Grade 1 Application Form

Category applied for

Child Detail

School Reference Number

Full name

Name with Initials Eg:- E.G.S.Ransingha

Sex

Religion

Medium

Date of Birth date format yyyy-mm-dd

Applicant Detail

Full name

Name with Initials

N.I.C. number

Is he/she SriLankan

Religion

Permanent Address

Telephone number

District

Divisional Secretariat

Grama Niladari Divison Name

Grama Niladari Divison Number

Enter schools priority basis

No.	School Name	National / Provincial	Distance from home(Km)
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6

Enter schools closed to your home

No.	School Name
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10

Enter 5 years resident detail

No.	Year	VoteDiv	GramaNiladariName	GramaNiladari Number	VoteDistrict	Village/Street
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I hereby declare that my child is not attending any government school, government approved private school or any other schools at present for his/her studies. I also declare that the details furnished above are true and correct and i agree further to submit satisfactory evidence relating to my permanent residence and other information indicate here. I am also aware that my application will be rejected if any information furnished by me is found to be false/forged. If it is revealed after the admission of my child that he information furnished is false/forged i agree to remove my child from the school and admit him/her to another school in the area nominated by the Department of Education.