Diploma in Drugs Abuse Management Studies 2022 Intake Registration Form

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Step 1 of 6 - Program Preferences

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PROGRAM PREFERENCES
Select the Program you wish to apply for*
Medium
Intake wishes to enrol
Mention the intake as Month - Year

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PERSONAL DETAILS
Title
- Mr
- Ms
- Rev
Full Name*
Name with initials*
NIC Number*
Date of Birth
Mailing Address*
Address Country
Telephone
Mobile*
Email*
Enter Email Re-enter email

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EDUCATIONAL QUALIFICATIONS
GCE ORDINARY LEVEL (O/L) RESULTS
Year
Index Number
Results
Add one subject after the other
Subject Grade
GCE ADVANCED LEVEL (A/L) RESULTS
Year
Index Number
Results
Add one subject after the other
Subject Grade
SUPPORTING DOCUMENTS FOR EDUCATIONAL QUALIFICATIONS
Upload Supporting Documents*
Drop files here or

Accepted file types: pdf.
- Attach any supporting documents
- File(s) should be in PDF format
- Maximum file size is 5MB per file
- Up to 5 files are can be uploaded

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EMPLOYMENT HISTORY
Present Employment
Provide details of your current and past employment.
Company From To Designation Years of experience

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PAYMENT DETAILS
Date of Payment
Bank Receipt ( Application Fee )*
Accepted file types: jpg, gif, png, pdf.
- Attach a copy of the bank receipt
- Only pdf file format is allowed
- Maximum file size is 10MB

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DECLARATION
I declare that the particulars provided above are correct to the best of my knowledge.
Name
I hereby that the information given above are correct and true to the best of my knowledge.
03/23/2023

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