Application For Evaluation of Qualifications For Exemptions

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Registration/ Application Number

THE OPEN UNIVERSITY OF SRI LANKA


FACULTY OF ENGINEERING
TECHNOLOGY
APPLICATION FOR EVALUATION OF QUALIFICATIONS FOR EXEMPTIONS
IMPORTANT
The following documents must be attached to the Application form:
(a) Certified copies of all Educational / Professional Qualifications.
(b) Certified copies of the syllabus of each subject of the course/programme to be evaluated.
(c) Certified copies of Past papers of each subject of the course/programme to be evaluated.
(d) Hand book (prospectus) of the Institution from which the qualification has been obtained.
A money order for Rs. 100.00, being the evaluation fee should accompany each application.
Money orders should be drawn in favour of Bursar, The Open University of Sri Lanka,
Nawala, Nugegoda.

If paying in cash, the payment should be made to the Shroff of the Open University and the
receipt should be attached. Please send the completed form to, Programme Coordinator, BSE
Programme, Department of Electrical and Computer Engineering, The Open University of
Sri Lanka, Nawala, Nugegoda 10250 by 21st March 2011.

 Please note that applicant should provide certified English translations, if the originals are
in a Foreign Language.

INCOMPLETE APPLICATIONS WILL NOT BE ENTERTAINED.

Student personal Information:

Name of Student:: ________________________________________________________________________


____________________________________________________________________________
Home Address: ___________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Telephone: ___________________________________ 4. E-mail: __________________________________

FOR OFFICE USE ONLY

Exemptions granted for the Applicant.


(Indicate whether it is applicable for this particular student or common for all)

_______________________________ ___________________
Signature of the Head of the Department Date

Department: _____________________________
B. Particulars of the qualifications for which you seek exemptions for
courses/programmes.

1. Title of the course/programme: _______________________________________________________


2. Title of the award. (i.e. Qualifications): _________________________________________________
3. Name & Address of the Institution, which awarded the above mentioned qualifications:
____________________________________________________________________________________
________________________________________________________________________________
4. Duration of the course/programme: ___________________________________________________
5. Year of the award : __________________________________________________________________
6. Is it full time / part time: ___________________________________________________________
7. Entry requirements to follow the course/programme: ___________________________________
____________________________________________________________________________________

C. Details of courses/programmes mentioned in part (B):

(i) Details of Number of hours spent on each subject (Use separate sheet if
necessary):
Time spent (hours)
Subject Year
Lectures
Tutorials Lab work Training

(ii) List out the Laboratory experiments done in each subject. (Use separate sheet
if necessary):

D. Courses (subjects) in the OUSL programme from which exemptions are requested
by the applicant:

_________________________________ __________________
Signature of the Applicant Date
(A separate form has to be filled for each course/programme)

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