Application for Admission to the MEng / PG Diploma Course
in Electrical Engineering
UNIVERSITY OF MORATUWA
Mr/Mrs/Miss
/other(specify)
1 Name with Initials
Surname
Sex :
Male/
Female
Other names
2 Residential Address
Tel:
Fax :
Office Address
Tel:
Fax :
Address for correspondence
Tel:
Email :
Age :
(on 01-10-01)
3 Date of Birth
4 Nationality:
Sri Lankan / other (specify)
5 Civil Status:
Married / Single
years
6 Academic Qualifications:
University / Institute
Dates
From
Degree/Diploma
Field of
(Class if any)
Specialisation
To
7 Professional Qualifications
Professional Institute
Membership Grade
Date of Election
8 Relevant Experience
Post Held /
Name and Address
Designation
of Organisation
Dates
From
To
2
9 Awards, Scholarships, Fellowships (Details including dates)
10 Publications & Presentations (Details including dates)
11 Referees (Name, Designation & Address)
(1)
(2)
Date
Signature
Notes to applicants
1.
Only photo-copies of academic and other qualifications should be sent with the application.
2.
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.
3.
Around 25 candidates will be selected to follow the course.
4.
Selected candidates will have to register for the PG Diploma in the first instance.
5. Completed application forms should be sent to the following address with "MEng/PGDiploma in Electrical
Engineering" written on the top left hand corner of the envelope.
Senior Assistant Registrar,
(Examination & Academic)
University of Moratuwa,
Moratuwa
Sri Lanka.
6.
Closing date of Applications: 20 July 2001.
Dr. Jahan Peiris - Course Co-ordinator
Prof. Rohan Lucas - Head of Department
14 June 2001
3