Step 1 of 3 - Program Preferences 0% PROGRAM PREFERENCESSelect the Program you wish to apply for*Diploma in Labour Education ProgrammePERSONAL DETAILSName of the Student*Registration Number*(ex: 16/Dip/2543)Index Number*(ex: LE/2354)Telephone*Personal 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 Email* Enter Email Re-enter email Information about Student’s RequestsPertaing to request*A DefermentA request to re-sit on exam studentAssignmentAttending lecturesLoss of Student Identity Card or Student Record BookNote: If student record book or student identity card lost, student must handover an affidavit to the BLE Unit.Academic year and SubjectsDiploma - First Semester* DY 01: Sinhala Language DY 02: English Language DY 03: Economics DY 04: Mathematics Diploma - Second Semester* DY 05: Political Science DY 06: Science & Technology DY 07: Business Environment DY 08: Fundamentals of Labour Studies AttachmentsRequest letter* 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 uploadedEvidence (Ex: Medical Report, Evidence for official reasons & etc. )* 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 DECLARATIONI hereby declare that the particulars given by me are true and correct to the best of my knowledge. I am fully aware of the fact that, my request will be processed upon the information that I have provided. Therefore, if any of the information provided turns out to be false or inaccurate, I will bear any or all the consequences that may results from my willful and/or negligent act/omission. Signature (Name)*06/03/2023 This iframe contains the logic required to handle AJAX powered Gravity Forms.
