DIPLOMA CERTIFICATE - ATI COLOMBO (This form should be completed by student)
1. Name in Full In English [Block letters] *
Your answer
2. Name of the Diploma to be conferred : *
Your answer
3. Year of passing the examination mentioned at item 2 above *
Your answer
4. Postal Address *
Your answer
5. Student Register No *
Your answer
6. Contact Telephone No *
Your answer
7. Gender *
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