PDF Application for 2018 Scholarships - Welcome to CA Sri Lanka
[Pages:4]B
Application for 2018 Scholarships
L.A.Weerasinghe Memorial
Office Use Only
Application No:
Eligibility Criteria Students whose family income is below Rs.360,000/= per annum together with,
3 A passes at the GCE A/L Examination in Commerce Stream. or
GCE A/L Examination in Science or Maths Stream with minimum 1 Z-score.
How to Apply The duly filled Application Form should accompany the following documents.
Copy of Birth Certificate Copy of GCE O/L and GCE A/L result sheets Copies of Certificates of other relevant qualifications Certificate issued by the Gramsewake or evidence of Samurdhi or Salary Confirmation Letter/Slips
confirming the annual family income value
Please submit your duly filled Application together with copies of relevant certificates, either hand delivered or via registered post to the below address on or before 28th February 2018.
Note
"Application for L.A.Weerasinghe Memorial Scholarship (B) Student Services Division The Institute of Chartered Accountants of Sri Lanka No.30A, Malalasekera Mawatha, Colombo 07"
An incomplete Application may be liable for rejection. Applications with false or misleading information will be rejected and such Applicants will not be
eligible to apply for future CA Sri Lanka scholarships.
01. Personal Information
* All columns to be filled
District
: ............................................
CA Reg No : ......................................
Name with Initials (Mr. /Ms.): ...........................................................................................................
Full Name NIC No
: ......................................................................................................................................... ......................
: ................................................
Date of Birth : .........dd.../...m...m.../...yy..y..y..............
Tel (Res) : ...............................................
Mobile No
: ......................................
E-mail
: ...................................................
Correspondence Address
: ......................................................................................................
...................................................................................................... City ..................................
Permanent Address
: .......................................................................................................
...................................................................................................... City...................................
Page 1 of 4
02. Educational Qualifications
GCE (Ordinary Level) Examination Results
Year: ......................
Index No ...........................
Schools Attended : .................................................................................................. Period: .......................................
: .................................................................................................. Period: .......................................
Summary of GCE O/L Results:
Grading 1 A 2 B 3 C 4 F
Count of Grades
Subject English Maths
Obtained Grade
GCE (Advance Level) Examination Results
Year: ........................
Index No: ...........................
School Attended: .................................................................................................................................................................
Stream: Commerce ( ) Science ( )
Subject
1
2
3
4
General English
5
Common General Test
Maths ( )
Arts ( )
Z Score:
District Rank:
Attempt ....................... Obtained Grade
Island Rank:
03. Other Professional/ Academic Qualifications
Academic Qualifications Faculty
Graduate
University
Overall GPA
Class
Undergraduate
Faculty
University
Semester
GPA
Page 2 of 4
Other Professional Qualifications (Indicate the level of completion)
AAT: .............................................. CIMA: ................................. Other: ..................................
Performance at CA Sri Lanka Examinations (Tick the relevant cage to identify the subject sat for, under Old/New Syllabus)
Level
Year/ Month
Index No
Transitional Subject
Old Syllabus
New Syllabus
Executive Level 1 Executive Level 11
CAB 1
CAB 11 CAB 1 CAB 1 CAB 11 CAB 11 CAB 11 CAB 1 CAB 11 CAB 11
S1
FA
AAT MBE BMS FMABF AAT AA BE1 BE 11
IT FRF
KE1 (FARF)
KE3 (FT) KE5 (CIM)
KE2(MAI)
KE3 (FL) KE4 (PAE)
English
IT BFR (KB1)
Business Level
S1 CAB 11
S1 CAB 11
SMA AAT CLCL AA
BMA (KB2) BTL (KB3) BAEA (KB4)
S1
SMP
S11
BSKM
_
_
S1
IT
BVC (KB5)
English IT
Result Prize
Have you been offered a scholarship by CA Sri Lanka before? If so, please indicate details
Scholarship Type
L.A.Weerasinghe Memorial Scholarship Business Level Trainee Scholarship A/L ( Top 10 or District 1st ) Scholarship Members' Scholarship
Year Offered
Year Ended
Page 3 of 4
04. Achievements in Sports & Extra - Curricular Activities (Please attach copies of certificates)
(Type of Activities- Eg: Sports, Scout/ Guide, Rotaract, Society or other)
Types of Activity 1
2
Achievement/ Activity
Level of Achievement/ Involvement School National International
3
4
5
Disclaimer and Signature
1. I certify that my answers are true and complete to the best of my knowledge.
2. I declare that the annual income of my family is below Rupees Three Hundred Sixty Thousand (Rs.360, 000/=).
3. I understand that an incomplete Application may be liable for rejection. 4. I understand that an Application with false or misleading information will be rejected and such Applicants
will not be eligible to apply for future CA Sri Lanka scholarships.
.................................... Applicant's Signature
Date ........................
Note: Please contact us on 0112352000 (Ext: 1110 | Ext: 1111) or email us on scholarship@ or visit for any further clarifications.
Page 4 of 4
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