Step 1 of 5 - Exam Application Form 0% PERSONAL DETAILSSelect the Diploma you wish to apply forDiploma in Drugs Abuse Management Studies (DDAMS)Exam Year( විභාග වර්ෂය)* Month - Year PERSONAL DETAILSRegistration No - මා.ස.අ. ආයතනයේ ලියාපදිංචි අංකය*Exam No ( විභාග අංකය (ලබාදී ඇත්නම්))Semester I Index Number.Year of first registered to the program(පාඨමාලාවට ඇතුලත් වූ අධ්‍යයන වර්ෂය)*Full Name( සම්පූර්ණ නම)*Name with Initials (in English)*Last Name (in English)*GenderMaleFemaleNational ID Card Number - හැඳුනුම්පත් අංකය (පුද්ගලයින් ලියා පදිංචි කිරීමේ දෙපාර්තමේන්තුව මගින් ලබාදී ඇත)*Telephone(දුරකථන අංක)Mobile (ජංගම දුරකථන අංකය)*Email* Enter Email Re-enter email Details regarding registration( ලියාපදිංචි කිරීම පිළිබඳ තොරතුරු)Year in which you have registered for the examination (මෙම පරීක්‍ෂණය සඳහා ලියාපදිංචි වූයේ කිනම් වර්ෂයේද?)Has there been any permission given for an extension of the initial registration (yes/no) - (ඊට පසු ලියාපදිංචිය කල් ගැනීමට අවසර ගෙන තිබේද?)If so, please state the respective year (එසේ නම්, ඒ කිනම් වර්ෂයේද?) Exam Medium*SinhalaEnglishTamilType of attempt (විභාගයට ඉල්ලීමේ අවස්ථාවේ ස්වරූපය)*Initial (පළමු අවස්ථාව)Graced for being absencesRepeatSelect your Examination Semester Diploma in Drug Abuse Management (DDAM)*Semester ISemester IISubjects to be taken at the examination: Diploma in Drug Abuse Management (DDAM) Semester I* DDAM 1001 Introduction to drug and drug abuse DDAM 1002 Prevention of drug abuse DDAM 1003 Treatment of drug dependents DDAM 1004 Drug Counseling Subjects to be taken at the examination: Diploma in Drug Abuse Management (DDAM) Semester II* DDAM 1005 Communication Skills DDAM 1006 ICT for Drug Control DDAM 1007 Drug Law DDAM 1008 Drug Abuse Research Methods Address(ලිපිනය)* ලිපිනය AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Official Address Address AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country DECLARATIONName( නම)*06/04/2023Declaration/ Supporting Documents(If any)Accepted file types: jpg, gif, png, pdf.- Attach a copy of the Supporting Document - Only jpg, gif, png, and pdf file formats are allowed - Maximum file size is 4 MBConfirmation of details( තොරතුරු තහවුරු කිරීම)I certify that the above mentioned details are true and accurate and that, I take full responsibility for the details therein provided. In case of any inaccuracy or discrepancy, I alone shall be responsible to bear any consequences as the case may be. (මෙහි සඳහන් සියන්‍දා විස්තර සත්‍ය බවත් ල මෙම පරීක්‍ෂණයට පෙනී සිටීමට නියෝගානුකූලව ලියාපදිංචි වී ඇති බවත් මම මෙයින් සහතික කරමිග )I Agree(එකග වෙමි)Signature( අත්සන) This iframe contains the logic required to handle AJAX powered Gravity Forms.
