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General Sir John Kotelawala Defence University
Kandawala Road, Dehiwala - Mount Lavinia 10390
Department of Languages
Faculty of Management, Social Sciences and Humanities
Weekend English Courses
Application for Registration
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Name with Initials
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Name denoted by initials
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Title
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Ven.
Mr.
Ms
Option 4
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Address
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E-mail
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Your answer
03. Telephone/ Mobile Number
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04. National Identity Card / Passport Number
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05. Date of Birth (DD/MM/YYYY)
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MM
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DD
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YYYY
06. Age (at the time of closing date)
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07.Occupation (only if employed)
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ස08.Place of Work & Address (only if employed)
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09.The Highest Qualification in English
Example : Examination - Certificate Course in English , Year - 2019 , Subject - English , Grade - Pass
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10. Educational Qualification
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G. C. E A/L Examination - Index Number / Year ( Example : Index Number - 254965 , Year - 2018 )
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Please fill your G.C.E A/L results as follows
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Example : Physics - A , Chemistry - B
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G. C. E O/L Examination - Index Number / year
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Example : Index Number - 158967 , Year - 2016
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Please fill your G.C.E O/L results as follows
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Example : Science - A , Mathematics - B
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I certify that the particulars furnished by me in this application are true and correct. I am aware that if the particulars given herein are proved to be false and inaccurate, the university has the authority to cancel my registration at any stage and alter or cancel any award granted to me. l also state hereby that I shall accept such a decision as final and conclusive.
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I agree with the above statement
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