Yasodara Devi Balika Vidyalaya
127635022860Yasodara Devi Balika Maha Vidyalaya-GampahaApplication for Advanced Level 2020/2022( For External Students Only )00Yasodara Devi Balika Maha Vidyalaya-GampahaApplication for Advanced Level 2020/2022( For External Students Only )StreamScience / Commerce / Art1.Applicant’s Full Name……………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………….2. Name with Initials……………………………………………………………………………………………………………………….3.Permanent Address……………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………….4. Tel No Home………………………………………………………………………………………………………………………. Mobile……………………………………………………………………………………………………………………….5.School Name……………………………………………………………………………………………………………………….6.G. C. E.(O/L) Results(2019 ) Grade Sinhala Language …………………. Religion …………………………. …………………. Science …………………. Mathematics …………………. English Language …………………. History …………………. Basket I ………………………….. …………………. BaskeII …………………………….. …………………. Basket III…………………………… ………………….7.Subjects You Applying Medium ( Sinhala/ English ) 1. ……………………………………. ………………….2. ……………………………………. ………………….3. ……………………………………. ………………….8.Extra Activities………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………9.Is this stream in Your School? ………………………..I confirm that all information supplied above is correct and accurate.Date………………………….Signature of Applicant ................
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