APPLICATION FORM

Selection Examination for

8^th International Junior Science Olympiad (IJSO2011)

 Durban, South Africa,   1^st – 10^th December 2011

on AUGUST, 13 – 2011 at Department of Physics, University of Colombo

Application form

1. Name in full: ...............................................................................................................................

............................................................................................................................

2. Name with initials: ......................................................................................................................
3. Date of Birth (dd/mm/yyyy): ....................................... Gender: Male / Female
4. Age as at 31^st December 2011: Days ………… Months ………… Years …………
5. Contact (Home) Address: ......................................................................................................
6. Contact Tel. Number (s) : ......................................................................................................
7. Name of the School: ......................................................................................................
8. Present Grade: ...........................................................................................................

I state that the above particulars are true and correct.

Signature of the applicant: …………………………………………….

Admission cards can be collected at the Examination centre between 8.30 a.m. to 9.00 a.m. by paying the exam fee of Rs. 400.00, only for those who have submitted their application forms. Please do not send cheques or money orders. We will not accept them.

Exam Date: August 13 (Saturday), 2011
Time: 9.30-11.30 a.m. (Candidates must be at the examination center before 9.00 a.m. attired with their School uniform.)

Venue: Department of Physics, University of Colombo.Exam Date: August 13 (Saturday), 2011

Duly filled Application form must be sent to Dr. Mahesh Edirisinghe, Department of Physics, University of Colombo, Colombo - 03 or hand delivered to Mr. Gayan Gomes, Department of Physics, University of Colombo, Colombo – 03 or email to sljso2011@gmail.com

The deadline to send the application form is August 05, 2011