(For office use only)
Application for the Post of ……………………………………………………………
1.0 Personal Information:
1.1 Name with Initials at the end (In English block capitals) :- .......................................................................
.........................................................................................................................................................................
1.2 Name in full (In English block capitals) :- ..................................................................................................
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1.3 Name in full (In Sinhala/Tamil) :- ..............................................................................................................
.........................................................................................................................................................................
1.4 Permanent Address (In Sinhala/Tamil) :- ..................................................................................................
.........................................................................................................................................................................
1.5 Permanent Address (In English block capitals) :- ......................................................................................
.........................................................................................................................................................................
1.6 Gender:- ....................................................................................................................................................
1.7 Marital Status:- .........................................................................................................................................
1.8 Ethnic Group :- ..........................................................................................................................................
1.9 National Identity Card No:-
1.10 Date of Birth: - Date Month Year
1.11 Telephone No :
1.12 District:- ..................................................................................................................................................
1.13 Electorate Division:- ................................................................................................................................
1.14 Grama Niladari Division :- .......................................................................................................................
1.15 Email Address:- .......................................................................................................................................
2.0 Educational Qualifications:-
2.1 G. C. E. (O/L) Examination: Year: - …………………………………… Index No :- ..................................................
Subject Grade Subject Grade
1. 6.
2. 7.
3. 8.
4. 9.
5. 10.
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2.2 G. C. E. (A/L) Examination: Year: - …………………………………… Index No :- ...................................................
Subject Grade Subject Grade
1. 3.
2. 4.
3.0 Professional Qualifications:- ...........................................................................................................................
.........................................................................................................................................................................
.........................................................................................................................................................................
.........................................................................................................................................................................
.........................................................................................................................................................................
4.0 Other Qualifications:- .....................................................................................................................................
.........................................................................................................................................................................
.........................................................................................................................................................................
.........................................................................................................................................................................
.........................................................................................................................................................................
5.0 Non-Related Referees
Name / Telephone No Position Address
1.
2.
6.0 Declaration of the Applicant:
(a) I respectfully declare that the particulars furnished by me in this application are true and correct to
the best of my knowledge. I agree to bear the loss which may occur due to incomplete and /or incorrect
completion of any part of this application. Further, I state that, all sections of this application completed
are true and correct to the best of my knowledge.
(b) I shall not subsequently change any information stated above.
…………………………… ….………………………………...
Date Applicant’s Signature
2
7.0 Attestation:
I do hereby certify that Mr./Mrs./Miss ………………………………………...……………………………
……………………………….. is personally known to me and placed his/her signature in my presence
on ……………………………
Date …………………………… ….………………………………...
Signature of Certifying Officer
Name: ..............................................................................................................................................................
Designation: ....................................................................................................................................................
Address: ..........................................................................................................................................................
8.0 (This part is applicable only for candidates who engage in government employment) Attestation of the
head of the Department/ Institution:
I hereby certify that Mr./Mrs./Miss ………………………………………………………………………
………………………………… who is working in this ministry/department/institution, is working in the post of
……………………………. and his/her work and conduct are satisfactory, no disciplinary action
pending against him/her and no decision has been taken to impose any such in the future. If he/she will
be selected for this post, he/she can/cannot be released from the service.
Date …………………………… ….………………………………...
Signature of the Head of the
Department or Authorized Officer.
Name: ..............................................................................................................................................................
Designation:- ...................................................................................................................................................
Ministry / Department:- .................................................................................................................................
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💼 අලුත්ම රැකියා ඇබෑර්තු හා අයදුම්පත් භාගත කර ගැනීම
💼 බඳවා ගැනීමම් විභාග ප්රශ්න හා පිලිුරු
💼 බුද්ධි පරීක්ෂණය සහ අභිමයෝගතාව - ප්රශ්න ප්ර හා පිලිුරු ඇුු
💼 සියලුම රැකියා සඳහා අවශ්යය සියලු මද්ධ සඳහා එකුමවන්
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