ࡱ> "% !' bjbj 4(!h!h!l l 8J>9>* "(4"4"4"##&(8888888$;>X8)####))84"4"d9O2O2O2)R4"4"8O2)8O2O2:6,%74"PX`)6 m8z9096R>*>%7>%7H))O2)))))88.)))9))))>)))))))))l X : [Application Form for PG Dip/MSc. in Electronics and Automation 2022Applicants are requested to complete the form and mail it to the department address given at the end of this application form. Guidelines for applications can be found at  HYPERLINK "http://www.ent.mrt.ac.lk/msc-ea" http://www.ent.mrt.ac.lk/msc-eaPlease complete the form in black or dark blue ink. USE BLOCK OR CAPITAL LETTERS. Incomplete or incorrectly filled applications will not be processed.Section 1: Personal InformationSurname/Family Name  FORMTEXT       First / Given Name (s)  FORMTEXT       Title  FORMTEXT Mr / Mrs / Miss / Other (please specify) Initials  FORMTEXT       Gender  FORMTEXT Male / Female Date of Birth  FORMTEXT DD/MM/YY Home Address Office Address  FORMTEXT        FORMTEXT       Telephone (Home)  FORMTEXT       Telephone (Office)  FORMTEXT       E-mail  FORMTEXT       Fax Number  FORMTEXT       National ID Card No  FORMTEXT       Mobile Number  FORMTEXT       Address Preferred for Correspondence  FORMCHECKBOX  Home Address  FORMCHECKBOX  Office Address Marital Status  FORMCHECKBOX  Married  FORMCHECKBOX  Single FORMTEXT       Section 2: Academic Information (Program of Study) Indicate the type of qualification you are applying for PG Diploma  FORMCHECKBOX  MSc  FORMCHECKBOX  Are you registered for any other postgraduate program?  FORMTEXT Yes / No If `Yes please give details  FORMTEXT       Section 3(a): Academic QualificationsA. First Degree Major  FORMTEXT       University / Institute  FORMTEXT       Date from  FORMTEXT DD/MM/YY to  FORMTEXT DD/MM/YY Degree Title  FORMTEXT       Degree classification/Grade/GPA (if known)  FORMTEXT       B. Postgraduate Level Major  FORMTEXT       University / Institute  FORMTEXT       Date from  FORMTEXT DD/MM/YY to  FORMTEXT DD/MM/YY Degree Title  FORMTEXT       Degree classification/Grade/GPA (if known)  FORMTEXT       For Official Use OnlyApplicant No  FORMTEXT       Student No  FORMTEXT       Name of Selector  FORMTEXT       Qualified  FORMTEXT Yes / No/ Other Comments  FORMTEXT       Section 3(b): Professional QualificationsInstitute Status of Membership Date of Election  FORMTEXT        FORMTEXT        FORMTEXT       Section 4: Details of Relevant Work Experience (starting from the most recent)Organization (name/address) Period (from  to) Designation Nature of work  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       Other experience and qualifications such as research/publications, presentations, awards etc. giving details and dates.  FORMTEXT       Section 5: RefereesPlease give the names and addresses of two non-related referees below. The referees will be called upon to provide a reference of your academic abilities as a postgraduate student. Referee 1 Referee 2 Name  FORMTEXT       Name  FORMTEXT       Address  FORMTEXT       Address  FORMTEXT       Telephone  FORMTEXT       Telephone  FORMTEXT       Email  FORMTEXT       Email  FORMTEXT       Section 6: Declaration of ApplicantI declare that the information furnished above is true and complete. Date  FORMTEXT       Signature  FORMTEXT        Guidelines to completing the Postgraduate Application Form Dear Applicant, We look forward to processing your application form. You may find the following points helpful when completing the postgraduate application form. You only have to submit the first two pages of the application package. Hard copy (hand-written or typeset) of the duly filled application is accepted by post along with all the supporting documents. Also, the softcopies of the duly filled application, and the supporting documents as a single archive file should be uploaded by using the  HYPERLINK "https://forms.gle/Whu7DKefyMR6W5b29" online form linked with the course web site. When there are options, eg. Yes / No, please circle the appropriate item on the paper form or clearly cross out the other option. If the space provided in the form is not sufficient to insert your information, attach additional sheets with the section number written on the top right hand corner of the page. Section 1: Personal Information This section is compulsory and should be completed in full. Please indicate the preferred address for all future correspondence. If your correspondence addresses changes, please contact the Course Assistant as soon as possible and update your personal information.Section 2: ͷ Information (Program of Study) This section will reveal the intended scope of the study program. If you are only interested in obtaining the one year part time PG Diploma check (x) item Diploma. If you are interested in continuing for