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Scholarship Form
Personal Information
First Name
*
Last Name
*
Mobile No
*
Email Address
*
Address
*
Area in Weligama
*
Select
Palayatheru
Koratuwa
Galbokka
Kottagoda
New Street
Denipitiya
Koledanda
Kapuwaththa
Welipitiya
NIC No
NIC
*
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Guardian Name
*
Relationship of Guardian
*
Guardian Mobile No
*
Educational Information
Educational Level
*
Select
Degree
GCE Advanced Level
Diploma
Other Certificate Courses
GCE Ordinary Level
What is the course are you currently studying
*
Select
Medicine / Engineering
Accounting / Management / BCom
A/L Science or Mathematics
A/L Commerce
All other courses including science faculty
Technical Courses
Professional Courses
Information Technology Courses
GCE O/L
Which University or School are you enrolled in?
*
Course starting date
*
Expected completion date
*
Course Duration in Months
*
Hostel / Boarding Type
*
Select
Provided By School / University
Private Hostel
Hostel not required
How much is the hostel fee
*
What is the distance between the hostel/home and the university/school (KM)
*
How much is the per month food cost
*
How much is the per month transport cost between hostel/home and the university/school
*
How many subjects are you following private tuitions
*
Select
0
1
2
3
4
5
6
How much are you paying for private tuitions
*
Attach the recent educational certificate
*
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Attach the University ID
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Any other documents
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Family Information
Father's Information
Name
*
Occupation
*
Employer Name
*
Mother's Information
Name
*
Occupation
*
Employer Name
Parent's Marital Status
*
Select
Single
Married
Divorced
Widowed
Seperated
How Many Siblings
*
If no enter “0”
Siblings Information
Name
*
Sibling current status
*
Select
Studying
Working
Grade
*
School
Marital Status
*
Select
Single
Married
Occupation
*
Average income
*
Financial Information
What is the monthly average Salary / Income
*
What is the source of income
*
Select
Daily Wage
Dependent Labour
Dependent Driver
Government Labour
Small Scale Business
Own Shop Business
Own Three Wheel hire
Salesman
Government Professional Employee
Disable / Yateem
Muazzin
Professional Job
Other
How much monthly average living expenditure
*
For deficit what is the source of income
*
Other Scholarships
Any other funds from organizations
*
Select
Yes
No
Organization Name
*
How much funds are you receiving monthly
*
Are you living in your own house
*
Select
Yes
No
How much is the house rental
*
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