Application No

UNIVERSITY OF COLOMBO SCHOOL OF COMPUTING

Date issued

Post applied for

Post

Subject

1. Full Name of the applicant (Last name first)

Name with initials
2.Civil Status
Reverend

Male

Female

Married

Unmarried

Widower

3. Present Address

Phone

4. Permanent Address

Phone

5. Date of Birth
Year

Age as at closing date

Month

Date

Years

Months

Days

Tick Relevant Cage

6. (a) Applicants citizenship ..
7. (b) If a Citizen of Sri Lanka How obtained
(i) By descent
(ii) By registration
8. Educational Qualifications
(a) Secondary Education
School

From

To

Examination passed

Year

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(b) Higher Education

Institution

From

To

Degree Obtained

Class

Year

Index No

9. Subject offered for the first degree

1
3
2
4
Subjects for any additional degree

10. Other Diplomas, Memberships, Fellowships, etc

Institution

Diploma etc

Year

1
2
3
4
5
11. Professional Qualifications
Institution

From

To

Examinations
obtained

Passed

or

Degrees

1
2
3
4
5
12. Proficiency in Sinhala / Tamil/ English
Language

Ability to Work
Very
Good

Good

No
Knowledge
Fair

Ability to Teach
Very
Good

Good

No
Knowledge
Fair

Sinhala
Tamil
English

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13. Proficiency in other Languages

Language
Ability to Speak
Very
Good
Fair
Good

Very
Good

Ability to Read
Good
Fair

Very
Good

Ability to Write
Good Fair

14. Employment Record

Post held

Institution

From

To

Last Monthly
Salary
Received

1
2
3
4
5
6
7
8

15. Experience relevant to the post applied for

16. Details of research and publications

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17. Special Qualifications

18. Referees
Name
1
2
3

Designation

Address

N.B. One of the referees should be either the Professor or a Senior Lecturer of the Department of Study
in which the applicant had his/her University Education or the Head of the Institutions in which the
candidate works
19. Any other information not indicated above

I hereby declare that the particulars furnished by me in the application are true and accurate. I am also
aware that if any particulars contained herein are found to be false or incorrect I am liable to
disqualification if the inaccuracy is discovered before the selection and dismissal without any
compensation if the inaccuracy is discovered after the appointment.

Date

.
Signature

Page 4 of 4