e-copy

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01984

le,Ksh YajoHd,h YS% ,xldj

University of Kelaniya-Sri Lanka
ria: iy wLKav wOHdmk flakah"
Centre for Distance and Continuing Education
Tel: +94(0)11 2914478

Fax: +94(0)11 2908166

URL: http://www.extexams.kln.ac.lk

email: extexams@kln.ac.lk

Application for the External Degree Registration - 2014

ndysr Wmd mdGud,d i`oyd ,shdmxf whm;%h - 2014
Personal Details
Application No/whm;a wxlh

:1002001014019842

Full Name/imQK ku

:PALLIYAGE MALITH CHAMARA

Name with Initials/uq,l=re iu. ku

:Mr. P.M. CHAMARA

NID No/cd;sl ye`kqm;a wxlh

:942050313V

Birthday/Wmka kh

:1994-07-23

Gender/ia;S% mqreI

:Male

Nationality/YS% ,dxlsl

:Sri Lankan

District/ia;s%lalh

:Colombo

Polling Division/ue;sjrK fldGdYh

:Moratuwa

Home Adress/iar ,smskh

:105/9/B, Laxapathiya Road, Laxapathiya, Moratuwa

Office Address/ldhd,Sh ,smskh

:13/1, Pepiliyana Mawatha, Kohuwala, Nugegoda.

Telephone Home/iar 'l wxlh

:+94716630033

Telephone Office/ldhd,Sh 'l wxlh

:+94112828200

Telephone Mobile/cx.u 'l' wxlh

:+94728896524

Email/oHq;a ;emE,

:mcpalliyage@gmail.com

3.5cm X 4.5cm
^mdiafmda m%udKfha&
PdhdrEmhla w,jkak

Degree Details
Degree/b,a lrk mdGud,dj

:Bachelor of Bussiness Management

Medium/udOHh

:Sinhala

Center for Examination & Seminar/Nd.$iuka;%K i`oyd iyNd.S ug leu;s k.rh

:Colombo
Centre for Distance and Continuing Education,University of Kelaniya-Sri Lanka

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01984

Educational Qualifications

O/L Qualifications
Index No/Nd. wxlh

:60345012

Year/jIh
Has passed 06 subjects (including Maths) from G.C.E.(O/L) with 03 Credit passes/
iudk 03la iu.ska .Ks;h we;=j Ihka 06lska w'fmd'i ^id'fm<& iu;a

:2010

Grade for English/bx.S%is NdIdj i`oyd ,nd.;a idud:h

:A

:Yes

A/L Qualifications
Index No/Nd. wxlh

:7051093

Year/jIh

:2013

Medium/fmkS is udOHh

:Sinhala

Center No./uOHia:dk wxlh

:0037

District/ia;s%lalh

: Colombo

District Rank/ia;%sla l=i,;djh

:-

Island Rank/jhsfka l=i,;djh

Z-Score/Aggregate Marks

:-

Subject/Ihh

Physics

Grade/,nd.;a fYa%Ksh

:0.4485
Combine
Mathematics
S

Chemistry

Work Experiences
Work Type//lshdf iajNdjh

:Private

Work Place//lshd ia:dkh

:-

Centre for Distance and Continuing Education,University of Kelaniya-Sri Lanka

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01984

Assertion of the Applicant

fuu whmf;a ud iska i`oyka lrk ,o ia;r i;H yd ksjeros nj o" ud kg YS% ,xldf YajoHd,hl
wNHka;r fyda ndysr Wmd wfmalaIlfhl= fkdjk nj o" fuhska iy;sl lrk w;r" ,shdmx ug udf.a
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yd ksjer njg iy;sl fj' tu ,shlsh,sj, h wvqmdvqjla we;s nj fyda imhd we;s f;dr;=re wi;H fyda
jer nj ;yjqre jqjfyd;a fyda lsis kq ulska f;drj ndysr Wmd wfmalaIlfhl= f,i ,shdmx fkdlsf
n,h le,Ksh YajoHd,h i;= nj oks'
tfiau" le,Ksh YajoHd,fha ria: iy wLKav wOHdmk flakafha ndysr Wmd wfmalaIlfhl=j isk;dla"
fuu YajoHd,fha fyda fjk;a kEu YajoHd,hl fyda uKavmhl fyda Wmd mdGud,djlg$Nd.hlg
,shdmx ug fyda fmkS isug fyda YS% ,xldf YajoHd,hlg we;=,af woyiska YS% ,xld Nd.
fomd;fka;=j iska mj;ajkq ,nk w'fmd'i' ^W'fm<& Nd.hg fmkS isug fyda wjir fkdue;s nj;a" udf.a
,shdmxh kEu wjia:djl wj,x.= lsug ria: iy wLKav wOHdmk flakahg n,h we;s nj;a" uu ms<s.ks'
kh' '''''''''''''''''''''''''''''''''''
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Signature Certification
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jk by; i`oyka whlre wo k ud bmsg w;aika l< nj iy;sl lr'
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iy;sl lrkakdf.a w;aik
Centre for Distance and Continuing Education,University of Kelaniya-Sri Lanka

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3/3

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uyck nexl=j

;ekam;= m;

.kqfokq wxlh/Transaction Id

oskh/Date

PEOPLE'S BANK

DEPOSIT SLIP

1 002001014019842

DDMMYYYY

.sKqus ysushdf.a ku
Name of Account Holder
imQK ku
Full Name
,smskh
Address

University of Kelaniya,Centre for

Distance & Continuing Education

Rs.

Cts.

......X5000
PALLIYAGE MALITH CHAMARA

'l wxlh
Telephone No.

105/9/B, Laxapathiya Road,

Laxapathiya, Moratuwa

......X2000
......X1000
+94728896524

......X500
......X200

cd;sl ye`kqm;a wxlh

NIC No.
fya;=j
/Purpose:

Notes

942050313V

......X100
......X50

Bachelor of Bussiness Management 2014-Application Fee

......X20
......X10

uqo,a ;ekam;a lrkakdf.a w;aik

Cash Depositor's Signature
hka;% uqdj fyda ks, w;aik we;akus j,x.=hs/Valid if Overprinted or
Signed by an Officer

Coins

Total

1,000 00

fuu brg my,ska lsisjla fkd,shkak/DO NOT WRITE ANYTHING BELOW THIS LINE

Checked by

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3 cd;sl yekqmf;a iy;sl l, msgm;
4 w'fmd'i' ^id'fm,& iy;slfha iy;sl l, msgm;
5 w'fmd'i' ^W'fm,& iy;slfha iy;sl l, msgm;
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9 fjk;a iqiql hgf;a ,shdmxh i|yd whlrkafka k wod< iy;slfha iy;sl
l, msgm;
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