Sonal Induwara Kottahachchi is applying for admission to the National Diploma in Technology course at the Institute of Technology, University of Moratuwa. He provides his personal details including name, age, nationality, address and contact information. He lists his G.C.E. A/L exam results from 2019 and 2020, including subject grades and index/Z-scores. He indicates his preferred field of study and language for the aptitude test. The applicant certifies that the information provided is accurate and declares that he is not registered as a full-time student in any other university program.
Sonal Induwara Kottahachchi is applying for admission to the National Diploma in Technology course at the Institute of Technology, University of Moratuwa. He provides his personal details including name, age, nationality, address and contact information. He lists his G.C.E. A/L exam results from 2019 and 2020, including subject grades and index/Z-scores. He indicates his preferred field of study and language for the aptitude test. The applicant certifies that the information provided is accurate and declares that he is not registered as a full-time student in any other university program.
Sonal Induwara Kottahachchi is applying for admission to the National Diploma in Technology course at the Institute of Technology, University of Moratuwa. He provides his personal details including name, age, nationality, address and contact information. He lists his G.C.E. A/L exam results from 2019 and 2020, including subject grades and index/Z-scores. He indicates his preferred field of study and language for the aptitude test. The applicant certifies that the information provided is accurate and declares that he is not registered as a full-time student in any other university program.
Sonal Induwara Kottahachchi is applying for admission to the National Diploma in Technology course at the Institute of Technology, University of Moratuwa. He provides his personal details including name, age, nationality, address and contact information. He lists his G.C.E. A/L exam results from 2019 and 2020, including subject grades and index/Z-scores. He indicates his preferred field of study and language for the aptitude test. The applicant certifies that the information provided is accurate and declares that he is not registered as a full-time student in any other university program.
NATIONAL DIPLOMA IN TECHNOLOGY COURSE INSTITUTE OF TECHNOLOGY APPLICATION 5 2 5 1 UNIVERSITY OF MORATUWA NO.
ACADEMIC YEAR - 2021/ 2022 DISTRICT
APPLICATION FOR ( please )
1. MARITIME FIELDS - SET 1 2. OTHER FIELDS - SET 2
1). PERSONAL DETAILS
NAME IN FULL SONAL INDUWARA KOTTAHACHCHI (AS PER THE BIRTH CERTIFICATE) NAME WITH INITIALS S I KOTTAHACHCHI (PERERA A B C) NATIONALITY Sri Lankan GENDER Male ST. years months days AGE AS AT 31 DEC. 2021 20 5 10 DATE OF BIRTH 21 7 2000 NATIONAL ID NUMBER 200020300077
2). CONTACT DETAILS
ADDRESS DELTHUDUWA,GONAGALAPURA, INDURUWA (RESIDENCE) TELEPHONE 0342290007 MOBILE 0717799121 EMAIL sonalinduwara@gmail.com
3). RESULTS OF G.C.E. (ADVANCED LEVEL) EXAMINATION
GRADES & DETAILS OBTAINED AT THE
SUBJECTS & DETAILS OF EXAMINATION st nd rd 1 ATTEMPT 2 ATTEMPT 3 ATTEMPT YEAR 2019 2020 PHYSICS C B CHEMISTRY C B COMBINED MATHEMATICS C C ADVANCED MATHEMATICS INDEX NUMBER 5645263 1977436 Z - SCORE 0.7779 1.3130 PLEASE INDICATE IF YOUR Z- SCORE IS MINUS (M) RESULTS OF THE YEAR TO BE CONSIDERED FOR SELECTION 2020 (INDICATE WHETHER 2018 OR 2019 OR 2020)
4). MEDIUM Medium in which you wish to sit the Aptitude Test Sinhala
LearnOrg - Application for the National Diploma in Technology Page 1 of 3 2021-09-16 09:49:38 5). SCHOOL(S) ATTENDED FROM YEAR 11 TO YEAR 13
PERIOD OF ATTENDANCE YEAR NAME & ADDRESS OF SCHOOL DISTRICT FROM TO Year Month Date Year Month Date 11 Dharmasoka Collage- Ambalangoda Galle 2017 1 12 2017 11 29 12 Dharmasoka Collage- Ambalangoda Galle 2018 1 15 2018 11 20 st 1 13 Dharmasoka Collage- Ambalangoda Galle 2019 1 14 2019 9 10 ATTEMPT 2nd 13 Dharmasoka Collage- Ambalangoda Galle 2020 1 10 2020 10 30 ATTEMPT rd 3 13 ATTEMPT
6). CERTIFICATION OF RESULTS AND SCHOOLS ATTENDED
It is compulsory to certify the results under No. 3 and details under No.5 in the application by the School Principal for the School Candidates and by a Justice of Peace for External Candidates.
I certify that the particulars given above by the candidate in the cage No. 3 and No. 5 are true and accurate according to the Original certificates
........................... ............... Official Seal Signature Date
7). FIELD PREFERENCE
SET 1 – Insert order of preference as 1 for First preference and 2 for Second preference. This should be completed only by the candidates who have applied for Maritime Studies. SET 2 – Insert order of preference as 1,2,3,4,5,6,7,8. "1" for the "Most Preferred", "2" for the next and so on "8" for the last preferred. SET 1 SET 2 MARITIME FIELDS ORDER OTHER FIELDS ORDER MARINE ENGINEERING 1 CHEMICAL ENGINEERING TECHNOLOGY 7 TECHNOLOGY NAUTICAL STUDIES AND 2 CIVIL ENGINEERING TECHNOLOGY 4 TECHNOLOGY ELECTRICAL ENGINEERING TECHNOLOGY 3 STATE PRIORITY, IF APPLIED FOR ELECTRONIC & TELECOMMUNICATION ENGINEERING 1 BOTH TECHNOLOGY SETS ORDER INFORMATION TECHNOLOGY 2 SET 1 2 MECHANICAL ENGINEERING TECHNOLOGY 5 SET 2 1 POLYMER TECHNOLOGY 8 TEXTILE & CLOTHING TECHNOLOGY 6
ARE YOU REGISTERED AS A FULLTIME STUDENT IN ANY OTHER UNIVERSITY UNDER THE UGC (OTHER THAN OPEN UNIVERSITY) OR ANY OTHER HIGHER EDUCATIONAL INSTITUTION UNDER No THE MINISTRY OF HIGHER EDUCATION? (Please indicate Yes or No)
LearnOrg - Application for the National Diploma in Technology Page 2 of 3 2021-09-16 09:49:38 APPLICANT’S DECLARATION: 1. I certify that all the particulars given by me in this application are true and accurate. I am aware that if the particulars given by me in this application are found to be false or inaccurate, I will be discontinued from the course at any time. 2. I declare that I am not a fulltime registered student at any university (except open university of sri lanka) or any higher educational institution under the ministry of higher education. 3. I am aware that if I am found to be registered in another university or any other higher educational institution under the ministry of higher education at the time of sitting for the aptitude test for the national diploma in technology course, I will not be selected for the course. 4. In the event of my being selected for admission after the test, I shall abide by statutes, by-laws, regulations and the rules of the institute of technology, university of moratuwa in so far as they are applicable to me. 5. I have pasted the cash deposit/cash transfer receipt obtained from bank of ceylon, drawn in favour of “institute of technology, university of moratuwa – account no. 0000308280 of bank of ceylon, homagama branch”. 6. I also enclose a self addressed stamped envelope (rs. 45/=worth) in size 9” x 4”.
