SOUTH ASIAN INSTITUTE OF TECHNOLOGY AND MEDICINE > Faculty of ICT & Media > Course Registration Form
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Title :*
Name in Full :*
Faculty :*
Course Name :*
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Date of Birth :*
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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 Resultsheet :*
 
Person to be contacted
in case of emergency :*
 
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(name of the marketing executive) : 
   
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know about SAITM :
 
Course Fee
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[For Office Use Only]
Batch Number :  
Student Registration Number :  
   
[Payment Details]
Registration Fee :  
Course Fee :  
Discount Rate :  
Discount Amount :  
Total Fee :  
Amount Paid on Registration :  
   
[Documents Submitted]
Copy of G. C. E. O/L Certificate :  
Copy of G. C. E. A/L Certificate :  
Copy of NIC / Passport :  
Copy(s) of Other Certificate(s) :  
   
[Discount Authorization]
Authorized By :  
Signature :  
Date :  
   
Signature of Administration Officer :  
Date :  

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