A
APPPPLLIICCA
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ACCA
AD
DEEM
MIICC T
TR
RA
AN
NS
SCCR
RIIPPT
T
BACHELOR OF INFORMATION TECHNOLOGY PROGRAMME
To be filled by the Applicant
Index No: ……………………………………………
Registration No:……………………………………………
Name with Initials:………………………………………………………………………………………………………………………………………
Name in Full:…………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………
Permanent Address:……………………………………………………………………………………………………………………………………
………………………………………………………………… Tele:……………………………………………………
Requesting Transcript:
With Grades:
With Marks:
Processing Fees:
Date Paid: …………………. (Please pay the relevant fees to the Shroff/UCSC)
Amount Paid : …………………………… Receipt No:……………………………………
Date : ………………………..
Applicant’s Signature: ……………………………………………
Index Number:
Name with Initials:
Year 1
Courses
Attempt
Attempt
Attempt
Attempt
Attempt
Attempt
Year 2
Courses
1
2
3
4
5
6
Attempt
Attempt
Attempt
Attempt
Year 3
Courses
1
2
3
4
1101
1102
1103
1104
1201
1202
1203
1204
1301
1302
1303
1304
1401
1402
1403
1404
2101
2102
2103
2104
2201
2202
2203
2204
2301
2302
2303
2304
2401
2402
2403
2404
3101
3102
3103
3104
3201
3202
3203
3204
3301
3302
3303
3304
3401
3402
3403
3404
3501
3502
3503
3504
4101
4102
4103
4104
4201
4202
4203
4204
4301
4302
4303
4304
4401
4402
4403
4404
4501
4502
4503
4504
Remarks/Year
(HDIT)
5101
5102
5103
5104
5201
5202
5203
5204
5301
5302
5303
5304
5401
5402
5403
5404
5501
5502
5503
5504
6101
6102
6103
6201
6202
6203
6301
6302
6303
6401
6402
6403
6501
6502
6503
Remarks
Attempt 1
Attempt 2
Attempt 3
Attempt 4
Prepared by:
Date:
Checked by:
Issued by
Date:
Remarks:
:
Remarks/Year
(DIT)
Date:
Processing Fee
Type of the Transcript
Awaiting / Pending Results
Academic Transcript with Grades
Each Additional Copy
Academic Transcript with Marks (sent only to Foreign Institution/s named by the student)
Each Additional Copy
Postage – Local (Registered)
Foreign (Registered)
Fee (Rs.)
100.00
500.00
500.00
750.00
750.00
40.00
500.00
Notes:
1.
The above charges will be double for Transcript after 5 years of releasing results and the charges will be
triple for a Transcript after 10 years of releasing results.
2.
All applications for transcripts to be posted within Sri Lanka are required to attach a self-addressed
envelope 9” x 4” in size. If a student requests an Academic Transcript to be sent to a foreign institution,
he/she must name the Institution with its address.
Please fill the following Table (Grades & the Year) for record purpose only.
Year 1
Courses
1101
1102
1103
1104
1201
1202
1203
1204
1301
1302
1303
1304
1401
1402
1403
1404
2101
2102
2103
2104
2201
2202
2203
2204
2301
2302
2303
2304
2401
2402
2403
2404
3101
3102
3103
3104
3201
3202
3203
3204
3301
3302
3303
3304
3401
3402
3403
3404
3501
3502
3503
3504
4101
4102
4103
4104
4201
4202
4203
4204
4301
4302
4303
4304
4401
4402
4403
4404
4501
4502
4503
4504
5101
5102
5103
5104
5201
5202
5203
5204
5301
5302
5303
5304
5401
5402
5403
5404
5501
5502
5503
5504
6101
6102
6103
6201
6202
6203
6301
6302
6303
6401
6402
6403
6501
6502
6503
Remarks/Year
(DIT)
Attempt 1
Attempt 2
Attempt 3
Attempt 4
Attempt 5
Year 2
Courses
Remarks/Year
(HDIT)
Attempt 1
Attempt 2
Attempt 3
Attempt 4
Year 3
Courses
Attempt 1
Attempt 2
Attempt 3
Attempt 4
Remarks/Year