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 *

     

  

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

        

        



.....Emergency Contact Details.....

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


Emergency contact address *



Telephone or Mobile Phone Number *


Relationship to the emergency contact *


Scheduled course you wish to take *


Date *
Name *


    









Thank You



Hotline: +94 77 3661982 / +94 76 7599192
E-mail: info@whiteflower.lk
Head Office, Colombo 13: +94 77 3661982 / +94 76 7599192
Branch, Colombo 05: +94 77 3661982 / +94 76 7661982

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