NSBM UMIS

Degree Application Form

After A/L

A/L Pending

A/L 3 Passes

A/L 2 Passes

A/L 1 Pass or Fail

Subject Area :

Affiliated University :

Degree :

After O/L

Applicant Information

* Mandatory Field

NIC No *

Attach Copy of NIC *

Passport No (Not Mandatory)

Attach Copy of Passport

Title *

Name in Full *

Name with Initials

Gender *

Date of Birth *

E-Mail Address *

Nationality *

Permanent Residence Address *

Current Residence Address (If differ to the permanent residence Address)

Preferred postal address

Province *

District *

City *

Mobile Phone No *

Fixed Phone No *

Religion *

Educational Qualifications

* Mandatory Field

Ordinary Level Examination

Scheme *

School *

Status *

Year *

Index Number *

English *

Mathemetics *

Attach Certificate *

Advanced Level Examination

Scheme *

Stream *

School *

Status *

Year *

Index Number *

Z-Score

General English *

Common General Test

Attach Certificate *

Other Qualifications

Institute

Followed Programme

Qualification

Extra Curricular Activities

Sports

Educational

Language Skills

Parent / Guardian Details

* Mandatory Field

Please make sure you enter the details of both the parents / two guardians

Parent / Guardian 1 Information

Name *

Relationship *

Occupation *

NIC No *

Mobile No *

Office Contact No

Home Telephone No *

E-Mail

Parent / Guardian 2 Information

Name *

Relationship *

Occupation *

NIC No *

Mobile No *

Office Contact No

Home Telephone No *

E-Mail

Degree Application Form

Applicant Information

Educational Qualifications

Parent / Guardian Details

How did you hear about us?

Please note that your registration will be completed only after the submission of O/L and A/L result sheets.

Registration fee is not transferable.

All the payments are non-refundable. Please refer to the relevant payment plan and procedure for your programme.

The degree fee applicable to you will be determined by the fee structure in effect at the time of registration for the degree programme, not the existing fee.

Terms and Conditions

Declaration

By selecting the check box above and typing my name with initials below, I am electronically signing this registration form and confirming that I have read, understood, and agree to the Terms and Conditions stated above.