the MSc as well, indicate this by checking (x) item MSc. If you are currently registered for any other postgraduate course, it should be stated and explained. Your application will be assessed according to this information to determine your ability to successfully complete the chosen degree. Section 3: ͷ/Professional Qualifications According to the eligibility criteria, the selection is carried out either by academic qualifications (3a) or professional qualifications (3b). If you only possess academic qualifications, please fill section 3(a) and disregard section 3(b). If you only possess professional qualifications, please fill section 3(b) and disregard section 3(a). However, if you possess both academic and professional qualifications you are encouraged to provide all information by filling in both sections 3(a) and 3(b). 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Please provide certified copies of documents as evidence to support all claims in Section 3(a) and 3(b). Certificates that are not printed in English should be accompanied by a certified translation. Following documents have to be submitted together with the application form. Copies of the birth certificate, and passport or national identification card certified by a Justice of Peace Copy of the degree certificate certified by the respective University. For foreign degree holders, the UGC form  Recognition of foreign universities and recognition of other qualifications too has also to be submitted. Check the course website for details. Copy of the official transcript certified by the respective University. Copies of the Professional membership indicating your membership status, transcripts of examinations conducted by the professional organization in order to promote to the current membership status, and the date of election to this status in the professional organization certified by the respective Institution.Section 4: Details of Relevant Work Experience If you have no prior work experience, you can ignore this section of the form. However, if you are gaining eligibility through Section 3(b), this section is mandatory. Please highlight only the relevant experience starting from the most recent. You can also use this section to highlight other relevant skills, awards, and experience that you may possess. Section 5: Application Processing Fee& Entrance Exam Fee Pay the application processing fee Rs. 2000 and exam fee Rs. 500 (if applicable) in favor of  Bursar, University of Moratuwa Bank of Ceylon account number 70993353. Please avoid ATM fund transfers. ONLINE fund transfers are available only from BOC accounts. Make sure to attach the payment slip with the application. All the applicants need to pay the application processing fee. However, the entrance exam fee is applicable only for three-years degree holders and those who are applying under professional category, who will have to sit for the entrance exam. Mailing and Contact Information Course Coordinator, PG. Dip/MSc in Electronics and Automation, Dept. of Electronic and Telecommunication Engineering. University of Moratuwa, Moratuwa 10400, Sri Lanka Tel : +94 112 640 051 Ext. 3300 or 3348 +94 774 289 821 (Course Assistant) Fax : +94 112 650 622 E-mail : pg-ea@uom.lk Web :  HYPERLINK "http://www.ent.mrt.ac.lk/msc-ea" http://www.ent.mrt.ac.lk/msc-ea     Department of Electronic and Telecommunication Engineering, University of Moratuwa, Intake 14, 2022 University of Moratuwa  Department of Electronic and Telecommunication Engineering Page  PAGE 4 of  NUMPAGES 4 \``b$$Ifa$gdNEkd԰$$Iflm)) t)644 layt*,$ & F$Ifa$gd^+$ & F$Ifa$gdK$<~ (4@xz \^`b0br02@VXǶǧҘҘҧǶǧxhShGgB*CJaJph3f hShN5B*CJaJphhShM0'B*CJaJph3fhShK$B*CJaJph3f hShK$5B*CJaJphhShK$CJaJhShK$B*CJaJph3fhSh^+B*CJaJph3fhShZB*CJaJph3f-XH$$Ifa$gdNEkd$$Iflm)) t)644 laytlA $$Ifa$gdNUkd$$Iflm))  t 3f)644 lap 3fytlAl n p  XH$$Ifa$gdNEkd>$$Iflm)) t)644 laytlA $$Ifa$gdNUkdԱ$$Iflm))  t 3f)644 lap 3fytlAXZ^h    " 0 @ P R       t     ұ~j[[LLL[[[hShI]B*CJaJph3fhShnB*CJaJph3f&hSh^l56B* CJ]aJph6]#hSh{O6B*CJ]aJph3f#hShK$6B*CJ]aJph3fhShAB*CJaJph3f#hShA6B*CJ]aJph3fhShNB*CJaJph3fhSh{OB*CJaJph3fhShK$B*CJaJph3fhSh{NB*CJaJph3f  6 \ f x z     h j l n p t       2 4      `b|~$ôÉ}}}h*,B*CJaJph3fh*,h*,B*CJaJph3f hShK$5B*CJaJphhShK$CJaJhShK$B*CJaJph3fhShK$B*CJaJph3fhSh{OB*CJaJph3fhShnB*CJaJph3fhSh9B*CJaJph3f1    2   ,q$ $Ifa$gd*,$ $Ifa$gdN $Ifgd*, $$Ifa$gdNUkd$$Iflm))  t 3f)644 lap 3fytlA $*,<@BDXZZ^v߷ĬwmchdL0JCJaJh0JCJaJhGg0JCJaJhS0JCJaJhC0JCJaJh`djh`dUhSh>`CJaJhShK$CJaJh^OUh-0JCJaJhSh-B*CJaJph3fh-B*CJaJph3f jh-B*CJUaJph3fhShK$B*CJaJph3f&  $a$Xkd$$Ifl0m) t)644 laytlA*P  ֣hSh>`CJaJh`dh50JCJaJmHnHuhC0JCJaJjhbR'0JCJUaJhCCJaJhNhNCJaJh0JCJaJhy0JCJaJhS0JCJaJ2&P :pM0'. 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