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Personal Information

Full Name in English :

Miss. Changar Changavi

Gender National Identity Card Number : Email Address:

Female 200171500710 Changavichangar@gmail.com

Contact Number (Mobile): Contact Number (Home) : Permanent Address ( in English) :

0765525663 0212263794 Inparsiddy


Point pedro, Jaffna

Results of G.C.E (A/L) Examination 2020

Index No Whether qualified to apply for Admission to


University
4192057
Yes

Z score G.C.E A/L Examination Results

-.1060 Tamil

General Test Marks Medium

38 Tamil

Grade
Logic
C

Hindu culture S

International / National / Provincial / District / Division / Zonal level sports achievement certificates details, if
any
• Provinsial badminton champion
• Zomal level sports:1.Elle (champion)
2.Throw ball.
(1st runner up)
3.Softball Cricket
( 2nd runner up)

Documents to be attached and submitted

Payment Receipt of Application Fee


Certified photocopy of the G.C.E(A/L) Sheet (including Z score and District)
Self Certified International / National / Provincial / District / Division / Zonal level sports achievement certificates
details, if any
Copy of the National Identity Card
Photograph ( Image File Name as your Full Name)

1. Payment Receipt of Application Fee

Payment-Receipt.pdf

2. Certified photocopy of the G.C.E(A/L) Sheet (including Z score and District)

AL_resultssheet4192057.pdf

3. Self Certified International / National / Provincial / District / Division / Zonal level sports achievement
certificates details, if any

Certified-photocopy.pdf

5. Copy of the National Identity Card

200171500710.pdf

6. Photograph ( Image File Name as your Full Name)

changar-changavi.pdf

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

………………………………………

Signature of the Applicant

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