SAMIS

Student Register Form

Step 1: Personal details of applicant

Student Full Name *

Date of Birth *

Gender *

Birth Certificate Number *

Birth District *

Birth Regional Secretariat *

Place of Birth *

Does the student suffer from any health problems? *

Yes

Guardian Full Name *

NIC Number *

Guardian Occupation *

Contact Number 01 *

Contact Number 02

District *

Regional Secretariat *

Grama Niladhari Division *

Nearest City *

Permanent Address *

Education Zone *

Divisional Education Office *

School Name *

Admission Number *

Date of admission to this school *

Current Grade *

Current Class *

Student Image Upload File *

Uploading...

Click to upload

SVG, PNG, JPG, or GIF

Kindly upload a passport-size photo with a white background. This will be used for the student ID card. ඔබ මෙහි උඩුගත කරන පින්තූරය සුදු පසුබිමක් සහිත විදේශ ගමන් බලපත්‍රයේ ප්‍රමාණය විය යුතුය. මෙය ශිෂ්‍ය හැඳුනුම්පත සඳහා භාවිතා වේ.

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