1. University Ref:
Office use only
APPLICATION FORM
Sri Lanka Institute of Information Technology (SLIIT) ROBOFEST 2012
Robot Name :-
…………………………………………………………………………………………………………
………… Team Leader :-
…………………………………………………………………………………………………………
………… University :-
…………………………………………………………………………………………………………
…………
Department :-
…………………………………………………………………………………………………………
…………
Team Information (maximum of 5 students for a team)
Student Name University ID No. E-mail Address Contact Number Signature
Duly completed application forms should be posted to the address given below or scanned and
emailed to robofest@sliit.lk on or before 1st July 2012.
Dr. Lasantha Seneviratne
Coordinator - Robofest 2012
Sri Lanka Institute of Information Technology
New Kandy Road, Malabe.