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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:

Religion:

Distance From home:

Travel Mode to School:

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:

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: