Online Application

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Contact

Full Name In English (According to BC)

Name of Guardian (If Father is Dead)

Permanent Address

District

DS Division

Postal Town

Phone Number (Father)

Phone Number (Mother)

WhatsApp Number

NIC Number

Date of Birth

Year

Index (According to O/L Exam)

Grade 11, 3rd term exam result:

Last Studied School

How many juz of Holy Quran have you memorized?

Whether applicant is healthy?

Special activities of student

Whether father and mother are alive?

Father Mother Divorce

Father’s / Guardian’s Occupation

Father’s / Guardian’s Monthly Income

E-Mail

File Attachment

I do certify that the details furnished by me above are true and correct.

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