University of Sri Jayewardenepura

External Degrees and Extension Courses Unit (EDECU)

Application Form

B. Sc. Business Studies (General) External Degree Programme - 2020

NIC No : 986182543V
Name in Full : WELATHANTHRIGE RAVEESHA SANDUSHANI BOTHEJU
Name with Initials : W.R.S.BOTHEJU
Address : 43/A MAELIGAMA JA ELA

District : Gampaha
Telephone-Residence :
Telephone-Mobile : 0760853186
Date of Birth : 1998-04-27
Medium : Sinhala
Email : raveeshasandushani98@gmail.com

GCE Advanced Level Examination

Year : 2017
Index Number : 5399270
ZScore : 1.3472
Results : ACCOUNTING-A
BUSINESS STUDIES-B
ECONOMICS-A

Other Qualifications :

Bank branch : HENDALA WATTALA

Paid Amount : 1300 Date : 2020-Oct-26

Note : Bank original receipt for Rs. 1300/- paid at the peoples bank and certified copies of birth
certificate,educational certificates, NIC and other relevant certificates should be attached to this
application.

I declare that the information given by me in this application is true and accurate.

...................................... 2020-Oct-26
Signature of Applicant Date

Office Use Only

Checked by :...................................... Date:........................... App No: 28222

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