Nationality

Country of Residence

Current Visa Status

Title

Surname with initials

First Name

Name to be used for Correspondence

Date of Birth

Gender

Residential Address

Land Phone Number

Mobile Phone No

Email ( You must give a current and valid email address )

Do you have a disability, impairment or long-term medical condition that may affect your studies?

Please list your most recent qualification first :

Please tick the appropriate box, if you have sat for any of the following exams which have been conducted in the English medium.

You must provide proof of your English Proficiency to the required standard of your chosen course by providing the necessary certified document. If you do not meet the course English requirements, you may be required to complete an English Language Proficiency Test.

Please give details of any work experience, training and for employment.

Refer to the CIRP Prospectus for details of the course titles. You may check the entry requirements and prerequisites for each course to see if you qualify

REGISTRATION FEE - 5000 LKR for Sri Lankan Students / 50USD for International Students

IMPORTANT NOTE

Colombo Institute of Research & Psychology (CIRP) aims to ensure that quality of educational services is upheld, as stated in the Academic Policy, to the maximum possible degree. If external, unforeseen circumstances interfere with the educational process, CIRP will take all reasonable steps to minimize any disruption to academics. In addition, CIRP will not take responsibility for any actions or circumstances which may be directly or indirectly outside the control of CIRP.

GENERAL PRIVACY STATEMENT

The information collected on this form is solely used for academic purposes. It is used to assess your application for entry to the courses at CIRP. It will also be used to create an enrolment record on the student database, for statistical analysis and to inform you about your course and other related events. Personal information may be collected from, or disclosed to, relevant bodies for the verification of previous qualifications, and it may be disclosed to the relevant government agencies, as required by law.

STUDENT DECLARATION

I warrant that the information on this form is current and complete. I acknowledge that the provision of incorrect information or the withholding of relevant information relating to my application, including academic transcript/s, might invalidate my application and that CIRP may withdraw an offer of a place or cancel my enrolment in consequence. I have read and understood CIRP’s refund policy and the above conditions and accept them fully.

BELOW MENTIONED REGISTRATION FEES WOULD BE APPLICABLE UPON SUBMISSION OF APPLICATION.

Payment for Sri Lankan Students - 5000 LKR
LKR Account - Union Bank
Account Name : Colombo Institute of Research and Psychology (Pvt) Ltd.
Branch : Wellawatte Branch
Account Number : 0050101000015097
Reference : Student/Applicant Name

Payment for International Students - 50 USD
USD Account – Union Bank
Account Name : Colombo Institute of Research and Psychology (Pvt) Ltd.
Branch : Wellawatte Branch
Account Number : 0050202000001224
Reference : Student/Applicant Name

Kindly revert back to us should you require any further information.
Upon payment please attach a scanned copy of your deposit slip (Upon payment, please upload a scanned copy of your deposit in order to complete the enrolment process) in order to complete the enrollment process.