Year Subject Code Grade Year 3.

Transcription

1 Application No : Important Notice 1. Please read the instruction sheet carefully, provided with the brochure before filling this application form. 2. Use black ink pen to fill this application form. 3. Fill the cages in BLOCK CAPITAL letters. 4. Incomplete and/or ambiguous applications will be rejected. Preferred Programme (only one per application, refer to calendar and programme brochure) A1. Prog. A2. Academic Year Code A3.Prog. Name A4. Currently a Registered Student at OUSL Yes No A5. Current OUSL Student No A6. Previous OUSL Student No (Where applicable) A7. Preferred OUSL Centre Code A8. Medium of Study (one only) English Sinhala Tamil B1. Title Mr. Mrs. Miss. Ms. Dr. Prof. Rev. Other B2. National Identity Card No (Sri Lankan Stu d ents Only) B3. Passport No (Foreign Students Only) B4. Initials B5. Last Name B6. Names Denoted by Initials B7. Permanent Address Line 1 Line 2 Line 3 Line 4 B8. Postal Code B9. Gender B10. Civil Status Male Female Single Married B11. Date of Birth (DD/MM/YYYY) B12. Telephone Numbers B13. Address (One Address Only) Home Work Mobile Subject Code Grade Year Subject Code Grade Year 3. 4.

2 (To be filled only if applicable. Not required for Post Graguate Programmes.) Subject Grade Year Subject Grade Year Subject Grade Year 1. Religion 6. Aesthetic Subject First Language 3. English 4. Mathematics 5. Science and Technology 7. Social Studies and History 8. Technical Subject Qualification Code Year Received Institution Code Institution Name Grade Qualification Code Year Received Institution Code Institution Name Grade D1. Status Employed Unemployed Self Employed D2. Chronological Order (current job first) Org. Code Name of Organization Title. Code Title/Designation (DD/MM/YY) E1. Index Number E2. Preferred Centre E3. Language Choice E4. Special Needs I hereby declare that the information given above is true and accurate to the best of my knowledge. I also understand that application will be rejected if any information provided herein is found to be incorrect. If I am selected, I agree to abide by the Rules & Regulations of the Open University of Sri Lanka. (DD/MM/YYYY) Signature Return Address Handover or post your application to the centre where you obtained this application form. For address, see student guide book.

3 DIPLOMA IN INFORMATION SYSTEMS AND TECHNOLOGY INSTRUCTIONS FOR FILLING THE APPLICATION FORM 1. Please read the following instructions carefully before filling the application form. 2. Always use a black ink pen to fill the application form. 3. Refer the specimen application form for your convenience. 4. Fill the cages in BLOCK CAPITAL letters. 5. If a question does not apply to you, write NA. Write only one number or letter in each box. Mark X in appropriate boxes. Follow the guidelines given below when filling out your application form. A. PROGRAMME CHOICE A1. Prog. Code DS 00 E.g. A2. Academic Year 2014/15 A3. Prog. Name DIPLOMA IN INFORMATION SYSTEMS AND TECHNOLOGY (One letter each in one box) A4. Mark X in the appropriate box.

4 A5. & A6. Fill only if applicable A7. Preferred OUSL Centre Code Mark up to two centers. Colombo Regional Center CL01 Batticaloa Regional Center BT01 Anuradhapura Regional Center AN01 Jaffna Regional Center JF01 Matara Regional Center MT01 Kandy Regional Center KY01 Badulla Regional Center BL01 Kurunegala Regional Center KG01 A8. Medium of Study (one only) Write X in front of English Box. (The programme is conducted in English medium only) B. PERSONAL INFORMATION B1. Title Write X in appropriate box. B2. National Identity Card No. Print one number or letter in each box. NIC number is compulsory for all Sri Lankan students to register with the OUSL. Currently, if you do not possess one, you are advised to obtain one prior to the registration. B3. Passport No. B4. Initials Only for Foreign Nationals. Print one number or letter in each box. Print one letter in each box. B5. Last Name Write your last name. Print one letter in each box.

5 B6. Names Denoted by Initials Write all the names corresponding to each of your initials. Print one letter in each box. Continue to the second line only after the first line is full. B7. Permanent Address Write your postal address where we should correspond with you. This address should be a reliable address since all your correspondence with the university will be directed to this address. B8. Postal Code B9. Gender Print one number in each box. Write X in appropriate box. B10. Civil Status Write X in appropriate box. B11. Date of Birth (DD/MM/YYYY) Fill in order of Day, Month and Year of Birth. B12. Telephone Numbers Write all your contact telephone numbers (ten digits) in the appropriate columns. B13. Address Please give only one address. Print one letter or number in each box. Having an address is essential for this programme as all correspondence and information will be sent to the address given here. C. ACADEMIC QUALIFICATIONS C1. G.C.E. (Advanced Level) Results Write your GCE (A/L) results of three main subjects and General English with subject code, grade and year of obtaining the results. C2. G. C. E. (Ordinary Level) Results Write your GCE (O/L) results with subjects, grades and year of obtaining the results.

6 C3. Other Relevant / Higher Academic Qualifications If you have any Relevant/Higher academic qualifications, you may list here indicating the name of the institution and year of obtaining the qualification. You may ignore the Qualification Code and Institution Code. C4. Relevant Professional Qualifications You may write your Professional Qualifications. You may ignore Qualification Code and Title Code. D. WORK EXPERIENCE D1. Status Write X in appropriate box. D2. Chronological Order You may write your work experience in chronological order (i.e., current job at top). You may ignore Org. Code & Title Code. E. SELECTION TEST Please ignore this section as it is not relevant to students enrolling for this programme. F. DECLARATION OF APPLICANT Please put the date and sign the application form. Please go through the duly filled Specimen Application Form given with this guidelines.

7

8