Society of Certified Management Accountants of Sri Lanka

Society of Certified Management Accountants
of Sri Lanka

APPLICATION FOR STUDENT REGISTRATION

(Please read carefully and understand properly the instructions given in the previous page before completion of 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) with A/L	10.3 Graduate	10.5 Mature Entry
10.2 Undergraduate	10.4 Professional Qualifications	10.6 Provisional

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.