Office use only:

APPLICATION FORM
UNIVERSITY OF MORATUWA, SRI LANKA
UNIVERSITY ADMISSIONS – ACADEMIC YEAR 2010/2011
…………………………………………………………………………………
(Name of the Aptitude Test)
1. Name with initials in block letters

(leave one blank cage between name and initials and between initials)
2. Full name in block letters:

(leave one blank cage between names)

3. National Identity Card No:

4. Permanent Address in block letters:

(leave one blank cage between different segments of address)

5. Results of G.C.E (A/L) Examination 2010

Index No. District

Z Score Contact
Telephone No.
General Test Marks

Subjects offered & Grades (Indicate grade in cages appearing against the respective subjects)
Subjects Grade

1. …………………………………….

2. …………………………………….

3. …………………………………….

6. G.C.E (O/L) Examination (where relavent to test applied for)

Grade Year Index No

Results for Mathematics

English

* Science

* (applicable to applicants for Fashion Design & Product Development tests only)
7. Medium in which you would be answering the aptitude test – Sinhala
(delete whatever is inapplicable) Tamil
English

8. Courses of Study applied for University Admission (in order of preference of 05 Aptitude Tests in
University of Moratuwa)

1. …………………………….
2. ……………………………..
3. …………………………….
4. ……………………………..
5. …………………………….
9. Documents to be attached (Please ensure that these documents are stapled to the application in the
given order)

1 Paying in Voucher for Rs. 300/-

2 Certified copy of G.C.E (A/L) 2010 Certificate

( including Z-Score marks & General test marks)

3 Certified copy of G.C.E (O/L) Examination result (applicable to

applicants for Architecture, Design [Architecture],
Fashion Design & Product Development and Information Technology &
Management tests only)

4 Affidavit in support of any change in names appearing in

different documents/certificates, if any

I certify that the above particulars submitted by me are true and accurate.

Date: ……………………………. …………………………

Signature of Applicant