Application Form

Faculty of Education Leadership Development and Management, National Institute of Education

Bachelor of Education in Education Management – 2021/2022

National Identity Card No.	(10 or 12 Characters)	Initials	(Only 30 C)
Title		Name without Initials	(Only 50 C)
Full Name (Only 150C)		Mother Language
	Home Address		Office Address
Home Address1(Only30C, Essential)		Office Address1(Only30C, Essential)
Home Address2(Only30)		Office Address2(Only30)
Home Address3(Only30)		Office Address3(Only30)
Home Address4(Only30C, Essential)		Office Address4(Only30C, Essential)
Postal Code(Only5C)		Postal Code(Only5C)
Land Phone No.		Official Land Phone No.
Mobile Phone No. (Only10C)		Email Address(Only100C)
Whatsapp No.(Only10C)		Current Post (Only120C)
Date of Birth

		Institute/Zonal Office (Only 120C)
		Address (Line 1) to Institute/Zonal Off. (Only 120C)
		Address (Line 2) (Only 120 Characters)

Service Category		Specify the grade
	Sri Lanka Education Administrative Service (SLEAS)(Only 5 Characters)
	Sri Lanka Principal Service (SLPS) (Only 5 Characters)
	Sri Lanka Teacher Advisor Service (SLTAS) (Only 5 Characters)



Experience in Teacher Service	Years
Results of GCE A/L Examination	Subjects	Grade
Subject 1 (Only 25C)		(Only 1C)
Subject 2 (Only 25C)		(Only 1C)
Subject 3 (Only 25C)		(Only 1C)
Subject 4 (If any) (Only 25C)		(Only 1C)
Hold Diploma in School Management (DSM)
Medium




NIC as User Name
	Please create and apply your own new password to login to the online activities of the course. Keep remember it.
	(Only 10 or 12 Characters)
New Password (6 to 15 Characters)		Confirm New Password (6 to 15 Characters)
	I certify that all the information (Text and Selections) given above is correct and accurate.