For office use

Application Number: Admission Number:

Application Form
2024 -2025
St John Paul II International College, Chilaw Diocese, Wennappuwa.
1.Student’s Details (Please write your name accurately in BLOCK LETTERS and with proper spacing)
Frist Name:

Middle Name:

Last Name:

Date of Birth:
Male Female

Present School : ………………………………………………………………………………

Grade : ……………………….……. Medium: ………………………………
Address:

2.Religion : ……………………………. Parish : ……………………………..

3.Mode of transport
By own vehicle On foot
By school vehicle
By any other mode
By bus
4.Details of the Parent/Guardians
Father
Name : …………………………………………………………………………………………
Address : ………………………………………………………………………………………
Occupation : ……………………………………………………………………………………
Mobile No : ………………..Land line : …………………... Office No : …………………….
E-mail : …………………………………………………………………………………………

Mother
Name : …………………………………………………………………………………………
Address : ………………………………………………………………………………………
Occupation : ……………………………………………………………………………………
Mobile No : ………………..Land line : …………………... Office No : …………………….
E-mail : …………………………………………………………………………………………

Guardian/Caregiver
Name : …………………………………………………………………………………………
Address : ………………………………………………………………………………………
Mobile No : ……………………….. Occupation : …………………………………

5.Personal Details
Marital status of parents : Married – Yes / No / Divorced / Separated / Other
Is the child living with the parents : Yes / No
Number of Brother : ……………………. Sisters : …………………………

Provide details of Brothers & Sisters registered in St John Paul II Network of Education.
Name Present Admission No. Year of Name of School
Grade Admission
6.Does your child need special attention?
Yes No

If “Yes” please specify

…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………

8.Language proficiency (Please state the language that the applicant is most proficient in)

…………………………………………………………………………………………………
…………………………………………………………………………………………………

9.Special abilities : ……………………………………………………………………………

Note : Please submit the following documents along with the Application Form
➢ Certified copy of the Birth Certificate
➢ Three passport size photographs
➢ Original of the Baptismal Certificate
➢ Parish Priest’s Letter/ Letter from Buddhist Monk
I certify that information provided here in is true and correct to the best of my knowledge.
I agree to able by the school’s Rules and Regulations with regards to the conduct by the
business with the school. (General behavior, Dress, Hairstyle and Personal Hygiene)
I agree to conduct myself with decency and decorum at all times.
I agree that the final decision on admittance of the student to the school is the sole right of the
school and its agents and school’s decision is final.
I agree and understand that any fee paid to the school is non-refundable.

…………………………………
Applicant’s Signature

……………………………………. …………………….
Signature of Parent/Guardian/Sponsor Date
On behalf of the applicant
 St. John Paul II International College, Chilaw Diocese
Wennappuwa
Parent’s Declaration

❖ I / We would like to state that I /We understand and admire the Catholic education
atmosphere in St. John Paul II International College.
❖ මම / අපි ශු.දෙවන ජුවාම් පාවුළු ජාත්‍යන්ත්‍ර පාසදේ කදත්‍ෝලික අධ්‍යාපනික වාත්‍ාවරණය
ගැන අවද ෝධ්‍දයන් සිටින වෙ එය අගය කරන වෙ ප්‍රකාශ කිරීමට කැමැත්දත්‍මි /
කැමැත්දත්‍මු.

❖ I / We further state that we respect and abide by the rules and regulations of the
school.
❖ මම / අපි පාසදේ නීති දරගුලාසි වලට ගරු කරන වත්, ඒවාට අවනත්‍ වන වත් ප්‍රකාශ
කරන්දනමි / කරන්දනමු.

❖ I / We give my / our consent to allow my / our child to learn the syllabus which the
school has adapted with Roman Catholism as a subject.
❖ මම / අපි පාසදේ විෂය නිර්දේශයට අනුව දරෝමානු කදත්‍ෝලික ආගම විෂයක් දලස අපදේ
ෙරුවා ඉදගන ගැනීම පිළි ඳව අකමැත්ත්‍ක් දනාමැති වෙ ප්‍රකාශ කරමි / කරමු.

Declaration

I …………………………………………………………………………………………………
bearing National Identity No …………………………………………………………………...
of(Address) ……………………………………………………………………………………..
…………………………………………………………………………………………………..
do hereby admit and declare that I made an informed decision and enrolled and admitted
Master/Miss …………………………………………………………………………………….
to follow classes leading to the Cambridge International Examinations at St John Paul II
International College, Chilaw Diocese (Dept. of Cambridge International Examinations - UK)
Lunuwila Junction, Chilaw Road, Wennappuwa.

………………… ………………………………
Date Signature of Parent/Guardian
AGE GROUPS ( Please select the relevant age group)(√)

Grade Years

Pre-Reception (PG) 3 + to 4+

Reception (LKG ) 4 + to 5+
Stage 1 (UKG) 5 + to 6+
Stage 2 (Pr. 1) 6 + to 7+
Stage 3 (Pr. 2) 7 + to 8+
Stage 4 (Pr. 3) 8 + to 9+
Stage 5 (Pr. 4) 9 + to 10+
Stage 6 (Pr. 5) 10+ to 11+
Stage 7 (Form 1) 11+ to 12+
Stage 8 (Form 2) 12+ to 13+
Stage 9 (Form 3) 13+ to 14+
Year 10 (Form 4) 14+ to 15+
Year 11 (Form 5) 15+ to 16+
Year 12 (AS Level) 16+ to 17+
Year 13 (A Level ) 17+ to 18+

Required Class : ………………………………

For office use only
Approved
Admission fee : ………………………………………………………………………………...
Term fee : ………………………………………………………………………………………
Special Note : …………………………………………………………………………………..
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..

Documents to enclosed with Admission Form

Certified copy of the Birth Certificate

Three passport size photographs

Copy of the Baptismal Certificate

Parish Priest’s Letter / Letter from Buddhist Monk

………………… …………………
Date Date

…………………………… ………………………….
Signature of Admin Officer Signature of Principal

Contact for more information : 0312254143

0761900925