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055-2230218
021-2222595
033-2292544
063-2222056
026-2223232
091-2246180
025-2222666
035-2267651
045-2232390
034-2222325
047-2243229
067-2260933
065-2247590

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18/2" "
7
10-847

Office use only

Course Number

SRI LANKA INSTITUTE OF ADVANCED TECHNICAL EDUCATION

Application form for admission to Higher National Diploma/National Diploma Course Acadamic Year 2005
Name of the Institute/Institute Section
(i) Name of the Course
(ii) Medium

:
:
:

1.
2.
3.
4.

Name with Initials

: .
Name/Names denoted by Initials
: .
Address
: .
Date of Birth
: Year , Month , Day .
Age (as at 01.01.2005)
Years , Months , Days .
5. National Identity Card No.
: .
6. Sex
: Male/Female
7. Administrative District
: .
8. (i) Result of GCE (A/L) Examination (2004 or Before) :
Year :
Index No. :
Medium :
Pass Subjects
Grade
1.

2.

3.

4.

If under new syllabus indicate pass or fail in the general papers : .

Aggregate/Average marks or Z-Score of the above examination, issued by the Department of
Examination : .
(ii) Result of GCE (O/L) Examination :
Year :
Index No. :
Medium :
Subject
Grade
Subject
Grade
1.

6.

2.

7.

3.

8.

4.

9.

5.

10.

9. Highest Qualification in English as a subject :

10. Details of Occupation :
Date of Appointment :.
(only for Part time/Weekend Courses)
Post
:
E.P.F. Number
:
Place of work and Address
:-I hereby declare that I am not following any other full time course of study in any other state
institution. I am aware that my registration will be cancelled at any time during the period of study if it is
found that I concurrently follow a full time course at any other state institution. I hereby certify that the
information furnished here is true and accurate to the best of my knowledge.
,
Signature of Applicant.
Date : .
(The Bank receipt for Rs. 100/= payable to SLIATE should be annexed)
10-847

I : (II) - +

+
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+ 2 " 2{" 345
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+
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025-2222500" 025-2223035
025- 2222593" 025-2235855

: 025-2269608
10-742





"
20041117 1100 +
2 25 20041101
20041116 900 300
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(2)
1 ( ) ;
(3) 2 1/ 2 ( ) ;
(4) ;
(5) 500 ;
(6)
2"500 ;
(7) 90 +

30 +

"
" +
'
28" " "
+ "

: 037-2220062
10-739
+ + -
1979 2 +
+ + 41


" +

1- 2 1{ 9
+ +" +"

"



+
+ +

22112004 1100
+
-21032003 +
10032003 " "

'-

:(1) 10% ;
(2)
1% ;
(3) 2 1/2% ;
(4)
2"000 ;
(5) 500 ;
(6) ;
(7) 90%
30 +
+
+
- " + +" 40"
" 02
: 011-2437701-10
"
+ +

432/ 1" [ "
"

081-2217768" 071-2755974" 071-4755974'

: 081- 2217768'
10-761/ 1
+ -
1990 4 + +
( ) 4
+
+
+

AVS ( )
"

+ +

+
+
-
25112004 1030 +

I : (II) - +
- 20041029

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[


" "

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+"
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+
2 { 20

:- +
180
{
150 {

-
25112004 1100
+


3
+
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2 100
+ 35
{

- 25112004
1130 +

6

"
1111
:- 500
{

75 {

'- 2004'06'04 +

2004'02'17 ["

-

: 10% ; 1% ;
2 1/ 2% ;
2,000; " 500; +
90% 30
+
+
- " +" +
" 90" " 03

+ 011- 4701256" 011- 2456258" 077- 7736452
. "
+ +
+
432/ 1"
"
" "

: 081- 2217768" 071- 2755974" 071- 4755974

: 081-2217768
10-761/ 3
+ -
1990 4 + +
(
) 4

+
" 361
+
" " " 32
8"
"
+
+ +
+
+ +
+ +

: 25112004 100

PP 6058 - TP 86606
E 159
+ +" +"
1 35
-
27
{
[ 800 {
100 {

: 25112004 130

+
" +" 1930

:-
200
{

300
{

- 30032001 +

27022001
" "

-

: 10% ; 1% ;
2 1 / 2% ; 2000
500 ; + "
90% 30
+
+ '-
( ) + " +
" 90" " 03

011- 4701256" 011- 2456258" 077- 7736452

I. W. "
+ +

432/ 1"
"
" "

081- 2217768" 071- 4715974" 071- 2755974

: 081-2217768
10-761/ 4
+ -
1990 4 +
+ ( ) 4

" " 3


+
( : 0 0{ 912)
62
"
" 04 C.
E. B. 42/ 1
+
+

25112004 230
+
- 02032001 +

09022001
" "
:-
( ) 700

{

10% ; 1% ;
2 1 / 2% ; 2"000 ;
500 ; + "
90% 30
+
+
( ) + " +
" 90" " 03

011- 4701256" 011- 2456258" 077- 7736452

I. W. "
+ +

432/ 1
"
"
"

