1 S 1

2023 / 2024

1. PERSONAL DETAILS OF THE APPLICANT

2023 A/L Index Number: 7 1 3 8 1 5 6

Name of Applicant (with initials): MISS VIDURIKA G.S.

Applicant's Full Name: MISS GAMACHCHIGE SANDALI VIDURIKA

Date of Birth: 2004-02-10 Place of Birth: Matara Civil Status: Unmarried Sex: Female

Mobile No: 0702636283 Fixed Line No: 070-2636283 Email: [email protected]

NIC No: 200454113150 NIC Issue Date: 2022-03-11

A/L Used ID: 200454113150 A/L Used ID Type: NIC A/L Used ID issue date: 2022-03-11

Race: Sinhalese Religion: Buddhism Citizen by descent: Yes

Contact Address: 237,RANATHUNGODA,KOTAPOLA,

2. G.C.E. (A/L) 2023 RESULT

Administrative District from which G.C.E (A/L) Examination 2023 was taken: Matara 08

From which administrative district should you be considered for university admission as Matara 08
per admission rules ?

Recorded Results

Biology Agricultural Science Chemistry General English Medium Common General Z-Score

C A C S Sinhala 46 0.8781

20237138156 7138156 VIDURIKA G.S. Monday, July 01, 2024 at 09:41:57 AM page - 1
 3. G.C.E (O/L) RESULTS
Category of G.C.E (O/L): Local
Name used in G.C.E (O/L)
Examination: GAMACHCHIGE SANDALI VIDURIKA

G.C.E (O/L) Results:

Year Index No English Maths Science Sinhala Tamil

2020 61812706 C B C B -

Entered G.C.E (O/L) results by the

candidate: Year Index No English Maths Science Sinhala Tamil

2020 61812706 C B C B -

4. G.C.E (A/L) RESULTS - PREVIOUS ATTEMPTS

If you have sat the G.C.E.(A/L) Examination previously using the same identity card used for G.C.E (A/L) 2023 or different identity card, give the
details of each attempt below. (Please give details, even if you have taken only a single subject)

# Year of Examination Index Number NIC Used at G.C.E (A/L) Subject Grade Z - Score School

20237138156 7138156 VIDURIKA G.S. Monday, July 01, 2024 at 09:41:57 AM page - 2
 5. ORDER OF COURSE & UNIVERSITY PREFERENCE
UNI-CODE UNI-CODE UNI-CODE UNI-CODE

1 0 3 9 B 33 65 97

2 0 0 5 M 34 66 98

3 0 9 3 F 35 67 99

4 @ 0 9 5 F 36 68 100

5 0 9 4 F 37 69 101

6 0 8 7 M 38 70 102

7 @ 1 0 7 L 39 71 103

8 0 7 3 U 40 72 104

9 0 0 4 L 41 73 105

10 0 5 5 D 42 74 106

11 0 8 8 U 43 75 107

12 1 2 9 C 44 76 108

13 0 0 6 F 45 77 109

14 0 0 6 D 46 78 110

15 0 0 6 C 47 79 111

16 0 0 4 M 48 80 112

17 0 0 7 L 49 81 113

18 0 6 4 U 50 82 114

19 1 3 0 C 51 83 115

20 0 5 0 K 52 84 116

21 0 8 6 B 53 85 117

22 0 6 7 U 54 86 118

23 55 87 119

24 56 88 120

25 57 89 121

26 58 90 122

27 59 91 123

28 60 92 124

29 61 93 125

30 62 94

31 63 95

32 64 96

# Candidates should pass the aptitude tests conducted by the relevant University in order to be eligible for this course of study.

@ Candidate should have obtained relevant passes for specific subjects at G.C.E. (O/L) in order to be eligible for this course of study.

NOTE : You will be considered for course of study and Universities you applied only if you have satisfied the prerequisites given in Sections 2,5 of
the University Admission Handbook.

Are you 4’ 10” or above in Height? No Are you a candidate with physical disability? No

Date Signature of Applicant

20237138156 7138156 VIDURIKA G.S. Monday, July 01, 2024 at 09:41:57 AM page - 3
 6. APPLICANT'S DECLARATION

20237138156 7138156 VIDURIKA G.S. Monday, July 01, 2024 at 09:41:57 AM page - 4
 7.

MR/THELIJJAWILA MADHYA MAHA VIDYALAYA,THELIJJAWILA.

Matara 041-2240209

GAMACHCHIGE SANDALI VIDURIKA

7 1 3 8 1 5 6

2015-02-25

20237138156 7138156 VIDURIKA G.S. Monday, July 01, 2024 at 09:41:57 AM page - 5
 1 S 1

2023 / 2024

The students who have submitted their application forms for university admission online through OUSL R&SC/ITDLH centers are required to duly fill and sign this form and
submit to the relevant center. Then the center has to submit all the forms submitted by the students as a whole to UGC, once the period of calling applications is over

DETAILS OF THE CENTER

Center (whether OUSL R&SC or
ITDLH):

Center Number:

Center Address:

Contact details of the Center:

Nature of the service provided

Internet Scanning Printing Stationery Support staff to fill the application Telephone calls to UGC/1919

Other (Please mention)

DETAILS OF THE STUDENT

Name of the student: Mr/Ms GAMACHCHIGE SANDALI VIDURIKA

G.C.E. (A/L) Index Number: 7138156

NIC Number: 200454113150

Contact Number: 0702636283

I have obtained the above services from this center free of charge to apply for university admission online for the academic year 2023 / 2024 and
submitted my application to UGC online, successfully.

Signature of the student:

Date: 2024-07-01

We have aided the student mentioned above in the above specified ways to apply for university admission online for the academic year 2023 / 2024 and the student has
successfully forwarded his/her application for university admission to the academic year 2023 / 2024 and the student has successfully forwarded his/her application for university
admission to the University Grants Commission, online via our center. We have provided all the services to the student free of charge.

Name of the Manager: Mr/Ms

Signature of the Manager: Official Seal of

the Center:
Date: 2024-07-01

ITDLH 112.135.60.191 Monday, July 01, 2024 at 09:41:57 AM page - 6

 SUPPORT DOCUMENTS BARCODE

O/L, 1-side 1_7138156 O/L, 3-side 1_7138156 AFD, 1-side 2_7138156

O/L, 1-side 2_7138156 O/L, 3-side 2_7138156 AFD, 2-side 1_7138156

O/L, 2-side 1_7138156 AFD, 1-side 1_7138156 AFD, 2-side 2_7138156

O/L, 2-side 2_7138156

20237138156