signed by the applicant. The form also contains sections for office use only regarding the program details, payment details, and student account information.

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74 views

Student Application Form For Admission Course Information (To Be Filled Completely in Block Letters Only)

This document is an application form for admission to the International College of Business & Technology. It requests information such as the applicant's name, contact details, date of birth, nationality, employment history, academic record including school and higher education qualifications, and a declaration signed by the applicant. The form also contains sections for office use only regarding the program details, payment details, and student account information.

Uploaded by

දසුන් එදිරිසිංහ
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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International College of Business & Technology

Student application form for Admission


Please note: For Selected programmes students may be required to fill applications pertaining to the Univ ersity.
Course Information (To be filled completely in Block Letters only)
Name of the Course Applying for :
University / Institute :

Personal Details:

Name in full:

Name with Initials:


(To be printed in the Final Certificate)
Male Female Nationality
Date of Birth:
D D M M Y Y
Contact Office:

Correspondence Address: Home:

Mobile:

Fax:

Email/S:

Employment History

Position Held From To Name of the Company


______________________________________ ___________ ___________ _________________________________________________________
______________________________________ ___________ ___________ _________________________________________________________
______________________________________ ___________ ___________ _________________________________________________________
______________________________________ ___________ ___________ _________________________________________________________

Academic Record (School Education)


G.C.E O/L Year of Examination: G.C.E A/L Year of Examination:
Distinctions Distinctions
Credits Credit s
Simple Passes Simple Passes
Others Others

Higher Education
Name of the Institution Qualification Duration( From-To) Grade

Declaration
This is to certify that the information provided in this application is correct and complete to the best of my knowledge. In the event of incorrect
name entry in the above column, I hereby agree to pay the fee at cost for issuance of an amended additional certificate, if I desire the same.

Signature of the student:________________________________ Date of Application


D D M M Y Y
For Office Use Only :
Centre :
Program Information:
Program: University/Institute:
Batch#
Commencement: M Y Program Duration(M)
Payment Details:

Mode of Payment Full Payment Installment Counselor

Student Account Information

Registration No: Login ID:

Student ID: Remarks:

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