081- 2217768" 071- 4715974" 071- 2755974

: 081-2217768
10-761/ 5
+ -
1990 4 + +
( ) 4



W. C. S. M.
146/ 89 12111989

169" 170 + +" +"

( : 30 )
" "
+
+
+
+ +
16112004 1000
+
- 30072004 +

23082004
" "
:-

3/ 4 {
C. I. C.
1/ 4 { 169" 170

-




10% ; 1% ;
2 1/ 2% ; 2"000 ;
500 ; +
90% 30
+

+ : (
) +" H. N. B. "
479" T. B. " 10
: 011- 2661815" 2661816
. "
+ +

432/ 1"
"
"
"

081- 2217768" 071- 4715974" 071- 2755974

: 081-2217768
10-761/ 7
+
( + )
1990 4 " + +
( )
8

(1242 )
" "

25

+ 1998" 2 647
01
" :
0 0{ 0739 +
+
+
+
2001" 3 1242

+ +
2004" 19 1100
+
-
+ :(1) 10% ( ) ;
(2) 1% ( ) ;
(3) 16"500 50% ;
(4) 2 1/ 2% ( ;
(5) 500 ;
(6)
2"000
90% 30
" " +
+
+
+ +
: 011- 2440366'
"
+ "

:
:
24" + "
55" "
"
03
: 081-2227593
: 011-2441761"
: 011-2448526
/ : 081-2224371
: samera@srilanka.net.
10-832
+
( + )
1990 4 + +
( ) 8


4149 :
" "

3
3
" : 0 0{ 3670
+

" "
01 12HP
02 +
01
01 +


+


+

+ +
2004" 17 1100
+
'-
+ :(1) 10% ( ) ;
(2) 1% ( ) ;
(3) 17"400 50% ;
(4) 2 1/ 2% ( ;
(5) 500 ;
(6)
2"000
90% 30
" " +
+
+
+ +
: 011- 2440366'
"
+ "

 I : (II) - +
- 20041029
:
24" + "
"
: 081-2227593
/ : 081-2224371
10-833

:
55" "
03
: 011-2441761"
/ : 011-2448526
: samera@srilanka.net.

+ +
1968 34 1974
10 +
+ ( 397) 22
+
- +
" 2
" "
: 1970 / 93 / 2751/ 94 / 226/ 96
"
2 + + ( 397) 19
+ +

" +
01072004 1348

2162004 " " [

"
26

"
" + " 24
"
30112004 1030
+

+


+ 1961 15
/
5764 4797/
2
"
: 1" :
+ ;
3" :


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1962 10
2 2634
1 :
+
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1964 2
5764 479
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[

292/ 202

4797/
1


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1
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+ ; " :
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296/ 42
+ + "
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+ +"
"

10- 794
+ +
+ +
( 397) 22
+
"
30001467
+ + " + + "
19 +
19961129 952

19961130 [" 19961129

"


26 +
" +
12" "

20041121 1100
+

" "

224" 11/

11
1954"
22 7634
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; : ; :
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7634
(0 0{ 95)
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137/ 123
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+ 1989"
[ 18 5723
:
224"
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5723
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1 ; : ; :
+

5723

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+ 1988" 07
5365 2 ( )
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; : 5365
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5365
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202/ 205
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+ +"

10-842
+
1990 4 " + +
( ) 9


: 00011005 1182 - +
20040528 +
" 20040522
"
" 1990 4
+ + (
) 4 " 20040226
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+ (
)
"
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20041116 1000
+

" "
" " "
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1 - : +"
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10 10 442/ 5 ; : 4
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519
(0' 0'
20'2') ' /
909/ 162
"
" 50/ 5
519 3
"
+ " " + "

3 : 1 ; : 4 ;
: 186 20 ; :
1 2' 519
(0' 0' 385')
' / 909/
163
:

1951"
22 186 20
(30 20 "
) ( " + 32" 34" 36"
38" 40" 50 50/ 1-6
"

)

20
- : 12" 14" 16" 18 21
+ + "
+ 10/ 15 10/ 20 ; :
22 24 ; : +
23" 19" 17" 15 3 ; : 11 "
186
(0' 1' 2671')
/ 909/ 163
186 11 (40
) ( "

)

11 - :
" 60 ;
: 12" 20 13 ; :
+ 11
" + 71"
73 75 ; : 8" 9 10
" 186
(0 0 3465)
/ 909/
165
"
"

10-830
+ +-
1979 2 " +
+ + 41


" "


" "

