Scribd
Upload
65 views2 pages

Application Form PSDR

This document is an enrolment application form for CINEC Campus (Pvt) Ltd in Sri Lanka, specifically for the Pre-Sea Deck Rating program. It requires personal details, educational background, extracurricular activities, a statement of career interest, and non-related referees. The form also includes sections for office use regarding the applicant's trainability and suitability.

Uploaded by

thishanamarahtunga.2003
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
65 views2 pages

Application Form PSDR

This document is an enrolment application form for CINEC Campus (Pvt) Ltd in Sri Lanka, specifically for the Pre-Sea Deck Rating program. It requires personal details, educational background, extracurricular activities, a statement of career interest, and non-related referees. The form also includes sections for office use regarding the applicant's trainability and suitability.

Uploaded by

thishanamarahtunga.2003
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

CINEC Campus (Pvt) Ltd

Millennium Drive, IT Park, Malabe. Sri Lanka.


Tel: 0112413500 / 0114486400 Fax: 0112413505 Web: www.cinec.edu
Office Use
ENROLMENT APPLICATION FORM
Ref :
Pre - Sea Deck Rating Photo
Batch No:

PLEASE COMPLETE ALL SECTIONS / USE BLOCK CAPITALS

1 Personal Details:
Title :Mr.
Name in full (underline surname)

Date Of Birth(DD/MM/YYYY): ID/PP/CDC:

Sex: M/F Nationality:

Home address:

WhatsApp No
Telephone: Mobile:

E-mail address:

2 Next of kin:

Name:

Address:

Relationship: Telephone:
3 School (s) attended
............................................................................... From To
............................................................................... From To

4 Educational
G.C.E. (O/L):Year G.C.E. (A/L):Year
Index No Index No

Subject Grade Subject Grade


1. ............................................................... 1. .....................................................
2. ............................................................... 2. .....................................................
3. ............................................................... 3. .....................................................
4. ............................................................... 4. .....................................................
5. ............................................................... 5. .....................................................
6. ...............................................................
7. ...............................................................
8. ...............................................................
9. ...............................................................
10. ...............................................................

5 Extra Curricular Activities


................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
....................................................................................................................................
6 Statement : State briefly as to why you decided to take up a career in this field
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................

7 Non-related Referees

Name ................................................................. Tel. No


Address ........................................................................................................................

I do hereby declare that the above particulars are true and correct.

Date: ........................................... Signature of applicant ....................................

OFFICE USE ONLY


Trainability & Suitability of the applicant: ...................................................
Pre qualifications
Course Code Batch Date Registration No: Remarks
(Cert no/Dates)

Checked by: ........................................ HOD’s Signature: ...................................


Date: ................................................... Date: ...................................................

You might also like