NIC No.
(If NIC not available, register with parent NIC No.)
Course
Time
Lastname
First Names
Title
Miss
Mr.
Ven.
Mrs.
Rev. Sis.
Rev. Bro.
Rev. Fr.
Date of Birth
yyyy
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
mm
1
2
3
4
5
6
7
8
9
10
11
12
dd
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
Address
Contact Information
Mobile Phone
Home Phone
Highest Educational Qualification
Year 9/10/11
O/L
A/L
Diploma
Higher Diploma
Degree
Are You/ Your Parents/Spouse working at the University of Kelaniya
No
Yes
Exit