( ) +
+ +
:
(1) Circular saw-5 Feet-1
(2) Circular saw-4 Feet-1
(3) Chain saw-1
(4) 25HP starter-1
(5) 20HP starter-2
(6) Electric Drills-1
(7) Mekita Jig saw-1
(8) Wood Working Machine-2
(9) Saw Benchers-2
(10) Grinders-2

" "

1979 2 + +
41
+
22112004 1130
+
- 21032003 +

" 10032003 "

-

: 10%"
1%"
2
1/ 2%"
2"000"
500" "
" 90%
3 +
+
+
-" + +" 40"
" 2
01-437701-10
[ "
+
+

432/ 1"
"
"

: 081-2217768" 071-2755974" 071-4755974'

: 081-2217768
10-761/ 2
+ +
+ +
(397 ) 22 +

"
+ + " + +
19 +
20010706 1191

" 20010703 " "

[

26
+ " +
55" "
3
20041127 1100
+

" " "

10

I : (II) - +
- 20041029

" "
372
- :
; :
; :
; :
1926" [
12 3216
(0 0{ 1975) +
1180/
182

1975" 18
632 : " " "

(
1926" [ 12 3216
)
1
1 - : 374
374/2 ; :

+
( + )
1990 4 +
( ) 8


273-110
" " "
1982" [ 3 46
1

( : 20 2{ 3)
+ +

(A) Generator Room

1' D 310 + 250 KVA
01
2' Elequip 30 KVA +
01
3 150 KVA +
01
4 - Free Floor Mounting Type
01
(B) Rolling Room
5' 45" + SA 310
01
6' CCC 40" + 2708
01
7 CCC 45-5" PL +
01
8 CCC 45-5" + 4595
01
9 CCC 47" + 4559
01
10' CCC Reciprocation
04
(C) Drying Room
11' Multi Flue Type 6' 0'' [ 251
01
12 6' 0" [ 6668
01
(D) Sifting Room
13 PPP 3T
01
14 3T
01
15 003
01
16 60" Dia 5 HP x 1440 RPM
01
17 " 3 HP x 1440 RPM
01
18 Michie 439
01
19 Michie 806
01
20 Chota 344
01
21 4 11 KW x 960 RPM
01
22 CCC 2 HP x 1440 RPM
01
23 38" Dia 2 HP x 1440 RPM
01
(E) Withering Section
24' 38" Dia Engart Type Fan 60' 0" Long Trough section
01
25' 38" Dia Woods Type Fan 60' 0" Long Trough section
02
26' 38" Dia CCC 135 60' 0" +
01
27 38" Dia CCC 136 60' 0" +
01
60' 0" +
01
110

1 + 48" x 72' 0 75 HP 48' Trough

06
2 Myddleton
01
3 Terry Nippor Breaker
01
4' Mini-hydro Power Unit
01
" "

( : 3 0{ 12)
+ " +

1 48" Dia 7'5 HP x 960 RPM ()

06
2 72' " withering trough section
06
3' CCC 47" + [
02
4 CCC 40" + [
01
5 45" + [
01
6 Siracco 44" + [
01
7 CCC Reciprocation
03
8 Sircacco 6' 0''
9 Walker (michie)
10 250 KVA
(B) +
11 PPP J 3T
02
12 CCC
01
13 CCC
01
14 (Michie)
01
15 (middletopn) 2 HP
01
DoL
01
(C) 2 Stage Drier


+
" +" +
( () + [ +

+ )
+ 1992" [ 9
110 +
1991" [ 16 273
+ +
+ 2004" 18 1030
1200 +
654
" "
1982" [ 3 46
1

( : 20 2{ 3)
+ " +

; : 366 366/
; :
632
(0 0{ 2240)
+
370" 372
[ "

+ +"
"

10-798

(A) Generator Room

1' D 310 + 250 KVA
2' Elequip 30 KVA +
3 150 KVA +
4 - Free Floor Mounting Type

01
01
01
01

(B) Rolling Room

5' 45" + SA 310
6' CCC 40" + 2708
7 CCC 45-5" PL +
8 CCC 45-5" + 4595
9 CCC 47" + 4559
10' CCC Reciprocation

01
01
01
01
01
04

(C) Drying Room

11' Multi Flue Type 6' 0" [ 251
12 6' 0" [ 6668

01
01

(D) Sifting Room

13 PPP 3T
14 3T
15 003
16 60" Dia 5 HP x 1440 RPM
17 " 3 HP x 1440 RPM
18 Michie 439
19 Michie 806
20 Chota 344
21 4 11 KW x 960 RPM
22 CCC 2 HP x 1440 RPM
23 38" Dia 2 HP x 1440 RPM

01
01
01
01
01
01
01
01
01
01
01

(E) Withering Section

24' 38" Dia Engart Type Fan 60' 0" Long Trough section
25' 38" Dia Woods Type Fan 60' 0" Long Trough section
26' 38" Dia CCC 136 60' 0" +
27 38" Dia CCC 136 60' 0" +
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10-834

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