Application Form Mba

M.
Order No
RAJARATA UNIVERSITY OF SRI LANKA

FACULTY OF MANAGEMENT STUDIES
MASTER OF BUSINESS ADMINISTRATION (MBA)
INTAKE XVII – 2018
APPLICATION FORM
01. Name In Full : .........................................................................................................................................................
.........................................................................................................................................................
02. Name with Initial : .........................................................................................................................................................
.........................................................................................................................................................
03. Address
a) Residence : .........................................................................................................................................................
: .........................................................................................................................................................
b) Office : .........................................................................................................................................................
: .........................................................................................................................................................
c) Address to which the letters be directed : Residence Office
04. Contact Details

a) Telephone(s)
i) Residence : ...............................................................................................
ii) Mobile : ...............................................................................................
iii) Office : ...............................................................................................
b) E-mail Address : ...............................................................................................
05.
a) National Identity Card No : ................................................
b) Date of Birth : ................................................
c) Age : Years .......... Months .......... Days ..........
d) Gender : Male Female
06. Qualifications (Please attach copies of certificates)

a) Highest Educational / Professional Qualification(s) obtained:
Qualification Institute Duration Year
b) Highest Qualification obtained in English Language:

Qualification Institute Year
07. State the category which you apply for the program according to the admission requirements:
Category i ii iii iv v vi (Please tick appropriate box)

09. Designation / Occupation: ......................................................................................................................................................
b) Date of assumption of duties as an Executive/ Junior Executive: ......................................................................................
c) Experience to date: .............................................................................................................................................................
(Please attach documentary evidence)
d) Name of the Department / Institute: .................................................................................................................................
e) Present Employer: ..............................................................................................................................................................
f) Address: ...............................................................................................................................................................................
10.
a) Province : ......................................................... b) District: ..........................................................
11. If selected, center which you wish to follow the Program?

Colombo Mihintale
12. State if you are self financed YES NO (Please tick appropriate box)
(If not self-financed, item No. 16 below has to be filled by the supporting agency)
13. Had you applied for this programme before: YES NO
If yes, please indicate the year applied : ……………………
14. Briefly describe your reasons for wishing to enroll in the MBA Program;
15. Give names and contact details of referees;
1. 2.
I certify that the above information is true and correct. I understand that misrepresentation in the application will
cause the rejection of application or revoking acceptation for admission at any stage.
.................................. .................................................
Date Signature of Applicant
Page 2 of 3
16. I do hereby agree to pay the fees stipulated for the MBA Programme on behalf of,
Mr./Ms. . ...............................................................................................................................................................................
.................................................
Signature of Employer
Name of the Employer : .....................................................................................
Designation : ..................................................................................... Official Rubber Stamp
Date : .....................................................................................
Mail this application with relevant documents including paying-in-voucher for Rs 500/- under registered cover to;
Assistant Registrar - MBA Program,

Faculty of Management Studies,
Rajarata University of Sri Lanka,
Mihinthale.
Tel. No. +94 252266854, +94 252266627
Please write on the top left corner of the envelope “MBA 2018”.
FOR OFFICE USE ONLY
Candidate Accepted/Not Accepted : ..........................................................................

Student Registration No : ..........................................................................
Qualifications Presented : ..........................................................................
Verified By : ..........................................................................
Director – MBA Program
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M.

RAJARATA UNIVERSITY OF SRI LANKA

01. Name In Full : .........................................................................................................................................................

02. Name with Initial : .........................................................................................................................................................

c) Address to which the letters be directed : Residence Office

04. Contact Details

ii) Mobile : ...............................................................................................

iii) Office : ...............................................................................................

b) E-mail Address : ...............................................................................................

b) Date of Birth : ................................................

c) Age : Years .......... Months .......... Days ..........

d) Gender : Male Female

06. Qualifications (Please attach copies of certificates)

b) Highest Qualification obtained in English Language:

Category i ii iii iv v vi (Please tick appropriate box)

11. If selected, center which you wish to follow the Program?

13. Had you applied for this programme before: YES NO

If yes, please indicate the year applied : ……………………

15. Give names and contact details of referees;

Assistant Registrar - MBA Program,

Tel. No. +94 252266854, +94 252266627

FOR OFFICE USE ONLY

Candidate Accepted/Not Accepted : ..........................................................................

Director – MBA Program

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