Checklist for Application

Name: .......................................................................................................................... ...................

Address: ...........................................................................................................................................
Contact Number: ..............................................................
Date of Birth: ..............................................................
Email address: ..............................................................

Apply for (Course Name): ..........................................................................................................

Preferred Country: ..........................................................................................................

I hereby confirm that I personally have submitted this application for a student visa and that all information stated in the
application and the supporting documentation is true. I am aware that providing incorrect information or falsified
documents deliberately are punishable acts by Sri Lankan law.

Date: Signature:

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 Applications should be submitted in person

Yes No

1 CV
Enroll (DD/MM/YEAR) Finish (DD/MM/YEAR) Details
Education Certificate Course details :
2 / / / /
( Degree / Diploma ) Institute Name :

Education Certificate Course details :

/ / / /
( Diploma / HND ) Institute Name :

Education Certificate Course details :

/ / / /
( HND / Certificate ) Institute Name :

Education Certificate
/ / / / School Name :
( GCE A/L )
Education Certificate
/ / / / School Name :
( GCE O/L )

Extra Course Details 3 / / / /

Extra Course Details / / / /
Extra Course Details / / / /

From (DD/MM/YEAR) To (DD/MM/YEAR) Employment Details

Employment History Job Title :

4 / / / /
( Currently Working ) Company Name :

Employment History Job Title :

/ / / /
( Before Worked 1 ) Company Name :

Employment History Job Title :

/ / / /
( Before Worked 2 ) Company Name :

Employment History Job Title :

/ / / /
(Before Worked 3 ) Company Name :

5 Passport Copy Date of Issue: ......../....../.............. Date of Expiry: ......../....../..............

6 IELTS / PTE / TOEFL Score:

From (DD/MM/YEAR) To (DD/MM/YEAR) Course Details ( Certificate / Diploma )

7 Any other English Test / / / /

8 Visa Refusals (Any) Country -

Reason -

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 Letter of
8 *Must Needed
Recommendation (LOR)

Statement of Purpose
8 *Must Needed
(SOP)

Completed Documents
Pending Documents

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