APPLICATION FORM FOR ADMISSION TO THE BACHELOR OF SCIENCE IN INFORMATION TECHNOLOGY DEGREE PROGRAMME OF THE UNIVERSITY OF MORATUWA ………………………………………………………………… ………………………………………………………………… 01 Full Name: 02 National Identity Card Number: ………………………… 03 Permanent Address: 04 Contact Address (If different from the permanent address ) : ………………………………………………………… ………………………………………………………… ………………………………………………………… 05 Telephone Number (If available): ……………………………………………… 06. G.C.E (A/L) Examination 2000: Index Number: ……………………………… 07 Average mark secured at the above Examination: ………………………………… 08 If you have already applied for University admission for the academic year 2001/2002 based on the results of the G.C.E (A/L) Examination 2000; ………………………………………………………. ……………………………………………………….. ……………………………………………………….. Indicate: (i) Reference Number allocated to your application by the UGC: ………………… (ii) Admission District: ………………….. (iii) Course of Study (if selected): …………………. I certify that the particulars given above are true and accurate and I am aware that my selection to the above course of study is subject to the terms and conditions as stipulated in the press notice calling for applications and the rules and regulations governing university admissions for the academic year 2001/2002. ……………………… Date …………………. Signature of the Applicant