Department of Examinations -Sri Lanka
GENERAL CERTIFICATE OF EDUCATION (ADVANCED LEVEL)
EXAMINATION - 2021
Application Form for Private Applicants
01. Town Selected to appear for the examination
Town Selected
Moratuwa
Town No:
051576
12
02. Full Name: (Full name according to the birth certificate)
K
A
N
A
N
K
D
E
E
S
H
A
W
A
N
K
A
03. Permanent address:
2
1
8
A
K
A
M
O
D
E
S
G
A
M
A
G
E
A
T
H
I
S
H
Telephone No:
/
R
T
Y
A
H
I
0762384534
1
/
1
B
A
N
D
A
R
A
N
A
Y
M
W
,
K
A
T
U
B
E
D
D
A
,
A
T
U
,
K
A
T
U
B
E
D
W
A
A
04. Date of birth
2002-02-04
05. Medium of language:
Sinhala
06. Subjects applied for the examination in the year 2021, Medium and Subject Numbers.:
Subject
Medium
(i) GEOGRAPHY
SINHALA
22
(ii)
INFORMATION &
COMMUNICATION TECHNOLOGY
SINHALA
20
(iii)
COMMUNICATION & MEDIA
STUDIES
SINHALA
29
SINHALA
YES
(iv) Common General Test
07.
Subject No
(v) General English
YES
Total number of subjects applied
08. National Identity Card No:
09. Examination fees (LKR):
10. Gender:
M
11
1
Attempt no:
Have any special
education needs?
Disability:
Stream : Arts
5
200209300816
400.00
NO
Payment
Method:
CARD
Payment Successful
Order ID :CYiJgUapDF
Special Center:
More
Information:
NOTE: Keep this application safe with you for future reference, no need to post or email any copy of this to
Department of Examinations. This is a computer-generated document. No signature is required. Submitted At 2021-07-09