Certified Accounting Technologist

CERTIFICATE IN ACCOUNTING & IT

APPLICATION FOR STUDENT REGISTRATION

(Please read the instructions given in page ii carefully before filling this application)

PERSONAL DATA

For Office Use Only

1. Full Name:

..................................................................................................................................................................................

(Strictly in accordance with the Birth Certificate)

Application No.
Date Received
Registration No.

1.1 Name with Initials:

		Name	Initials
Title		......................................................................................................

("Name" which is the last part of the full name should be written along the dotted line, and "Initials" which denote the other parts of the full name
given under No. 1 above, should be written in the cages meant for Initials)

2. Marital Status: ....................................................

	Year	Month	Date
3. Date of Birth				4. NIC No.

CONTACT DETAILS

5. Permanent Address:

6. Mailing Address:

7. E-mail:

			9. Fax
8. Telephone

EDUCATION

10. The Category under which Registration is Sought:

Please select only one cage and mark "X"
	10.1 G. C. E. (O/L)		10.2 G. C. E. (A/L)		10.3 Mature Entry

11. Performance at G. C. E. (O/L) Examination:

1st Attempt

Subsequent attempt

Year & Month
Index No.

Subject	Grading	Grading
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Performance at G. C. E. (A/L) Examination:

1st Attempt

Subsequent attempt

Year & Month
Index No.

Subject	Grading	Grading
1.
2.
3.
4.