Expression of Interest for Admission to Research Degree Programs

Please refer the preliminary information on postgraduate research degree programs before filling this application

* required field.
A. PERSONAL INFORMATION
1. Title	:	Mr Ms  *
2. Name in Full	:	*
3. Name with Initials	:	*
		Ex: Rathnayake K.H.W.D.
3. NIC	:	*
4. Date Of Birth	:	*
5. Gender	:	Male Female  *
6. Contact Information
Address	:	*
Mobile No	:	*
		Ex: 0712222222
E-mail	:	*
B. ACADEMIC INFORMATION(Requested Program of Study)
7. Preferred area(s), preferred supervisor(s) of research and Faculty/Department: You may search the University of Moratuwa Directory of Research
(a.) Area	:	*	Department	:	- Select Department - Department of Anatomy Department of Architecture Department of Biochemistry and Clinical Chemistry Department of Building Economics Department of Chemical and Process Engineering Department of Civil Engineering Department of Community Medicine and Family Medicine Department of Computational Mathematics Department of Computer Science & Engineering Department of Decision Sciences Department of Earth Resources Engineering Department of Electrical Engineering Department of Electronic & Telecommunication Engineering Department of Industrial Management Department of Information Technology Department of Integrated Design Department of Interdeciplinery Studites Department of Languages Department of Management of Technology Department of Management of Technology (FB) Department of Materials Science and Engineering Department of Mathematics Department of Mechanical Engineering Department of Medical Education Department of Medical Technology Department of Medicine and Mental Health Department of Microbiology and Parasitology Department of Obstetrics and Gynecology Department of Pathology and Forensic Medicine Department of Pediatrics and Neonatology Department of Pharmacology Department of Physiology Department of Surgery and Anesthesia Department of Textile & Clothing Technology Department of Town & Country Planning Department of Transport and Logistics Management  *
Preferred Supervisor (if any)	:
(b.) Area	:		Department	:	- Select Department - Department of Anatomy Department of Architecture Department of Biochemistry and Clinical Chemistry Department of Building Economics Department of Chemical and Process Engineering Department of Civil Engineering Department of Community Medicine and Family Medicine Department of Computational Mathematics Department of Computer Science & Engineering Department of Decision Sciences Department of Earth Resources Engineering Department of Electrical Engineering Department of Electronic & Telecommunication Engineering Department of Industrial Management Department of Information Technology Department of Integrated Design Department of Interdeciplinery Studites Department of Languages Department of Management of Technology Department of Management of Technology (FB) Department of Materials Science and Engineering Department of Mathematics Department of Mechanical Engineering Department of Medical Education Department of Medical Technology Department of Medicine and Mental Health Department of Microbiology and Parasitology Department of Obstetrics and Gynecology Department of Pathology and Forensic Medicine Department of Pediatrics and Neonatology Department of Pharmacology Department of Physiology Department of Surgery and Anesthesia Department of Textile & Clothing Technology Department of Town & Country Planning Department of Transport and Logistics Management
Preferred Supervisor (if any)	:
9. Degree program - See Extracts from Student Handbook for course details
Degree	:	- Select Research Degree - Doctor of PhilosophyMaster of PhilosophyMSc by Research  *
Preferred mode of study	:	Full TimePart Time  *
Funding source	:	SRC Grant Other Grant Self Funding Bank Loan  *
C. EDUCATIONAL QUALIFICATIONS (Please upload scanned Certificates and Academic Transcripts) (See the Extracts from Student Handbook for Eligibility Criteria)
10.
(a). University	:	*	(a). University	:
(b). From	:	*	(b). From	:
(c). To	:	*	(c). To	:
(d). Date of Award	:	*	(d). Date of Award	:
(e). Area of Specialization	:	*	(e). Area of Specialization	:
(f). Medium	:	*	(f). Medium	:
(g). Degree/ Diploma	:	*	(g). Degree/ Diploma	:
(h). Class	:	*	(h). Class	:
D. PROFESSIONAL QUALIFICATIONS
11(a). Professional Institution	:
11(b). Class of Membership	:
11(c). Date of Membership	:
E. DETAILS OF RELEVANT EXPERIENCE (Starting from the present)
12.
(a). Organisation	:		(a). Organisation	:
(b). From	:		(b). From	:
(c). To	:		(c). To	:
(d). Designation	:		(d). Designation	:
(e). Nature of Work	:		(e). Nature of Work	:
(a). Organisation	:
(b). From	:
(c). To	:
(d). Designation	:
(e). Nature of Work	:
13. Other relevant information (Publications, Awards etc.):

Upload your supporting documents
Academic Transcripts
Academic Transcripts
Professional Qualifications:
Other:

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