Student Registration Form
Full Name*
Date of Birth*
Gender*
-- Select --
Male
Female
Other
Prefer not to say
National Identity Number / Student ID*
Email Address*
Mobile Number (WhatsApp Enabled)*
Address Line 1*
Address Line 2
City / Town*
Postal Code
District*
Preferred Contact Method*
Email
WhatsApp
SMS
Preferred Language of Communication*
-- Select --
English
Sinhala
Tamil
Are you a schooling student?*
Yes
No
Highest Level of Education*
-- Select --
O/L
A/L
Diploma
Bachelor’s
Master’s
Other
Name of the School / Institution
Registered Course*
Parent/Guardian Full Name
Parent/Guardian Mobile Number
Parent/Guardian Email Address
Relationship to Student
-- Select --
Mother
Father
Guardian
Other
Current Employment Status*
-- Select --
Employed
Self-employed
Unemployed
Student
Other
Occupation
Company Name
Work Address
I agree to the
Privacy Policy
and terms.
Submit Registration
