Register Online – apaxcampus.com

Title *

Mr./Mrs./Ms./Miss./Rev./Dr.

Full Name: *

Gender *

Male
Female

Date of Birth: *//

Place of Birth *

Address (in single line) *

District *

NIC no./PASSPORT no: *

Marital Status *

Married
Un-Married

Contact Information

Mobile no: *

Whatsapp no: *

Home no:

Office no:

Email: *

Occupation:

Course Information

Course: *

Preferred Medium *

English
Tamil
Sinhala

Course Duration:

Other Courses:

If your course is not available in the list, please enter it manually.

Educational Qualification

Qualifications

GCE (Ordinary Level)

Index No./Reg No *

Year *

Results *

GCE (Advance Level)

GCE (Advance Level)

Index No./Reg No *

Year *

Results *

Diploma/HND/Degree

Diploma/HND/Degree

Index No./Reg No

Year

Course Name

Name of the Institute/College/University

Any Other

Any Other

Course Details

Clearly state the Course Details such as the name of the Course, Year of Completion, Institute Name

Decleration *

I hereby affirm to the best of my knowledge that the information that I have provided in this application and in the enclosures to this application is true and & complete

Refund Policy *

Please note that the registration fee is non-refundable under any circumstances.