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Visakha Vidyalaya

Application for 2016 Advanced Level Admission

NAME: ………………………………………………………………………………………………

(In Block Capitals)

ADDRESS: ………………………………………………………………………………………….

TELEPHONE NO: ………………………………………………………………………………….

SCHOOL: ……………………………………………………………………………………………

G.C.E. ORDINARY LEVEL RESULTS IN 2013

SUBJECTS GRADE

1. Sinhala …………

2. Mathematics …………

3. English …………

4. Buddhism …………

5. History …………

6. Science …………

7. ……………….. …………

8. ……………….. …………

9. ……………….. …………

Extra Curricular Activities (National/Provincial Level organized by the Ministry of Education)

………………………………………………………………………………………………………..

………………………………………………………………………………………………………..

………………………………………………………………………………………………………..

Stream and Subjects you wish to apply:

STREAM: …………………………………………………………….

SUBJECTS MEDIUM

1. ……………………… …………………

2. ……………………… …………………

3. ……………………… …………………

I hereby certify that the above mentioned information is true and accurate.

……………………………….

Signature of the Student

I hereby certify that the following streams are done/not done in our school.

|Stream |Sinhala Medium |English Medium |

|Science | | |

|Arts | | |

|Commerce | | |

………………………………..

Principal

Instructions

1. Applications are available in the school website and at the school gate.

2. CANNOT CHANGE THE SUBJECTS APPLIED FOR AFTER ENTRY.

3. Priority will be given to those who have nine “A” passes.

4. If you have any added qualifications, please mention.

5. First come first served basis.

6. All applications must be endorsed by the principal.

7. DEADLINE FOR APPLICATIONS 21st APRIL 2014.

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