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Fill ALL Data in English Medium.
Student Registration form - MEDIRIGIRIYA NATIONAL SCHOOL
Entrance Number :
Curent Grade (By the May month in current year):
Full Name:
Name With Initials:
Address
Number:
Street:
Village:
City:
Date of Birth:
NIC No (if available):
Gender:
Male
Female
Nationality:
Sinhala
SL Tamil
Indian Tamil
SL Muslim
Other
Religion:
Buddist
Hindu
Islam
Catholic
Cristian
Other
Distance From home:
Travel Mode to School:
On Foot
Bus
Motor Bike
Foot Cycle
School Van/Bus
Own Vehical
TP No to Contact Home:
email (if available):
Father's Name:
Father's Occupation:
Father's TP Number
Father's NIC No:
Mother's Name:
Mother's Occupation:
Mother's TP Number
Mother's NIC No:
Do you have Scholarship:
Yes
No
Scholarship Type:
Grade 5 Scholar
Other
]
Other Scholarship Details:
Scholarship Bank Account No:
Bank:
Branch:
Index Number at Grade 5 Scholarship:
Exam Year:
Index Number at GCE O/L:
Exam Year:
Previous School:
Entrace Date to this School:
Special Skills: