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UNIVERSITY OF MORATUWA, SRI LANKA
Application for Admission to the
MSc / PG Diploma Course in Electrical Engineering
Mr/ Ms/Other (specify)
Name with Initials
1 Last Name
Sex :
Male/ Female
Other names
Residential Address
Telephone No:
Fax :
Office Address
2
Telephone No:
Address for
Correspondence
Fax :
Residential / Office/Other (specify)
Telephone No:
email :
Age on 01-10-06
3 Date of Birth
4 Nationality:
Sri Lankan / Other (specify)
5 Civil Status:
Married / Single / Other (specify)
6
N.I.C. No.
Academic Qualifications:
Dates
University / Institute
From
7
To
Qualification
& Class (if any)
Field of
Specialisation
Professional Qualifications
Professional Institute
8
Years
Membership Grade
Date of Election
Relevant Experience
Dates
Post Held / Designation
Name and Address of Organisation
From
To
1
9
Awards, Scholarships, Fellowships (Details including dates)
10 Publications & Presentations (Details including dates)
11 Referees (Name, Designation, Address & Telephone No.)
(1)
(2)
I Certify that the particulars furnished above are true to the best of my knowledge.
Date
Signature
Notes to applicants
1.
2.
3.
4.
5.
6.
7.
Please type or write in block letters. Please delete any inapplicable words.
Only photo-copies of academic and other qualifications should be sent with the application.
Only short listed applicants will be called for an interview. At the interview applicants should produce the originals
or certified copies of the requisite certificates at the interview.
Around 25 candidates will be selected to follow the course. The course would normally be conducted on
weekends. Those selected for the course will need to obtain a release from the employer to follow the course.
The course is expected to commence around the end of October 2006.
Please note that only a selected set will be permitted to proceed to the MSc based on the performance at the
postgraduate examinations during the first year.
Completed application forms should be sent to the following address with MSc/PGDiploma in Electrical
Engineering written on the top left hand corner of the envelope.
Head/Department of Electrical Engineering
University of Moratuwa, Sri Lanka
Moratuwa
Sri Lanka.
Closing date of Applications: 11 July 2006.
Information
Dr. Lanka Udawatta - Department of Electrical Engineering
Email: [email protected]
Prof. H. Y. Ranjit Perera - Head of Department of Electrical Engineering
Email: [email protected]
30 May 2006
2
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