Diploma In Advanced Manufacturing Diploma Enrollment Form

Registration form

Starts in December 2025
Name*

First NameLast Name
Phone Number*
+94 7x xxxx xxx
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Date
Gender

MaleFemaleprefer not to say
Age*
Citizenship
Primary Language
Upload a photo of yourself

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Occupation*
Employment Status*

Full-timePart-time
Company Name*
If unemployed, how long?

Educational Background*

	School Name	Year Completed	Location
1
2
3
4

Do you have any disability?

YesNo
If yes, please indicate it on this field
Do you need any special assistance?

YesNo
What is your reason on taking this particular course?
Payment Method*

FullInstallment Plan
Payment Method*

CashCheckCredit CardBank TransferPaypalOther
By signing this form, you agree to the following:

I also confirmed that all information I entered in this form is accurate and true.

I understand that I need to pass the assessment in order to receive the diploma.

I understand that I need to complete all the requirements and clearances in order to receive the diploma.

I allow this company to use my photos for advertising and marketing purposes only.
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