Scholar - Application

"The Scholar" Application

1. Full Name

2. First Name and Last Name

3. Residential Address

4. Email address We'll never share your email with anyone else.

5. Phone Number

6. Gender

Male

Female

7. Date of Birth

8. National Identity Card No

9. Name of the School studied for G.C.E A/L

10. Address of the school

11. G.C.E. (A/L) Subjects & Results (Indicated in A/B/C/S/W)

Year of Exam Index No.

Z-Score

No	Subject	Result
1
2
3
4	English

12. State your engagement in any extra-curricular activities during the school days or outside the school with achievements at the District, Provincial or National level

Type/Nature of Extra Curricular Activity	Place Obtained
Type/Nature of Extra Curricular Activity	District	Provincial	National	International

13. Details of the University admission

Start date of the academic programme

Registration Number

Faculty of Study

Course of Study

Academic Intake

Academic Year

Semester

Course Duration(years)

Are / will you be given hostel facility?

Yes

Are you a recipient of Mahapola/Bursary Sponsorship?

Yes

14. Academic Performance

CGPA Ex: 3.25 or 3.20

15. Extracurricular activities involved in the university/ Achievements

Activity/Sport/Club	Role/ Place obained	Year

16. Details of family members and their gross monthly income (before any deductions) from all sources (including other scholarships, allowances, etc.).
For brothers, sisters, etc., write the relationship in the “Relationship” column.

Name	Age	Relationship	Occupation	Gross Monthly Income
		Applicant
		Father
		Mother

17. Is your family a Samurdhi Beneficiary family?

Yes

18. Apart from the above, does your family receive any other scholarships/funds? If yes state the scholarship/ fund.

Yes

State the scholarship/ fund.

19. Family Background ( Families with single parent, sick parent, differently abled parent, women headed households)

20. Have any of your parents lost their jobs due to COVID 19? If yes please explain.

Yes

Any Special notes

21. Have any of your parents lost their jobs due to the current economic crisis? If yes please explain.

Yes

Any Special notes

22. Are you an undergraduate with Special Needs (Differently Abled Undergraduate)?

Yes

23. Why do you think you should receive this scholarship?

24. How did you learn about this scholarship programme?

You will be called for the proofs for the details you entered under the G.C.E. A/L Results, Extracurricular achievements and Family Income status, if you get shortlisted.

21. Applicant’s attestation

I certify that all of the above information furnished are true and accurate to best of my knowledge. Further, if the information furnished is found to be false, I hereby agree that my scholarship will be prematurely cancelled.

Applicant’s name in Block Capitals

Ex: DIMUTHU PERERA

Date

All the details provided above will be kept confidential and will be used only in the filtering process.

For further inquiries please contact
Ilampoornan - +94 71 560 8525
Nethra- +94 70 597 2781