Re-Sit / Re-take Application Form – February 2022

Diploma of Higher Education in Psychology & Variations

Section A
Name of the Student Ruwanthi Perera
Student ID DHP20B003
*Program Title (Including Variation) Diploma of Higher Education of Psychology
*Cohort / Intake DHP20 B (September 2020 – Part Time)
*Week-day / Week-end Cohort Weekend

*If you changed / transferred from a different Program/Cohort, Please include the original Program/ Cohort below.
Original Student ID
Program Title (Including Variation)
Cohort / Intake
Week-day / Week-end Cohort
Date of Transfer

Section B
Contact Number 0776188006 / 0710606948
Personal Email ruth.nishamini@gmail.com
CIRP Email ruwanthi@cirp.lk

Date of Registration at CIRP 10/08/2020

Section C
Modules you have taken as of 25th January, 2022
Include both Core and Elective Modules. Include the ones you have completed as well as the ones being taught at the
moment. Use the keys given below in filling the table.

# Module Title Code Exam CW Exam Mark CW Mark

1 Introduction to Psychology PSY001 Done N/A 63 N/A
2 Biopsychology PSY002 Done N/A 72 N/A
3 Cognitive Psychology PSY003 Done Done 52 58
4 Developmental Psychology PSY004 Done Done 60 42
5 Social Psychology PSY005 AB Done TCB 57
6 Research Methods in Psychology PSY006A Done AB 40 TCB
(Quantitative)
7 Research Methods in Psychology PSY006B N/A Done N/A 85
(Qualitative)
8 Memory PSY007 Pending N/A TCB N/A
9 Personality PSY008 Done AB Pending TCB
10 Statistics I PSY009 Done Done Pending Pending
11 Motivation PSY010 Pending Pending TCB TCB

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 12
13
14
15
16
17

*Include only the Examination or CW of your first attempt, not the re-sits.

Exam: If you have sat for the exam, mention ‘Done” If you did not sit for the exam, mention “AB” If the module exam
was not conducted yet, mention “Pending”, If the module does not have an exam, mention “N/A”
CW (Course Work): If you have submitted the CW, mention ‘Done” If you did not, mention “AB” If the CW dead line is not
yet due, mention “Pending”, If the module does not have an exam, mention “N/A”
Marks: If you have received the marks, please include the mark. If you have done the exam/ CW and still waiting for the
marks, mentions “Pending”. For Exams/ CW you have not taken so far “TCB”

Section D
Re-sits / Re-takes you have taken so far. Include all the re-sits you have taken up to 30 th June 2021. (Only the one that
you have taken, not just applied) Use the keys given below in filling the table.

# Re Sit Module Title Code Attempt Component Re-sit Mark

1 Research Methods in Psychology PSY006A 1st Re-sit CW Pending
(Quantitative)
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17

Attempt: If you took are –sit for the particular module only once, include the attempt as “1 st Re-sit”. If you have taken it
as a re-sit for the second time, include the attempt as “2nd Re-sit” and so on. If the same module was taken more than
once, mention them in separate lines.

Component: Mention EX for Examinations and CW for Course Work. IF you have taken both components from the same
module, include in two lines.

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 Marks: If you have received the marks, please include the mark. If you have done the exam/ CW and still waiting for the
marks, mentions “Pending”.

Section E
Details of the modules that you have applied so far, but were not given an opportunity to take.

# Module Title Component Amount Paid Date of Payment Receipt#

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

Section F
Re-Sits that you have applied before, but wish to apply this time.

# Module Title Component Amount Paid Date of Payment Receipt#

1 Personality CW 5000 02/02/2022 Attached
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3
4
5
6
7
8
9
10
11
12
13
14
15

Payment Options

Bank transfers and deposits

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You are able to pay through online transactions or a bank deposit.
The Bank details are as follows:

LKR Account - Union Bank

Account Name: Colombo Institute of Research and Psychology

Branch: Wellawatte Branch

Account Number: 0050101000015097

Reference: Student number

LKR Account – Hatton National Bank

Account Name: Colombo Institute of Research and Psychology

Branch: Bambalapitiya Branch

Account Number: 039010231555

LKR Account - Seylan Bank

Account Name: Colombo Institute of Research and Psychology

Branch: Havelock Town

Account Number: 083032554960001

LKR Account - NDB

Account Name: Colombo Institute of Research and Psychology (Private) Limited

Account Number: 101000953122

Branch Code: 900

SWIFT Code: NDBSLKLXB

Bank address: No.40, Nawam Mawatha, Colombo 02, Sri Lanka

USD Account - Union Bank(For International Students)

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 Account Name: Colombo Institute of Research and Psychology Account No:

0050202000001224

Bank Code: 7302

Branch: Wellawatte

(Branch Code: 005)

Swift Code: UBCLLKLC

It is a must that you include your Name (Name considered by CIRP as correspondence name) and Student ID as a
reference when making your transaction. Not including the above details may result in us not being able to verify
your payment in the bank statements. After you have made the payment, please send us a copy of the slip along
with this application.

Please also be sure to settle any outstanding course payments, if any.

Wewillclarifythepaymentswiththeaccountsdepartmentandsendyouareplyalongwithacopyofthereceiptafterwehave
received funds in our accounts. Please note that the day we receive the funds will be considered the date of payment.

Declaration

I assure and affirm that the details given are accurate and I have checked this from for errors before submitting. I
understand that providing false or incorrect information would result in suspension of my studentship at CIRP.

Date: 02nd February 2022 Signature: Ruwanthi

(You may type your name in place of your signature)

After completing the application form, save this as a PDF file and email to resits@cirp.lk.