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Sri Lanka Telecom Training Centre

Course Registration Form


Course

Level

CAIT

C&G Electrical & Electronics

OTHER

Certificate

Diploma

Advanced Diploma

Graduate Diploma

Course Duration
In Block
Letters

C&G Telecommunication Systems

Full Name

Batch

Mr.

Weekday
Weekend

Reg. No.

Ms.

Name to be included in the Certificate ( 30 characters including spaces)

Date of birth

NIC/DL/Passport No.
Address-Permanent

Required Qualifications
GCE/ (O/L)
Subject
Result
English
Sinhala/Tamil
Mathematics

Telephone No
Mobile No
Email

GCE/ (A/L)
Subject
Result
Mathematics
Chemistry
Physics
Other

In case of an emergency, Inform


Name

Relationship

Telephone

Mobile No.

Information received from


News Paper

Leaflet

School Awareness

Previous Students

Website

I hereby declare that the particulars furnished above are true and correct.
I agree to abide by the rules and regulations of the Telecom Training Centre of Sri Lanka Telecom.

Date

Signature

Office use only


Payment details
Received

Amount

Id copy

Receipt no.
Photos

Edu. Certificates

Remarks

Signature (Officer)

Date

Photo

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