APPLICATION FOR ENROLLMENT

National Identity Card Number *

Full Name with Social Title *

Date of Birth *

District *

Divisional Secretariat *

Current Address *

Telephone

Mobile Phone *

Email Address *

School *

Vocational School

Educational Level *

O/L

A/L

Bachelor's Degree

Master's Degree

Doctoral Degree

How did you find about White Flower Academy of Artistry? *

Radio

Newspaper

Magazine

Friend Attend

Someone

Website

Person to be contacted in case of emergency with social title. *

Emergency contact address *

Same as above

Telephone or Mobile Phone Number *

Relationship to the emergency contact *

Scheduled course you wish to take *

Attach a SCANNED COPY (PDF FILE) of your National Identity Card(BOTH SIDES), Passport or Driver's License(BOTH SIDES). Maximum file size 5MB. *

Date *

Name *