SOUTH ASIAN INSTITUTE OF TECHNOLOGY AND MEDICINE > Faculty of ICT & Media > Course Registration Form
Please fill out the form below completely and accurately before submit

'*' Denotes Required Field
Title :*
Name in Full :*
Faculty :*
Course Name :*
Full-time / Part-time :*
Date of Birth :*
DD:   MM:   YYYY:
Nationality :*
Postal Address :*
 
Permanent Address :*
 
NIC / Passport Number :*
Home Phone Number :*
Mobile Phone Number :*
E-mail Address :*
School Attended : 
G. C. E. O/L Results : 
 
G. C. E. A/L Results :*
 
Upload your A/L results sheet :*
 
Person to be contacted
in case of emergency :*
 
Whom did you contact?
(in getting details about the program) :*
   
How did you come to
know about SAITM :
 
(News papers, Friends, SAITM Students & Lecturers or any other means…)
 
Course Fee
Payment Method :*
Full Payment Installments
Please enter the text as it is shown in the box below :*
 
Captcha Image: you will need to recognize the text in it.
 
   

© SAITM. All rights reserved. - Designed & Maintained by, Webmaster [SAITM]