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SABARAGAMUWA UNIVERSITY OF SRI LANKAApplication for Registration for the Academic year 2015/2016(for Senior Students)Full Name:- …………………………………………………………………………………………Name with Initials:- ………………………………………………………………………………...Registration No:- ……………………………………………………………………………………a).Permanent Address:- ………………………………………………………………………………………………………………………………………………………………………………………………………………Tele. No.:-……………………………………………………………………b).Present Address:-………………………………………………………………………………………………………………………………………………………………………………………………………………Tele. No.:-……………………………………………………………………c).Contact Address:-………………………………………………………………………………………………………………………………………………………………………………………………………………Tele. No.:-……………………………………………………………………Faculty:- ……………………………………………………... Year:- (2nd/3rd/4th) ………………..Department:- ……………………………………………………………………………….Study Programme:- ………………………………………………………………………...Subjects intending to study in the first semester:-Code No.Subjecti.ii.iii.iv.v.vivii.4.3.1Subject intending to study in the second semester:-Code No.Subjecti.ii.iii.iv.v.vivii.Particulars of the examinations you sat at the University:-YearIndex No.ExaminationMediumResults……………..………….………………………………………………….……………..………….………………………………………………….……………..………….………………………………………………….……………..………….………………………………………………….……………..………….………………………………………………….Particulars of any examination which you could not sit previously:-……………………………………………………………………………………………………….Registration fees:-Amount paid:- …………………………………………………..Date of payment:-…………………………………………………..Date:- ………………………………….………………………...Signature Recommendation of the Head of Dept./Coordinator/Dean:-……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….Signature:-……………………………………………………(Head of the Dept./Coordinator/Dean) ................
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