INTERNATIONAL COLLEGE OF BUSINESS & TECHNOLOGY
STUDENT APPLICATION FORM (Please Complete in Block Letters)
COURSE INFORMATION
Name of the Course: International diploma in human resource management
University/Institute : ICBT Bambalapitiya
A. PERSONAL DETAILS
Title Mr. / Mrs. / Miss. / Other
Magendran Venija
Name in Full
M.venija
Name with Initials
NIC #/Passport # : 200755404184 Nationality: Sri Lankan Date of Birth : 2007.02.23
B. ADDRESS DETAILS
Home Address 67/A Rathnagiriya Lindula
Office Address
Email [email protected]
C. CONTACT DETAILS
Home Mobile +94763279242
Office Fax
Email
[email protected]In the event of an emergency , Please contact
Contact Person Magendran
Relationship Father
Contact No. 0766560677
D. EMPLOYMENT DETAILS (IF EMPLOYED)
Name of the Company
Designation
Years of Working Experience
E. EDUCATIONAL QUALIFICATION
G.C.E.Ordinary Level
(Year of Examination)
…….............
2023(2024
School Attended
…………………….
G.C.E.Advanced Level
(Year of Examination) Maths ----
…………….. Science ----
School Attended Arts ----
……………………. Commerce & Accounts ----
Higher Education
Qualification
( if any)
Professional Qualification
( if any)
Extra-Curricular Activities ( Sports / Memberships / Achievements )
Sport:Volleyball
HOW DID YOU GET TO KNOW ABOUT ICBT CAMPUS:
(Please tick the appropriate)
Paper Ad Word of mouth Exhibitions TV/Radio Commercials Web Posters / Banners E-flyer
Applicant’s Signature: …………………………….. Date of Application: …………………......
Application check list
Marked mandatory
1. A copy GCE O/L certificate
2. A copy of GCE A/L certificate
3. A copy of national ID card or passport
Important: Student should submit the filed application along with above documents before they
make the payments
For Office Use Only :
Centre :
Program Information:
Program: University/Institute:
Batch#
Commencement: M Y Program Duration(M)
Payment Details:
Mode of Payment Full Payment Installment Counselor
Student Account Information
Registration No: Login ID:
Student ID: Remarks:
Above documents submitted by
Counselor Name ……………………………….
Signature ………………………………………
Above documents received by
Department: …………………………………...
Coordinator: …………………………………..
Signature: ………………………. Date: .....................................