reyqK úYajúoHd,h

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1 ;k;=r( Post: reyqk úyajúohd,h $ UNIVERSITY OF RUHUNA whÿïm;%h $ FORM OF APPLICATION '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' whÿïlref.a iïmq¾k ku( Full Name of the applicant: uq,l=re iu. wjidkhg fhfok ku( Name with initials: ue;l,nd.;a 3 2.5cm m%udkfha PdhdrEmhla w,jkak (i) ia;%s mqrei Ndjh$Sex: (ii) újdyl wújdyl nj$civil Status mqrei Male ia;%s Female újdyl Married wújdyl Unmarried 3' (i) j¾;udk ;eme,a,smskh$present Postal Address: (ii) ÿrl:k wxlh$t.phone No.: (iii) iaór,smskh$permanent Address: (iv) ÿrl:k wxlh$t.phone No.: (v) fmd,sia jiu$police Division: 4' (i) Wmka Èkh$Date of Birth (ii) wejqreï Èkhg jhi$age as at Closing Date: udih Month Èkh Date j¾i udi Month Èk Date 5' mqrjeis Ndjh$Citizenship: fm<m;sks By decent,shdmèxñ ùfuks By Registration 5'1 cd;sl ye kqïm;a wxlh$national Identity Card No.: 6' bf.kqu,enq mdi,a$schools Attended: mdif,a ku isg olajd

2 -2-7' wohdmk iqÿiqlï$educational Qualifications: 7'1 w'fmd'i' ^id'fm<& únd.h$g.c.e. (O/L) Examination: (iy;slm;a wuqkkak$please attach certificates) 3' 4' 5' 6' 7' 8' 9' 10' úihh Subject m<uq jr únd. wxlh fojk jr únd. wxlh 7'2 w'fmd'i' ^W'fm<& únd.h$g.c.e. (A/L) Examination: (iy;slm;a wuqkkak$please attach certificates) 3' 4' úihh Subject únd. wxlh 7'3 úyajúohd, wohdmkh$university Education: (iy;slm;a wuqkkak$please attach certificates) Wmdêh$ämaf,daudj Degree/Diploma mx;sh Class 7'4 fjk;a wohdmk iqÿiqlï$other Educational Qualifications: (iy;slm;a wuqkkak$please attach certificates) mdgud,dj Course ld,h Duration

3 -3-8' yodrk,o jd;a;sh mdgud,d ms<sn úia;r$professional Qualifications followed: (iy;slm;a wuqkkak$please attach certificates) mdgud,dj Course ld,h Duration ^úkhdrël" wdrël fiajd iy ßhÿre ;k;=re i yd b,a ï lrk wh i yd mu '& 9' YdÍßl fhda.h;djh$physical Fitness: Wi$Height: wä'''''''''''''' wõ,a '''''''''''''''' mmqj$chest: wõ,a '''''''''''''''' 9'1 ßhÿre n,m;a wxlh iy ksl=;a l< Èkh/Driving Licence No. & Issuing Date: 10' l%svd l=i,;d fjk;a iqÿiqlï$ Sports Activity & Other Qualifications: 1 fiajd jd¾;dj$employment Record: (fiajd iy;sl wuqkkak$please attach Service certificates) oere ;k;=r Post Held isg From olajd To 1 oekg lrk /lshdj$present Occupation: ;k;=r Post Wmhk jegqm Salary drawn ljod isgo@ From when

4 13' Tn.ek f;dr;=re úuish yels wh$referees: ku Name -4- ;k;=r Designation,smskh Address ÿrl:k wxl T.P. No. 13' fjk;a f;dr;=re$ Other Information: ljr fyda fpdaokdjla i yd Tn ljr l,l fyda Widúhl jerèlre ù ;sfío@ Have you ever been found guilty in a court of law at any time for any charges? Tõ Yes ke; No Tõ kï" ta ms<sn úia;r imhkak' If yes, state particulars: fuu whÿïm;%fha uúiska i yka lrk,o úia;r i;h jqo" ksjerè jqo" tajd nj fuhska iy;sl lrñ' tfukau fuys i yka úia;r wi;h yd jerè tajd nj ud f;dard.eksug fmr fidhd.kq,enqjfyd;a ud kqiqÿiq wfhl= jk nj o" m;aùu,enqjdg miq fuys i yka úia;r wi;h fyda jerè tajd nj fidhd.kq,enqjfyd;a lsisu jkaèhla fkdue;sj ud fiajfhka my lsíug bv we;s nj o uu oksñ' I hereby certify that the particulars submitted by me in this application are true and accurate. I am aware that if any of particulars are found to be false or inaccurate, I am liable to disqualified before selection and to be dismissed without any compensation, if the inaccuracy is detected after appointment. Èkh$Date: '''''''''''''''''''''''''''''''''''''''' '''''''''''''''''''''''''''''''''''''''''''''''''' whÿïlref.a w;aik$signature of Applicant ^ie'hq'( mqrmamdvq lsysmhla i yd whÿï lrk úg ta i yd fjk fjku whÿïm;a bèßm;a l< hq;= h'& (N.B. When applying for several posts, each post should be applied for separately.)

5 -5- rcfha$ixia:d$jhjia:dms; ukav,j, whÿïlrejka i yd mu ' For Public Service/Corporations/Statutory Boards Candidates only. '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' ;k;=r i yd '''''''''''''''''''''''''''''''''''''''''''''' '''''''''''''''''''''''''''''''''''''''''''''' uhd$ñh$fuh úiska bèßm;a lrkq,nk whÿïm; fï iuõ tjk w;r" hï fyhlska whÿïlre tls ;k;=r i yd f;dard.kq,enqjfyd;a Tyq$weh fiajfhka ksoyia l< yels$fkdyels nj iy;sl lrñ' Application for the post of... submitted by Mr./Mrs./Miss.... is forwarded herewith. If he/she is selected for the said post he/she can/cannot be released. ''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' wdh;k m%odkshdf.a w;aik$signature of the Head of the institute ku$name: ''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' ;k;=r$designation: ''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' Èkh$Date: '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' uqødj$seal: ''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''