Postgraduate Application

You will receive a confirmation Email after successful submission of the application. Please contact us via pg.admin@med.cmb.ac.lk, if you do not receive a confirmation Email. Please make sure that you pay the application fee (if applicable) before filling the application and upload the payment receipt to the portal with other required documents. If not, your application will be rejected. (If you have any trouble with submitting applications using Chrome browser please try with Firefox or Edge browsers)

Medium Sinhala Tamil English

Title Mr. Ms. Dr. Other

Gender Male Female Other Prefer not to mention

Official Email Address

Personal Email Address

Please indicate how you got to know about this program

Flyer Newspaper advertisement Friends Website Social media

Name of the Degree/Qualification

University/Institute

Class Obtained

GPA

Date of Completion

Subjects

Name of the Degree/Qualification

University/Institute

Class Obtained

GPA

Date of Completion

Subjects

Name of the Degree/Qualification

University/Institute

Class Obtained

GPA

Date of Completion

Subjects

Name of the Degree/Qualification

University/Institute

Class Obtained

GPA

Date of Completion

Subjects

Name of the Degree/Qualification

University/Institute

Class Obtained

GPA

Date of Completion

Subjects

Are you currently registered for a Postgraduate/Other program?

Yes No

Name of the Program

University/Institute

Full Time Part Time

Duration

Date registered

Expected date of completion

Name of the Program

University/Institute

Full Time Part Time

Duration

Date registered

Expected date of completion

Results at the G.C.E. O/L Examination

Year

Subject Result

Results at the G.C.E. A/L Examination

Year

Subject Result

Name of the Qualification

University/Institute

Duration

Full Time Part Time

Date of Completion

Subjects

Name of the Qualification

University/Institute

Duration

Full Time Part Time

Date of Completion

Subjects

Name of the Qualification

University/Institute

Duration

Full Time Part Time

Date of Completion

Subjects

Name of the Qualification

Name of the Institute

Duration

Full TimePart Time

Date of Completion

Subjects

Name of the Qualification

Name of the Institute

Duration

Full Time Part Time

Date of Completion

Subjects

Have you had any training in a technical/specialized field:

Yes No

Job Title

Employer

From

Responsibilities

Job Title

Employer

From

Responsibilities

Job Title

Employer

From

Responsibilities

Job Title

Employer

From

Responsibilities

Is Current Employment

Job Title

Employer

From

Responsibilities

Is Current Employment

Self funding Sponsored

Referee 1: Non-related referee who can confirm candidate has had a minimum of 1 year of patient/client interaction relevant to Program area

Name

Address

In what capacity do you know this person?

Contact No

Email Address

Referee 2: Non-related Referee who can confirm candidate will have access to patients/clients with needs relevant to sexual health throughout 2 year duration of Program

Name

Address

In what capacity do you know this person?

Contact No

Email Address

Please state your reasons for choosing this program, and relevant work experience to support your application and entry to program

List of Publications

List of Presentations (Oral/Poster)

Scanned copy of Birth Certificate (Maximum File Size 2MB)

Scanned copy of NIC/Passport (Maximum File Size 2MB)

Scanned copy(ies) of Degree Certificate/Transcript of your academic studies (Maximum File Size 2MB)

Scanned copy of Ordinary Level Certificate (Maximum File Size 2MB)

Scanned copy of Advanced Level Certificate (Maximum File Size 2MB)

Scanned copy(ies) of Other related Professional Qualifications (Maximum File Size 2MB)

Scanned copy(ies) of Letters Related to Work Experience (Maximum File Size 2MB)

Detailed Curriculum Vitae (Maximum File Size 2MB)

Scanned copies of SLMC Registration Certificate (Maximum File Size 2MB)

Scanned copy of the Application Fee Payment Receipt (Maximum File Size 2MB)

Please make sure that you pay the application fee and upload the payment receipt (please do not upload any other document under payment receipt) to the portal. If not, your application will be rejected.

Digital Photograph of yourself (Maximum File Size 2MB)

Basic Information Enter basic information here

Academic Qualifications

Other Qualifications Enter other professional qualifications here

Employment Details Enter current and previous employment details here

PaymentsIf someone other than yourself will be responsible for paying your fees, please write below the name and address of your sponsor.

Referees You should select two non-related referees who are able to comment on your suitability for this program

Other Details Personal statement and other details

Documents Please upload the documentary evidence of all your qualifications in order to consider your application. If you are unable to supply the appropriate evidence for one or more of your qualifications, you should also enclose a letter giving your reasons.