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
[Link]
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 venijalindhu@[Link]
C. CONTACT DETAILS
Home Mobile +94763279242
Office Fax
Email venijalindhu@[Link]
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
[Link] Level
(Year of Examination)
…….............
2023(2024
School Attended
…………………….
[Link] 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: .....................................