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OFFICE USE ONLY :
01. GRADE DETAILS
1.1. SELECT GRADE
: Primary GRADE 01 GRADE 02 GRADE 03 GRADE 04 GRADE 05 GRADE 06 GRADE 07 GRADE 08 GRADE 09 GRADE 10 GRADE 11 / O/L GRADE 12 / A/L 1ST YEAR GRADE 13 / A/L 2ND YEAR
02.OWN DETAILS
2.1. NAME WITH INITIAL
:
2.2. FIRST NAME
2.3. LAST NAME
2.4. PERMANENT ADDRESS
2.5. PRIVATE ADDRESS
2.6. SEX
: MALE FEMALE
2.7. DATE OF BIRTH
: DATE: MONTH: YEAR:
2.8. NATIONALITY
: MUSLIM TAMIL SINHALA CHRISTIAN OTHERS
2.9. N.I.C. NUMBER
2.10. TEL. NUMBER
2.11. D.S. DIVISION
2.13. EDUCATIONAL QUALIFICATION :
2.13.1. PASED GRADE 09
2.13.2. PASED G.C.E. O/L
2.13.3. PASED G.C.E. A/L