The Application for the admission to G.C.E.

(A/L) of Royal
College for year 2018
01. Full Name of the Student :- ………………………………………………………………………………………..
.........................................................................................................................................
Name with Initials :- ……………………………………………………………………………………………………
02. Permanent Address :- ………………………………………………………………………………………………..
…………………………………………………………………………………………………………………………………..
03. Telephone Number :-
Residence:- …………………………………… Mobile :- ……………………………………………..
04. Medium of Learning:- …………………………………………………………
05. Address of Mother/Father/Guardian :- ……………………………………………………………………….
…………………………………………………………………………………………………………………………………….
06. Date of Birth :- ………………………………………………………
07. Age at 2018 January 31st Year ……….. Month …………. Date …………
08. National Identity No :- ……………………………………………….
09. The Address of the School Studied and the Admission No:- ………………………………………
……………………………………………………………………………………………………………………………………
Telephone No. of the previous School :- …………………………………………………………………
10. The District of the School Situated :- ……………………………………………….…………………………
11. Results G.C.E. (O/L) Exam :-
Year:-………………………… Examination No :-……………………………
Subject Grade
1) Sinhala Language & Lit. …………
Tamil Language & Lit. …………
2) English …………
3) Mathematics ………….
4) Science …………..
5) ………………………………. …………..
6) ………………………………. …………..
7) ………………………………. …………..
8) ………………………………. …………..
9) ………………………………. …………..
10) ………………………………. …………..
12. Co-Curricular Achievements :-
International Level National Level Provincial Level Zonal Level Other
13. Parents Particulars :-

Father Mother Guardian (if Applicable)

Name

Occupation
Official
Address

Tel No.

14. Expected – stream of subjects Arts/ Commerce/ Biology/ Physical Science

i. Intended subject of study at G.C.E. (A/L)
Subject Meduim
1. ………………………………………………………………………. …………………………………….
2. ………………………………………………………………………. …………………………………….
3. ………………………………………………………………………. …………………………………….
4. ………………………………………………………………………. …………………………………….

The certificate of the principal of the school in which the student learns at present

15. I certify that the above mentioned student studied/ is studying in grade ……………..…
of this school and he has qualified to study in grade 12 for the year 20………....
Furthermore I certify that grade 12 and 13 classes are conducted here and Arts/
Commerce/ Biology and Physical Science subjects are taught/ aren’t taught.

16. Notes ……………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………

…………………………………… ………………………………………………………………
Date The signature and official stamp of the principal

I certify the above details are true and correct.

……………………………………………………. ……………………………………………...........
Student’s Signature The signature of father/ mother/ guardian