F/8/1

FOR OFFICE USE FOR OFFICE USE

(AP NO) (INDEX NO)
Ministry of Skills Development and Vocational Training

APPLICATION FOR DIPLOMA COURSES IN UNIVERSITY COLLEGES

Established under the University of Vocational Technology

(Read and follow the instructions to candidates given at the end of this application form)

1. National Identity Card No:

2. Name with Initials (In block capitals):

3. Full Name (In block capitals):

4. Permanent Address:

Province District

Divisional Secretariat Division Grama Niladari Division

Telephone (Land) Telephone ( Mobile) E-mail Address

5. Personal Information - (Write or mark () in relevant Box)

5.1 Date of Birth: Date: Month: Year:

5.2 Sex: Male Female

5.3 Civil Status : Married Unmarried

5.4 Father’s / Mother’s / Guardian’s Name with initials:

Tel:

5.5 Does your family receive Samurdi Benefits? Yes No

6. Entry Qualifications:

Candidates should have either NVQ Level 4 qualification in a relevant occupation or

G.C.E.(A/L) qualification in a relevant stream.

6.1 Candidate with NVQ Level 4 Qualification:

Occupation/ Course Name Code of qualification Effective Date of Certificate/

Assessment Date

6.2 Candidate with G.C.E. (A/L) - (Write or mark () in relevant Box)

Attempt: 1st 2nd 3rd

Medium: Sinhala Tamil English

Year of Examination: Index No:

Subject Grade / Marks

1
2
3
4 General English
5 General Knowledge (Marks)

Z - Score ………………………..

7. Order of preference for Courses:

Order of
Preference Course
1
2
3
8. General information:
8.1 G.C.E. (O/L) Results:

Year of Examination: Index No:

Subject Grade
1
2
3
4
5
6
7
8
9
10

8.2 Extra Curricula Activities, Sports and Achievements:

8.3 Indicate any physical, health and allergy issues that need special attention:

9. Paste the ‘University College’s copy’ of the payment slip below:

I do hereby certify that the information furnished above is true and correct and conform to
the entry qualifications indicated in the advertisement and that I have not registered for any
full time Degree or Diploma in a University or any other Government Academic Institutions
in Sri Lanka. I do hereby accept that my enrolment in a University College could be
cancelled, if any of the above information is found to be false or inaccurate, even after the
commencement of the course.

Date Signature of Applicant

 Instructions to Candidates
1. Minimum entry qualification for these diploma courses is three passes in GCE (A/L) in
one sitting in the relevant stream or relevant NVQ Level 4 qualifications with effective
date prior to 31st December 2018.

2. Age should be below 29 years as at 15.01.2019

3. Fill the application in English language.

4. Application could be se n t by registered post to reach the below given address on

or before 31 st January 2019.

Assistant Registrar

University College of Jaffna,

No.29, Brown Road, Kokuvil, Jaffna.
T.P No- 021-221-7791

Please wr it e “Application for Uni versi t y College” on the top left hand corner of the
envelope.

5. Late and unduly filled applications will be rejected.

6. Do n o t a t t a c h e d c o p i e s o f c e r t i f i c a t e s with t h e a p p l i c a t i o n , b u t o r ig i na l s of t h e
E n t r y Qualification Certificate (GCE (A/L) or NVQ Level 4), Birth certificate, extracurricular
certificates and National Identity Card should be produced at the selection test / interview.

7. NVQ Level 5 & 6 Courses will be conducted in English medium. English and Information
Technology (ICT) classes will be conducted to improve the English language and ICT skills of
the students throughout the course period.

8. Please Pay Rs 500.00 to the Peoples Bank for the following account no 162-100100045947
(University College of Jaffna) and paste the PAYING IN VOUCHER in the given box.

9. Course fees for each course is free. (Entire 3 years Period)

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