British College of Applied Studies 32, Darmarama Road, Colombo-06. Tek: O11 2559255, O11 2507145 Web: www.bcas.Ik BS OU Ce(STy a TSA here Student Registration No Photo Please paste a recent photograph 1. Programme Applied For CACCESS (IT/English) CUHND Computing CIRND Business Management (international Hospitality Management CUHND Quantity Surveying CCAD & Building Studies (LHND Telecommunication (COND Law (other Course: 2. Personal Details Full Name In Block CAPITALS Name With Initials Sex Date of Birth (dd/mm/yyyy) Contact Address Contact No Other Contact Numbers (IF Any) Home Address Parent or Guardian Name Telephone Number Nationality National Identity Card No Passport No. \cademic Qualific ions Name Of Exam Year of Exam Subjects Taken Gradings Checked and verified Original Seat4, Current Employment (If any) Employer's Name & Address Your Designation From To 5. Personal Statement Please indicate your reason for choosing the programme applied for, career aspirations and any other information such as hobbies and Interest that you wish to know about when considering your application, Please continue on a separate sheet if necessary, 1 Understand that no refund/batch transfer will be provided by BCAS after 10 days of batch Commencing date. However GST is non refundable Date Signature 6. Advertisement Feedback Please tell us how you came to know about the programme you are applying for (J Word of mouth (J Magazine (TV Advertisement (-] Newspaper Advertisement (11 Radio Advertisement (71 Internet / email 7. Personal Declaration 1 confirm that the information given in my application form is true, complete and accurate, and that no information requested or other material information has been omitted. | undertake to be bound by all the rules and bye-laws of the college and | accept that, if | do not comply with these requirements, the college may cancel my application and any subsequent offer and | shall have no claim against the college in relation thereto. Name... Applicant's Signature: oe Dates enen son Check List (1 GCE (Ol) Certificate or statement of results (Certificate Copy) C1 GCE (A/L) Certificate or statement of results (Certificate Copy) C1 Copy of Birth Certificate (1 Copy of NACNo. (-] Copy of Police Clearance Certificate C1 Any other materials attached (specify) Office Use The student is eligible and could be admitted to the course commencing on Admission No: Full Course fee Rs... v» paid, An initial payment Of RS.0.enee smu was made and the balance to De paid IM versnnenm installments Admission Officer's Signature Date