Apply – Camber Technics

Full Name (As per NIC)

Name With Initial

Date of birth

Gender

Male Female

Nationality

NIC / Passport Number

Address

Phone Number (Student)

Parent/Guardian Name

Parent/Guardian Contact No

Ordinary Level (O/L) Exam Result

Year

School

Enter Your O/L Result

Advance Level (A/L) Exam Result

Year

School

Enter Your A/L Result

Others (if any)

Year

School

Enter Your Result

Medical Information (if applicable)

Does the child have any medical condition we should be aware of?

No Yes

If yes, please specify

Declaration

I hereby confirm that the information provided above is true and accurate to the best of my knowledge.