For office use:
Application Number :……………..
Reg No:……………………………
Medium : …………………………
The Open University of Sri Lanka
Department of Secondary & Tertiary Education
Faculty of Education
The Application for the Short Course on Research Methodology
LEKAM MUDIYANSELAGE NIROSHA PRIYASHANTHA
1. Full Name Mr/Mrs./Miss ..............................................................................................…
SUMANASEKARA
………………………………………………………………………………………………
L.M.N.P. SUMANASEKARA
2. Name with Initials: …………………………………………………………………….
3. Name required for the Certificate
LEKAM MUDIYANSELAGE NIROSHA PRIYASHANTHA SUMANASEKARA
…………………………………………………………………………………………………………
……………………………………………………………………………………………………
MALE
4. Gender
: ………………………..
5. Date of Birth
1981-09-27
: ………………………
6. Private Address
"PRIYAWASA", SEELATENNA, HALDUMMULLA
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………
Deputy Principal
7. Profession / Designation : ………………………….
B/ANANDA MMV, HALDUMMULLA
8. Official Address (If any) ………………………………………………………………………….
…………………………………………………………………………………………………………
812710508V
9. National Identity Card Number : ………………………………………..
10 Contact Numbers :
0786179679
0704308796
Telephone : ……………………….
Mobile: ………………………..
niroshp@gmail.com
E-mail:…………………………………………………………………….
BSc Degree
11. Highest Educational Qualification: ……………………………………………………………
Wayamba university of sri lanka
University/ Institution: ………………………………………
Sinhala
12. Expected medium of study : …………………………………
I certify that the particulars given above are true and accurate according to my knowledge.
Signature : ……………………..
Date: ……………………….