Form for Official Accounts

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Applicant's Title *

Choose

Rev.

Prof.

Dr.

Mr.

Ms.

Applicant's First Name *

Your answer

Applicant's Last Name *

Your answer

Contact No.

Your answer

Designation *

Your answer

Department / Division / Center / Unit / Programe etc. *

Your answer

Preferred User Name *

Your answer

Applicant's University Email Address *

To send you the User Name and Password

Your answer

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This form was created inside of University of Sri Jayewardenepura.