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Personal Details of Students

Title *

Gender *

Date of Birth *

Full name *

Name with Initials *

NIC/passport number *

Students address (Office)

Students address (Home)

Contact number personal

Contact number personal *

Office contact number

Parent or Guardian name *

Parent/guardian address *

Parent/guardian contact number

Course preference *

Year *

Study mode *Full TimePart Time

I declare that the above information furnished by me is true and correct to the best of my knowledge and I understood that I will be disqualified at any stage of the program in case the given information is found false. I went through the student agreement and I hereby agree with all the conditions of the college.