Admission Form
EDUCATIONAL & IT TRAINING ACADEMY
Title
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Mr
Mrs
Miss
Gender
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Male
Female
First Name
Last Name
Date of Birth
Sri Lanka Branch
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Colombo
Kurunegala
Batticaloa
Passport / NIC Number
Lecture Mode
✔
Online
✔
Classroom
Street Address
Address Line 2
City
Mobile Number
Home Number
Email
Medium
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English
Hindi
Sinhala
Malayalam
Tamil
URDU
Coordinator
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Musharraf
Dayana
Arun
Nuwan
Huzman
Pavithran
Mafas
Zahil
Nisidi
Vishal
Lihini
Nisansala
Miflar
Khadeejah
Matheesha
Passport size photo (with white background)
NIC/Passport Image
Updated birth_certificate
O/Level / A/Level / Other Education Certificate
Intake Month
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January
February
March
April
May
June
July
August
September
October
November
December
Subject Preference
Dual Qualification Program (CCNA+CCNP+C|EH)
Bsc (Hons) Network Technology and Cyber security (Top up)
Advanced Diploma in Network Technology & Cyber Security
Dual Diploma in IT and English
Advance Diploma + Bsc Top-up Degree
Diploma in Network Technology
Diploma in Cyber Security
CCNA
CCNP
CEH
Please select at least one subject preference.
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