Student Information Sheet
1
Personal Info
2
Father Info
3
Mother Info
4
Relative Info
Optional
5
School History
Optional
Student Personal Details
Common Name
*
Full Name
*
Last Name
*
Date of Birth
*
Student Applying Branch
Lyceum Gampaha
Are you applying for pre grade to grade one
Select Yes or No
Yes
No
Grade applying for
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Lower Nursery
Upper Nursery
Pre Grade
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Grade 13
Gender
*
Select Gender
Male
Female
Religion
Select Religion
Buddhism
Christianity
Islam
Hinduism
Other
Other Religion (if applicable)
Nationality
Address
Does the student suffer from any congenital illness or is on any long term medication? if yes please specify
Father Information
Father's Full Name
*
Father's Mobile Number
*
+94
+91
+1
+44
+61
Father's Email Address
Father's ID Number
Mother Information
Mother's Full Name
*
Mother's Mobile Number
*
+94
+91
+1
+44
+61
Mother's Email Address
Mother's ID Number
Siblings Studying at Lyceum
Optional
Optional Section:
Does the student have any brothers or sisters in this school? if yes please specify details below
Academic Record #1
Admission Number
Current Grade
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Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Grade 13
Name of the brother or sister in this school
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Previous Education Details
Optional
Optional Section:
You can skip this section if the student doesn't have previous school history. This is commonly used for transfer students.
School Record #1
Previous School Name
Duration
From
To
Grade
Starting Grade
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Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Grade 13
Ending Grade
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Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Grade 13
Medium of Instruction
Select Medium
Sinhala
Tamil
English
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