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Plusinfo - LK 111187698403742

The document is an application form for a position at the General Sir John Kotelawala Defence University. It requests information such as the applicant's name, address, contact details, date of birth, citizenship, educational history, qualifications, work experience, references, and certification that the information provided is accurate. The form is to be completed by the applicant and includes spaces for a present employer to comment on releasing the applicant if selected.

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Roshan
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103 views4 pages

Plusinfo - LK 111187698403742

The document is an application form for a position at the General Sir John Kotelawala Defence University. It requests information such as the applicant's name, address, contact details, date of birth, citizenship, educational history, qualifications, work experience, references, and certification that the information provided is accurate. The form is to be completed by the applicant and includes spaces for a present employer to comment on releasing the applicant if selected.

Uploaded by

Roshan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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For Office Use

GENERAL SIR JOHN KOTELAWALA DEFENCE UNIVERSITY


APPLICATION FORM

NIC No.

APPLIED POST :

FACULTY/ DEPARTMENT :…………………………………………………………………………………

1. Name ( In block letters )

a. Full name
……………………………………………………………………………………………………

…………………………………………………………………………………….………………
b. Name with initials: Mr / Ms.:
……………………………………………………………………………………………………

……………………………………………………………………………………………………
2. a. Permanent Address:
……………………………………………………………………………………….…….…

………………………..……………………………………….………………………………
b. Tel: Res. No. : ………………………….. Mobile No. : …………………………..

c. E-mail: …………………………..…………………Fax : ………………………..……………..

d. Skype ID: ………………………………………………………….…………..…………………

3. Date of Birth: Year Month Date 4. Age: Years Months Days


(As at closing date)

Married Single Male Female


5. Civil Status: 6. Sex:

7. Sri Lankan Citizenship: By Descent By Registration

8. Schools Attended:

………………………………………………………………………………………….

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9. Highest Examination passed in the following Languages:
Sinhala
Tamil
English

10. Educational Qualifications :


a) GCE (O/L) Examination (b) GCE (A/L) Examination
Name of the School:…………………………………… Name of the School :………………………………….………

Index No: ……………………… Year : ………... Index No: ………………………… Year : …….…...
Subject Grade Subject Grade

(Attach Copies of Certificates)

11. Vocational Level Qualifications Diploma & Certificates:


Subjects
Period
followed and
University/Institution Diploma/Certificate Course Results
the effective
From To
date

12. Other Qualifications, if any

…………………………………………………………………………………….……………………
…………………………………………………………………………………….……………………
…………………………………………………………………………………….……………………
…………………………………………………………………………………….……………………
…………………………………………………………………………………….……………………

2
13. a. Present Occupations: (if space is insufficient, please use a separate sheet)
Designation & nature of work Salary drawn Period of stay
Place of work
assigned per month From To

b. Previous Occupation/s: (if space is insufficient, please use a separate sheet)


Designation & Period of stay
Salary drawn
Place of work nature of work Reason for Leaving
per month From To
assigned

14. Extra Curricular Activities:

15. Names, occupations and addresses of two non related referees:

Name Address Occupation Contact No

16. Certification by Applicant

I hereby certify that the particulars submitted by me in this application form are true and accurate.
I am aware that if any of these particulars are found to be false or inaccurate, I am liable to be

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disqualified before selection and to be dismissed without any compensation, if the inaccuracy is
detected after appointment.

Further, I have enclosed copies of following documents. (Please put “ √ “ mark)

A. Educational Qualifications B. Other Certificates

1. O/L 1. ……………………………

2. A/L 2. ……………………………
3. Diploma
3. ……………………………

C. Service Certificates

Date :………………………. …………………………….


Signature of Applicant

17. To be completed by the present employer (If any)

Applicant can/ cannot be released, if selected for appointment.

Any Special Comments :

..............................................................
Signature
Name : ..............................................................
Designation : ..............................................................
Date : ..............................................................

For Office Use


Date Received
Eligibility Yes No
If No, Reasons
Registrar/Senior
Assistant Registrar
(Establishment)
Comments of
Head/Dean

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