1 S 4

2019 / 2020

1. PERSONAL DETAILS OF THE APPLICANT

August, 2019 A/L Index Number: 5 9 7 6 6 3 4

Name of Applicant (with initials): MRS ASHA J.

Applicant's Full Name: MRS JEGANADAN ASHA

Date of Birth: 2000-08-02 Place of Birth: Kegalle Civil Status: Married Sex: Female

Mobile No: 0778472474 Fixed Line No: 077-8704771 Email: ashajeganathan269@gmail.com

NIC No: 200071503231 NIC Issue Date: 2016-10-20

A/L Used ID: 200071503231 A/L Used ID Type: NIC A/L Used ID issue date: 2016-10-20

Race: Tamil Religion: Christianity Citizen by descent: Yes

Contact Address: YATADERIYA ESTATE ,MATHALAWA ,UNDUGODA,

2. G.C.E. (A/L) AUGUST, 2019 RESULT

Administrative District from which G.C.E (A/L) Examination August 2019 was taken: Kegalle 24

From which administrative district should you be considered for university admission as Kegalle 24
per admission rules ?

Recorded Results

Political Science Tamil Geography General English Medium Common General Z-Score

B A B F Tamil 36 1.6152

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 3. G.C.E (O/L) RESULTS
Category of G.C.E (O/L): Local
Name used in G.C.E (O/L)
Examination: JEGANADAN ASHA

G.C.E (O/L) Results:

Year Index No English Maths Science

2016 61481769 W S S

Entered G.C.E (O/L) results by the

candidate: Year Index No English Maths Science

2016 61481769 W S S

4. G.C.E (A/L) RESULTS - PREVIOUS ATTEMPTS

If you have sat the G.C.E.(A/L) Examination previously using the same identity card used for G.C.E (A/L) August 2019 or different identity card,
give the details of each attempt below. (Please give details, even if you have taken only a single subject)

# Year of Examination Index Number NIC Used at G.C.E (A/L) Subject Grade Z - Score School

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 5. ORDER OF COURSE & UNIVERSITY PREFERENCE
UNI-CODE UNI-CODE UNI-CODE UNI-CODE

1 0 1 9 B 33 65 97

2 0 1 9 A 34 66 98

3 0 1 9 E 35 67 99

4 0 1 9 H 36 68 100

5 37 69 101

6 38 70 102

7 39 71 103

8 40 72 104

9 41 73 105

10 42 74 106

11 43 75 107

12 44 76 108

13 45 77 109

14 46 78 110

15 47 79 111

16 48 80 112

17 49 81 113

18 50 82 114

19 51 83 115

20 52 84 116

21 53 85 117

22 54 86 118

23 55 87 119

24 56 88 120

25 57 89 121

26 58 90 122

27 59 91 123

28 60 92 124

29 61 93 125

30 62 94

31 63 95

32 64 96

# Candidates should pass the aptitude tests conducted by the relevant University in order to be eligible for this course of study.

@ Candidate should have obtained relevant passes for specific subjects at G.C.E. (O/L) in order to be eligible for this course of study.

NOTE : You will be considered for course of study and Universities you applied only if you have satisfied the prerequisites given in Sections 2,5 of
the University Admission Handbook.

Are you 4’ 10” or above in Height? Yes Are you a candidate with physical disability? No

Date Signature of Applicant

20195976634 5976634 ASHA J. Tuesday, April 07, 2020 at 11:22:10 AM page - 3

 6. APPLICANT'S DECLARATION

20195976634 5976634 ASHA J. Tuesday, April 07, 2020 at 11:22:10 AM page - 4

 7.

KG/YATADERIYA TAMIL MAHA VIDYALAYA,UNDUGODA.

Kegalle 071-5963476

JEGANADAN ASHA

5 9 7 6 6 3 4

2006-01-16

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 SUPPORT DOCUMENTS BARCODE

O/L, 1-side 1_5976634 O/L, 3-side 1_5976634 AFD, 1-side 2_5976634

O/L, 1-side 2_5976634 O/L, 3-side 2_5976634 AFD, 2-side 1_5976634

O/L, 2-side 1_5976634 AFD, 1-side 1_5976634 AFD, 2-side 2_5976634

O/L, 2-side 2_5976634

20195976634