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GOOD SHEPHERD CONVENT - KOTAHENA

17 t h November 2023

Application Form for the Admission of Grade 6 – 9


(2024)

Complete the given Application Form and post it to Good Shepherd Convent, Kotahena, Colombo
13. Send your Application form on or before 15th of December 2023. Kindly note selected
candidates should sit for a placement test conducted by the school and obtaining the pass mark is
mandatory.

May the Good Shepherd lead you to ‘great heights’ in the future!

Rev. Sr. Principal


GOOD SHEPHERD CONVENT - KOTAHENA
Application Form for the Admission of Grade 6 – 9 (2024)

Form No
Date
Requested Sinhala Tamil English
(Bilingual) Admission No
Medium

STUDENT’S PROFILE:

01 Name in Full

02 Name with initials

03 Date of Birth
04 Permanent Address

05 Present School
06 Religion
07 Contact Number
08 E-mail address
Marks obtained in Gr. 5
09 Index No.
Scholarship Exam
Please mention the achievements, if any, of your child
10 Appraisal of your child
inAcademics/Extra/Co-curricular Activities

11 Details of other siblings


Name School Grade/Work Place
PARENT’S/GUARDIAN’S PROFILE:

Particulars Mother Father

Name

Qualification

Occupation

Organization

Designation

Office Contact Number

Mobile Number

E-mail

I, the Parent (Father/Mother) of ....................................................................... seeking her admission in the school,


solemnly declare that the information furnished above is absolutely true and that if found factually wrong at
any time after the admission during her stay in the school, I shall abide by the decision of the school authorities
without any plea or protest. I also agree to abide by the rules and regulations in all aspects.

-------------------------------------------- -------------------------------------------- -----------------------------------------

Name of the parent Signature of the parent Date

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